Civic Intelligence

Proctor Health Systems

990 • Fiscal year 2018 • EIN 36-4147437

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 12, 2019

5409 N Knoxville AvenuePeoria, IL 61614

(309) 691-1064

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

9.97x

Higher debt load relative to assets than 100% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Liabilities / Revenue

89th percentile

2.57x

Higher debt load relative to revenue than 89% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Net Margin

6th percentile

-46%

Higher net margin than 6% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Top Officer Pay

96th percentile

$895,157

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 9.1% of source-year revenue.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2018

Asset Growth

87th percentile

24%

Faster asset growth than 87% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2017 to 2018

Revenue Growth

68th percentile

12%

Faster revenue growth than 68% of similar nonprofits.

2018 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2017 to 2018

Assets

Up

$2,531,660

Up $485,762 (+24%) from 2017

Net Assets

Down

-$22,699,216

Down $4,468,713 (-25%) from 2017

Liabilities

Up

$25,230,876

Up $4,954,475 (+24%) from 2017

Revenue

Up

$9,804,012

Up $1,031,149 (+12%) from 2017

Expenses

Up

$14,272,979

Up $1,451,195 (+11%) from 2017

Net Income

Down

-$4,468,967

Down $420,046 (-10%) from 2017

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$60M$40M$20M$0-$20M-$40MAssets 2010: $2,621,616Liabilities 2010: $7,030,624Net Assets 2010: -$4,409,0082010Assets 2011: $2,623,263Liabilities 2011: $8,190,982Net Assets 2011: -$5,567,7192011Assets 2012: $2,902,352Liabilities 2012: $9,702,256Net Assets 2012: -$6,799,9042012Assets 2013: $2,566,559Liabilities 2013: $10,427,400Net Assets 2013: -$7,860,8412013Assets 2014: $2,431,139Liabilities 2014: $12,070,947Net Assets 2014: -$9,639,8082014Assets 2015: $2,780,656Liabilities 2015: $14,309,720Net Assets 2015: -$11,529,0642015Assets 2016: $4,207,227Liabilities 2016: $18,388,014Net Assets 2016: -$14,180,7872016Assets 2017: $2,045,898Liabilities 2017: $20,276,401Net Assets 2017: -$18,230,5032017Assets 2018: $2,531,660Liabilities 2018: $25,230,876Net Assets 2018: -$22,699,2162018Assets 2019: $1,810,763Liabilities 2019: $2,738,668Net Assets 2019: -$927,9052019Assets 2020: $2,065,373Liabilities 2020: $4,600,917Net Assets 2020: -$2,535,5442020Assets 2021: $1,601,952Liabilities 2021: $554,421Net Assets 2021: $1,047,5312021Assets 2022: $929,928Liabilities 2022: $223,197Net Assets 2022: $706,7312022Assets 2023: $41,699,839Liabilities 2023: $7,891,413Net Assets 2023: $33,808,4262023Assets 2024: $41,857,415Liabilities 2024: $4,563,300Net Assets 2024: $37,294,1152024

Highlighted filing

2018

Assets$2,531,660
Liabilities$25,230,876
Net Assets-$22,699,216

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$100M$50M$0-$50MExpenses 2010: $6,320,8832010Expenses 2011: $5,757,0142011Expenses 2012: $5,242,3822012Revenue 2013: $3,609,136Expenses 2013: $4,668,430Net Income 2013: -$1,059,2942013Revenue 2014: $3,419,642Expenses 2014: $5,198,609Net Income 2014: -$1,778,9672014Revenue 2015: $5,287,980Expenses 2015: $7,177,168Net Income 2015: -$1,889,1882015Revenue 2016: $6,045,305Expenses 2016: $8,697,028Net Income 2016: -$2,651,7232016Revenue 2017: $8,772,863Expenses 2017: $12,821,784Net Income 2017: -$4,048,9212017Revenue 2018: $9,804,012Expenses 2018: $14,272,979Net Income 2018: -$4,468,9672018Revenue 2019: $5,180,665Expenses 2019: $7,595,320Net Income 2019: -$2,414,6552019Revenue 2020: $3,127,025Expenses 2020: $4,739,158Net Income 2020: -$1,612,1332020Revenue 2021: $2,988,441Expenses 2021: $4,436,181Net Income 2021: -$1,447,7402021Revenue 2022: $1,756,701Expenses 2022: $2,453,833Net Income 2022: -$697,1322022Revenue 2023: $42,999,092Expenses 2023: $73,900,198Net Income 2023: -$30,901,1062023Revenue 2024: $38,316,180Expenses 2024: $72,962,642Net Income 2024: -$34,646,4622024

Highlighted filing

2018

Revenue$9,804,012
Expenses$14,272,979
Net Income-$4,468,967
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 12, 2019
Return Version
2018v3.1
Gross Receipts
$10,453,403
Mission and Program Overview

Mission

To provide quality, cost-effective health care to the general public living and working in the community in support of and as an extension of the charitable services provided by the unitypoint health/ methodist/proctor integrated delivery systems and its affiliates.

