2025-11-13T21:03:35-06:00 2024-12-31 990 2024-01-01 420680452 CENTRAL IOWA HOSPITAL CORPORATION CENT 5152416212 1200 PLEASANT ST DES MOINES IA 503091453 PATRICIA ALLEN MARKET CFO 5152416396 2025-11-10 0 2024 2025-03-06 01:10:19Z UNITYPOINT HEALTH-DES MOINES JON ROZENFELD 1200 PLEASANT ST DES MOINES IA 503091453 2354453879 0 X SEE SCHEDULE O X 1933 IA IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING. 14 10 7849 713 12836515 0 88376312 55477611 1108636047 1242092207 25245044 53738622 4961570 5979015 1227218973 1357287455 46156286 46878145 0 0 589263546 619786338 0 0 0 457598936 517442681 1093018768 1184107164 134200205 173180291 1548586929 1778508875 287678888 306976742 1260908041 1471532133 X IMPROVING THE HEALTH OF THE COMMUNITY THROUGH HEALING, CARING AND TEACHING. 0 0 1043370348 25565213 1248139701 HEALTH-CARE SERVICESCENTRAL IOWA HOSPITAL CORPORATION IS AN IMPORTANT ELEMENT OF THE HEALTH-CARE DELIVERY SYSTEM THAT THE CENTRAL IOWA COMMUNITIES RELY ON EVERY DAY. IT IS COMMITTED TO PROVIDING QUALITY HEALTH CARE AND TO USING ITS RESOURCES TO THE GREATEST COMMUNITY BENEFIT. CENTRAL IOWA HOSPITAL CORPORATION PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES TO TREAT INDIVIDUALS WITH DISEASES, ILLNESS AND INJURIES WITH VARYING COMPLEXITIES. IT PROVIDES SERVICES TO IMPROVE THE HEALTH OF PATIENTS AND TO BETTER THEIR QUALITY OF LIFE. ALL SERVICES ARE PROVIDED REGARDLESS OF AN INDIVIDUAL'S RACE, CREED, SEX, NATIONALITY, HANDICAP, AGE OR ABILITY TO COMPENSATE FOR SERVICES RENDERED. THESE INCLUDE, BUT ARE NOT LIMITED TO, GENERAL ACUTE CARE, SURGERIES, HOME HEALTH, INTENSIVE CARE AND CRITICAL CARE, MENTAL HEALTH CARE, CARDIOLOGY, ONCOLOGY, REHABILITATION, SKILLED NURSING, BEHAVIORAL DISORDER PROGRAMS, MATERNAL/CHILD CARE, LABORATORY, PALLIATIVE CARE, PHARMACEUTICAL DRUGS, EMERGENCY SERVICES, OUTPATIENT CLINICS, CHECK-UPS AND RADIOLOGY. SOME OF THE SERVICES PROVIDED DO NOT GENERATE ENOUGH INCOME TO OFFSET THEIR COST. IN THE FISCAL PERIOD ENDED DECEMBER 31, 2024, CENTRAL IOWA HOSPITAL CORPORATION ADMITTED 35,268 PATIENTS RESULTING IN A TOTAL OF 189,157 PATIENT DAYS. OUTPATIENT VISITS TOTALED 219,007 AND TOTAL OUTPATIENT SURGERY REGISTRATIONS FOR THE SAME PERIOD WERE 14,122. THERE WERE ALSO 120,407 EMERGENCY ROOM VISITS AND 4,258 BABIES DELIVERED. 72397706 21312932 0 CHARITY CARE, MEANS-TESTED PROGRAMS AND OTHER COMMUNITY BENEFITSCHARITY CARE AND MEANS-TESTED PROGRAMS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES CHARITY CARE AND OTHER MEANS-TESTED PROGRAMS WITH THE GOAL TO IMPROVE THE COMMUNITY'S OVERALL HEALTH AND ACCESS TO CARE. THIS INCLUDES HEALTH-CARE SERVICES REGARDLESS OF THE PATIENT'S INSURANCE COVERAGE OR FINANCIAL STATUS. CHARITY CARE AND PARTIAL TO FULL FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS ON A CASE-BY-CASE BASIS. CHARITY CARE WAS MADE AVAILABLE AT A VALUE OF $6,769,078 IN 2024. OFTENTIMES, CENTRAL IOWA HOSPITAL CORPORATION RECEIVES PAYMENTS FROM PAYORS OR PATIENTS THAT ARE LESS THAN IT CHARGES FOR SERVICES. CENTRAL IOWA HOSPITAL CORPORATION PARTICIPATES IN MEDICAID AND OTHER GOVERNMENT-SPONSORED HEALTH-CARE PROGRAMS. IOWA METHODIST MEDICAL CENTER, IOWA LUTHERAN AND METHODIST WEST HOSPITALS' NET COST OF PROVIDING CARE FOR WHICH IT RECEIVES PAYMENT BELOW ITS COST IS $0 FOR 2024. TOTAL CHARITY CARE AND MEANS-TESTED PROGRAMS REPORTED VALUE: $6,769,078.OTHER BENEFITS: CENTRAL IOWA HOSPITAL CORPORATION PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. CENTRAL IOWA HOSPITAL CORPORATION COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. CENTRAL IOWA HOSPITAL CORPORATION HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL NET OTHER BENEFITS REPORTED VALUE: $65,628,628. 1115768054 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 0 1 X 0 0 7849 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X PATRICIA ALLEN MARKET CFO 5152416212 1200 PLEASANT STREET DES MOINES IA 50309 KIM BAKEY BOARD MEMBER 1.00 1.00 X 0 0 0 BISHOP KENNETHA BIGHAM-TSAI BOARD MEMBER 1.00 1.00 X 0 0 0 DARWIN COPEMAN BOARD MEMBER 1.00 1.00 X 0 0 0 DOUG DEN ADEL BOARD MEMBER 1.00 1.00 X 0 0 0 KASEY JOHNSON STEEN BOARD MEMBER 1.00 1.00 X 0 0 0 ANISH KESHWANI MD BOARD MEMBER 1.00 40.00 X 0 436343 48671 ANGELA KNOBLAUCH DO BOARD MEMBER 1.00 40.00 X 0 440777 29659 GREG LIN BOARD MEMBER 1.00 1.00 X 0 0 0 ROSE MITCHELL BOARD MEMBER 1.00 1.00 X 0 0 0 DAVE MOENCH BOARD MEMBER 1.00 1.00 X 0 0 0 JON ROZENFELD BOARD SECRETARY MARKET PRESIDENT (FR 01/24) 40.00 1.00 X X 536925 0 88339 JOHN SCHMIDT BOARD CHAIR 1.00 1.00 X X 0 0 0 SHANNON WINTERS BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL ZINNEL BOARD MEMBER 1.00 1.00 X 0 0 0 THOMAS MATHEWS MARKET CFO 40.00 1.00 X 482701 0 44269 BRIAN BENSON EXECUTIVE DIRECTOR-PHARMACY 40.00 0.00 X 277875 0 42907 DENISE CUNDY MS BSN RN NE-BC MARKET CHIEF NURSING OFFICER 40.00 0.00 X 419365 0 60935 TRACY L EKHARDT MD CMO TO 1124 MED DIR, MED STAFF SVCS (FR 11/24) 40.00 1.00 X 687728 0 54391 PAIGE JAEGER MHA FACHE VICE PRESIDENT OPERATIONS 40.00 0.00 X 201491 0 36011 LAURIE JOHNSON MHA RN CNOR EXEC DIRECTOR OF SURGICAL SERVICES 40.00 0.00 X 227231 0 21245 JOYCE MCDANEL VP HUMAN RESOURCES CONSULTING-WEST 5.00 35.00 X 13357 439177 89081 KRISTIN MOHR EXEC DIR PROPERTIES & FACILITIES (TO 09/24) 40.00 0.00 X 150434 0 26151 THOMAS MULROONEY FACHE VP/MARKET COO (TO 11/24) 40.00 0.00 X 494551 0 91214 CHRISTOPHER PHILLIPS EXECUTIVE DIRE FACILITIES CONSTRUCTION & PROPERTIES 40.00 0.00 X 160550 0 3965 SIDNEY RAMSEY VP MARKETING BUSINESS DEV (TO 06/24) 40.00 0.00 X 446539 0 32342 WENDY ROCKEY EXECUTIVE DIRECTOR CARDIOLOGY 40.00 0.00 X 200416 0 36696 WENDY WOODS-SWAFFORD MD MARKET CHIEF MEDICAL OFFICER 40.00 0.00 X 442299 0 21405 WILLIAM YOST MD MARKET CHIEF ACADEMIC OFFICER 40.00 0.00 X 508691 0 41706 NICHOLAS LOUDAS MD PHYSICIAN-RADATION ONCOLOGY 40.00 0.00 X 805824 0 29374 OSCAR ANDRES VITERI MOLINA MD FACOG PHYSICIAN-MATERNAL AND FETAL MED 40.00 0.00 X 976721 0 45628 SAMUEL SCHROEDER MD PHYSICIAN-RADATION ONCOLOGY 40.00 0.00 X 1045055 0 46836 ARSHIN SHEYBANI MD PHYSICIAN-RADATION ONCOLOGY 40.00 0.00 X 1029133 0 48579 JOHN TRIANTAFYLLOS MD PHYSICIAN-RADATION ONCOLOGY 40.00 0.00 X 1059082 0 45409 DAVID STARK CHIEF GOVT AFFAIRS PHI OFF (IHS), INTERIM CEO (TO 12/23) 0.00 40.00 X 0 835661 43900 ERIC LOTHE FACHE FRMR SVP & COO (TO 12/22) 0.00 0.00 X 209181 0 2004 10375149 2151958 1030717 714 1 1 0 AMN HEALTHCARE INC 2999 OLYMPUS BLVD STE 500 DALLAS TX 75019 STAFFING SERVICES 32554002 EDGE COMMERCIAL LLC 3155 SE MIEHE DR GRIMES IA 50111 CONSTRUCTION SERVICES 22861473 THE IOWA CLINIC 5950 UNIVERSITY AVE WEST DES MOINES IA 50266 HEALTHCARE SERVICES 15907007 ASSOCIATED ANESTHESIOLOGISTS 4201 WESTOWN PKWY