2024-11-14T13:45:48-06:00 2023-12-31 990 2023-01-01 363321751 TRINITY HEALTH FOUNDATION TRIN 3097792200 2701 17TH ST ROCK ISLAND IL 61201 DAVID DELLITT MARKET CFO 3097795700 2024-11-08 0 2023 2024-10-15 13:58:12Z SHAWN MORROW 2701 17TH ST ROCK ISLAND IL 61201 3106622 0 X WWW.UNITYPOINT.ORG (SEE SCH O) X 1984 IL SECURES CHARITABLE GIFTS AND VOLUNTEER RESOURCES TO SUPPORT TRINITY'S MISSION. 22 18 0 120 0 0 2399265 2209801 0 0 626558 520996 -29460 20747 2996363 2751544 1739568 1072822 0 0 521199 555499 0 0 582415 157072 296950 2417839 1925271 578524 826273 13331127 15115324 248622 294024 13082505 14821300 X TRINITY HEALTH FOUNDATION SECURES CHARITABLE GIFTS AND VOLUNTEER RESOURCES TO SUPPORT TRINITY'S MISSION "TO PROVIDE QUALITY PATIENT CARE AND IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE." 0 0 1072822 1072822 0 GRANTS, ALLOCATIONS AND PROGRAM SUPPORTTRINITY HEALTH FOUNDATION'S PURPOSE IS TO RAISE FUNDS TO MAINTAIN, DEVELOP, INCREASE AND EXTEND THE FACILITIES AND SERVICES OF TRINITY MEDICAL CENTER IN ROCK ISLAND, ILLINOIS, AND TO PROVIDE BROADER HOSPITAL, MEDICAL AND EDUCATIONAL SERVICE OPPORTUNITIES TO ITS PATIENTS, STUDENTS, STAFF, FACULTY AND RESIDENTS OF THE GEOGRAPHICAL AREA IT SERVES. IT SUPPORTS THE MISSIONS OF TRINITY REGIONAL HEALTH SYSTEM AND ITS SUBSIDIARIES BY RAISING FINANCIAL CONTRIBUTIONS AND INVESTING THE PROCEEDS.THE GRANTS, ALLOCATIONS AND PROGRAM SUPPORT SERVICES MAY INCLUDE:A) CONTRIBUTIONS TO TRINITY REGIONAL HEALTH SYSTEM, TRINITY MEDICAL CENTER, UNITYPOINT@HOME-TRINITY, UNITYPOINT CLINICS-TRINITY, FOR CAPITAL AND EQUIPMENT PURCHASES, PATIENT ASSISTANCE, CONTINUING EDUCATION FOR EMPLOYEES, COMMUNITY HEALTH EDUCATION, MEDICAL PROGRAMS, RESEARCH AND GENERAL OPERATING EXPENSES;B) SCHOLARSHIPS AND/OR LECTURESHIPS AWARDED TO INDIVIDUALS PURSING NURSING AND OTHER MEDICAL EDUCATION;C) SCHOLARSHIPS AWARDED TO AREA INDIVIDUALS AND CHILDREN OF EMPLOYEES FOR EDUCATION AND LEADERSHIP;D) GRANTS AWARDED TO UNITYPOINT HEALTH-TRINITY EMPLOYEES IN CRISIS;E) GRANTS FOR LOCAL HEALTH PROGRAMS BASED IN COMMUNITY & SPIRITUAL ORGANIZATIONS;F) MISCELLANEOUS GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS AND/OR INDIVIDUALS ASSOCIATED WITH TRINITY MEDICAL CENTER. 1072822 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 6 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X DANIEL M LAGRANGE VP FINANCE OP 5152416289 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 DELIA DREFURST BOARD MEMBER 1.00 0.00 X 0 0 0 LYNSEY ENGELS BOARD VICE CHAIR 1.00 0.00 X X 0 0 0 ROBERT ERICKSON TO 823 BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X X 0 1395743 46747 CHAD EVERITT BOARD MEMBER 1.00 0.00 X 0 0 0 TODD FRANKEL BOARD MEMBER 1.00 0.00 X 0 0 0 MELINDA HASS MD BOARD MEMBER 1.00 40.00 X 0 589905 18912 DAVE HERRELL BOARD MEMBER 1.00 0.00 X 0 0 0 ANDREW LEHMAN BOARD MEMBER 1.00 0.00 X 0 0 0 SARAH LENTZ-KAPUA MD BOARD MEMBER 1.00 40.00 X 0 430597 51999 LISA MCCRAW BOARD MEMBER 1.00 0.00 X 0 0 0 LINDA MCGEHEE BOARD MEMBER 1.00 0.00 X 0 0 0 SHAWN MORROW FR 1023 BOARD MEMBER/PRESIDENT/CEO 1.00 40.00 X X 0 137609 17955 BEN PALMER BOARD SECRETARY 1.00 0.00 X X 0 0 0 RACHEL PERKINS BOARD MEMBER 1.00 0.00 