Provide quality, cost-effective health care to general public living & working in the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$1,115,320$1,221,292▲ $105,972
Other Notes and Loans Receivable, Net$142,927$608,925▲ $465,998
Land, Buildings, and Equipment, Net$469,328$430,502▼ $38,826
Cash and Non-Interest-Bearing Accounts$296,699$239,565▼ $57,134
Investments in Publicly Traded Securities$13,509$19,489▲ $5,980
Savings and Temporary Cash Investments$8,115$11,887▲ $3,772
Total Assets$2,045,898$2,531,660▲ $485,762
Liabilities
Other Liabilities$20,072,203$25,160,151▲ $5,087,948
Accounts Payable and Accrued Expenses$204,198$70,725▼ $133,473
Total Liabilities$20,276,401$25,230,876▲ $4,954,475
Net Assets / Fund Balance
Unrestricted Net Assets$-18,230,503$-22,699,216▼ $4,468,713
Total Net Assets Fund Balance$-18,230,503$-22,699,216▼ $4,468,713
Total Liabilities and Net Assets / Fund Balance$2,045,898$2,531,660▲ $485,762

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$430,502$460,369$890,871
Compensation and Service Providers

Board Members and Trustees

NameTitle
Deborah SimonBoard Member/president & CEO
Keith Knepp MdBoard Member
Todd BakerBoard Member
Robert QuinSecretary/treasurer/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$9,562,915
Investment Income
$14,797
Other Revenue
$226,300
Change in Net Assets
$-4,468,967

Audited Revenue Reconciliation

Revenue per Audited Statements
$9,802,746
Revenue Not Reported on Financial Statements
$1,266
Revenue Not Reported on Form 990
$254
Other Revenue Adjustments
$883
Total Revenue per Audited Statements
$9,803,000
Total Revenue per Form 990
$9,804,012
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$11,468,815
Other Expenses$2,804,164
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$9,795,737--$9,795,737
Other Employee Benefits$1,028,051--$1,028,051
Occupancy$931,857--$931,857
Fees for Services Management-$750,000-$750,000
Payroll Taxes$525,377--$525,377
Fees for Services Other$215,293--$215,293
Insurance$239,066$-36,671-$202,395
Pension Plan Contributions$119,650--$119,650
Depreciation Depletion$113,787--$113,787
Office Expenses$48,971$198-$49,169
Fees for Service Investment Mgmnt Fees$125$19,666-$19,791
Travel$10,770--$10,770
Other Expenses$8,206--$8,206
Conferences and Meetings$2,903--$2,903
Advertising$776$450-$1,226
Total Functional Expenses$13,539,336$733,643$0$14,272,979

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$14,273,000
Total Expenses per Form 990$14,272,979
Expenses per Audited Statements$14,272,596
Expenses Not Reported on Form 990$404
Expenses Not Reported on Financial Statements$383
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$25,144,922
Self-insurance Reserve$15,229
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Proctor health care incorporated, a tax-exempt illinois not-for-profit corporation, is sole member.

Form 990, Part VI, Section A, Line 7A

Proctor health care incorporated, as sole member, has the right to "elect, replace or remove at any time and from time to time, and without cause, members of the board of trustees of the corporation."

Form 990, Part VI, Section A, Line 7B

Proctor health care incorporated, as sole member, approves all decisions of the governing body.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared internally by the iowa health system tax department using information gathered from various functional areas of the organization. Each section of the return is reviewed by the responsible functional area along with the tax department. A draft copy of the return is provided to the cfo for review. A full copy of the form 990 is provided to the board of directors prior to filing with the irs.

Form 990, Part VI, Section B, Line 12C

The organization has a conflict of interest policy. Annually all officers, directors, key employees and reporting physicians are requested to complete a questionnaire to report potential conflicts of interest. Persons who have not returned questionnaires are contacted additional times in an effort to receive complete and accurate responses from all persons. The annual questionnaires include an acknowledgement that the officer, director, key employee or reporting physician: 1) has access to a copy of the conflict of interest policy; 2) has read and understands the policy; 3) agrees to comply with the policy; 4) understands that the policy applies to all committees and subcommittees having board-delegated powers; and 5) understands that the organization is a charitable organization and that in order to maintain its tax-exempt status, it must continuously engage primarily in activities which accomplish one or more of its tax-exempt purposes. Senior administrative staff at all related organizations provide information to a central coordinator related to the identification of which individuals should receive the questionnaire for completion. The results are compiled centrally and reviewed by the iowa health system compliance officer and director of internal audit. The detail results are reported to a committee of the system board. The results related to specific regional parent companies, their hospitals and related organizations, are distributed in detail to the chairperson of the regional parent organization, the chief executive officer, chief financial officer and compliance manager. These individuals are also reminded of the appropriate process to be followed during the year to address potential conflicts of interest that relate to matters that are brought to the board of directors for action. The information disclosed is used to identify potential conflicts of interest and to assist in completing irs and medicaid questionnaires. Any duality of interest or possible conflict of interest on the part of any organizational officer, director, key employee or reporting physician together with all material facts, should be disclosed to the board of directors and made a matter of record, either through an annual procedure or when the interest occurs or becomes a matter of board action. Any organizational officer, director, key employee or reporting physician having a conflict of interest in any matter should not be present during general discussion nor vote or use his or her personal influence on the matter, and he or she should not be counted in determining the existence of a quorum for purposes of the matter or item as to which a conflict exists. The board should exclude the individual from any discussion or vote in which the board decides whether or not a conflict of interest exists. In cases in which an officer, director, key employee, reporting physician or the individual's household member has a conflict of interest in an arrangement or transaction, the following additional steps may be taken at the direction of the board of directors: 1) after disclosure of the financial interest and all material facts, and after any discussion with the interested person, he or she shall leave the board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall 1) decide if a conflict of interest exists, 2) a disinterested person or committee may be appointed to investigate alternatives to the proposed arrangement or transaction; 3) in order to approve the arrangement or transaction, the board must first find, by majority vote of disinterested members, that the arrangement or transaction is in the organization's best interest, is fair and reasonable to the organization, and, after reasonable investigation, the disinterested members have determined that a more advantageous transaction or arrangement cannot be obtained with reasonable efforts under the circumst