STE 236 WEST DES MOINES IA 50266 HEALTHCARE SERVICES 9213539 ARAMARK SERVICES INC 2400 MARKET ST PHILADELPHIA PA 19103 CAFETERIA SERVICES 4282031 101 13030821 42126410 320380 55477611 NET PATIENT REVENUE 900099 1167863632 1167863632 REFERENCE LABORATORY SERVICES 621500 32760683 20183703 12576980 SUBS & JOINT VENTURES 900099 14146592 14140129 6463 MGMT & SUPPORT SVCS 561000 12699722 12699722 RETAIL PHARMACY REVENUE 900099 12539804 12291382 248422 2081774 2081774 1242092207 31785087 1822503 29962584 1018920337 199622 997035316 131108 21885021 68514 21953535 21953535 MISCELLANEOUS 900099 2247379 2247379 SHARED SAVINGS REVENUE 900099 1972962 1972962 CHILDCARE AND ADULTCARE SERVICES 624410 1693725 1693725 64949 4650 60299 5979015 1357287455 1235303186 12836515 53670143 46652182 46652182 225963 225963 5853571 5853571 527688 527688 511988025 475682663 36305362 17051179 15842070 1209109 54465800 50603599 3862201 29900075 27779843 2120232 97070802 97070802 3990053 3567141 422912 3391115 1067909 2323206 94019531 85873012 8146519 672496 28008 644488 2219103 1041134 1177969 2322208 2322208 28667068 26627604 2039464 1169897 1024293 145604 988199 332532 655667 6467054 6467054 31656531 29410332 2246199 9906798 9832442 74356 MEDICAL SUPPLIES 234939097 234667017 272080 INCOME TAXES 30993 15699 15294 BAD DEBT EXPENSE -1584 -1584 MISCELLANEOUS EXPENSE -66680 -363869 297189 1184107164 1115768054 68339110 0 24328334 84095173 19428149 50910482 143383712 161033372 114810233 63039873 19922521 22857968 3259124 3213151 1078797092 705300799 322122283 373496293 812225673 928578975 70160575 76649716 285705 282245 18660620 14351627 1548586929 1778508875 76121972 79404917 1185060 1261461 879610 592335 1226406 3021512 208265840 222696517 287678888 306976742 X 1203245942 1407933173 57662099 63598960 1260908041 1471532133 1548586929 1778508875 X 173180291 31506940 5936861 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 840095274 25017 78628072 2190028 916558335 779758884 20023561 68132699 25500000 2319870 840095274 836890920 49431 -54828872 2352595 779758884 738915664 2227011 99732710 1830017 2154448 836890920 683260734 57610044 1955114 738915664 0.92252 0.04085 0.03664 0 1 1 15655896 15655896 431575739 240212945 191362794 9117265 8773484 343781 547341115 444154481 103186634 75107077 12159889 62947188 373496293 -581642 ASBESTOS REMOVAL LIABILITY 3080971 DUE TO AFFILIATES 136854090 SELF-INSURANCE RESERVE 49773625 LONG-TERM RETENTION INCENTIVES 15170339 HEALTH & WELFARE BENEFITS RESERVE 4207224 MISCELLANEOUS LIABILITY 4220673 OPERATING LEASE LIABILITY 9971237 222696517 X 1374095000 31506940 31506940 1342588060 2296298 12403097 14699395 1357287455 1132263000 0 1132263000 2296298 49547866 51844164 1184107164 PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY. PART X, LINE 2: UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2021. 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 4B - OTHER ADJUSTMENTS: REVENUES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 12,402,480. ROUNDING 617. PART XII, LINE 4B - OTHER ADJUSTMENTS: EXPENSES IN NET ASSETS WITHOUT DONOR RESTRICTIONS 49,547,764. ROUNDING 102. 1 1 X 1 X 1 X 600.000000000000 1 1 0 1 1 6769078 6769078 0.00570 238191614 270902376 0 0.00000 244960692 270902376 6769078 0.00570 4076943 1923199 2153744 0.00180 17055242 9362187 7693055 0.00650 33785347 33785347 0.02850 519230 519230 0.00040 38084532 16607280 21477252 0.01810 93521294 27892666 65628628 0.05530 338481986 298795042 72397706 0.06100 351600 351600 0.00030 351600 351600 0.00030 0 8158547 214923901 216693154 -1769253 X 1 1 1 ANKENY MEDICAL PARK SURGERY CENTER LC AMBULATORY SURGERY CENTER 0.45000 0.55000 2 IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC OUTPATIENT DIAGNOSTIC IMAGING 0.50000 0.50000 3 LAKEVIEW SURGERY CENTER LC SURGERY CENTER 0.50000 0.50000 4 ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC AMBULATORY SURGERY CENTER 0.50000 0.50000 5 WEST LAKES SLEEP CENTER LLC TREATMENT OF CHRONIC SLEEP DISORDERS 0.50000 0.50000 3 1 IOWA METHODIST MEDICAL CENTER 1200 PLEASANT STREET DES MOINES IA 50309 SEE PART V, PAGE 8 770079H X X X X X X A 2 IOWA LUTHERAN HOSPITAL 700 EAST UNIVERSITY AVENUE DES MOINES IA 50316 SEE PART V, PAGE 8 770078H X X X A 3 METHODIST WEST HOSPITAL 1660 60TH STREET WEST DES MOINES IA 50266 SEE PART V, PAGE 8 250080H X X X A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, PAGE 8 X 1 24 1 SEE PART V, PAGE 8 0 1 X 200.000000000000 600.000000000000 X X X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: IOWA METHODIST MEDICAL CENTER, - FACILITY 2: IOWA LUTHERAN HOSPITAL, - FACILITY 3: METHODIST WEST HOSPITAL GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY USING THE EXPERTISE OF THE NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM PRC. THE ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWED FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE PRC COMMUNITY HEALTH SURVEY USED FOR THE STUDY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE STUDY SPONSORS AND PRC. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS AND INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICE PROVIDERS AND COMMUNITY LEADERS. IN ALL, 111 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, BROADLAWNS MEDICAL CENTER, DALLAS COUNTY HOSPITAL. GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 6B: CLIVE BEHAVIORAL HEALTH, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, EVERYSTEP, GREATER DES MOINES PARTNERSHIP, MID IOWA HEALTH FOUNDATION, PRIMARY HEALTH CARE, INC., UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH SERVICES. GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 11: UNITYPOINT HEALTH-DES MOINES CONDUCTED ITS LAST CHNA IN 2021 AND REVIEWED THE HEALTH PRIORITIES IDENTIFIED THROUGH THAT ASSESSMENT. TAKING INTO ACCOUNT THE TOP-IDENTIFIED NEEDS AS WELL AS HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES IT WAS DETERMINED AT THAT TIME THAT UNITYPOINT HEALTH-DES MOINES WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: 1. MENTAL HEALTH AND SUBSTANCE ABUSE2. PREVENTION SERVICES3. ACCESS TO HEALTH CARE SERVICES4. CHRONIC CONDITIONSSTRATEGIES FOR ADDRESSING THESE NEEDS WERE OUTLINED IN UNITYPOINT HEALTH-DES MOINES' IMPLEMENTATION STRATEGY. THE FOLLOWING PROVIDES AN EVALUATION OF THE IMPACT OF THE ACTIONS TAKEN TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. MENTAL HEALTH AND SUBSTANCE ABUSESTRATEGY 1: PROMOTE ADVERSE CHILDHOOD EXPERIENCES (ACES) AWARENESS AND LEARNING EFFORTS AND CHILDREN'S MENTAL HEALTH COMMUNITY CHILDREN ARE SCREENED FOR ACES WITHIN THE BLANK CLINICS. UPHDM CONTINUES TO SUPPORT IOWA ACES 360 IN VARIOUS EFFORTS TO EDUCATE AND INFORM