Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
IOWA HEALTH SYSTEM
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1200 PLEASANT ST
 
Room/suite
City or town, state or country, and ZIP + 4
DES MOINES, IA503091453
D Employer identification number

42-1435199
E Telephone number

G Gross receipts $ 159,070,988
F Name and address of principal officer:
WILLIAM B LEAVER
1200 PLEASANT ST
DES MOINES,IA503091453
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.IHS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1994
M State of legal domicile: IA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 19
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 13
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 710
6 Total number of volunteers (estimate if necessary) .... 6 13
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 891,838
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 13,212,720 9,605,003
9 Program service revenue (Part VIII, line 2g) ......... 77,672,478 128,800,508
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 18,550,467 20,252,306
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 0 0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 109,435,665 158,657,817
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,123,399 11,508,552
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 39,632,576 46,146,633
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 107,969,120 106,432,733
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 160,725,095 164,087,918
19 Revenue less expenses. Subtract line 18 from line 12...... -51,289,430 -5,430,101
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 729,964,712 708,457,810
21 Total liabilities (Part X, line 26)............ 714,746,700 714,562,839
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 15,218,012 -6,105,029
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 156,466,891 including grants of $ 11,408,702 ) (Revenue $ 128,800,508 )
AFFILIATE SUPPORT SERVICESIHS ADMINISTRATION (CORP) IS ORGANIZED TO SUPPORT THE MISSIONS OF SEVERAL RELATED CHARITABLE, TAX-EXEMPT ORGANIZATIONS INCLUDING SEVEN SENIOR AFFILIATES, IOWA HEALTH DES MOINES (DES MOINES), TRINITY REGIONAL HEALTH SYSTEM (ROCK ISLAND), ST. LUKE'S HEALTHCARE (CEDAR RAPIDS), ALLEN HEALTH SYSTEMS (WATERLOO), TRINITY HEALTH SYSTEMS (FORT DODGE), ST. LUKE'S HEALTH SYSTEM (SIOUX CITY), IOWA HOME HEALTH CARE, AS WELL AS MULTIPLE RURAL AFFILIATES. THE SUPPORT SERVICES PROVIDED TO THESE ORGANIZATIONS ARE TO CONSTRUCT, OWN, LEASE, MANAGE, OPERATE, PROVIDE AND MAINTAIN ANY FACILITIES, PROGRAMS, SERVICES (MANAGEMENT OR OTHERWISE) AND RELATED ACTIVITIES IN FURTHERANCE OF HEALTH-CARE OR HEALTH EDUCATION. FACILITIES INCLUDE HOSPITALS, SELF-CARE FACILITIES, CLINICS, EDUCATIONAL FACILITIES, AND OTHER ESTABLISHMENTS CREATED TO CARRY THROUGH HEALTH-CARE AND EDUCATIONAL PROGRAMS. THE PRIMARY PURPOSE OF THE CORPORATION IS TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC ACTIVITIES IN ACCORDANCE WITH PREVIOUSLY STATED PURPOSES.
4b (Code:   ) (Expenses $ 1,187,432 including grants of $ 99,850 ) (Revenue $ 0 )
COMMUNITY BENEFITIOWA HEALTH SYSTEM PROVIDES SEVERAL OTHER BENEFITS THAT ASSIST THE COMMUNITY. PROGRAMS MAY INCLUDE, BUT ARE NOT LIMITED TO, COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS SUCH AS PREVENTION AND HEALTH SCREENINGS; HEALTH PROFESSIONAL'S EDUCATION; SUBSIDIZED HEALTH SERVICES; RESEARCH, AND CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS. IOWA HEALTH SYSTEM COLLABORATES WITH OTHER HOSPITALS, CHURCHES, SCHOOLS, CHAMBERS OF COMMERCE AND DAYCARE CENTERS TO IMPROVE COMMUNITY HEALTH AND EXPAND ACCESS TO HEALTH CARE. IOWA HEALTH SYSTEM HAS DEDICATED STAFF TO ASSIST COMMUNITY BENEFIT EFFORTS. TOTAL OTHER BENEFITS REPORTED VALUE: $1,187,432.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 157,654,323
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
180
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
710
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
19
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
 
