ST LUKES METHODIST HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST LUKES METHODIST HOSPITAL (EIN 42-0504780)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-14
IRS object ID: 201203199349300645
Schema version: 2011v1.2
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 D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-14T07:35:24-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	420504780	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S METHODIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STLU	NameControl
Phone	3193697796	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1026 A AVENUE NE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52402	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MILTON E AUNAN II	Name
Title	VP FINANCE/CFO	Title
Phone	3193697796	Phone
Date Signed	2012-11-07	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THEODORE E TOWNSEND JR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1026 A AVENUE NE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52402	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	417927560	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.STLUKESCR.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1903	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	TO GIVE THE HEALTHCARE WE'D LIKE OUR LOVED ONES TO RECEIVE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	3278	TotalNbrEmployees
Total Nbr Volunteers	1009	TotalNbrVolunteers
Total Gross UBI	1107250	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4966346	ContributionsGrantsPriorYear
Contributions Grants Current Year	6315054	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	340717666	ProgramServiceRevenuePriorYear
Program Service Revenue CY	334803685	ProgramServiceRevenueCY
Investment Income Prior Year	10308577	InvestmentIncomePriorYear
Investment Income Current Year	5510147	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3573151	OtherRevenuePriorYear
Other Revenue Current Year	5439982	OtherRevenueCurrentYear
Total Revenue Prior Year	359565740	TotalRevenuePriorYear
Total Revenue Current Year	352068868	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4858566	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5287667	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	161754979	SalariesEtcPriorYear
Salaries Etc Current Year	169390988	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	24040	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	169272253	OtherExpensePriorYear
Other Expenses Current Year	158250758	OtherExpensesCurrentYear
Total Expenses Prior Year	335909838	TotalExpensesPriorYear
Total Expenses Current Year	332929413	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	23655902	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	19139455	RevenuesLessExpensesCY
Total Assets BOY	383358340	TotalAssetsBOY
Total Assets EOY	396324331	TotalAssetsEOY
Total Liabilities BOY	151696353	TotalLiabilitiesBOY
Total Liabilities EOY	169168133	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	231661987	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	227156198	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE MISSION OF ST. LUKE'S METHODIST HOSPITAL IS TO GIVE THE HEALTHCARE WE'D LIKE OUR LOVED ONES TO RECEIVE. OUR STRATEGIC FRAMEWORK IS BUILT UPON THESE PILLARS: 1. DEMONSTRABLY BETTER QUALITY IN OUR PATIENT CARE. WE STRIVE TO PROVIDE THE BEST POSSIBLE HEALTHCARE SERVICE TO OUR PATIENTS AND THEIR FAMILIES. OUR SERVICES ARE ACCESSIBLE TO ALL PERSONS REGARDLESS OF RACE, RELIGION, GENDER OR ABILITY TO PAY.2. ST. LUKE'S IS COMMITTED TO BEING THE WORKSHOP OF CHOICE FOR PHYSICIANS WHO PRACTICE IN OUR HOSPITAL.3. ST. LUKE'S IS COMMITTED TO PARTNERING WITH ALL PERSONNEL, WHO TOGETHER MAKE UP THE BOARD OF DIRECTORS, MEDICAL STAFF, VOLUNTEERS, EMPLOYEES AND STUDENTS WHICH RESULTS IN PERSONAL SATISFACTION, RECOGNITION, ACHIEVEMENT AND COMMITMENT.4. ST. LUKE'S IS COMMITTED TO STRENGTHENING OUR CORE SERVICES TO RENDER THE HIGHEST QUALITY OF HEALTHCARE.5. ST. LUKE'S IS COMMITTED TO BEING A REGIONAL RESOURCE FOR EASTERN IOWANS.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	255633066	Expense
Grants	1333262	Grants
Revenue	338115954	Revenue
Description	HEALTH-CARE SERVICESST. LUKE'S METHODIST HOSPITAL IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CEDAR RAPIDS COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE, AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT.ST. LUKE'S METHODIST HOSPITAL 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, 2011, ST. LUKE'S METHODIST HOSPITAL ADMITTED 18,947 PATIENTS RESULTING IN A TOTAL OF 84,531 PATIENT DAYS. OUTPATIENT VISITS TOTALED 480,480 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS, INCLUDING THE DIGESTIVE HEALTH CENTER, FOR THE SAME PERIOD WERE 12,814. THERE WERE ALSO 54,953 EMERGENCY ROOM VISITS AND 2,612 BABIES DELIVERED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29276294	Expense
Grants	3954405	Grants
Description	COMMUNITY BENEFIT, INCLUDING CHARITY CARECHARITY CARE AND MEANS-TESTED PROGRAMS: ST. LUKE'S METHODIST HOSPITAL 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 PEOPLE AT A VALUE OF $5,082,576 IN 2011. OFTENTIMES, ST. LUKE'S METHODIST HOSPITAL RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. ST. LUKE'S METHODIST HOSPITAL PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. ST. LUKE'S METHODIST HOSPITAL'S NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $10,430,183 FOR 2011. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $15,512,759.OTHER BENEFITS: ST. LUKE'S METHODIST HOSPITAL PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. ST. LUKE'S METHODIST HOSPITAL COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. ST. LUKE'S METHODIST HOSPITAL HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. APPROXIMATELY 22,483 PERSONS WERE SERVED THROUGH THESE PROGRAMS. TOTAL OTHER BENEFITS REPORTED VALUE: $13,763,535.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	284909360	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	1	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	152	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	3278	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Premiums Paid	0	PremiumsPaid
Form8899 Filed	0	Form8899Filed
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MILTON E AUNAN II VP FINANCECFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3193697796	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1026 A AVENUE NE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52402	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (40 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
STEVE ALLSOP
BOARD MEMBER	1.00	X	0	0	0
DUSTIN ARNOLD MD
BOARD MEMBER	1.00	X	394085	0	10557
RALPH BECKETT MD
BOARD MEMBER (THRU 09/11)	1.00	X	0	0	0
KARL CASSELL
BOARD MEMBER	1.00	X	0	0	0
STEVEN CAVES
BOARD MEMBER	1.00	X	0	0	0
TERRI CHRISTOFFERSEN
BOARD MEMBER	1.00	X	0	16437	0
LEE CLANCEY
BOARD MEMBER	1.00	X	0	0	0
RANDY EASTON
BOARD MEMBER	1.00	X	0	0	0
KATHY ENO
BOARD MEMBER	1.00	X	0	15616	0
SALLY GRAY
BOARD SECRETARY	1.00	X	0	0	0	X
VICTOR HAMRE
BOARD VICE CHAIR	1.00	X	0	0	0	X
PERCY HARRIS MD
BOARD MEMBER	1.00	X	0	0	0
JAMES HOFFMAN
BOARD MEMBER	1.00	X	0	16737	0
KEITH KREWER MD
BOARD MEMBER	1.00	X	0	0	0
CHRIS LINDELL
BOARD MEMBER	1.00	X	0	0	0
ROBIN MIXDORF
BOARD MEMBER	1.00	X	0	0	0
RALPH PALMER
BOARD MEMBER	1.00	X	0	0	0
WILLIAM PROWELL
BOARD MEMBER	1.00	X	0	12688	0
MARCIA ROGERS
BOARD MEMBER	1.00	X	0	0	0
BRIAN SCOTT
BOARD CHAIR	1.00	X	0	1711	0	X
DREW SKOGMAN
BOARD MEMBER	1.00	X	0	0	0
MICK STARCEVICH
BOARD MEMBER	1.00	X	0	0	0
THEODORE TOWNSEND JR
BOARD MEMBER & PRESIDENT/CEO	40.00	X	607173	0	135676	X
STEVEN WAHLE MD
BOARD MEMBER	1.00	X	0	0	0
MILTON AUNAN II
VP FINANCE/CFO	40.00		366174	0	53717	X
JOHN SHEEHAN
EXECUTIVE VP/COO	40.00		459290	0	81146	X
MOHIT CHAWLA
SENIOR VICE PRESIDENT (CLC)	40.00		561521	0	20732		X
MIKE EASLEY
ADM DIR, FAC, PLNG & OPER	40.00		172145	0	33908		X
SUBHI HALAWA
VICE PRESIDENT (CLC)	40.00		550596	0	25687		X
RICHARD KETTELKAMP
VICE PRESIDENT (CLC)	40.00		596989	0	17770		X
TODD LANGAGER
PRESIDENT (CLC)	40.00		512427	0	26826		X
MICHELLE NIERMANN
VP OPERATIONS	40.00		275318	0	47902		X
KATHERINE OBERBROECKLING
DIRECTOR FINANCE	40.00		150293	0	26856		X
MARY ANN OSBORN
VP/CCO	40.00		380638	0	74753		X
CHARLES SCHAUBERGER
VP MEDICAL AFFAIRS	40.00		343571	0	16653		X
MARY HLAVIN
PHYSICIAN-NEUROSURGERY	40.00		897136	0	24498			X
MOHAMMED KHALIL
PHYSICIAN	40.00		544000	0	24471			X
NASAR PAYVANDI
PHYSICIAN	40.00		561478	0	26846			X
DAVID RATER
PHYSICIAN	40.00		537395	0	18974			X
HISHAM WAGDY
PHYSICIAN	40.00		641376	0	21520			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8551605	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	63189	TotalReportableCompFrmRltdOrgs
Total Other Compensation	688492	TotalOtherCompensation
Number Individuals GT100 K	118	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
GRAHAM CONSTRUCTION CO INC
421 GRAND AVE	DES MOINES	IA	50309	CONSTRUCTION SERVICES	5097190
MR ASSOCIATES
PO BOX 2686	CEDAR RAPIDS	IA	52406	MR SERVICES	4813378
ARAMARK SERVICE MASTER FACILITY
24863 NETWORK PL	CHICAGO	IL	60673	MNGT SERVICES	1577517
MISSISSIPPI VALLEY REGIONAL
5500 LAKEVIEW PARKWAY	DAVENPORT	IA	52707	BLOOD SERVICES	1159020
EXECUTIVE HEALTH RESOURCES INC
15 CAMPUS BLVD - STE 200	NEWTON SQUARE	PA	19073	COMPLIANCE SERVICES	794252