ABOUT ACES AND MITIGATION STRATEGIES. TRAUMA INFORMED CARE INITIATIVES ARE IMPLEMENTED ACROSS UPHDM WITH GUIDANCE FROM AN INTERNAL TIC COMMITTEE. THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDRENSTRATEGY 2: INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDREN.STRATEGY 3: PROVIDE COMMUNITY FOCUSED MENTAL HEALTH WELLNESS OPPORTUNITIES YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTHSHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.PREVENTION SERVICESSTRATEGY 1: SUPPORT OF AND PARTICIPATION IN COMMUNITY AND PARTNER EFFORTS TO IMPROVE ENVIRONMENTAL SAFETY (HOME AND COMMUNITY) CONTINUED SUPPORT FINANCIALLY OF THE ICON WATER TRAILS PROJECT. IN ADDITION TO RECREATION, THIS PROJECT WORKS TO IMPROVE WATER QUALITY AND ENVIRONMENTAL HEALTH OF NATURAL RESOURCES IN CENTRAL IOWA. HEALTHY HOMES IOWA PROVIDES HOME ASSESSMENTS FOR CHILDREN AND FAMILIES WITH RESPIRATORY CONDITIONS. BASED ON NEED, THE PROGRAM PROVIDES, EDUCATION, RESOURCE REFERRAL AND ENVIRONMENT MITIGATION UNHEALTHY CONDITIONS IN THE HOME.STRATEGY 2: PROMOTION OF BLANK ADVOCACY AND OUTREACH CHILDREN AND FAMILIES SAFETY PROGRAMMING THE SAFETY STORE AT BLANK CHILDREN'S HOSPITAL PROVIDES AFFORDABLE ACCESS TO SAFETY PRODUCTS TO KEEP CHILDREN AND FAMILIES SAFE. MORE THAN 5700 PEOPLE HAVE UTILIZED THIS STORE OVER THE PAST 3 YEARS. A GUN SAFETY EDUCATION PROJECT WAS DEVELOPED TO PROVIDE INFORMATION AND VIDEOS ON SAFE STORAGE OF GUNS AS WELL AS TIPS FOR TALKING ABOUT GUN SAFETY. THIS ALSO PROVIDED MORE THAN 150 FREE GUN LOCKS THROUGH THE SAFETY STORE. THE SAFE KIDS EFFORTS THROUGH BLANK'S ADVOCACY AND OUTREACH PROVIDES SAFETY EDUCATION REGARDING BIKE HELMETS, FIRE SAFETY, CAR SEAT SAFETY. IT ALSO PROVIDES BIKE HELMETS AND CAR SEATS FOR THOSE IN NEED. THESE EFFORTS SERVED APPROXIMATELY 25,000 PEOPLE IN THE PAST THREE YEARS. CHILDBIRTH EDUCATION WAS PROVIDED TO OVER 20,000 PARTICIPANTS. BLANK NURSES PROVIDED HEALTHCARE SERVICES TO MORE THAN 20,000 STUDENTS AT THE WEST DES MOINES SCHOOLS AND GRANDVIEW UNIVERSITY.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.ACCESS TO HEALTH CARE SERVICESSTRATEGY 1: ORGANIZATION HEALTH EQUITY AND DEI INITIATIVES AND PARTNERSHIPS TO ADDRESS MINORITY AND UNDERREPRESENTED POPULATION ACCESS THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UNITYPOINT HEALTH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLAN. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: RESOURCE AND REFERRAL COORDINATION TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. EYERLY BALL NAVIGATORS REFER PATIENTS TO NEEDED COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS.STRATEGY 3: WORK FORCE DEVELOPMENT INITIATIVES AND HEALTH EQUITY PARTNERSHIPS TO ADDRESS STAFFING/PROVIDER NEEDS HOSTED BLACK MEN IN WHITE COATS TO ENCOURAGE GRADE-HIGH SCHOOL STUDENTS TO EXPLORE HEALTHCARE CAREERS. THIS WAS ATTENDED BY MORE THAN 200 INDIVIDUALS. FUTURE DOCTORS OF IOWA WAS DEVELOPED IN PARTNERSHIP WITH BY DEGREES FOUNDATION AND NORTH HIGH TO PAIR DIVERSE STUDENTS WITH MENTORS FROM THE MEDICAL EDUCATION RESIDENCY PROGRAM. THERE HAVE BEEN APPROXIMATELY 20 STUDENTS PARTICIPATE TO DATE. NURSE CAMP HAS BEEN DEVELOPED TO PROMOTE THE NURSING PROFESSION TO AREA STUDENTS. LEARNER OBSERVATION PROGRAM CONTINUES TO OFFER OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREERS.CHRONIC CONDITIONSSTRATEGY 1: HEALTH EQUITY INITIATIVES AND PARTNERSHIPS TO ADDRESS IMPROVED HEALTH OUTCOMES THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UPH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLANNING. IN KIND SUPPORT OF THE BLACK WOMEN FOR HEALTHY LIVING PROGRAM. THIS FOCUSES ON HEALTH AWARENESS AND EMPLOYMENT OPPORTUNITIES FOR WOMEN OF COLOR. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: SOCIAL DETERMINANTS OF HEALTH (SDOH) SUPPORT EFFORTS TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS. STODDARD CANCER CENTER PATIENTS AND FAMILIES WITH VARIOUS SOCIAL NEEDS. MEALS (22,000 OVER 3 YEARS), GIFT CARDS FOR GROCERIES AND GAS (5300 OVER 3 YEARS), UBER RIDES TO APPOINTMENTS (1280 OVER 3 YEARS), LODGING FOR FAMILY AND APPOINTMENTS (117 OVER 3 YEARS). THE IOWA LUTHERAN HOSPITAL GIVING GARDEN IS OPERATED BY EMPLOYEES AND VOLUNTEERS. THIS GARDEN PROVIDES APPROXIMATELY 300 POUNDS OF PRODUCE ANNUALLY FOR THE EAST DES MOINES CLINIC PATIENTS.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTH SHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES. GROUP A-FACILITY 1 -- IOWA METHODIST MEDICAL CENTER PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY USING THE EXPERTISE OF THE NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM PRC. THE ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWED FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE PRC COMMUNITY HEALTH SURVEY USED FOR THE STUDY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE STUDY SPONSORS AND PRC. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS AND INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICE PROVIDERS AND COMMUNITY LEADERS. IN ALL, 111 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 6A: MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, BROADLAWNS MEDICAL CENTER, DALLAS COUNTY HOSPITAL. GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 6B: CLIVE BEHAVIORAL HEALTH, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, EVERYSTEP, GREATER DES MOINES PARTNERSHIP, MID IOWA HEALTH FOUNDATION, PRIMARY HEALTH CARE, INC., UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH SERVICES. GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 11: UNITYPOINT HEALTH-DES MOINES CONDUCTED ITS LAST CHNA IN 2021 AND REVIEWED THE HEALTH PRIORITIES IDENTIFIED THROUGH THAT ASSESSMENT. TAKING INTO ACCOUNT THE TOP-IDENTIFIED NEEDS AS WELL AS HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES IT WAS DETERMINED AT THAT TIME THAT UNITYPOINT HEALTH-DES MOINES WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: 1. MENTAL HEALTH AND SUBSTANCE ABUSE2. PREVENTION SERVICES3. ACCESS TO HEALTH CARE SERVICES4. CHRONIC CONDITIONSSTRATEGIES FOR ADDRESSING THESE NEEDS WERE OUTLINED IN UNITYPOINT HEALTH-DES MOINES' IMPLEMENTATION STRATEGY. THE FOLLOWING PROVIDES AN EVALUATION OF THE IMPACT OF THE ACTIONS TAKEN TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. MENTAL HEALTH AND SUBSTANCE ABUSESTRATEGY 1: PROMOTE ADVERSE CHILDHOOD EXPERIENCES (ACES) AWARENESS AND LEARNING EFFORTS AND CHILDREN'S MENTAL HEALTH COMMUNITY CHILDREN ARE SCREENED FOR ACES WITHIN THE BLANK CLINICS. UPHDM CONTINUES TO SUPPORT IOWA ACES 360 IN VARIOUS EFFORTS TO EDUCATE AND INFORM ABOUT ACES AND MITIGATION STRATEGIES. TRAUMA INFORMED CARE INITIATIVES ARE IMPLEMENTED ACROSS UPHDM WITH GUIDANCE