X 0 0 0 KATHY PULLEY BOARD MEMBER 1.00 40.00 X 0 187324 31700 SANJANA PURI BOARD MEMBER 1.00 0.00 X 0 0 0 JEFF REITER BOARD MEMBER 1.00 0.00 X 0 0 0 JENNIFER ROUSE BOARD CHAIR 1.00 0.00 X X 0 0 0 LYNNE SCHELLY BOARD MEMBER 1.00 0.00 X 0 0 0 MARY ANN STOFFEL BOARD MEMBER 1.00 0.00 X 0 0 0 CRAIG TILLMAN MD BOARD MEMBER 1.00 0.00 X 0 0 0 SYDNEY VERDI-SAMUELSON BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL WENNEKAMP BOARD MEMBER 1.00 0.00 X 0 0 0 MARY MACUMBER-SCHMIDT PRESIDENT THF-QC 40.00 1.00 X 0 234030 10543 KATHERINE MARCHIK SR VP FINANCE/CFO 1.00 40.00 X 0 429153 101132 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 1.00 40.00 X 0 391725 82606 RICHARD SEIDLER TO 0519 FORMER BD MEMBER/PRESIDENT/CEO 0.00 0.00 X 0 369890 0 JOHN SHEEHAN TO 919 FORMER BD MEMBER/INTERIM PRES/CEO 0.00 0.00 X 0 489785 4437 0 4655761 366031 0 1 1 0 0 163955 1091680 954166 8848 2209801 401954 401954 404813 285771 119042 119042 119042 58524 163955 69307 -10783 -10783 22280 0 22280 22280 MISCELLANEOUS 900099 9250 9250 9250 2751544 0 0 541743 1018959 1018959 53863 53863 266640 66660 199980 246883 56973 189910 9003 2078 6925 19443 4487 14956 13530 3122 10408 124452 124452 71800 71800 335 335 15267 15267 2179 2179 2774 2774 8550 8550 14586 14586 MISCELLANEOUS EXPENSE 57007 12262 44745 1925271 1072822 270034 582415 651827 939985 483508 687479 580076 486885 50884 139467 11564832 12861508 13331127 15115324 61972 186749 186650 107275 248622 294024 X 1600087 2240664 11482418 12580636 13082505 14821300 13331127 15115324 826273 912522 0 X 0 1 X 1 0 X 2902106 2327936 1915661 2399265 2209801 11754769 2902106 2327936 1915661 2399265 2209801 11754769 174788 11579981 293211 122686 236561 240367 401954 1294779 13049548 719348 0.88740 0.91770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7833943 436789 775088 261068 8784752 7918310 846787 -743653 187501 7833943 6849746 349020 846853 127309 7918310 6205180 152606 670288 178328 6849746 4699695 886465 778877 159857 6205180 0.00000 0.74041 0.25959 0 0 0 DUE TO AFFILIATES 83035 SELF INSURANCE RESERVE 24240 107275 X 661000 324263 69943 394206 266794 12962 2471788 2484750 2751544 905000 69657 69657 835343 12962 1076966 1089928 1925271 PART V, LINE 4: THE FOUNDATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2020. THE SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TAX ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 69,307. ROUNDING 636. PART XI, LINE 4B - OTHER ADJUSTMENTS: REVENUE IN NET ASSETS WITHOUT DONOR RESTRICTIONS 936,680. REVENUES IN NET ASSETS WITH DONOR RESTRICTIONS 1,535,108. PART XII, LINE 2D - OTHER ADJUSTMENTS: ROUNDING 350. SPECIAL EVENT EXPENSES 69,307. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN NET ASSETS WITH DONOR RESTRICTIONS 1,023,700. EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 53,266. GOLF CLASSIC-GOLF,DINNER, & AUCTION 206303 158270 48033 1673 53325 3042 BLOSSOMS & BRUNCH 16176 5685 10491 6671 4596 222479 163955 58524 1673 53325 6671 7638 69307 -10783 22280 1 1.00000 22280 22280 IL 1 0 0 0 0.00000 1.00000 DAN LAGRANGE 1415 WOODLAND AVE SUITE E-200 DES MOINES IA 50309 0 0 1 CENTER FOR ALCOHOL & DRUG SERVICES INC 1523 S FAIRMOUNT