No
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
KEVIN E VERMEER EXECUTIVE VPCFO
1200 PLEASANT ST
DES MOINES,IA503091453
(515) 241-6550
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) PEG ARMSTRONG-GUSTAFSON
BOARD MEMBER
 1.00 X           11,863 300 0
(2) GENE BLANC
BOARD VICE CHAIR
 1.00 X   X       14,938 0 0
(3) PAUL BRANDT
BOARD MEMBER
 1.00 X           15,396 0 0
(4) TERRI CHRISTOFFERSEN
BOARD MEMBER
 1.00 X           15,000 0 0
(5) KATHY ENO
BOARD MEMBER
 1.00 X           14,500 0 0
(6) JOHN GLEESON
BOARD SECRETARY
 1.00 X   X       13,863 0 0
(7) STEVE HERWIG DO
BOARD MEMBER
 1.00 X           13,163 50 0
(8) JIM HOFFMAN
BOARD CHAIR
 1.00 X   X       26,993 0 0
(9) FRANCIS KANE MD
BOARD MEMBER (FROM 5/10)
 1.00 X           10,942 0 0
(10) RON KLOSTERMAN
BOARD MEMBER
 1.00 X           14,533 0 0
(11) LAWRENCE LIEBSCHER MD
BOARD MEMBER
 1.00 X           13,250 71 0
(12) PETER MCLAUGHLIN
BOARD MEMBER
 1.00 X           13,356 0 0
(13) LINDA NEWBORN
BOARD MEMBER
 1.00 X           11,500 0 0
(14) KURT PITTNER
BOARD MEMBER
 1.00 X           14,616 67 0
(15) WILLIAM PROWELL
BOARD MEMBER
 1.00 X           15,000 0 0
(16) DON ROSS
BOARD MEMBER
 1.00 X           16,036 441 0
(17) KEVIN SCHMINKE MD
BOARD MEMBER
 1.00 X           10,863 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) BRUCE SHERMAN
BOARD MEMBER
 1.00 X           15,838 225 0
(19) MIKE WILLIAMS
BOARD MEMBER
 1.00 X           13,453 201 0
(20) WILLIAM LEAVER
PRESIDENT/CEO
 40.00     X       1,280,669 0 410,066
(21) KEVIN VERMEER
VP/CFO
 40.00     X       543,405 0 198,962
(22) VIVIAN BOYD
VP OF REVENUE CYCLE
 40.00       X     171,636 0 21,871
(23) CHERYL BUSTOS
VP COMMUNICATIONS
 40.00       X     265,066 0 41,229
(24) DENNIS DRAKE
VP GENERAL COUNSEL/CORP CO
 40.00       X     488,664 0 300,725
(25) JOY GROSSER
VP & CIO
 40.00       X     407,389 0 65,473
(26) ALAN KAPLAN MD
VP/CMO
 40.00       X     611,284 0 103,820
(27) KATHERINE MARCHIK
VP CORP FIN/TREAS
 40.00       X     298,490 0 40,772
(28) THOMAS TIBBITTS
VP SYSTEM DEVELOPMENT-IHS
 40.00       X     231,592 545,822 17,874
(29) SAL BOGNANNI
DIR CLINICAL PERFORM IMPRO
 40.00         X   206,709 0 14,789
(30) IGNATIUS BRADY MD
ASST MEDICAL DIRECTOR
 40.00         X   229,231 0 34,318
(31) DAVID BURLAGE
ASSOC COUNSEL
 40.00         X   202,463 0 25,554
(32) DANIEL MCDOW
COO IHS CONTRACTING SVCS
 40.00         X   246,910 0 24,563
(33) SABRA ROSENER
VP GOVERNMENT RELATIONS
 40.00         X   293,184 0 34,908
(34) DUNCAN GALLAGHER
FORMER VP/CFO (2008)
             X 621,676 0 5,661
(35) JAMES MORMANN
FORMER VP & CIO (2008)
             X 232,505 0 26,284
(36) SARA VOTROUBEK
FORMER VP HUMAN RESOURCES (2009)
             X 278,228 0 9,595
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 6,884,204 547,177 1,376,464
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet51
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
IBM
PO BOX 643600
PITTSBURGH,PA15264 		IT CONSULTING 10,546,925
MCKESSON
PO BOX 98347
CHICAGO,IL606930001 		IT CONSULTING 6,204,710
EPIC
PO BOX 88314
MILWAUKEE,WI532880314 		IT CONSULTING 4,875,742
ALLSCRIPTS
24630 NETWORK PLACE
CHICAGO,IL606731246 		ELECTRONIC HEALTH RECORDS 3,424,543
FIBER UTILITIES
222 3RD AVE SE SUITE 500
CEDAR RAPIDS,IA52401 		IT CONSULTING 2,561,414
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet100
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 9,317,837
e Government grants (contributions)1e 262,064
f All other contributions, gifts, grants, and
similar amounts not included above1f 		25,102
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 9,605,003
Program Service Revenue Business Code
2a MGMT & SUPPORT SVCS 561,000 128,973,027 128,081,189 891,838  
b SUBS & JOINT VENTURES 900,099 -172,519 -172,519    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 128,800,508
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 20,268,160     20,268,160
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   397,317
b Less: cost or other basis and sales expenses   413,171
c Gain or (loss)   -15,854
d Net gain or (loss)..........MediumBullet -15,854     -15,854
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet  
12 Total revenue. See Instructions....MediumBullet 158,657,817 127,908,670 891,838 20,252,306
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 11,508,552 11,508,552