FROM AN INTERNAL TIC COMMITTEE. THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDRENSTRATEGY 2: INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDREN.STRATEGY 3: PROVIDE COMMUNITY FOCUSED MENTAL HEALTH WELLNESS OPPORTUNITIES YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTHSHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.PREVENTION SERVICESSTRATEGY 1: SUPPORT OF AND PARTICIPATION IN COMMUNITY AND PARTNER EFFORTS TO IMPROVE ENVIRONMENTAL SAFETY (HOME AND COMMUNITY) CONTINUED SUPPORT FINANCIALLY OF THE ICON WATER TRAILS PROJECT. IN ADDITION TO RECREATION, THIS PROJECT WORKS TO IMPROVE WATER QUALITY AND ENVIRONMENTAL HEALTH OF NATURAL RESOURCES IN CENTRAL IOWA. HEALTHY HOMES IOWA PROVIDES HOME ASSESSMENTS FOR CHILDREN AND FAMILIES WITH RESPIRATORY CONDITIONS. BASED ON NEED, THE PROGRAM PROVIDES, EDUCATION, RESOURCE REFERRAL AND ENVIRONMENT MITIGATION UNHEALTHY CONDITIONS IN THE HOME.STRATEGY 2: PROMOTION OF BLANK ADVOCACY AND OUTREACH CHILDREN AND FAMILIES SAFETY PROGRAMMING THE SAFETY STORE AT BLANK CHILDREN'S HOSPITAL PROVIDES AFFORDABLE ACCESS TO SAFETY PRODUCTS TO KEEP CHILDREN AND FAMILIES SAFE. MORE THAN 5700 PEOPLE HAVE UTILIZED THIS STORE OVER THE PAST 3 YEARS. A GUN SAFETY EDUCATION PROJECT WAS DEVELOPED TO PROVIDE INFORMATION AND VIDEOS ON SAFE STORAGE OF GUNS AS WELL AS TIPS FOR TALKING ABOUT GUN SAFETY. THIS ALSO PROVIDED MORE THAN 150 FREE GUN LOCKS THROUGH THE SAFETY STORE. THE SAFE KIDS EFFORTS THROUGH BLANK'S ADVOCACY AND OUTREACH PROVIDES SAFETY EDUCATION REGARDING BIKE HELMETS, FIRE SAFETY, CAR SEAT SAFETY. IT ALSO PROVIDES BIKE HELMETS AND CAR SEATS FOR THOSE IN NEED. THESE EFFORTS SERVED APPROXIMATELY 25,000 PEOPLE IN THE PAST THREE YEARS. CHILDBIRTH EDUCATION WAS PROVIDED TO OVER 20,000 PARTICIPANTS. BLANK NURSES PROVIDED HEALTHCARE SERVICES TO MORE THAN 20,000 STUDENTS AT THE WEST DES MOINES SCHOOLS AND GRANDVIEW UNIVERSITY.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.ACCESS TO HEALTH CARE SERVICESSTRATEGY 1: ORGANIZATION HEALTH EQUITY AND DEI INITIATIVES AND PARTNERSHIPS TO ADDRESS MINORITY AND UNDERREPRESENTED POPULATION ACCESS THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UNITYPOINT HEALTH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLAN. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: RESOURCE AND REFERRAL COORDINATION TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. EYERLY BALL NAVIGATORS REFER PATIENTS TO NEEDED COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS.STRATEGY 3: WORK FORCE DEVELOPMENT INITIATIVES AND HEALTH EQUITY PARTNERSHIPS TO ADDRESS STAFFING/PROVIDER NEEDS HOSTED BLACK MEN IN WHITE COATS TO ENCOURAGE GRADE-HIGH SCHOOL STUDENTS TO EXPLORE HEALTHCARE CAREERS. THIS WAS ATTENDED BY MORE THAN 200 INDIVIDUALS. FUTURE DOCTORS OF IOWA WAS DEVELOPED IN PARTNERSHIP WITH BY DEGREES FOUNDATION AND NORTH HIGH TO PAIR DIVERSE STUDENTS WITH MENTORS FROM THE MEDICAL EDUCATION RESIDENCY PROGRAM. THERE HAVE BEEN APPROXIMATELY 20 STUDENTS PARTICIPATE TO DATE. NURSE CAMP HAS BEEN DEVELOPED TO PROMOTE THE NURSING PROFESSION TO AREA STUDENTS. LEARNER OBSERVATION PROGRAM CONTINUES TO OFFER OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREERS.CHRONIC CONDITIONSSTRATEGY 1: HEALTH EQUITY INITIATIVES AND PARTNERSHIPS TO ADDRESS IMPROVED HEALTH OUTCOMES THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UPH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLANNING. IN KIND SUPPORT OF THE BLACK WOMEN FOR HEALTHY LIVING PROGRAM. THIS FOCUSES ON HEALTH AWARENESS AND EMPLOYMENT OPPORTUNITIES FOR WOMEN OF COLOR. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: SOCIAL DETERMINANTS OF HEALTH (SDOH) SUPPORT EFFORTS TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS. STODDARD CANCER CENTER PATIENTS AND FAMILIES WITH VARIOUS SOCIAL NEEDS. MEALS (22,000 OVER 3 YEARS), GIFT CARDS FOR GROCERIES AND GAS (5300 OVER 3 YEARS), UBER RIDES TO APPOINTMENTS (1280 OVER 3 YEARS), LODGING FOR FAMILY AND APPOINTMENTS (117 OVER 3 YEARS). THE IOWA LUTHERAN HOSPITAL GIVING GARDEN IS OPERATED BY EMPLOYEES AND VOLUNTEERS. THIS GARDEN PROVIDES APPROXIMATELY 300 POUNDS OF PRODUCE ANNUALLY FOR THE EAST DES MOINES CLINIC PATIENTS.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTH SHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES. GROUP A-FACILITY 2 -- IOWA LUTHERAN HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY BY USING THE EXPERTISE OF THE NATIONALLY RECOGNIZED HEALTH CARE CONSULTING FIRM PRC. THE ASSESSMENT INCORPORATES DATA FROM MULTIPLE SOURCES, INCLUDING PRIMARY RESEARCH (THROUGH THE PRC COMMUNITY HEALTH SURVEY AND PRC ONLINE KEY INFORMANT SURVEY), AS WELL AS SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA). IT ALSO ALLOWED FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. THE PRC COMMUNITY HEALTH SURVEY USED FOR THE STUDY WAS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE STUDY SPONSORS AND PRC. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS AND INCLUDED PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROVIDERS, SOCIAL SERVICE PROVIDERS AND COMMUNITY LEADERS. IN ALL, 111 COMMUNITY REPRESENTATIVES TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 6A: MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, BROADLAWNS MEDICAL CENTER, DALLAS COUNTY HOSPITAL. GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 6B: CLIVE BEHAVIORAL HEALTH, POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, EVERYSTEP, GREATER DES MOINES PARTNERSHIP, MID IOWA HEALTH FOUNDATION, PRIMARY HEALTH CARE, INC., UNITED WAY OF CENTRAL IOWA, WARREN COUNTY HEALTH SERVICES. GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 11: UNITYPOINT HEALTH-DES MOINES CONDUCTED ITS LAST CHNA IN 2021 AND REVIEWED THE HEALTH PRIORITIES IDENTIFIED THROUGH THAT ASSESSMENT. TAKING INTO ACCOUNT THE TOP-IDENTIFIED NEEDS AS WELL AS HOSPITAL RESOURCES AND OVERALL ALIGNMENT WITH THE HOSPITAL'S MISSION, GOALS AND STRATEGIC PRIORITIES IT WAS DETERMINED AT THAT TIME THAT UNITYPOINT HEALTH-DES MOINES WOULD FOCUS ON DEVELOPING AND/OR SUPPORTING STRATEGIES AND INITIATIVES TO IMPROVE: 1. MENTAL HEALTH AND SUBSTANCE ABUSE2. PREVENTION SERVICES3. ACCESS TO HEALTH CARE SERVICES4. CHRONIC CONDITIONSSTRATEGIES FOR ADDRESSING THESE NEEDS WERE OUTLINED IN UNITYPOINT HEALTH-DES MOINES' IMPLEMENTATION STRATEGY. THE FOLLOWING PROVIDES AN EVALUATION OF THE IMPACT OF THE ACTIONS TAKEN TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS IN OUR COMMUNITY. MENTAL HEALTH AND SUBSTANCE ABUSESTRATEGY 1: PROMOTE ADVERSE CHILDHOOD EXPERIENCES (ACES) AWARENESS AND LEARNING EFFORTS AND CHILDREN'S MENTAL HEALTH COMMUNITY CHILDREN ARE SCREENED FOR ACES WITHIN THE BLANK