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
Related Organizations	2536377	RelatedOrganizations
Government Grants	957609	GovernmentGrants
All Other Contributions	2821068	AllOtherContributions
Total Contributions	6315054	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE	900099	167681441	167681441
PHARMACY REVENUE	446110	84437370	64659747	$19,777,623
LABORATORY SERVICES	621510	67827945	67827945
MGMT & SUPPORT SVCS	561000	6158063	5132841		1025222
SUBS & JOINT VENTURES	900099	5590759	5541174		49585

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3108107	TotalRevenueColumn
Related Or Exempt Function Income	3075664	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	32443	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	334803685	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3314331	TotalRevenueColumn
Exclusion	$3,314,331	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	67203251	Securities
Other	114098	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	64260019	Securities
Other	861514	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2943232	Securities
Other	-747416	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2195816	TotalRevenueColumn
Exclusion	$2,195,816	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	94494	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	76310	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	18184	TotalRevenueColumn
Exclusion	$18,184	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	574464	GrossSalesOfInventory
Cost Of Goods Sold	660849	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-86385	TotalRevenueColumn
Exclusion	-$86,385	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
MISCELLANEOUS REVENUE	900099	2546098	2546098
CAFETERIA/FOOD SVCS	722210	2195914		$2,195,914
SUBS & JOINT VENTURES	900099	503312	503312

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	262859	TotalRevenueColumn
Related Or Exempt Function Income	262859	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5508183	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	352068868	TotalRevenueColumn
Related Or Exempt Function Income	317231081	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1107250	UnrelatedBusinessRevenue
Exclusion	$27,415,483	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5283667	Total
Program Services	5283667	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	4000	Total
Program Services	4000	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3225213	Total
Management And General	3225213	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	131186643	Total
Program Services	112877188	ProgramServices
Management And General	18309455	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8402123	Total
Program Services	7229456	ProgramServices
Management And General	1172667	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17094654	Total
Program Services	14750172	ProgramServices
Management And General	2344482	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9482355	Total
Program Services	7896648	ProgramServices
Management And General	1585707	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5827079	Total
Program Services	3821677	ProgramServices
Management And General	2005402	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	376833	Total
Program Services	44065	ProgramServices
Management And General	332768	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15000	Total
Management And General	15000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	571410	Total
Program Services	4951	ProgramServices
Management And General	566459	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	29343904	Total
Program Services	23642926	ProgramServices
Management And General	5700978	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1911034	Total
Program Services	300819	ProgramServices
Management And General	1610215	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	76655442	Total
Program Services	75118006	ProgramServices
Management And General	1537436	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	16883162	Total
Program Services	16684445	ProgramServices
Management And General	198717	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7571128	Total
Program Services	6910215	ProgramServices
Management And General	660913	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1112134	Total
Program Services	861246	ProgramServices
Management And General	250888	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	532474	Total
Program Services	337043	ProgramServices
Management And General	195431	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4015230	Total
Management And General	4015230	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15836253	Total
Program Services	14615736	ProgramServices
Management And General	1220517	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	463195	Total
Program Services	383743	ProgramServices
Management And General	79452	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	151175	151175
INCOME TAXES	-43463		-43463
MISCELLANEOUS EXPENSE	-2971232	-6007818	3036586

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	332929413	Total
Program Services	284909360	ProgramServices
Management And General	48020053	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1808	BOY
EOY	10998484	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	48500763	BOY
EOY	37226942	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	116320	BOY
EOY	79079	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38646825	BOY
EOY	43329833	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	17334410	BOY
EOY	19471388	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7288250	BOY
EOY	7477822	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1254096	BOY
EOY	1700796	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	300059085	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	162066887	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	132738482	BOY
EOY	137992198	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	97237322	BOY
EOY	96734646	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	40165257	BOY
EOY	41313143	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	74807	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	383358340	BOY
EOY	396324331	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	31863712	BOY
EOY	32645152	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	223972	BOY
EOY	705668	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	56083	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	4940786	BOY
EOY	4330952	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	114667883	BOY
EOY	131430278	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	151696353	BOY
EOY	169168133	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	202103593	BOY
EOY	197296359	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	11488516	BOY
EOY	11842965	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	18069878	BOY
EOY	18016874	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	231661987	BOY
EOY	227156198	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	383358340	BOY
EOY	396324331	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	19139455	ReconcilationRevenueExpenses
Reconcilation Other Changes	-23645244	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4865225	BeginningOfYearBalance
Investment Earnings Or Losses	182201	InvestmentEarningsOrLosses
Other Expenditures	30735	OtherExpenditures
Administrative Expenses	491	AdministrativeExpenses
End Of Year Balance	5078652	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3382526	BeginningOfYearBalance
Investment Earnings Or Losses	1499402	InvestmentEarningsOrLosses
Other Expenditures	16017	OtherExpenditures
Administrative Expenses	686	AdministrativeExpenses
End Of Year Balance	4865225	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	3394479	BeginningOfYearBalance
Investment Earnings Or Losses	40071	InvestmentEarningsOrLosses
Other Expenditures	55654	OtherExpenditures
Administrative Expenses	-3630	AdministrativeExpenses
End Of Year Balance	3382526	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	4760884	BeginningOfYearBalance
Investment Earnings Or Losses	-1291996	InvestmentEarningsOrLosses
Other Expenditures	74409	OtherExpenditures
End Of Year Balance	3394479	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.92840	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.01490	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.05660	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16336684	OtherCostOrOtherBasis
Book Value	16336684	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	115979760	OtherCostOrOtherBasis
Depreciation	55119234	Depreciation
Book Value	60860526	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160597609	OtherCostOrOtherBasis
Depreciation	104655550	Depreciation
Book Value	55942059	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7145032	OtherCostOrOtherBasis
Depreciation	2292103	Depreciation
Book Value	4852929	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	137992198	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (17 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
BENEFICIAL INTEREST IN NELLIE SHERWOOD TRUST	129668	F
BENEFICIAL INTEREST IN ST. LUKE'S HEALTH CARE FOUNDATION	28962721	F