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 5,760,390   5,760,390  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,173,948 1,173,948    
7 Other salaries and wages 30,718,934 30,718,934    
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 568,493 568,493    
9 Other employee benefits ....... 5,437,334 5,437,334    
10 Payroll taxes ........... 2,487,534 2,487,534    
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 438,038 438,038    
c Accounting ........... 673,109 673,109    
d Lobbying ........... 828,928 828,928    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 33,131 33,131    
g Other .......... 37,464,865 37,274,852 190,013  
12 Advertising and promotion .... 188,552 182,650 5,902  
13 Office expenses ....... 11,670,805 11,645,612 25,193  
14 Information technology ...... 151,145 150,733 412  
15 Royalties ..        
16 Occupancy ........... 1,510,172 1,492,967 17,205  
17 Travel ............ 1,215,965 845,508 370,457  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 766,232 761,192 5,040  
20 Interest ........... 30,581,107 30,581,107    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 20,403,181 20,403,181    
23 Insurance .............. 62,064 62,064    
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a MISCELLANEOUS EXPENSES 445,439 386,456 58,983  
b
c
d
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 164,087,918 157,654,323 6,433,595 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 500 1 500
2 Savings and temporary cash investments ....... 88,260,507 2 103,361,238
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 710,280 4 509,470
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 536,108,170 7 513,171,511
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 7,817,660 9 10,929,489
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 208,251,366
b Less: accumulated depreciation. ..... 10b 141,746,137 68,830,339 10c 66,505,229
11 Investments—publicly traded securities .......... 15,603,149 11 4,565,111
12 Investments—other securities. See Part IV, line 11 ...... 50,000 12 3,000
13 Investments—program-related. See Part IV, line 11 .. 2,470,034 13 1,244,580
14 Intangible assets ......... 5,553,960 14 5,313,722
15 Other assets. See Part IV, line 11 ........... 4,560,113 15 2,853,960
16 Total assets. Add lines 1 through 15 (must equal line 34)... 729,964,712 16 708,457,810
Liabilities 17 Accounts payable and accrued expenses . 24,537,296 17 20,681,865
18 Grants payable ..........   18  
19 Deferred revenue .......... 2,591,650 19 2,617,231
20 Tax-exempt bond liabilities .......... 651,114,358 20 638,293,275
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 1,302,305 23 1,313,281
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 35,201,091 25 51,657,187
26 Total liabilities. Add lines 17 through 25..... 714,746,700 26 714,562,839
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 15,176,152 27 -6,151,799
28 Temporarily restricted net assets ..... 41,860 28 46,770
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 15,218,012 33 -6,105,029
34 Total liabilities and net assets/fund balances ..... 729,964,712 34 708,457,810
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
158,657,817
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
164,087,918
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-5,430,101
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
15,218,012
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-15,892,940
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
-6,105,029
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
No
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
No
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
No
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
(1) CENTRAL IOWA HOSPITAL CORPORATION
  		420680452 3 Yes   Yes   Yes   215,445
(2) ST LUKE'S METHODIST HOSPITAL
  		420504780 3 Yes   Yes   Yes   2,580,746
(3) ALLEN MEMORIAL HOSPITAL CORPORATION
  		420698265 3 Yes   Yes   Yes   4,089,772
(4) NORTHWEST IOWA HOSPITAL CORPORATION
  		421019872 3 Yes   Yes   Yes   0
(5) THE FINLEY HOSPITAL
  		420680354 3 Yes   Yes   Yes   0
(6) TRINITY REGIONAL MEDICAL CENTER
  		421009175 3 Yes   Yes   Yes   0
(7) TRINITY MEDICAL CENTER
  		362739299 3 Yes   Yes   Yes   2,281,874
Total                 9,167,837