CLINICS. UPHDM CONTINUES TO SUPPORT IOWA ACES 360 IN VARIOUS EFFORTS TO EDUCATE AND INFORM ABOUT ACES AND MITIGATION STRATEGIES. TRAUMA INFORMED CARE INITIATIVES ARE IMPLEMENTED ACROSS UPHDM WITH GUIDANCE FROM AN INTERNAL TIC COMMITTEE. THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDRENSTRATEGY 2: INCREASE ACCESS TO BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES THE BEHAVIORAL HEALTH URGENT CARE SERVES MORE THAN 5,500 PATIENTS ANNUALLY. THIS HAS RESULTED IN DIVERTING ADMISSIONS AT A 95% RATE. EYERLY BALL COMMUNITY MENTAL HEALTH SERVICES SERVES APPROXIMATELY 5,500 UNIQUE PATIENTS ANNUALLY. BLANK CHILDREN'S STAR CENTER OFFERS EXPERTS IN CHILD HEALTH, DEVELOPMENT, AND WELFARE TO PROVIDE SERVICES AND SUPPORT TO CHILDREN, WHICH INCREASE THEIR RESILIENCY AND IMPROVE THEIR HEALTH AND WELL-BEING. BLANK OFFERS BOTH PSYCHOLOGY AND PSYCHIATRY SERVICES FOR CHILDREN.STRATEGY 3: PROVIDE COMMUNITY FOCUSED MENTAL HEALTH WELLNESS OPPORTUNITIES YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTHSHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.PREVENTION SERVICESSTRATEGY 1: SUPPORT OF AND PARTICIPATION IN COMMUNITY AND PARTNER EFFORTS TO IMPROVE ENVIRONMENTAL SAFETY (HOME AND COMMUNITY) CONTINUED SUPPORT FINANCIALLY OF THE ICON WATER TRAILS PROJECT. IN ADDITION TO RECREATION, THIS PROJECT WORKS TO IMPROVE WATER QUALITY AND ENVIRONMENTAL HEALTH OF NATURAL RESOURCES IN CENTRAL IOWA. HEALTHY HOMES IOWA PROVIDES HOME ASSESSMENTS FOR CHILDREN AND FAMILIES WITH RESPIRATORY CONDITIONS. BASED ON NEED, THE PROGRAM PROVIDES, EDUCATION, RESOURCE REFERRAL AND ENVIRONMENT MITIGATION UNHEALTHY CONDITIONS IN THE HOME.STRATEGY 2: PROMOTION OF BLANK ADVOCACY AND OUTREACH CHILDREN AND FAMILIES SAFETY PROGRAMMING THE SAFETY STORE AT BLANK CHILDREN'S HOSPITAL PROVIDES AFFORDABLE ACCESS TO SAFETY PRODUCTS TO KEEP CHILDREN AND FAMILIES SAFE. MORE THAN 5700 PEOPLE HAVE UTILIZED THIS STORE OVER THE PAST 3 YEARS. A GUN SAFETY EDUCATION PROJECT WAS DEVELOPED TO PROVIDE INFORMATION AND VIDEOS ON SAFE STORAGE OF GUNS AS WELL AS TIPS FOR TALKING ABOUT GUN SAFETY. THIS ALSO PROVIDED MORE THAN 150 FREE GUN LOCKS THROUGH THE SAFETY STORE. THE SAFE KIDS EFFORTS THROUGH BLANK'S ADVOCACY AND OUTREACH PROVIDES SAFETY EDUCATION REGARDING BIKE HELMETS, FIRE SAFETY, CAR SEAT SAFETY. IT ALSO PROVIDES BIKE HELMETS AND CAR SEATS FOR THOSE IN NEED. THESE EFFORTS SERVED APPROXIMATELY 25,000 PEOPLE IN THE PAST THREE YEARS. CHILDBIRTH EDUCATION WAS PROVIDED TO OVER 20,000 PARTICIPANTS. BLANK NURSES PROVIDED HEALTHCARE SERVICES TO MORE THAN 20,000 STUDENTS AT THE WEST DES MOINES SCHOOLS AND GRANDVIEW UNIVERSITY.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES.ACCESS TO HEALTH CARE SERVICESSTRATEGY 1: ORGANIZATION HEALTH EQUITY AND DEI INITIATIVES AND PARTNERSHIPS TO ADDRESS MINORITY AND UNDERREPRESENTED POPULATION ACCESS THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UNITYPOINT HEALTH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLAN. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: RESOURCE AND REFERRAL COORDINATION TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. EYERLY BALL NAVIGATORS REFER PATIENTS TO NEEDED COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS.STRATEGY 3: WORK FORCE DEVELOPMENT INITIATIVES AND HEALTH EQUITY PARTNERSHIPS TO ADDRESS STAFFING/PROVIDER NEEDS HOSTED BLACK MEN IN WHITE COATS TO ENCOURAGE GRADE-HIGH SCHOOL STUDENTS TO EXPLORE HEALTHCARE CAREERS. THIS WAS ATTENDED BY MORE THAN 200 INDIVIDUALS. FUTURE DOCTORS OF IOWA WAS DEVELOPED IN PARTNERSHIP WITH BY DEGREES FOUNDATION AND NORTH HIGH TO PAIR DIVERSE STUDENTS WITH MENTORS FROM THE MEDICAL EDUCATION RESIDENCY PROGRAM. THERE HAVE BEEN APPROXIMATELY 20 STUDENTS PARTICIPATE TO DATE. NURSE CAMP HAS BEEN DEVELOPED TO PROMOTE THE NURSING PROFESSION TO AREA STUDENTS. LEARNER OBSERVATION PROGRAM CONTINUES TO OFFER OPPORTUNITIES FOR STUDENTS TO EXPLORE HEALTHCARE CAREERS.CHRONIC CONDITIONSSTRATEGY 1: HEALTH EQUITY INITIATIVES AND PARTNERSHIPS TO ADDRESS IMPROVED HEALTH OUTCOMES THE HEALTH EQUITY STEERING COMMITTEE CONTINUALLY ASSESS HEALTHCARE PRACTICES AND ADVISES ON PROCESS IMPROVEMENT TO BETTER SERVE DIVERSE POPULATIONS. SUCH AS PATIENT SCRIPTING, DEMOGRAPHIC DATA GATHERING, CULTURALLY APPROPRIATE FOODS AND CARE PRODUCTS. THE LGBTQ CLINIC CONTINUES TO PROVIDE FOCUSED CARE TO PATIENTS. CLOSE COORDINATION WITH UPH SYSTEM DIVERSITY, EQUITY AND INCLUSION TEAM AND STRATEGIC PLANNING. IN KIND SUPPORT OF THE BLACK WOMEN FOR HEALTHY LIVING PROGRAM. THIS FOCUSES ON HEALTH AWARENESS AND EMPLOYMENT OPPORTUNITIES FOR WOMEN OF COLOR. UNITYPOINT HEALTH-DES MOINES AWARDED LEADER STATUS AT THE 2024 HUMAN RIGHTS CAMPAIGN/HEALTH EQUALITY INDEX AWARDS RECEPTION.STRATEGY 2: SOCIAL DETERMINANTS OF HEALTH (SDOH) SUPPORT EFFORTS TOGETHER WE CARE, RESOURCE AND REFERRAL UTILITY HAD OVER 20,000 SEARCHES FOR COMMUNITY RESOURCES. SIX THOUSAND OF THESE SEARCHES WERE BY UPHDM STAFF ON BEHALF OF PATIENTS. COMMUNITY HEALTH WORKERS ARE UTILIZED IN BLANK GENERAL PEDS AND SEVERAL CLINICS TO ASSIST PATIENTS WITH ACCESSING COMMUNITY RESOURCES. CONTINUES SUPPORT 2-1-1 SERVICES AND THE 2-1-1 APP DEVELOPED COLLABORATIVELY WITH COMMUNITY PARTNERS. STODDARD CANCER CENTER PATIENTS AND FAMILIES WITH VARIOUS SOCIAL NEEDS. MEALS (22,000 OVER 3 YEARS), GIFT CARDS FOR GROCERIES AND GAS (5300 OVER 3 YEARS), UBER RIDES TO APPOINTMENTS (1280 OVER 3 YEARS), LODGING FOR FAMILY AND APPOINTMENTS (117 OVER 3 YEARS). THE IOWA LUTHERAN HOSPITAL GIVING GARDEN IS OPERATED BY EMPLOYEES AND VOLUNTEERS. THIS GARDEN PROVIDES APPROXIMATELY 300 POUNDS OF PRODUCE ANNUALLY FOR THE EAST DES MOINES CLINIC PATIENTS.STRATEGY 3: COMMUNITY WELLNESS PROGRAMS AND PARTNERSHIPS YOGA IN THE PARK IN ANKENY HAS APPROXIMATELY 1000 PARTICIPANTS ANNUALLY. ROOTED IN NATURE, A PROGRAM WITH POLK COUNTY CONSERVATION PROMOTES MENTAL WELLBEING THROUGH CONNECTION WITH NATURE. UPHDM CONTRIBUTED FINANCIALLY TO THE ATHENE NORTH SHORE ADAPTIVE RECREATION FACILITY. THIS WILL PRIMARILY SERVE INDIVIDUALS WITH PHYSICAL AND EMOTIONAL CHALLENGES. GROUP A-FACILITY 3 -- METHODIST WEST HOSPITAL PART V, SECTION B, LINE 13H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE US. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM; WOMEN, INFANTS & CHILDREN (WIC); AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. THIRD PARTY AGENCIES ARE USED TO ASSIST WITH COLLECTIONS AND, IF THOSE AGENCIES PROVIDE A STATEMENT REGARDING A PATIENT'S LIKELY INCOME LEVEL, THAT INFORMATION IS USED IN DETERMINING THE ELIGIBILITY STATUS AND THE LEVEL OF DISCOUNT AVAILABLE. STATE LAW REQUIREMENTS THAT OFFER ADDITIONAL AND/OR MORE STRINGENT ELIGIBILITY REQUIREMENTS WILL BE FOLLOWED FOR THOSE STATES. FACILITY REPORTING GROUP A - PART V, LINE 7A, CHNA REPORT: THE CHNA REPORT WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACILITY REPORTING GROUP A - PART V, LINE 10A, IMPLEMENTATION STRATEGY: THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS FACILITY REPORTING GROUP A - PART V, LINE 16A, FAP WEBSITE: THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL): WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP A - PART V, LINE 16B, FAP WEBSITE: THE FAP APPLICATION FORM WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE FACILITY REPORTING GROUP A - PART V, LINE 16C, FAP WEBSITE: A PLAIN LANGUAGE SUMMARY OF THE FAP WAS WIDELY AVAILABLE ON A WEBSITE (LIST URL):WWW.UNITYPOINT.ORG/PATIENTS-AND-VISITORS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE 15 1 - LAKEVIEW SURGERY CENTER LC 1750 60TH ST WEST DES MOINES IA 50266 SURGERY CENTER 2 - IOWA DIAGNOSTIC IMAGING & PROCEDURE CTR 6000 UNIVERSITY AVE SUITE 150 WEST DES MOINES IA 50266 OUTPATIENT DIAGNOSTIC IMAGING 3 - ORTHOPAEDIC OUTPATIENT SURGERY CENTER L 1600 60TH ST WEST DES MOINES IA 50266 AMBULATORY SURGERY CENTER 4 - CHILDREN'S HEALTH CENTER MOB I STE 300 DES MOINES IA 50309 PHYSICIAN CLINIC 5 - CARDIO THORACIC 1200 PLEASANT ST DES MOINES IA 50309 PHYSICIAN CLINIC 6 - COUNSELING CENTER 6000 UNIVERSITY AVE SUITE 200 WEST DES MOINES IA 50266 PHYSICIAN CLINIC 7 - TRANSPLANT CTR & CENTER FOR LIVER DISORD 1215 PLEASANT STREET SUITE 506 DES MOINES IA 50309 PHYSICIAN CLINIC 8 - PERINATAL MOB II STE 116 DES MOINES IA 50309 PHYSICIAN CLINIC 9 - OCC MED 6000 UNIVERSITY AVE SUITE 124 WEST DES MOINES IA 50266 OCCUPATIONAL MEDICINE 10 - MIDWIVES 1440 PLEASANT ST STE1 DES MOINES IA 50309 PHYSICIAN CLINIC 11 - WEST LAKES SLEEP CENTER LLC 5950 UNIVERSITY AVE WEST DES MOINES IA 50266 TREATMENT OF CHRONIC SLEEP DISORDERS 12 - ANKENY MEDICAL PARK SURGERY CENTER LC 3625 NORTH ANKENY BLVD STE J ANKENY IA 50021 AMBULATORY SURGERY CENTER 13 - CCRC OF WEST DES MOINES LLC 11827 W 112TH ST SUITE 103 OVERLAND PARK KS 66210 INVESTMENT/MIXED LEVEL CARE ASSISTED LIVING FACILITY 14 - LEGACY SENIOR HOUSING INVESTORS LLC 6900 WESTOWN PARKWAY WEST DES MOINES IA 50266 INVESTMENT/MIXED LEVEL CARE ASSISTED LIVING FACILITY 15 - YOUNKER REHABILITATION THERAPY SERVICES 1200 PLEASANT STREET DES MOINES IA 50309 REHABILITATION THERAPY SERVICES PART I, LINE 6A: THE HOSPITAL'S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM'S COMMUNITY BENEFIT REPORT (DBA AS UNITYPOINT HEALTH) WHICH CAN BE LOCATED AT WWW.UNITYPOINT.ORG. PART I, LINE 7: A COST-TO-CHARGE RATIO (FROM WORKSHEET 2) IS USED TO CALCULATE THE AMOUNTS ON LINE 7A. THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO COST ACCOUNTING SYSTEM USE COST-TO-CHARGE RATIO. THE AMOUNTS FOR LINES 7E, F, H, AND I WOULD COME FROM THE BOOKS AND RECORDS OF SPECIFIC SEGMENTS OF THE ORGANIZATION AND ARE BASED ON COST. THE AMOUNTS ON 7G ARE DERIVED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. SEGMENTS NOT PASSED TO A COST ACCOUNTING SYSTEM USE THE COST-TO-CHARGE RATIO. PART I, LINE 7G: THE HOSPITAL INCLUDED $25,025,722 IN SUBSIDIZED HEALTH SERVICES FOR FUNDING PROVIDED TO UNITYPOINT CLINIC TO FUND ITS LOSSES. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS -$1,584. PART II, COMMUNITY BUILDING ACTIVITIES: UPHDM HAS INVESTED SIGNIFICANTLY IN SEVERAL COMMUNITY WIDE INITIATIVES TO INCREASE THE OVERALL WELLBEING OF RESIDENTS AND THE COMMUNITY. SEVERAL EXAMPLES OF THESE EFFORTS ARE: ICON/CENTRAL IOWA WATER TRAILS: THE PROJECT LEVERAGES RELATIONSHIPS, PARTNERSHIPS, AND COLLABORATIONS FROM THROUGHOUT THE STATE. THE GOAL IS TO DEVELOP ADVOCATES AND INVEST IN INFRASTRUCTURE THAT WILL SAFEGUARD OUR WATERWAYS FOR GENERATIONS TO COME. HEALTHY HOMES DES MOINES: THIS PROJECT WORKS WITH HEALTHCARE PROVIDERS TO IDENTIFY CHILDREN SUFFERING FROM ASTHMA THAT MAY SEE HEALTH IMPROVEMENTS THROUGH HOUSING MITIGATION TO REDUCE ASTHMA TRIGGERS. IT ALSO ASSESSES AND ADDRESSES THE FAMILY'S SOCIAL NEEDS. THIS IS A PARTNERSHIP OF MERCYONEDES MOINES, BROADLAWNS MEDICAL CENTER, POLK COUNTY HEALTH DEPARTMENT, POLK COUNTY HOUSING TRUST FUND AND EVERYSTEP. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT' LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT.THE AMOUNT REPORTED ON LINE 2 WAS CALCULATED USING IRS WORKSHEET 2 'RATIO OF PATIENT CARE COST TO CHARGES' TO CALCULATE THE COST TO CHARGE RATIO FOR CENTRAL IOWA HOSPITAL CORPORATION. THIS RATIO WAS THEN APPLIED AGAINST THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS USING IRS WORKSHEET A TO ARRIVE AT THE BAD DEBT EXPENSE AT COST REPORTED ON LINE 2. PART III, LINE 8: AMOUNTS ON LINE 6 WERE CALCULATED USING IRS WORKSHEET B 'TOTAL MEDICARE ALLOWABLE COSTS.' THE MEDICARE ALLOWABLE COSTS WERE OBTAINED FROM THE MEDICARE COST REPORTS AND THEN REDUCED BY ANY AMOUNTS ALREADY CAPTURED IN COMMUNITY BENEFIT EXPENSE IN PART I ABOVE.THE METHODOLOGY DESCRIBED IN THE INSTRUCTIONS TO SCHEDULE H, PART III, SECTION B, LINE 6 DOES NOT TAKE INTO ACCOUNT ALL COSTS INCURRED BY THE HOSPITAL AND DOES NOT REPRESENT THE TOTAL COMMUNITY BENEFIT CONFERRED IN THIS AREA. THE MEDICARE 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 HOSPITAL BELIEVES THE ENTIRE AMOUNT OF THE MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT, MORE SPECIFICALLY, AS CHARITY CARE. THE ELDERLY CONSTITUTE A CLEARLY-RECOGNIZED CHARITABLE CLASS, AND MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR AND THUS WOULD HAVE QUALIFIED FOR THE HOSPITAL'S CHARITY CARE PROGRAM, MEDICAID OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS ABSENT THE MEDICARE PROGRAM. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, THE BURDENS OF GOVERNMENT ARE RELIEVED WITH RESPECT TO THESE INDIVIDUALS. ADDITIONALLY, THERE IS A SIGNIFICANT POSSIBILITY THAT CONTINUED REDUCTION IN REIMBURSEMENT MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS. FINALLY, THE AMOUNT SPENT TO COVER THE MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART V, SECTION A, FACILITY INFORMATION: PRIMARY WEBSITE (FACILITY 1):WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---IOWA-METHODIST-MEDICAL-CENTERPRIMARY WEBSITE (FACILITY 2):WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---IOWA-LUTHERAN-HOSPITALPRIMARY WEBSITE (FACILITY 3):WWW.UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---METHODIST-WEST-HOSPITAL PART VI, LINE 2: TO FACILITATE COMMUNITY ENGAGEMENT, UNITYPOINT HEALTH-DES MOINES UTILIZES THE COMMUNITY HEALTH NEEDS ASSESSMENT TO IDENTIFY THE INITIATIVES, ACTIONS, ANTICIPATED IMPACT, PARTNERS, AND RESOURCES FOR COMMUNITY PRIORIES. OUR COMMUNITY ENGAGEMENT TEAM WHICH IS HOUSED IN BUSINESS STRATEGY, CONTINUALLY ASSESS DATA AVAILABLE