BONE DENSITOMETRY & BREAST BIOPSY SERVICES	39276	C
EASTERN IOWA SLEEP CENTER, LLC	213866	C
HEALTH ENTERPRISES VENTURES & HEALTH ENTERPRISES OF IOWA	389638	C
HEALTHNET CONNECT, LC	100	C
IOWA ECHO ULTRASOUND SERVICES	42478	C
IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC	5000	C
MEDICAL LABORATORIES OF EASTERN IOWA, LC	605347	C
MR ASSOCIATES, LLP	647792	C
ST. LUKE'S-COE STEAM, INC.	333134	C
STL HEALTH RESOURCES CO	4597807	C
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, LLC	3214598	C
PCI REGIONAL MEDICAL MALL, LLC	396747	C
PCI LENDER, LLC	263880	C
HELLEN G NASSIF COMMUNITY CANCER CENTER	678000	C
BENEFICIAL INTEREST IN COMMUNITY CANCER CENTER	793091	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	41313143	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$11,339,265
ASBESTOS REMOVAL LIABILITY	$1,004,201
LONG-TERM RETENTION INCENTIVES	$2,703,141
IOWA HEALTH SYSTEM NOTE PAYABLE	$77,650,000
SELF-INSURANCE RESERVE	$7,350,100
INCOME TAXES PAYABLE	-$33,637
HEALTH AND WELFARE BENEFITS RESERVE	$1,172,000
DEFINED BENEFIT RETIREMENT PLAN LIA	$30,245,208

Field	Value	IRS element (for citing)
Total Of Amounts	131430278	TotalOfAmounts
Total Revenue	352068868	TotalRevenue
Total Expenses	332929413	TotalExpenses
Excess Or Deficit For Year	19139455	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-5361309	NetUnrealizedGLOnInvestments
Other	-$18,283,935	OtherAmount
Total Adjustments	-23645244	TotalAdjustments
Excess Or Deficit Per FS	-4505789	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	322330000	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-5353852	NetUnrealizedGainsInvestments
Other Revenues	703871	OtherRevenues
Revenue Not Rptd F990	-4649981	RevenueNotRptdF990
Revenue Subtotal	326979981	RevenueSubtotal
Investment Expenses Not Included	302521	InvestmentExpensesNotIncluded
Other Revenues Not Included	24786366	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	25088887	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	352068868	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	306465000	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	702991	OtherExpensesIncluded
Expenses Not Rptd F990	702991	ExpensesNotRptdF990
Expenses Subtotal	305762009	ExpensesSubtotal
Investment Expenses Not Included2	302521	InvestmentExpensesNotIncluded2
Other Expenses Not Included	26864883	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	27167404	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	332929413	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	IOWA HEALTH SYSTEM 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 HEALTH 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 2008. THE HEALTH 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 HEALTH SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN BENEFICIAL INTEREST-ST. LUKE'S HEALTH CARE FOUNDATION -1,473,715. CHANGES IN PENSION LIABILITY -16,810,220. TOTAL TO SCHEDULE D, PART XI, LINE 8: -18,283,935.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		COST OF GOODS SOLD 660,849. EXPENSE REIMBURSEMENTS 42,142. ROUNDING 880.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSES NETTED IN REVENUES 1,000,000. REVENUES IN UNRESTRICTED FUND BALANCE 289,456. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 1,782,615. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 1,736,377. PHARMACY RECLASSIFICATION 19,977,918.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		COST OF GOODS SOLD 660,849. EXPENSE REIMBURSEMENTS 42,142.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		EXPENSES IN UNRESTRICTED FUND BALANCE 4,150,081. EXPENSES NETTED IN REVENUES 1,000,000. IOWA HEALTH SYSTEM CONTRACTING SERVICES, LC PURCHASE REBATES 1,736,377. PHARMACY RECLASSIFICATION 19,977,918. ROUNDING 507.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	1	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	BOOK SALE	NameOfEvent1
Gross Receipts Event1	71773	GrossReceiptsEvent1
Gross Revenue Event1	71773	GrossRevenueEvent1
Other Direct Expenses Event1	62842	OtherDirectExpensesEvent1
Name Of Event2	BABY PRINTS	NameOfEvent2
Gross Receipts Event2	6435	GrossReceiptsEvent2
Gross Revenue Event2	6435	GrossRevenueEvent2
Total Number Of Other Events	6	TotalNumberOfOtherEvents
Gross Receipts Other Events	16286	GrossReceiptsOtherEvents
Gross Revenue Other Events	16286	GrossRevenueOtherEvents
Other Direct Expenses Other Events	13468	OtherDirectExpensesOtherEvents
Gross Receipts Total	94494	GrossReceiptsTotal
Gross Revenue Total Events	94494	GrossRevenueTotalEvents
Other Direct Expenses Total Events	76310	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	76310	DirectExpenseSummaryEvents
Net Income Summary	18184	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	2764	PersonsServed
Total Community Benefit Expense	5082576	TotalCommunityBenefitExpense
Net Community Benefit Expense	5082576	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	12978	PersonsServed
Total Community Benefit Expense	39504980	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29074797	DirectOffsettingRevenue
Net Community Benefit Expense	10430183	NetCommunityBenefitExpense
Percent Of Total Expense	0.03130	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	15742	PersonsServed
Total Community Benefit Expense	44587556	TotalCommunityBenefitExpense
Direct Offsetting Revenue	29074797	DirectOffsettingRevenue
Net Community Benefit Expense	15512759	NetCommunityBenefitExpense
Percent Of Total Expense	0.04660	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	17401	PersonsServed
Total Community Benefit Expense	1501731	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21686	DirectOffsettingRevenue
Net Community Benefit Expense	1480045	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	673	PersonsServed
Total Community Benefit Expense	2362020	TotalCommunityBenefitExpense
Direct Offsetting Revenue	216387	DirectOffsettingRevenue
Net Community Benefit Expense	2145633	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	4409	PersonsServed
Total Community Benefit Expense	27476880	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21901933	DirectOffsettingRevenue
Net Community Benefit Expense	5574947	NetCommunityBenefitExpense
Percent Of Total Expense	0.01670	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	8	NumberOfActivitiesOrPrograms
Total Community Benefit Expense	9252018	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4689108	DirectOffsettingRevenue
Net Community Benefit Expense	4562910	NetCommunityBenefitExpense
Percent Of Total Expense	0.01370	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	30	NumberOfActivitiesOrPrograms
Persons Served	22483	PersonsServed
Total Community Benefit Expense	40592649	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26829114	DirectOffsettingRevenue
Net Community Benefit Expense	13763535	NetCommunityBenefitExpense
Percent Of Total Expense	0.04120	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	30	NumberOfActivitiesOrPrograms
Persons Served	38225	PersonsServed
Total Community Benefit Expense	85180205	TotalCommunityBenefitExpense
Direct Offsetting Revenue	55903911	DirectOffsettingRevenue
Net Community Benefit Expense	29276294	NetCommunityBenefitExpense
Percent Of Total Expense	0.08780	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Total Community Building Expense	116860	TotalCommunityBuildingExpense
Net Community Building Expense	116860	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	12980	TotalCommunityBuildingExpense
Net Community Building Expense	12980	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	20719	TotalCommunityBuildingExpense
Net Community Building Expense	20719	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Total Community Building Expense	150559	TotalCommunityBuildingExpense
Net Community Building Expense	150559	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$3,522,144	BadDebtExpenseAmount
Amount Reimbursed By Medicare	67898375	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	71345403	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-3447028	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 MEDLABS OF EASTERN IOWA LC
LABORATORY SERVICES	0.50000	0.50000
2 THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
AMBULATORY SURGERY CENTER	0.50000	0.50000
5 CEDAR RAPIDS MEDICAL EDUCATION FOUNDATION
ESTABLISH AND MAINTAIN UNDERGRADUATE, GRADUATE AND CONTINUING MEDICAL EDUCA	0.50000
6 ST LUKE'S-COE STEAM INC
PROVIDE STEAM HEAT, STERILIZATION, AND OTHER PURPOSES TO ST. LUKE'S HOSPITA	0.50000
7 STL HEALTH RESOURCES CO
PROPERTY RENTAL	1.00000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S METHODIST HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1026 A AVENUE NE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	524023026	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S METHODIST HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	10	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Permit Other Actions	X	PermitOtherActions
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 6A: ST. LUKE'S METHODIST HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT WWW.IHS.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 SEGMENT SPECIFIC 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 I, LINE 7G: THE NET COMMUNITY BENEFIT COST OF SUBSIDIZED HEALTH SERVICES OF $5,574,947 IS ATTRIBUTED TO A PHYSICIAN CLINIC.