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
IOWA HEALTH SYSTEM
  		Employer identification number

42-1435199
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
IOWA HEALTH SYSTEM
  		Employer identification number

42-1435199
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
IOWA HEALTH SYSTEM
  		Employer identification number

42-1435199
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check Click to see attachment
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 0 0
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 828,928 927,928
c Total lobbying expenditures (add lines 1a and 1b) ................... 828,928 927,928
d Other exempt purpose expenditures ........................ 156,825,395 1,894,148,872
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 157,654,323 1,895,076,800
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0 0
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0 0
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 608,809 936,860 939,868 927,928 3,413,465
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures 54,695 0 0 0 54,695
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 41,860 40,498 37,616
b Contributions ........ 41,430 51,133 54,000
c Investment earnings or losses ... 1,815 1,508 2,736
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		38,335 51,279 53,854
f Administrative expenses ....      
g End of year balance ...... 46,770 41,860 40,498
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet0 %
b
Permanent endowment: SchDMd Bullet0 %
c
Term endowment: SchDMd Bullet100.000 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................   1,855,321 1,475,370 379,951
c Leasehold improvements ............        
d Equipment ................   176,634,682 123,784,253 52,850,429
e Other .................   29,761,363 16,486,514 13,274,849
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 66,505,229
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SELF-INSURANCE RESERVE 1,053,217
SWAP LIABILITY 46,224,865
LONG-TERM RETENTION INCENTIVES 4,379,105