FROM VARIOUS PARTNERS AND COMMUNITY EFFORTS. THIS INCLUDES PUBLIC HEALTH PARTNERS. FURTHER, WE UTILIZE TOGETHER WE CARE, A RESOURCE AND REFERRAL PLATFORM ON OUR WEBSITE THAT PROVIDES SEARCH AND UTILIZATION DATA THAT REPRESENT EMERGING NEEDS OF COMMUNITY MEMBERS.TWO INTERNAL TEAMS ARE RESPONSIBLE FOR ADVANCING OUR COMMUNITY ENGAGEMENT WORK. THESE TEAMS ARE: COMMUNITY ENGAGEMENT TEAM, WHICH CONSISTS OF DEDICATED UPH-DM STAFF FOCUSED ON IDENTIFYING AND ADDRESSING COMMUNITY NEED FOR THE ORGANIZATION. COMMUNITY HEALTH IMPLEMENTATION TEAM, WHICH CONSISTS OF HOSPITAL TEAM LEADERS FROM ADMINISTRATION, BUSINESS DEVELOPMENT, VARIOUS SERVICE LINES, OUTREACH, HUMAN RESOURCES, WELLNESS, PROCESS IMPROVEMENT AND COMMUNICATIONS. THIS GROUPS SERVES TO HELP ADVISE THE COMMUNITY ENGAGEMENT TEAM IN CARRYING OUT THE IMPLEMENTATION STRATEGY.THE COMMUNITY HEALTH IMPLEMENTATION TEAM CONVENES TO:1. IDENTIFY NEW TACTICS THAT MAY HAVE BEEN IMPLEMENTED THAT ALIGN WITH THE WORK.2. IDENTIFY PROGRESS AND MEASURES THAT ALIGN WITH THE IDENTIFIED INITIATIVES.3. CONSIDER CHANGES OR ADDITIONS THAT MAY NEED TO BE MADE WITHIN THE INITIATIVES.4. CONSIDER NEW OPPORTUNITIES FOR TACTICS, PARTNERS, AND RESOURCES.COORDINATION AND FOLLOW-UP ARE EFFORTS THE RESPONSIBILITY OF THE COMMUNITY ENGAGEMENT TEAM. THE IMPLEMENTATION OF MANY OF THESE TACTICS WILL REQUIRE ITS OWN STRATEGIC PLAN. IN MANY CASES VARIOUS PARTNERS WILL BE NEEDED TO MOVE THE WORK FORWARD. THIS WORK INCLUDES COMMUNITY PARTNERS SUCH AS FOUNDATIONS, HEALTHCARE SYSTEMS, PUBLIC HEALTH, AND GOVERNMENT AGENCIES. ADDITIONALLY, THERE ARE DEDICATED STAFF WITHIN SERVICE LINES SUCH AS BLANK ADVOCACY AND OUTREACH, STODDARD CANCER CENTER, TRAUMA SERVICES AMONG OTHERS THAT PROVIDE MANY COMMUNITY-BASED INITIATIVES. PART VI, LINE 3: THE HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE TO ALL PATIENTS AND WITHIN THE COMMUNITY. COPIES OF THE FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. THE CENTRAL BILLING OFFICE IS AVAILABLE BY PHONE TO ANSWER QUESTIONS ABOUT THE POLICY, OR PATIENTS SHOULD GO TO THE CASHIER'S OFFICE AT THE HOSPITAL TO OBTAIN THIS INFORMATION. THE PLAIN LANGUAGE SUMMARY IS OFFERED AS PART OF THE PATIENT INTAKE AND/OR DISCHARGE PROCESS AND INCLUDED WHEN A PATIENT IS SENT WRITTEN NOTICE THAT EXTRAORDINARY COLLECTION ACTIONS MAY BE TAKEN AGAINST HIM/HER. THE FINANCIAL ASSISTANCE POLICY, THE PLAIN LANGUAGE SUMMARY, AND ALL FINANCIAL ASSISTANCE FORMS ARE AVAILABLE IN ENGLISH AND IN ANY OTHER LANGUAGE IN WHICH LIMITED ENGLISH PROFICIENCY (LEP) POPULATIONS CONSTITUTE THE LESSER OF 1,000 PERSONS OR MORE THAN 5% OF THE COMMUNITY SERVED BY THE HOSPITAL. THESE TRANSLATED DOCUMENTS WILL BE AVAILABLE BY MAIL, ON EACH HOSPITAL'S WEBSITE, AND IN PERSON AT EACH HOSPITAL. PART VI, LINE 4: CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES IS A 779-BED COMMUNITY HOSPITAL SYSTEM SERVING CENTAL IOWA. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES IS NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE.80 PERCENT OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES' MARKET RESIDENTS LIVE WITHIN THE IOWA COUNTIES OF DALLAS, GUTHRIE, JASPER, MADISON, MARION, POLK, STORY, AND WARREN. CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES ADMITS 35,268 INPATIENTS AND CARES FOR 120,407 EMERGENCY PATIENTS PER YEAR. THERE ARE 34 OTHER HOSPITALS WITHIN THE 30-COUNTY SERVICE AREA. MEDIAN HOUSEHOLD INCOMES RANGE FROM $68,527TO $97,895 AND THE AVERAGE POVERTY RATE IS 8.91%. 61 PERCENT OF CENTRAL IOWA HOSPITAL CORPORATION D/B/A UNITYPOINT HEALTH DES MOINES PATIENTS ARE ELIGIBLE FOR MEDICARE (45%) OR MEDICAID (16%). DALLAS, POLK AND STORY COUNTIES ARE THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATIONS. DALLAS COUNTY IS 5.9 PERCENT ASIAN, 7.0 PERCENT HISPANIC, POLK COUNTY IS 10.6 PERCENT HISPANIC, 9.5 PERCENT AFRICAN AMERICAN AND STORY COUNTY IS 7.7 PERCENT ASIAN, 5.2 PERCENT HISPANIC. PART VI, LINE 5: UNITYPOINT HEALTH-DES MOINES (UPHDM) MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE. IN ADDITION TO PROVIDING HIGH QUALITY HEALTHCARE TO CENTRAL IOWANS, UPHDM HAS A LONG HISTORY OF ACTIVELY ENGAGING WITH THE COMMUNITIES WE SERVE TO ADDRESS AND MITIGATE IDENTIFIED HEALTH PRIORITIES. THIS IS ACHIEVED THROUGH PROVISION OF SERVICES AND EDUCATION, SUPPORTING COMMUNITY PARTNERS ALIGNED WITH OUR PRIORITIES, AND PARTICIPATING IN COLLABORATIVE SOLUTIONS TO COMPLEX ISSUES.UPHDM HAS WORKED TO PROVIDE LEADERSHIP IN THE SPACE OF COMMUNITY HEALTH IN CENTRAL IOWA. UPHDM HAS ACTIVELY PROVIDED LEADERSHIP AND FINANCIAL SUPPORT A COMMUNITY BASED REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TO IDENTIFY THE MOST URGENT HEALTH PRIORITIES IDENTIFIED BY OUR RESIDENTS. WE CONTINUALLY DEVELOP A CHNA PROCESS THAT ENGAGES A BROAD REPRESENTATION OF PARTNERS. THE MOST RECENT CHNA PROCESS STARTED IN 2023 INCLUDES APPROXIMATELY 35 ORGANIZATION. PART VI, LINE 6: THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $5.3B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. 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 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 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. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THEIR REGIONS. IN 2024, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $281 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 AMERICAN HEART ASSOCIATION 1111 NINTH ST STE 280 DES MOINES IA 50314 135613797 501(C)(3) 27500 0 EVENT SPONSOR BRAVO GREATER DES MOINES 801 GRAND AVE SUITE 250 DES MOINES IA 50309 203598346 501(C)(3) 10000 0 PROGRAM SUPPORT COMMUNITY FOUNDATION OF GREATER DES MOINES 1915 GRAND AVE DES MOINES IA 50309 426139033 501(C)(3) 103420 0 PROGRAM SUPPORT DOWNTOWN DES MOINES SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT 700 LOCUST STREET SUITE 100 DES MOINES IA 50309 861058466 501(C)(6) 46667 0 EVENT SPONSOR DOWNTOWN EVENTS GROUP 700 LOCUST STREET DES MOINES IA 50309 753175987 501(C)(3) 266000 0 CAPITAL BUILDING CAMPAIGN GREAT OUTDOORS FOUNDATION PO BOX 8071 DES MOINES IA 50301 421441098 501(C)(3) 12500 0 EVENT SPONSOR ICON WATER TRAILS 5000 WESTOWN PARKWAY SUITE 225 WEST DES MOINES IA 50266 871605740 501(C)(3) 20000 0 PROGRAM SUPPORT IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION DBA UNITYPOINT CLINIC 1776 WESTLAKES PKWY SUITE 400 WEST DES MOINES IA 50265 421411630 501(C)(3) 46069149 0 PROGRAM SUPPORT RONALD MCDONALD HOUSE 1441 PLEASANT ST DES MOINES IA 50314 421117423 501(C)(3) 10000 0 PROGRAM SUPPORT VISITING NURSE SERVICES OF IOWA 1111 9TH ST STE 320 DES MOINES IA 50314 420680446 501(C)(3) 11000 0 PROGRAM SUPPORT 13 1 FOOD, CLOTHING AND SHELTER FOR INDIGENTS 1272 63588 PATIENT RENT ASSISTANCE 