PART II: COMMUNITY BUILDING ACTIVITIES ARE ESSENTIAL ROLES FOR HEALTH-CARE ORGANIZATIONS IN THAT THEY ADDRESS MANY OF THE UNDERLYING DETERMINANTS OF HEALTH. RESEARCH HAS CONTINUALLY SHOWN THAT WHEN THE FACTORS INFLUENCING HEALTH ARE EXPLORED, HEALTH CARE ACTUALLY PLAYS THE SMALLEST ROLE PROPORTIONATELY. A REPORT IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION AND THE CENTER FOR DISEASE CONTROL (MCGINNIS, 1996) SUGGESTS THAT THE FACTORS IMPACTING HEALTH ARE AS FOLLOWS: LIFESTYLE AND BEHAVIORS, 50%, ENVIRONMENT (HUMAN AND NATURAL), 20%, GENETICS AND HUMAN BIOLOGY, 20%, AND HEALTH CARE, 10%. COMMUNITY BUILDING ACTIVITIES HELP TO ADDRESS THE OTHER INDICATORS OUTSIDE OF THE ROLE TRADITIONALLY PLAYED BY HEALTH-CARE ORGANIZATIONS. THESE ACTIVITIES ARE ALMOST EXCLUSIVELY DONE IN SOME FORM OF PARTNERSHIP IN WHICH THE COMMUNITY OR OTHER ORGANIZATIONS ARE BETTER SUITED TO ADDRESS. HEALTH-CARE ORGANIZATIONS GENERALLY PROVIDE TIMELY AND SPECIFIC RESOURCES TO HELP THESE ISSUES. HEALTH-CARE ORGANIZATIONS CAN BE A RICH AND VALUABLE COMMUNITY RESOURCE IN WAYS NOT TYPICALLY CONSIDERED. OFTEN THE MOST EFFECTIVE WAY TO HELP IMPACT AND IMPROVE THE COMMUNITY HEALTH STATUS IS TO SUPPORT OTHER AGENCIES AND ORGANIZATIONS IN A VARIETY OF WAYS OUTSIDE OF HEALTH SERVICES. THIS IS OFTEN DONE THROUGH CASH OR IN-KIND SERVICES TO SUPPORT OTHER NON-PROFITS, DONATIONS OF DURABLE MEDICAL EQUIPMENT AND SUPPLIES TO CERTAIN AGENCIES, OR THROUGH LEADERSHIP AND EDUCATIONAL EXPERTISE. THE HOSPITAL CONTRIBUTES FINANCIALLY TO A WIDE VARIETY OF COMMUNITY ORGANIZATIONS THAT ADDRESS THE BROADER NEEDS OF THE COMMUNITY. THESE DONATIONS ALLOW OTHER NON-PROFIT ORGANIZATIONS TO FULFILL THEIR MISSIONS TO IMPROVE THE WELL BEING OF THE COMMUNITY AND CONTRIBUTE TO ITS OVERALL HEALTH STATUS IN WAYS THAT MAY DIFFER FROM THE DIRECT SERVICES OF THE HOSPITAL ORGANIZATION AND MAXIMIZE THE RESOURCES THEY HAVE TO WORK WITH. THE HOSPITAL EMPLOYEES ARE ACTIVE IN EDUCATING PARTNERS ON A WIDE VARIETY OF HEALTH SUBJECTS THAT ADVANCE THEIR WORK. FURTHER, THE HOSPITAL EMPLOYEES ARE MEMBERS OF MANY NON-PROFIT BOARDS TO PROVIDE LEADERSHIP OR COLLABORATE TO ADDRESS COMPLEX HEALTH ISSUES.THESE TYPES OF ACTIVITIES SPEAK TO THE BREADTH AND CAPACITY THAT THE HOSPITAL HAS IN IMPACTING THE HEALTH STATUS OF THE COMMUNITY IN A COMPREHENSIVE AND INTENTIONAL APPROACH.
PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR ST. LUKES HOSPITAL. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2.
PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE SHORTFALL REFLECTED ON SCHEDULE H, PART III, SECTION B WAS DETERMINED USING INFORMATION FROM THE ORGANIZATION'S MEDICARE COST REPORT. HOWEVER THE MEDICARE COST REPORT DISALLOWS CERTAIN ITEMS THAT WE BELIEVE ARE LEGITIMATE EXPENSES INCURRED IN THE PROCESS OF CARING FOR OUR MEDICARE PATIENTS. EXAMPLES OF THESE ITEMS INCLUDE PROVIDER BASED PHYSICIAN EXPENSE, SELF INSURANCE EXPENSE, HOME OFFICE EXPENSE AND THE SHORTFALL FROM FEE SCHEDULE PAYMENTS. THE ORGANIZATIONS COST ACCOUNTING SYSTEM CALCULATES A MEDICARE SHORTFALL OF $16,685,054. IN ADDITION TO THESE ITEMS THE MEDICARE COST REPORT AND THE COST ACCOUNTING SYSTEM DO NOT INCLUDE MEDICARE PHYSICIAN FEE SCHEDULE EXPENSE OF $5,435,176 AND REVENUE OF $2,190,616. AFTER TAKING THESE ITEMS INTO ACCOUNT WE CALCULATE AN ACTUAL MEDICARE SHORTFALL OF $19,929,614.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 HOSPITALS 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 V, SECTION B, LINE 3: A 20-QUESTION COMMUNITY HEALTH PERCEPTUAL NEEDS SURVEY WAS CAREFULLY CONSTRUCTED BASED ON THE SIX OVERARCHING PUBLIC HEALTH GOALS SET FORTH BY THE IOWA DEPARTMENT OF PUBLIC HEALTH. THE SURVEY WAS THEN DISTRIBUTED THROUGH THE USE OF E-MAIL BLASTS. THE E-MAIL WAS DISTRIBUTED TO LINN COUNTY BUSINESS, INDUSTRY, SOCIAL SERVICE, NONPROFIT AND GOVERNMENTAL AGENCIES. LOCAL MEDIA ENCOURAGED PARTICIPATION AND FLYERS WERE POSTED THROUGHOUT THE COUNTY URGING RESIDENTS TO COMPLETE THE SURVEY. ADDITIONALLY VOLUNTEERS DISTRIBUTED THE SURVEYS TO SENIOR CITIZEN DINING SITES THROUGHOUT RURAL AND URBAN LINN COUNTY. TO CAPTURE A BROADER CROSS-SECTION OF OUR POPULATION, PATIENTS FORM A LOCALLY QUALIFIED HEALTH CENTER WERE ASKED FOR THEIR PERCEPTUAL INPUT. A TOTAL OF 1,340 RESPONDENTS TOOK THE PERCEPTUAL NEEDS SURVEY. WOMEN MADE UP 66.9% (864) OF RESPONDENTS WHICH IS TYPICAL OF MANY COMMUNITY-BASED HEALTH SURVEYS THE AGE GROUP WITH THE MOST RESPONDENTS WAS THE 45-54 AGE RANGE AT 27.8% (359) WITH THE 55-64 AGE GROUP CLOSELY SECOND AT 23.5% (304) RACES THAT WERE REPRESENTED CLOSELY MIRRORED THOSE OF LINN COUNTY EFFORT TO CAPTURE INFORMATION REGARDING WHERE PEOPLE LIVE WAS ALSO MADE BY ASKING FOR RESPONDENTS ZIP CODE	ST. LUKE'S METHODIST HOSPITAL
PART V, SECTION B, LINE 4: IT WAS CONDUCTED WITH MERCY MEDICAL CENTER, THE LINN COUNTY BOARD OF HEALTH AND A VARIETY OF COMMUNITY ORGANIZATIONS.	ST. LUKE'S METHODIST HOSPITAL
PART V, SECTION B, LINE 7: ST. LUKE'S METHODIST HOSPITAL DID NOT SPECIFICALLY ADDRESS THE AIR QUALITY NEED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. ST. LUKE'S METHODIST HOSPITAL MAKES TREMENDOUS EFFORTS TO ENSURE OUR FACILITIES ARE ENERGY EFFICIENT AND SAFE FOR THE COMMUNITY, BUT THIS SPECIFIC NEED WAS NOT SOMETHING THE HOSPITAL ADDRESSED.	ST. LUKE'S METHODIST HOSPITAL
PART V, SECTION B, LINE 15E: GUARANTORS RECEIVE A CYCLE BILL EERY 30 DAYS FOR THE LIFE OF THE ACCOUNT ON A/R. ON DAY 41, 11 DAYS AFTER THE SECOND BILLING CYCLE, A FIRST COLLECTION ATTEMPT IS MADE FROM THE TELEVOX DIALER. THE SECOND COLLECTION ATTEMPT IS MADE BY THE DIALER ON DAY 71, 11 DAYS AFTER THE THIRD AND FINAL BILLING CYCLE. THE THIRD COLLECTION ATTEMPT IS MADE BY THE DIALER ON DAY 87, E DAYS BEFORE THE ACCOUNT IS REVIEWED FOR COLLECTIONS. ACCOUNTS WITH SATISFACTORY PAYMENTS OR PREARRANGED PAYMENT ARRANGEMENTS THAT ARE CURRENT ARE NOT SENT TO THE DIALER. ACCOUNTS WITH A MENTAL HEALTH DIAGNOSIS, WORKERS COMPENSATION ACCOUNTS, ACCOUNTS WITH SKILLED NURSING FACILITIES, AND ACCOUNTS WITH NO PHONE NUMBER ARE ALSO NOT SENT TO THE DIALER. THESE ACCOUNTS ARE ON A MANUAL LIST WHICH THE COLLECTION TEAM REVIEWS AND MAKES CALLS MANUALLY AS DEEMED APPROPRIATE. WHEN THE ACCOUNTS ARE GREATER THAN OR EQUAL TO $5,000, THE COLLECTION TEAM WILL SEND A FINANCIAL ASSISTANCE APPLICATION IF THEY CANNOT MAKE CONTACT WITH THE GUARANTOR AND 10 BUSINESS DAYS LATER, A PAST LETTER. THEY WILL ALSO CHECK FOR MEDICAID ELIGIBILITY FOR THEIR STATE OF RESIDENCE.	ST. LUKE'S METHODIST HOSPITAL