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 51,657,187
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 158,657,817
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 164,087,918
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 -5,430,101
4 Net unrealized gains (losses) on investments .......................... 4 -15,892,940
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -15,892,940
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 -21,323,041
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 130,072,000
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -8,598,552
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d 708
e Add lines 2a through 2d ..................... 2e -8,597,844
3 Subtract line 2e from line 1..................... 3 138,669,844
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 19,987,973
c Add lines 4a and 4b....................... 4c 19,987,973
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 158,657,817
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 152,987,000
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 152,987,000
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 11,100,918
c Add lines 4a and 4b....................... 4c 11,100,918
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 164,087,918
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION RETAINS FUNDS FOR INTENDED FUTURE USES, INCLUDING PURCHASE OF EQUIPMENT, INDIGENT CARE, FUNDING OF MISSION RELATED OPERATIONS, AND HEALTH EDUCATION. IN ADDITION, SOME FUNDS ARE HELD FOR INVESTMENT IN PERPETUITY.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IOWA HEALTH SYSTEM AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TAX-EXEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)(3) AND 501(C)(2) OF THE INTERNAL REVENUE CODE (THE CODE). TAX-EXEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAXES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE HEALTH SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EXAMINATION BY TAX AUTHORITIES FOR THE YEARS BEFORE 2007. THE HEALTH SYSTEM HAS NO MATERIAL UNCERTAIN TAX POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAXABLE INCOME DURING THE CARRYFORWARD PERIOD. NO INCOME TAX BENEFIT HAS BEEN RECOGNIZED FOR THE NET OPERATING LOSS CARRYFORWARDS OR OTHER POTENTIAL DEFERRED TAX ASSETS IN THE CONSOLIDATED FINANCIAL STATEMENTS BECAUSE THE HEALTH SYSTEM BELIEVES REALIZATION OF THESE BENEFITS IS UNLIKELY.
PART XII, LINE 2D - OTHER ADJUSTMENTS:   ROUNDING 708.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   REVENUES IN UNRESTRICTED FUND BALANCE 19,976,433. REVENUES IN TEMPORARILY RESTRICTED FUND BALANCE 4,909. IOWA HEALTH SYSTEM CONTRACTING SERVICES REBATES 6,631.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:   EXPENSES IN UNRESTRICTED FUND BALANCE 11,094,287. IOWA HEALTH SYSTEM CONTRACTING SERVICES REBATES 6,631.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number
42-1435199
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN HEART ASSOCIATION1111 9TH STREET 280
DES MOINES,IA50314 		13-5613797 501C(3) 7,500       PROGRAM SUPPORT
(2) COMMUNITY FOUNDATION OF GREATER DES MOINES1915 GRAND AVENUE
DES MOINES,IA50309 		42-6060414 501C(3) 25,000       PROGRAM SUPPORT
(3) DES MOINES BRANCH NAACPPO BOX 5036
DES MOINES,IA50305 		42-6124965 501C(3) 25,000       PROGRAM SUPPORT
(4) DES MOINES UNIVERSITY3200 GRAND AVENUE
DES MOINES,IA50312 		42-0730347 501C(3) 5,000       PROGRAM SUPPORT
(5) INSTITUTE FOR CHARACTER DEVELOPMENT2417 UNIVERSITY AVE
DES MOINES,IA50311 		39-1896160 501C(3) 30,000       PROGRAM SUPPORT
(6) IOWA DEPARTMENT OF PUBLIC HEALTHLUCAS STATE OFFICE BLDG
DES MOINES,IA50319 		42-6004523 GOVERNMENT 25,000       PROGRAM SUPPORT
(7) IOWA HEALTHCARE COLLABORATIVE100 EAST GRAND SUITE 100
DES MOINES,IA50309 		20-3869767 501C(3) 50,000       PROGRAM SUPPORT
(8) IOWA HOMELESS YOUTH CENTERS1219 BUCHANAN STREET
DES MOINES,IA50316 		42-1051609 501C(3) 15,000       PROGRAM SUPPORT
(9) IOWA NURSES FOUNDATION100 GREAT IOWA NURSES
CORALVILLE,IA52241 		23-7198389 501C(3) 5,000       PROGRAM SUPPORT
(10) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION8101 BIRCHWOOD CT
JOHNSTON,IA50131 		42-1411630 501C(3) 9,167,837       PROGRAM SUPPORT
(11) IOWA PUBLIC RADIO2111 GRAND AVE SUITE 100
DES MOINES,IA50312 		20-4227123 501C(3) 10,000       PROGRAM SUPPORT
(12) IOWA SPORTS FOUNDATIONS1421 S BELL AVE 104
AMES,IA50010 		42-1278326 501C(3) 35,950       PROGRAM SUPPORT
(13) IOWA STATEWIDE POISON CONTROL2910 HAMILTON BLVD
SIOUX CITY,IA51104 		42-1509042 501C(3) 49,613       PROGRAM SUPPORT
(14) JUNIOR ACHIEVEMENT OF CENTRAL IOWA6100 GRAND AVE
DES MOINES,IA50312 		42-0759070 501C(3) 7,500       PROGRAM SUPPORT
(15) PARTNERSHIP FOR A DRUG-FREE IOWA1112 EAST GRAND AVE
DES MOINES,IA50319 		42-1375293 501C(3) 15,000       PROGRAM SUPPORT
(16) PE4LIFE127 W 10TH STREET SUITE 101
KANSAS CITY,MO64106 		32-0044523 501C(3) 45,000       PROGRAM SUPPORT
(17) PRINCIPAL CHARITY CLASSIC2771 104TH STREET SUITE 1
URBANDALE,IA50322 		42-6139033 501C(3) 15,000       PROGRAM SUPPORT
(18) ROOSEVELT HIGH SCHOOL FOUNDATION4419 CENTER STREET
DES MOINES,IA50312 		42-1239735 501C(3) 20,000       PROGRAM SUPPORT
(19) SAFEGUARD IOWA PARTNERSHIP100 E GRAND AVE SUITE 165
DES MOINES,IA50309 		26-3339967 501C(3) 5,000       PROGRAM SUPPORT
(20) TRINITY HEALTH SYSTEMS INC802 KENYON RD
FORT DODGE,IA50501 		42-1222877 501C(3) 1,926,451       PROGRAM SUPPORT
(21) UNIVERSITY OF IOWA2346 MORMAN TREK BLVD
IOWA CITY,IA52246 		42-6004813 GOVERNMENT 7,045       PROGRAM SUPPORT
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
21
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: IOWA HEALTH SYSTEM 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. IOWA HEALTH SYSTEM THEN REVIEWS THESE APPLICATIONS, AND BASED ON NEED AND ELIGIBILITY, A COMMITTEE MAKES THE FINAL DECISION ON ALL GRANT RECIPIENTS.
Schedule I (Form 990) 2010