14 6897 PATIENT TRANSPORTATION (UBER/TAXI/DART/GAS CARDS) 1846 94743 VARIOUS OTHER ITEMS PROVIDED TO PATIENTS 704 59200 MEDICAL, DENTAL AND HOSPITAL EXPENSES 28 1535 PART I, LINE 2: CENTRAL IOWA HOSPITAL CORPORATION REQUIRES EACH RECIPIENT OF THE GRANTS (OTHER THAN ASSISTANCE TO RELATED ORGANIZATIONS IN THE FORM OF WORKING CAPITAL) TO APPLY FOR THE GRANT AND OUTLINE A SERIES OF ELIGIBLITY STANDARDS THAT ARE REQUIRED TO BE MET. ORGANIZATION THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS. 1 1 0 0 0 0 0 0 0 JOHN TRIANTAFYLLOS MD PHYSICIAN-RADATION ONCOLOGY 1055956 0 0 0 3126 0 17250 0 28159 0 1104491 0 0 0 SAMUEL SCHROEDER MD PHYSICIAN-RADATION ONCOLOGY 1044623 0 0 0 432 0 17250 0 29586 0 1091891 0 0 0 ARSHIN SHEYBANI MD PHYSICIAN-RADATION ONCOLOGY 1028553 0 0 0 580 0 17250 0 31329 0 1077712 0 0 0 OSCAR ANDRES VITERI MOLINA MD FACOG PHYSICIAN-MATERNAL AND FETAL MED 950565 0 25678 0 478 0 17250 0 28378 0 1022349 0 0 0 DAVID STARK CHIEF GOVT AFFAIRS PHI OFF (IHS), INTERIM CEO (TO 12/23) 0 649180 0 168459 0 18022 0 17250 0 26650 0 879561 0 0 NICHOLAS LOUDAS MD PHYSICIAN-RADATION ONCOLOGY 805392 0 0 0 432 0 17250 0 12124 0 835198 0 0 0 TRACY L EKHARDT MD CMO TO 1124 MED DIR, MED STAFF SVCS (FR 11/24) 562349 0 120548 0 4831 0 17250 0 37141 0 742119 0 0 0 JON ROZENFELD BOARD SECRETARY MARKET PRESIDENT (FR 01/24) 488775 0 0 0 48150 0 65779 0 22560 0 625264 0 0 0 THOMAS MULROONEY FACHE VP/MARKET COO (TO 11/24) 384101 0 105882 0 4568 0 63982 0 27232 0 585765 0 0 0 WILLIAM YOST MD MARKET CHIEF ACADEMIC OFFICER 383225 0 104902 0 20564 0 17250 0 24456 0 550397 0 0 0 JOYCE MCDANEL VP HUMAN RESOURCES CONSULTING-WEST 12982 334510 0 94274 375 10393 661 76481 1181 10758 15199 526416 0 0 THOMAS MATHEWS MARKET CFO 374635 0 103865 0 4201 0 17250 0 27019 0 526970 0 0 0 ANISH KESHWANI MD BOARD MEMBER 0 425279 0 9000 0 2064 0 17250 0 31421 0 485014 0 0 DENISE CUNDY MS BSN RN NE-BC MARKET CHIEF NURSING OFFICER 321966 0 87385 0 10014 0 49574 0 11361 0 480300 0 0 0 SIDNEY RAMSEY VP MARKETING BUSINESS DEV (TO 06/24) 168652 0 93162 0 184725 0 23672 0 8670 0 478881 0 0 0 ANGELA KNOBLAUCH DO BOARD MEMBER 0 439588 0 0 0 1189 0 17250 0 12409 0 470436 0 0 WENDY WOODS-SWAFFORD MD MARKET CHIEF MEDICAL OFFICER 346137 0 95442 0 720 0 17250 0 4155 0 463704 0 0 0 BRIAN BENSON EXECUTIVE DIRECTOR-PHARMACY 239925 0 37692 0 258 0 14521 0 28386 0 320782 0 0 0 LAURIE JOHNSON MHA RN CNOR EXEC DIRECTOR OF SURGICAL SERVICES 192217 0 30350 0 4664 0 9428 0 11817 0 248476 0 0 0 PAIGE JAEGER MHA FACHE VICE PRESIDENT OPERATIONS 170528 0 19711 0 11252 0 10540 0 25471 0 237502 0 0 0 WENDY ROCKEY EXECUTIVE DIRECTOR CARDIOLOGY 171233 0 25412 0 3771 0 9311 0 27385 0 237112 0 0 0 ERIC LOTHE FACHE FRMR SVP & COO (TO 12/22) 0 0 0 0 209181 0 0 0 2004 0 211185 0 0 0 KRISTIN MOHR EXEC DIR PROPERTIES & FACILITIES (TO 109383 0 20029 0 21022 0 7818 0 18333 0 176585 0 0 0 CHRISTOPHER PHILLIPS EXECUTIVE DIRE FACILITIES CONSTRUCTION & PROPERTIES 144152 0 16247 0 151 0 3746 0 219 0 164515 0 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: ERIC LOTHE $209,181, AND SIDNEY RAMSEY $169,857. NONQUALIFIED RETIREMENT PLAN CONTRIBUTIONS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN AND RECEIVED CONTRIBUTIONS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: DENISE CUNDY $32,324, JOYCE MCDANEL $60,571, THOMAS MULROONEY $46,732, AND JON ROZENFELD $48,529. 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. BROOKE JOHNSON FAMILY MEMBER OF BOARD MEMBER KASEY JOHNSON STEEN 155343 EMPLOYMENT 0 DAVID JOHNSON FAMILY MEMBER OF KEY EMPLOYEE LAURIE JOHNSON 74823 EMPLOYMENT 0 JODI RAMSEY-JAMISON FAMILY MEMBER OF KEY EMPLOYEE SIDNEY RAMSEY 86337 EMPLOYMENT 0 FORM 990, LINE J - WEBSITE: UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---IOWA-METHODIST-MEDICAL-CENT ER UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---BLANK-CHILDRENS-HOSPITAL UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---IOWA-LUTHERAN-HOSPITAL UNITYPOINT.ORG/LOCATIONS/UNITYPOINT-HEALTH---METHODIST-WEST-HOSPITAL 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 CENTRAL IOWA HEALTH SYSTEM, A TAX-EXEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S SOLE MEMBER CENTRAL IOWA HEALTH SYSTEM AND THE ORGANIZATION SHARE A COMMON BOARD NOMINATED BY CENTRAL IOWA HEALTH SYSTEM. IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH, THE SOLE MEMBER OF CENTRAL IOWA HEALTH SYSTEM, APPROVES THE ELECTION OF BOARD MEMBERS AND APPOINTS THE MARKET PRESIDENT WHO SERVES AS AN EX-OFFICIO BOARD MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE ORGANIZATION'S SOLE MEMBER CENTRAL IOWA HEALTH SYSTEM HAS AUTHORIZED ITS POWERS TO THE ORGANIZATION AND THEY SHARE A COMMON BOARD. POWERS OF THE COMMON BOARD ARE AUTHORIZED TO BE EXERCISED BY IOWA HEALTH SYSTEM D/B/A UNITYPOINT HEALTH. 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 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 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 2024 FOR THE FOLLOWING INDIVIDUALS: DENISE CUNDY, TOM MATHEWS, JOYCE MCDANEL, JON ROZENFELD, DAVID STARK, WENDY WOODS-SWAFFORD, MD, AND WILLIAM YOST, MD. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, WWW.UNITYPOINT.ORG. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST 5,936,861. YOUNKER REHABILITATION THERAPY SERVICES LLC 1200 PLEASANT STREET DES MOINES IA 50309 815031103 REHABILITATION THERAPY SERVICES IA 5042281 4626637 CENTRAL IOWA HOSPITAL CORPORATION ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421045257 MENTAL HEALTH CARE IA 501(C)(3) 509(A)(2) ABBEHEALTH INC 0 ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA IA 52233 421373123 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III ST LUKE'S HEALTHCARE 0 AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA IA 52233 237085316 SENIOR SERVICES IA 501(C)(3) 170(B)(1) (A)(VI) ABBEHEALTH INC 0 ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO IA 50703 421351526 EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC 0 ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO IA 50703 421201924 SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM 0 ALLEN MEMORIAL HOSPITAL 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CENTRAL IOWA HEALTH PROPERTIES CORPORATION C 812174 BASED ON GAAP, CASH, AND/OR FMV. SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) THIS ENTITY IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH), THE NATION'S FIFTH LARGEST NON-DENOMINATIONAL HEALTH SYSTEM WITH $5.3B IN OPERATING REVENUE AND 29,000 TEAM MEMBERS. 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 400 CLINICS; 17 COMMUNITY NETWORK HOSPITALS; 13 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.