PART V, SECTION B, LINE 19D: IF THE INDIVIDUAL APPLIES AND QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE FACILITYS FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES FOR THOSE SERVICES AT THE HOSPITAL FACILITY TO DETERMINE THE AMOUNTS BILLED FOR ALL SERVICES, INCLUDING EMERGENCY OR MEDICALLY NECESSARY CARE. THIS OCCURS REGARDLESS WHETHER THE INDIVIDUAL HAS INSURANCE COVERAGE. ALSO, IF THE INDIVIDUAL HAS INSURANCE COVERAGE AND DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITYS FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE INSURERS NEGOTIATED RATE FOR THOSE SERVICES AT THE HOSPITAL FACILITY. HOWEVER, IF THE INDIVIDUAL DOES NOT HAVE INSURANCE COVERAGE AND EITHER DOES NOT APPLY OR DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE FACILITYS FINANCIAL ASSISTANCE POLICY, THE HOSPITAL FACILITY USES THE GROSS RATES FOR THOSE SERVICES TO DETERMINE THE AMOUNTS BILLED. IF THE UNINSURED INDIVIDUAL AGREES TO PAY THE BILL IN FULL, THE HOSPITAL FACILITY WILL PROVIDE A 20%-30% DISCOUNT FROM THE GROSS RATES FOR THOSE INDIVIDUALS. THE PERCENTAGE OF GROSS CHARGES ON SELF-PAY ACCOUNTS WITH NO DISCOUNT FOR 2011 WAS 1.7%.	ST. LUKE'S METHODIST HOSPITAL
PART V, SECTION B, LINE 21: AS DESCRIBED IN SCHEDULE H, PART V, LINE 19, IF THE PATIENT DOES NOT APPLY OR QUALIFY FOR FINANCIAL ASSISTANCE AND ALSO IS UNINSURED OR RECEIVES NO BENEFIT FROM THEIR INSURANCE ON A SERVICE PROVIDED BY THE HOSPITAL FACILITY, THEY WOULD BE CHARGED AMOUNTS EQUAL TO GROSS CHARGES FOR THE SERVICES PROVIDED TO THE PATIENT. HOWEVER, IF THE PATIENT AGREES TO PAY IN FULL, THEY WILL RECEIVE A 20%-30% DISCOUNT FROM THE GROSS CHARGES. THE PERCENTAGE OF GROSS CHARGES ON SELF-PAY ACCOUNTS WITH NO DISCOUNT FOR 2011 WAS 1.7%.	ST. LUKE'S METHODIST HOSPITAL
PART VI, LINE 2: ST. LUKES METHODIST HOSPITAL CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN LINN COUNTY IOWA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, ST. LUKES IS A SPONSORING PARTNER OF THE LINN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT & HEALTH IMPROVEMENT PLAN (CHNA-HIP) STEERING COMMITTEE WHICH IS A COMMUNITY COLLABORATIVE CONVENED BY ST. LUKES, MERCY MEDICAL CENTER AND THE LINN COUNTY BOARD OF HEALTH TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF LINN COUNTY. THROUGH A PLANNED AND ORGANIZED EFFORT, [PROGRAM NAME] DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY. CHNA-HIP WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES THROUGH LEVERAGING THE RESOURCES OF THE COMMUNITY. ST. LUKES METHODIST HOSPITAL, AS A SPONSORING AGENCY, ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. EFFORTS ARE MONITORED IN PART BY OTHER PARTNER AGENCIES SUCH AS THE AREA SUBSTANCE ABUSE COUNCIL AND CEDAR RAPIDS COMMUNTY SCHOOL DISTRICT, WHICH MONITOR AND REPORT SPECIFIC INDICATORS TO ASSESS EFFECTIVENESS AND AID IN THE DEVELOPMENT OF NEW PLANS OR REFINING EXISTING ONES. FURTHER, CHNA-HIP HAS DEVELOPED A MEASUREMENT PROCESS TO EVALUATE EFFECTIVENESS AS WELL AS NEED. CHNA-HIP CONVENES 4 MEETINGS ANNUALLY TO SEEK PUBLIC INPUT ON HEALTH INITIATIVES. ST. LUKES METHODIS HOSPITAL IS ALSO A SPONSORING PARTNER IN CHNA-HIP. THIS COLLABORATIVE ALSO COMPLETES A COMMUNITY HEALTH ASSESSMENT. FROM THIS, PRIORITIES AND STRATEGIES HAVE BEEN IDENTIFIED. ST. LUKES METHODIST HOSPTIAL HAS ACTIVELY ENGAGED IN ADDRESSING AND MONITORING HEALTH ISSUES AND NEEDS AS A RESULT OF THIS PROCESS. ST. LUKES METHODIST HOSPITAL ALSO PARTICIPATES AS PART OF THE UNITED WAY COMMUNITY IMPACT COMMITTEE. THIS GROUP ACTIVELY ADDRESSES NEED AND STRATEGIES ASSOCIATED WITH HEALTH. MORE SPECIFICALLY, THIS GROUP OFTEN FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE COMMUNITY HEALTH STATUS. THIS WIDE BASED COLLABORATIVE PROVIDES OPPORTUNITIES FOR ST. LUKES TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EXPERTISE BUT WITHIN ITS EXISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS ST. LUKES METHODIST HOSPITAL CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT.
PART VI, LINE 3: ST. LUKES METHODIST HOSPITAL 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 HOSPITAL (E.G., THE EMERGENCY DEPARTMENT, AND REGISTRATION AND CHECK-OUT/CASHIER AREAS) STATING THE HOSPITAL 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: ST. LUKES METHODIST HOSPITAL IS A 532-BED COMMUNITY HOSPITAL SERVING AN 8 COUNTY AREA. ST. LUKES METHODIST HOSPITAL IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80% OF ST. LUKES METHODIST HOSPITAL MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND LINN. ST. LUKES METHODIST HOSPITAL ADMITS APPROXIMATELY 18,513 INPATIENTS AND CARES FOR 55,068 EMERGENCY PATIENTS PER YEAR. ST. LUKES METHODIST HOSPITAL CARES FOR MORE INPATIENTS, OUTPATIENTS, EMERGENCY PATIENTS AND CARDIAC PATIENTS THAN ANY OTHER HOSPITAL IN CEDAR RAPIDS, IOWA. THERE ARE 9 OTHER HOSPITALS WITHIN THE 8-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $40-60 THOUSAND AND THE AVERAGE POVERTY RATE IS 9%. 54% OF ST. LUKES METHODIST HOSPITAL INPATIENTS ARE ELIGIBLE FOR MEDICARE OR MEDICAID. LINN COUNTY, THE ONLY COUNTY IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, IS 93% CAUCASIAN; 3% AFRICAN-AMERICAN, 2% HISPANIC AND 2% 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. INITIALLY FORMED IN 1995, IOWA HEALTH SYSTEM IS THE STATE'S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH 26 HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 140 PHYSICIAN CLINICS, IOWA HEALTH SYSTEM PROVIDES CARE THROUGHOUT IOWA AND WESTERN ILLINOIS.IOWA HEALTH SYSTEM ENTITIES EMPLOY THE STATE'S LARGEST NONPROFIT WORKFORCE, WITH NEARLY 20,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 2.5 MILLION PATIENT VISITS, IOWA HEALTH SYSTEM HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $2 BILLION, IOWA HEALTH SYSTEM IS THE SIXTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. IOWA HEALTH SYSTEM 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 2009, IOWA HEALTH SYSTEM AND ITS AFFILIATES PROVIDED MORE THAN $128 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY IOWA HEALTH SYSTEM AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES.