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 ceo forum group and svp positions for 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 2018 for the following individuals: debbie simon. 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.

Filing and Contact Details

Filer

Filer Name
Proctor Health Systems
EIN
36-4147437
Phone
3096911064
Address
5409 N KNOXVILLE AVENUE, PEORIA, IL 61614

Signing Officer

Name
Robert Quin
Title
VP Finance/CFO
Phone
3096724893
Signed
2019-11-12

Organization Details

Principal Officer
Keith Knepp Md
Formed
1997
Legal Domicile
Il
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
0
Supplemental Narrative

Additional Explanations

J WEBSITE:

Www.unitypoint.org/peoria/clinic.aspx?id=3341&proctor+health+systems

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.

Financial Statement Notes

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 2015. 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:

ROUNDING 883.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

ROUNDING 404.

Raw XML AppendixShowing 400 of 1,895 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/MissionDesc0TO PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE TO THE GENERAL PUBLIC LIVING AND WORKING IN THE COMMUNITY IN SUPPORT OF AND AS AN EXTENSION OF THE CHARITABLE SERVICES PROVIDED BY THE UNITYPOINT HEALTH/ METHODIST/PROCTOR INTEGRATED DELIVERY SYSTEMS AND ITS AFFILIATES.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0UNITYPOINT 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 2015. 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.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1ROUNDING 883.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2ROUNDING 404.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0TODD BAKER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1KEITH KNEPP MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DEBORAH SIMON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3ROBERT QUIN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1BOARD MEMBER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2BOARD MEMBER/PRESIDENT & CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3SECRETARY/TREASURER/CFO
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IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0NONQUALIFIED RETIREMENT PLAN EARNINGS: THE FOLLOWING INDIVIDUAL(S) PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: TODD BAKER $42,466, KEITH KNEPP, MD $80,605, ROBERT QUIN $56,921, DEBORAH SIMON $106,400.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0WWW.UNITYPOINT.ORG/PEORIA/CLINIC.ASPX?ID=3341&PROCTOR+HEALTH+SYSTEMS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1CASH 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PROCTOR HEALTH CARE INCORPORATED, A TAX-EXEMPT ILLINOIS NOT-FOR-PROFIT CORPORATION, IS SOLE MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PROCTOR HEALTH CARE INCORPORATED, AS SOLE MEMBER, HAS THE RIGHT TO "ELECT, REPLACE OR REMOVE AT ANY TIME AND FROM TIME TO TIME, AND WITHOUT CAUSE, MEMBERS OF THE BOARD OF TRUSTEES OF THE CORPORATION."
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PROCTOR HEALTH CARE INCORPORATED, AS SOLE MEMBER, APPROVES ALL DECISIONS OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE 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 CIRCUMST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE 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 CEO FORUM GROUP AND SVP POSITIONS FOR 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 2018 FOR THE FOLLOWING INDIVIDUALS: DEBBIE SIMON. 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8THE 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.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0J WEBSITE:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART V, LINES 1A & 1B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
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IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$41.9$4.56$37.3$38.3$73.0$34.6
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$41.7$7.89$33.8$43.0$73.9$30.9
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.93$0.22$0.71$1.76$2.45$0.70
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.60$0.55$1.05$2.99$4.44$1.45
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.07$4.60$2.54$3.13$4.74$1.61
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.81$2.74$0.93$5.18$7.60$2.41
2018Detailed filing. Detailed filing data is available for this year.$2.53$25.2$22.7$9.80$14.3$4.47
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.05$20.3$18.2$8.77$12.8$4.05
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.21$18.4$14.2$6.05$8.70$2.65
2015Detailed filing. Detailed filing data is available for this year.$2.78$14.3$11.5$5.29$7.18$1.89
2014Detailed filing. Detailed filing data is available for this year.$2.43$12.1$9.64$3.42$5.20$1.78
2013Detailed filing. Detailed filing data is available for this year.$2.57$10.4$7.86$3.61$4.67$1.06
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.90$9.70$6.80$5.24
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.62$8.19$5.57$5.76
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.62$7.03$4.41$6.32