DAVENPORT IA 52802 421134273 501(C)(3) 20576 0 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421411630 501(C)(3) 10536 0 PROGRAM SUPPORT TRINITY COLLEGE OF NURSING & HEALTH SCIENCES 2122 25TH AVENUE ROCK ISLAND IL 61201 810994377 501(C)(3) 206750 0 PROGRAM SUPPORT TRINITY MEDICAL CENTER 2701 17TH ST ROCK ISLAND IL 61201 362739299 501(C)(3) 618237 0 PROGRAM SUPPORT TRINITY REGIONAL HEALTH SYSTEM 2701 17TH ST ROCK ISLAND IL 61201 363351952 501(C)(3) 91701 0 PROGRAM SUPPORT UNITYPOINT AT HOME 1776 WEST LAKES PKWY STE 400 WEST DES MOINES IA 50266 421477471 501(C)(3) 71770 0 PROGRAM SUPPORT 6 0 EMPLOYEE ASSISTANCE 23 22650 SCHOLARSHIPS 30 31213 PART I, LINE 2: TRINITY HEALTH FOUNDATION REQUIRES EACH RECIPIENT OF THE GRANTS MENTIONED IN PART II & III (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR A GRANT THROUGH A STRUCTURED PROCESS WITH OUTLINED ELIGIBILITY STANDARDS. GRANTS ARE APPROVED ADMINISTRATIVELY BY APPROPRIATE DEPARTMENT HEADS FOR APPROPRIATENESS AND PRIORITY WITHIN A NEEDS MATRIX; BY THE FOUNDATION PRESIDENT FOR CONSISTENCY WITH DONOR INTENT AND TRINITY HEALTH FOUNDATION POLICY; AND BY THE CFO AND/OR CEO. FOUNDATION WORKS CLOSELY WITH THE RECIPIENT DEPARTMENTS AND PROGRAMS TO ENSURE FUNDS ARE SPENT ACCORDING TO DONOR RESTRICTIONS. THE THREE EXCEPTIONS TO THE ABOVE WOULD BE 1) STYLE SHOW BREAST CANCER GRANTS; 2) THE EMPLOYEE CRISIS FUND; AND 3) SCHOLARSHIPS. 1) STYLE SHOW BREAST CANCER GRANTS ARE AWARDED FROM NET PROCEEDS OF AN EVENT BY A COMMITTEE TO QUALIFYING AREA ORGANIZATIONS (SERVING BREAST CANCER PATIENTS AND SURVIVORS) WHICH APPLY FOR A GRANT THROUGH A STRUCTURED PROCESS WITH OUTLINED ELIGIBILITY STANDARDS. EACH GRANTEE IS REQUIRED TO REPORT ON EXPENDITURES AND OUTCOMES AS A PART OF THE AWARDS PROCESS. 2) THE EMPLOYEE CRISIS FUND COMMITTEE EVALUATES APPLICATIONS FROM EMPLOYEES EXPERIENCING PERSONAL CRISIS WITH DOCUMENTED FINANCIAL NEEDS. COMMITTEE ENSURES THE SITUATION MEETS THE CRITERIA FOR THE FUND. IF APPROVED, THE REQUESTED FUNDS ARE RELEASED TO DIRECTLY MEET THE NEED, (E.G. TO BANK TO PAY MORTGAGE) ON BEHALF OF THE INDIVIDUAL. 3) SCHOLARSHIPS ARE AWARDED BY COMMITTEES IN ACCORDANCE WITH TERMS SET BY THE FOUNDATION AND THE DONOR(S) TO STUDENTS WHO MEET ELIGIBILTY STANDARDS FOR THE SUBJECT FUND AND ARE DISPERSED JOINTLY TO THE STUDENT AND THEIR CHOSEN EDUCATIONAL INSTITUTION. 1 1 0 0 0 0 0 0 0 ROBERT ERICKSON TO 823 BOARD MEMBER/PRESIDENT/CEO 0 358340 0 566950 0 470453 0 16500 0 30247 0 1442490 0 296291 MELINDA HASS MD BOARD MEMBER 0 587491 0 0 0 2414 0 16500 0 2412 0 608817 0 0 KATHERINE MARCHIK SR VP FINANCE/CFO 0 363172 0 61867 0 4114 0 68587 0 32545 0 530285 0 0 JOHN SHEEHAN TO 919 FORMER BD MEMBER/INTERIM PRES/CEO 0 0 0 0 0 489785 0 0 0 4437 0 494222 0 0 SARAH LENTZ-KAPUA MD BOARD MEMBER 0 427431 0 0 0 3166 0 16500 0 35499 0 482596 0 0 KATHERINE PEARSON SR VP/CHIEF STRATEGY OFFICER 0 330620 0 55690 0 5415 0 63386 0 19220 0 474331 0 0 RICHARD SEIDLER TO 0519 FORMER BD MEMBER/PRESIDENT/CEO 0 0 0 0 0 369890 0 0 0 0 0 369890 0 369890 MARY MACUMBER-SCHMIDT PRESIDENT THF-QC 0 195361 0 34523 0 4146 0 10297 0 246 0 244573 0 0 KATHY PULLEY BOARD MEMBER 0 170751 0 13160 0 3413 0 9700 0 22000 