IA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
PO BOX 4002902	DES MOINES	IA	50340	135613797	501(C)(3)	5000	PROGRAM SUPPORT
CEDAR RAPIDS COMMUNITY CANCER CENTER FOUNDATION
855 A AVENUE	CEDAR RAPIDS	IA	52406	452671609	501(C)(3)	1000000	PROGRAM SUPPORT
CEDAR RAPIDS MEDICAL EDUCATION FOUNDATION
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	391894395	501(C)(3)	1866205	PROGRAM SUPPORT
CEDAR RAPIDS SYMPHONY
205 2ND AVE SE	CEDAR RAPIDS	IA	52401	420772544	501(C)(3)	5000	PROGRAM SUPPORT
CITY OF CEDAR RAPIDS
324 3RD ST SE	CEDAR RAPIDS	IA	52401	426053860	501(C)(3)	10000	PROGRAM SUPPORT
ENTREPRENEURIAL DEVELOPMENT CENTER
230 2ND ST SE	CEDAR RAPIDS	IA	52404	421447565	501(C)(3)	5000	PROGRAM SUPPORT
HEALTHY LINN CARE NETWORK
501 13TH STREET NW	CEDAR RAPIDS	IA	52405	426004338	501(C)(3)	35000	PROGRAM SUPPORT
HORIZONS
PO BOX 667	CEDAR RAPIDS	IA	52406	421135083	501(C)(3)	25000	PROGRAM SUPPORT
IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421435199	501(C)(3)	2204927	PROGRAM SUPPORT
IOWA HOSPITAL ASSOCIATION
100 E GRAND SUITE 100	DES MOINES	IA	50309	420706508	501(C)(3)	11200	PROGRAM SUPPORT
MILESTONESAGING SERVICES INC
1725 O AVENUE	MARION	IA	52302	237085316	501(C)(3)	20000	PROGRAM SUPPORT
SCIENCE CENTER OF IOWA
401 W MARTIN LUTHER KING JR PARKWAY	DES MOINES	IA	50309	426097912	501(C)(3)	27098	PROGRAM SUPPORT
UNIVERSITY OF IOWA
POX BOX 4550	IOWA CITY	IA	522444550	420796760	501(C)(3)	10000	PROGRAM SUPPORT
VARIETY CLUB OF IOWA
PO BOX 1163	CEDAR RAPIDS	IA	52406	426077108	501(C)(3)	5000	PROGRAM SUPPORT
WAYPOINT
318 FIFTH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(C)(3)	25000	EVENT SPONSOR

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	11	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ST. LUKE'S METHODIST HOSPITAL REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PARTS II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINES A SERIES OF ELIGIBILITY STANDARDS THAT ARE REQUIRED TO BE MET. ST. LUKE'S METHODIST HOSPITAL THEN REVIEWS THESE APPLICATIONS AND, BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DUSTIN ARNOLD MD
392662	0	0	0	1423	0	10519	0	38	0	404642	0	0	0
THEODORE TOWNSEND JR
413881	0	127527	0	65765	0	112089	0	23587	0	742849	0	0	0
MILTON AUNAN II
258850	0	75067	0	32257	0	42716	0	11001	0	419891	0	0	0
JOHN SHEEHAN
330891	0	87698	0	40701	0	57731	0	23415	0	540436	0	0	0
MOHIT CHAWLA
561491	0	0	0	30	0	9860	0	10872	0	582253	0	0	0
MIKE EASLEY
141826	0	21507	0	8812	0	14500	0	19408	0	206053	0	0	0
SUBHI HALAWA
549432	0	0	0	1164	0	11891	0	13796	0	576283	0	0	0
RICHARD KETTELKAMP
596269	0	0	0	720	0	8731	0	9039	0	614759	0	0	0
TODD LANGAGER
509259	0	0	0	3168	0	12250	0	14576	0	539253	0	0	0
MICHELLE NIERMANN
203181	0	55812	0	16325	0	26867	0	21035	0	323220	0	0	0
KATHERINE OBERBROECKLING
130122	0	19892	0	279	0	7214	0	19642	0	177149	0	0	0
MARY ANN OSBORN
246464	0	100805	0	33369	0	64210	0	10543	0	455391	0	0	0
CHARLES SCHAUBERGER
133769	0	83380	0	126422	0	9057	0	7596	0	360224	0	0	0
MARY HLAVIN
896032	0	0	0	1104	0	9765	0	14733	0	921634	0	0	0
MOHAMMED KHALIL
543520	0	0	0	480	0	12471	0	12000	0	568471	0	0	0
NASAR PAYVANDI
555382	0	0	0	6096	0	12250	0	14596	0	588324	0	0	0
DAVID RATER
535113	0	0	0	2282	0	12081	0	6893	0	556369	0	0	0
HISHAM WAGDY
641251	0	0	0	125	0	13321	0	8199	0	662896	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS: DR. SCHAUBERGER WAS REIMBURSED BY THE EMPLOYER FOR TAXES PAID. THE REIMBURSEMENT AMOUNT WAS INCLUDED IN TAXABLE INCOME, REPORTED ON FORM W-2, AND TOTAL COMPENSATION WAS WITHIN APPROPRIATE FAIR MARKET VALUE LIMITS.
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN TAXABLE INCOME: CHARLES SCHAUBERGER $100,117. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: MILTON AUNAN II $30,465, MICHELLE NIERMANN $15,746, MARY ANN OSBORN $42,160, JOHN SHEEHAN $45,463, AND THEODORE TOWNSEND, JR. $99,035.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (15 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CEDAR VALLEY PATHOLOGISTS PC
COMMON BOARD MEMBER/OFFICER	595000	PATHOLOGY MEDICAL DIRECTOR	0
EASTERN IOWA SLEEP CENTER LLC
COMMON BOARD MEMBER/OFFICER	214000	INVESTMENT	0
HEALTH ENTERPRISES OF IOWA
COMMON BOARD MEMBER/OFFICER	107351	ULTRASOUND SERVICES	0
KIRKWOOD COMMUNITY COLLEGE
COMMON BOARD MEMBER/OFFICER	131000	RENT, CONTINUING EDUCATION, TRAINING ROOMS/PROGRAMS	0
MEDICAL LABORATORIES OF EASTERN IOWA LC
COMMON BOARD MEMBER/OFFICER	1474000	INVESTMENT, PURCHASED SERVICES	0
MR ASSOCIATES LLP
COMMON BOARD MEMBER/OFFICER	6101000	RENT, PAYROLL SERVICES/BENEFITS, SUPPLIES, IT LAUNDRY, ETC.	0
PCI LENDER LLC
COMMON BOARD MEMBER/OFFICER	256824	INVESTMENT	0
PCI REGIONAL MEDICAL MALL LLC
COMMON BOARD MEMBER/OFFICER	457568	INVESTMENT AND DISTRIBUTION OF CAPITAL	0
PHYSICIANS CLINIC OF IOWA PC
COMMON BOARD MEMBER/OFFICER	495000	MEDICAL DIRECTOR AND OTHER	0
SHUTTLEWORTH & INGERSOLL PLC
COMMON BOARD MEMBER/OFFICER	138000	PROFESSIONAL SERVICES	0
ST LUKE'S DEVELOPMENT COMPANY
COMMON BOARD MEMBER/OFFICER	351685	RENT, PERFORMANCE OF SERVICES, SHARE EMPLOYEES, LEASE & PURCHASED ASSETS, ETC.	0
ST LUKE'S - COE STEAM INC
COMMON BOARD MEMBER/OFFICER	1006415	PERFORMANCE OF SERVICES	0
STL HEALTH RESOURCES CO
COMMON BOARD MEMBER/OFFICER	1143433	INTEREST, PURCHASE/SALE OF ASSETS, LEASES, PERFORMANCE OF SERVICES, AND EXPENSE REIMBURSEMENT	0
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
COMMON BOARD MEMBER/OFFICER/KEY EMPLOYEE	6677000	INVESTMENT, RENT, PAYROLL SERVICES/BENEFITS, SUPPLIES, INFORMATION TECHNOLOGY, LAUNDRY, MAINTENANCE, ETC.	0
TONYA ARNOLD
FAMILY MEMBER OF BOARD MEMBER DUSTIN ARNOLD, MD	79628	COMPENSATED EMPLOYEE WHOSE SPOUSE IS DUSTIN ARNOLD, MD WHO IS A BOARD MEMBER OF SEVERAL CR BOARD IN 2011.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	STEVE CAVES, JAMES HOFFMAN, THEODORE TOWNSEND, BUSINESS RELATIONSHIP JAMES HOFFMAN, MARCIA ROGERS, BUSINESS RELATIONSHIP
FORM 990, PART VI, SECTION A, LINE 6	ST. LUKE'S HEALTHCARE, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	IOWA HEALTH SYSTEM, AS SOLE MEMBER OF ST. LUKE'S HEALTHCARE, APPROVES APPOINTMENT OF BOARD OF DIRECTORS, APPROVES AMENDMENTS TO ARTICLES AND BYLAWS, APPROVES STRATEGIC AND BUSINESS PLAN, SELECTION AND REMOVAL OF CEO, APPROVES INCURRED INDEBTEDNESS, APPROVES MANAGED CARE STRATEGY, APPROVES TRANSFER OF ASSETS, MERGER, ACQUISITION AND DISSOLUTIONS, BUDGETS, AND SIGNIFICANT CORPORATE TRANSACTIONS.