0 219024 0 0 SHAWN MORROW FR 1023 BOARD MEMBER/PRESIDENT/CEO 0 89380 0 25000 0 23229 0 13893 0 4062 0 155564 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS DURING THE YEAR THAT WERE INCLUDED IN THEIR TAXABLE INCOME: ROBERT ERICKSON $ 165,672 & JOHN SHEEHAN $ 489,785 NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: KATHERINE MARCHIK $ 52,087, SHAWN MORROW $ 8,308, & KATHERINE PEARSON $ 46,886 . NONQUALIFIED RETIREMENT PLAN DISTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED PAYMENTS FROM A SUPPLEMENTAL NON-QUALIFIED PLAN: ROBERT ERICKSON $ 292,105 & RICHARD SEIDLER $ 369,890. PAYOUTS ARE MADE WITH VESTED FUNDS, AS ESTABLISHED BY PLAN DOCUMENTS. SCHEDULE J, PART I, LINE 3 - ESTABLISHING COMPENSATION THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (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. FORM 990, PART V, LINES 1A & 1B CASH DISBURSEMENTS ARE CENTRALIZED THROUGH THE PARENT ORGANIZATION, IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). THE PARENT MAKES THE PAYMENTS AND FILES THE RELATED FORMS 1099 AND 1096 ON BEHALF OF ALL UNITYPOINT HEALTH SYSTEM RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 TRINITY REGIONAL HEALTH SYSTEM, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A TRINITY REGIONAL HEALTH SYSTEM'S CEO IS TRUSTEE OF BOARD. FORM 990, PART VI, SECTION A, LINE 7B TRINITY REGIONAL HEALTH SYSTEM, AS SOLE MEMBER, APPROVES AMENDMENTS TO ARTICLES, BYLAWS AND MISSION, MAY REMOVE ANY TRUSTEE WITH OR WITHOUT CAUSE, APPOINTS CEO AND PRESIDENT, APPROVES MERGERS, DISSOLUTIONS, CREATION OF SUBSIDIARIARY OR AFFILIATE ORGANIZATIONS, AND APPROVES BUDGETS AND LONG-RANGE STRATEGY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY UNITYPOINT HEALTH'S CORPORATE SERVICES TAX DEPARTMENT AND GOES THROUGH TWO LEVELS OF REVIEW WITHIN THE DEPARTMENT WITH ULTIMATE APPROVAL BY THE DIRECTOR OF TAX SERVICES. THE DIRECTOR OF TAX SERVICES MEETS WITH THE FINANCE EXECUTIVE AND REVIEWS KEY PARTS OF THE FORM 990 UTILIZING A PRESENTATION SUMMARY. A COPY OF THE FORM 990 IS GIVEN TO EACH MEMBER OF THE BOARD VIA THE BOARD PORTAL ALONG WITH A REVIEW GUIDE. FORM 990, PART VI, SECTION B, LINE 12C TRINITY HEALTH FOUNDATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH. IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR THE TOP EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (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 REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 2023 FOR THE FOLLOWING INDIVIDUALS: MARY MACUMBER-SCHMIDT, SHAWN MORROW, & KATIE PEARSON. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. 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AS AN INTEGRATED HEALTH SYSTEM, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, WESTERN ILLINOIS AND SOUTHERN WISCONSIN IN NOT-FOR-PROFIT HOSPITALS, CLINICS AND OTHER HEALTHCARE FACILITIES. UNITYPOINT HEALTH OPERATES: 17 REGIONAL HOSPITALS; OVER 375 CLINICS; 19 COMMUNITY NETWORK HOSPITALS; 12 HOME CARE AREAS OF SERVICE; FIVE AFFILIATED COMMUNITY MENTAL HEALTH CENTERS; THREE ACCREDITED UNITYPOINT HEALTH COLLEGES; AN ACCOUNTABLE CARE ORGANIZATION; AND HAS INSURANCE PRESENCE ACROSS ALL OF ITS MARKETS.