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 SUBCOMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND REPORTS BACK TO THE FULL BOARD. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE 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 2011 FOR THE FOLLOWING INDIVIDUALS: MILTON AUNAN II, MICHELLE NIERMANN, MARY ANN OSBORN, JOHN SHEEHAN, AND THEODORE TOWNSEND, JR. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19	IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, HAS VOLUNTARILY ADOPTED MANY OF OUR INDUSTRY'S GOVERNANCE "BEST PRACTICES." IOWA HEALTH SYSTEM HAS DONE SO TO FURTHER ASSURE OUR STAKEHOLDERS THAT OUR GOVERNANCE AND MANAGEMENT IS CONDUCTED RESPONSIBLY AND WARRANTS THE TRUST YOU PLACE IN US. IN SEPTEMBER 2003, THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS VOLUNTARILY ADOPTED OVER 40 CHANGES TO ITS GOVERNANCE STRUCTURE TO BETTER COMPLY WITH GOVERNANCE BEST PRACTICES AND THE INTENT AND APPLICABLE REQUIREMENTS OF THE SARBANES-OXLEY ACT OF 2003. IN ADDITION, GOVERNANCE POLICIES AND RELATED INFORMATION HAS BEEN ADDED TO THE IOWA HEALTH SYSTEM WEBSITE, WWW.IHS.ORG, INCLUDING BUT NOT LIMITED TO: OVER 130 CORPORATE COMPLIANCE POLICIES, INCLUDING CHARITY CARE AND CONFLICTS OF INTEREST POLICIES; GOVERNANCE BEST PRACTICE POLICIES; THE IDENTIFICATION OF BOARD MEMBERS AND BOARD COMMITTEES; COMPENSATION FOR HOSPITAL CEO'S; AND FINANCIAL INFORMATION FOR THE PAST SEVEN YEARS.
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -5,361,309. CHANGE IN BENEFICIAL INTEREST-ST. LUKE'S HEALTH CARE FOUNDATION -1,473,715. CHANGES IN PENSION LIABILITY -16,810,220. TOTAL TO FORM 990, PART XI, LINE 5: -23,645,244.	CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1026 A AVE NE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52402	ZIPCode

Field	Value	IRS element (for citing)
EIN	271095420	EIN
Primary Activities	CARDIOLOGY SERVICES	PrimaryActivities
Legal Domicile State	IA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	ST LUKE'S METHODIST HOSPITAL	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (43 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
ALLEN COLLEGE
1825 LOGAN AVENUE	WATERLOO	IA	50703	421351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(II)	ALLEN HEALTH SYSTEMS INC	1
ALLEN HEALTH SYSTEMS INC
1825 LOGAN AVENUE	WATERLOO	IA	50703	421201924	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	1
ALLEN MEMORIAL HOSPITAL CORPORATION
1825 LOGAN AVENUE	WATERLOO	IA	50703	420698265	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC	1
ANAMOSA AREA AMBULANCE SERVICE
101 GRANT WOOD DRIVE	ANAMOSA	IA	52205	421466284	PROVIDE AMBULANCE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'SJONES REGIONAL MEDICAL CENTER	1
CENTRAL IOWA HEALTH PROPERTIES CORPORATION
1200 PLEASANT STREET	DES MOINES	IA	50309	421233759	PROPERTY HOLDING COMPANY	IA	501(C)(2)		CENTRAL IOWA HEALTH SYSTEM	1
CENTRAL IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421189791	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM	1
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	1
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	1
HNC SERVICES
1200 PLEASANT STREET	DES MOINES	IA	50309	270987243	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	1
INTEGRATED CARE ORGANIZATION
1200 PLEASANT STREET	DES MOINES	IA	50309	274665007	PROMOTE, SUPPPORT THE INTERESTS AND PURPOSES OF AFFILIATES' HOSPITALS	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	1
INTRUST
11333 AURORA AVENUE	URBANDALE	IA	50322	421477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM	1
IOWA HEALTH FOUNDATION
2700 GRAND AVE SUITE 109	DES MOINES	IA	50312	421467682	CHARITABLE FUNDRAISING	IA	501(C)(3)	509(A)(3), TYPE III	CENTRAL IOWA HEALTH SYSTEM	1
IOWA HEALTH SYSTEM
1200 PLEASANT STREET	DES MOINES	IA	50309	421435199	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III		1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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 III	METHODIST MEDICAL CENER OF ILLINOIS	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
TPG HEALTH
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	1
TRINITY BUILDING CORPORATION
802 KENYON ROAD	FORT DODGE	IA	50501	421376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC	1
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	1
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	1
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	1
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	1
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	1
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	1
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	1
UNITY HEALTHCARE
1518 MULBERRY AVENUE	MUSCATINE	IA	52761	420680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM	1

Form990 Schedule R Part III Form990ScheduleRPartIII (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Code VCodeVAmount
1776 WESTLAKES PARKWAY LC
4949 WESTOWN PARKWAY SUITE 200	WEST DES MOINES	IA	50266	205031651	OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BUILDINGS	IA	N/A	UNRELATED	229642	12309952	0	1	0.33330
ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC
1825 LOGAN AVE	WATERLOO	IA	50703	453237125	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A	RELATED	22920	39683	0	0	0.20000
CENTRAL ILLINOIS CANCER CARE CENTER LLC
7309 N KNOXVILLE	PEORIA	IL	61614	261128108	RADIATION THERAPY	IL	N/A	RELATED	1031613	1886570	0	1	0.50000
CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC
1200 PLEASANT ST	DES MOINES	IA	50309	273625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A	RELATED	281022	87957	0	0	0.20000
DES MOINES PARKING ASSOCIATES
1200 PLEASANT ST	DES MOINES	IA	50309	382622972	PARKING DECK OPERATIONS	IA		RELATED	540801	3772221	0	1	1.00000	CENTRAL IA HEALTH PROP CORP
DUBUQUE ENDOSCOPY CENTER LC
1515 DELHI STREET SUITE 500	DUBUQUE	IA	52001	201597161	AMBULATORY SURGERY CENTER	IA		RELATED	660133	210769	0	1	0.51000	THE FINLEY HOSPITAL
ENSEVA - HIAWATHA LLC
524 PARK ROAD	WATERLOO	IA	50704	453437363	COLLOCATION FACILITY	IA		RELATED	2624	2203353	0	0	0.52000	IOWA HEALTH SYSTEM
FINLEY DEPT OF SURGERY CO-MGMT CO LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	422808785	SURGERY DEPARTMENT MANAGEMENT SERVICES	IA	N/A	RELATED	101716	208966	0	0	0.50000
FINLEYHARTIG HOMECARE LLC
703 MAIN ST	DUBUQUE	IA	52001	421487138	SALE/RENTAL OF MEDICAL EQUIPMENT	IA	N/A	RELATED	132479	842404	0	1	0.50000
HEALTH CARE AFFILIATES OF THE TRI-STATES LLC
350 N GRANDVIEW AVE	DUBUQUE	IA	52001	421428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	N/A	RELATED		14037	0	1	0.50000
HEALTH ENTERPRISES VENTURES LC
4250 GLASS ROAD NE	CEDAR RAPIDS	IA	52402	391894290	INVESTMENT VEHICLE OWNING CLINICAL JVS	IA	N/A	UNRELATED	89797	817011	0	0	0.55670		$57,299
HY-VEEIOWA HEALTH LC
5820 WESTOWN PARKWAY	WEST DES MOINES	IA	50266	263293530	PRIMARY CARE CLINIC	IA	N/A	RELATED	-175705	44300	0	1	0.50000
IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	030482623	OUTPATIENT DIAGNOSTIC IMAGING	IA	N/A	RELATED	1323429	2917182	0	1	0.50000
IOWA HEALTH SYSTEM CONTRACTING SERVICES LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421511142	GROUP PURCHASING	IA	N/A	RELATED	4775894	15888961	0	1	1.00000
LAKEVIEW SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421516120	SURGERY CENTER	IA	N/A	RELATED	3443692	4825696	0	1	0.50000
MEDICAL LABORATORIES OF EASTERN IOWA LC
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421359640	MEDICAL LABORATORY SERVICES	IA	N/A	RELATED	664320	870817	0	1	0.50000
METRO MRI CENTER LIMITED PARTNERSHIP
615 VALLEY VIEW DRIVE SUITE 102	MOLINE	IL	61265	363710164	PROVIDE MRI AND OTHER MEDICAL SERVICES	IL	N/A	RELATED	600876	1499952	0	1	0.33970
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	OWN AND OPERATE MR UNIT	IA	N/A	RELATED	2540143	1416839	0	1	0.33330
NE IA PHYSICAL THERAPY AND SPORTS MEDICINE LLC
1825 LOGAN AVE	WATERLOO	IA	50703	202124978	ATHLETIC TRAINING AND SPORTS MEDICINE	IA	N/A	RELATED	-41070		0	1
ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC
1200 PLEASANT STREET	DES MOINES	IA	50309	421508092	AMBULATORY SURGERY CENTER	IA	N/A	RELATED	3314858	3461181	0	1	0.50000
PIERCE STREET SAME DAY SURGERY LC
2730 PIERCE STREET	SIOUX CITY	IA	51104	205895205	AMBULATORY SURGERY CENTER	IA	N/A	RELATED	931816	3357708	0	1	0.50000
QUAD CITY AMBULATORY SURGERY CENTER LLC
520 VALLEY VIEW DRIVE SUITE 300	MOLINE	IL	61265	364471903	AMBULATORY SURGERY CENTER.	IL	N/A	RELATED	255765	3500259	0	1	0.50000
REHABILITATION THERAPY SERVICES LLC
416 ST MARKS CT 110	PEORIA	IL	61603	810584193	REHABILATION THERAPY	IL		RELATED	448732	1397476	0	1	0.60030	METHODIST MEDICAL CENTER OF ILLINOIS
THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC
1075 FIRST AVENUE SE	CEDAR RAPIDS	IA	52403	721550812	AMBULATORY SURGERY CENTER.	IA	N/A	RELATED	3310383	7115889	0	1	0.50000
TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
4500 UTICA RIDGE RD	BETTENDORF	IA	52722	272562753	ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES	IA	N/A	RELATED	175377	118891	0	1	0.50000
TRI-WEBSTER LC
1610 COLLINS ST	WEBSTER CITY	IA	50595	010740062	MEDICAL BUILDING AND SURROUNDING PROPERTY	IA	N/A	RELATED	110738	1715230	0	1	0.50000
WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC
1660 60TH STREET	WEST DES MOINES	IA	50266	271414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA	N/A	RELATED	244306	26600	0	1	0.20000
WEST LAKES MEDICAL EQUIPMENT LLC
5950 UNIVERSITY AVENUE SUITE 321	WEST DES MOINES	IA	50266	263300536	MEDICAL EQUIPMENT SALES AND RENTAL	IA	N/A	UNRELATED	59770	171967	0	1	0.50000		$59,770
WEST LAKES SLEEP CENTER LLC
5950 UNIVERSITY AVENUE SUITE 2	WEST DES MOINES	IA	50266	263193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA	N/A	RELATED	92541	318508	0	1	0.50000

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
BROADBAND INC
1200 PLEASANT ST	DES MOINES	IA	50309	273819741	INFORMATION TECHNOLOGY MGMT.	IA	IHS	C	338870	13238641	1.00000
CHARITABLE REMAINDER UNITRUST #1
					INVESTMENT	IA	SLHCF	T
CHARITABLE REMAINDER UNITRUST #2
					INVESTMENT	IA	SLHCF	T
CHARITABLE REMAINDER UNITRUST #3
					INVESTMENT	IA	SLHCF	T
CHARITABLE REMAINDER UNITRUST #6
					INVESTMENT	IA	SLHCF	T
IOWA HEALTH SYSTEM 457 DEF COMP PLAN
1415 WOODLAND AVE 2ND FL	DES MOINES	IA	50309	421435199	INVESTMENT	IA	IHS	T	266087	4546270	1.00000
METHODIST HEALTH VENTURES INC
PO BOX 87	PEORIA	IL	61650	371140939	PHARMACY/OFFICE STAFFING	IL	MHSC	C	868566	2437393	1.00000
MEDIMORE INC
1200 PLEASANT ST	DES MOINES	IA	50309	421414390	MANAGED CARE	IA	IHS	C	210170		1.00000
METHODIST PHYSICIAN SERVICES INC
PO BOX 87	PEORIA	IL	61650	363858550	MEDICAL SERVICES	IL	MHVI	C	11908671	1305915	1.00000
PRECEDENCE INC
4622 PROGRESS DRIVE STE A	DAVENPORT	IA	52807	371288604	MANAGED MENTAL CARE	IA	RYC	C	506534	435657	1.00000
PROVIDER RESOURCE MANAGEMENT INC
PO BOX 87	PEORIA	IL	61650	371223550	RESOURCE MANAGEMENT	IL	MHSC	C		57427	1.00000
RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE	DES MOINES	IA	50316	261271143	SPECIALTY PHYSICIANS MEDICAL CARE	IA	CIHC	C	481860	198055	0.57000
STL HEALTH RESOURCES CO
1026 A AVE NE	CEDAR RAPIDS	IA	52402	421193499	PHYSICIAN OFFICE RENTAL	IA	SLMH	C	322129	5577505	1.00000
TRIMARK PHYSICIANS GROUP INC
802 KENYON ROAD	FORT DODGE	IA	50501	421335554	MEDICAL CLINICS	IA	THS	C	44216247		1.00000
TRINITY HEALTH ENTERPRISES INC
2701 17TH ST	ROCK ISLAND	IL	61201	363320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	TRHS	C	3295832	2957465	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
NELLIE R SHERWOOD TRUST
C	22765	BASED ON GAAP, CASH, AND/OR FMV.
STL HEALTH RESOURCES
E	71000	BASED ON GAAP, CASH, AND/OR FMV.
STL HEALTH RESOURCES
G	464400	BASED ON GAAP, CASH, AND/OR FMV.
STL HEALTH RESOURCES
Q	542967	BASED ON GAAP, CASH, AND/OR FMV.

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	SECTION 512(B)(13) CONTROLLED ENTITY	Identifier
Return Reference	SCHEDULE R, PART II, COLUMN (G)	ReturnReference
Explanation	THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, "IOWA HEALTH SYSTEM." FOR ENTITIES THAT ARE PART OF THE CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, WE ARE REPORTING ALL RELATED ORGANIZATIONS OF THE HEALTH SYSTEM IN PARTS II, III & IV. FOR PART V REPORTING, THE TRANSACTIONS DISCLOSED ARE THOSE BETWEEN THE DIRECTLY CONTROLLED PARENT-SUBSIDIARY ONLY.	Explanation

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	THE ORGANIZATION E-FILED A REQUEST FOR AN ADDITIONAL EXTENSION OF TIME TO FILE TO NOVEMBER 15, 2012, ON PART II OF FORM 8868. THE E-FILED EXTENSION WAS ACCEPTED BY THE IRS ON JULY 31, 2012; HOWEVER, THE IRS ISSUED NOTICE CP211A, DATED AUGUST 27, 2012, WITH AN INCORRECT DATE FOR PART II OF AUGUST 15, 2012 INSTEAD OF NOVEMBER 15, 2012. AS SUCH, THE ORGANIZATION RESPECTUFLLY REQUESTS THE ORGANIZATION'S RECORDS BE UPDATED ACCORDINGLY TO SHOW THIS FORM 990 AS BEING EXTENDED TO NOVEMBER 15, 2012, AND TIMELY FILED.	Explanation