Additional Data


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Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) WILLIAM PROWELL (i)
(ii)		 15,000
0 		0
0 		0
0 		0
0 		0
0 		15,000
0 		0
0
(2) WILLIAM LEAVER (i)
(ii)		 843,095
0 		375,540
0 		62,034
0 		388,573
0 		21,493
0 		1,690,735
0 		0
0
(3) KEVIN VERMEER (i)
(ii)		 410,986
0 		84,714
0 		47,705
0 		182,223
0 		16,739
0 		742,367
0 		0
0
(4) VIVIAN BOYD (i)
(ii)		 136,128
0 		0
0 		35,508
0 		13,190
0 		8,681
0 		193,507
0 		0
0
(5) CHERYL BUSTOS (i)
(ii)		 186,302
0 		42,094
0 		36,670
0 		37,936
0 		3,293
0 		306,295
0 		0
0
(6) DENNIS DRAKE (i)
(ii)		 338,845
0 		101,608
0 		48,211
0 		278,493
0 		22,232
0 		789,389
0 		0
0
(7) JOY GROSSER (i)
(ii)		 308,040
0 		60,803
0 		38,546
0 		64,089
0 		1,384
0 		472,862
0 		0
0
(8) ALAN KAPLAN MD (i)
(ii)		 483,390
0 		87,679
0 		40,215
0 		84,859
0 		18,961
0 		715,104
0 		0
0
(9) KATHERINE MARCHIK (i)
(ii)		 187,239
0 		72,036
0 		39,215
0 		23,278
0 		17,494
0 		339,262
0 		0
0
(10) THOMAS TIBBITTS (i)
(ii)		 69,360
238,580 		0
86,452 		162,232
220,790 		0
6,125 		4,172
7,577 		235,764
559,524 		141,799
177,248
(11) SAL BOGNANNI (i)
(ii)		 179,784
0 		18,761
0 		8,164
0 		12,790
0 		1,999
0 		221,498
0 		0
0
(12) IGNATIUS BRADY MD (i)
(ii)		 228,109
0 		1,122
0 		0
0 		11,920
0 		22,398
0 		263,549
0 		0
0
(13) DAVID BURLAGE (i)
(ii)		 176,198
0 		26,044
0 		221
0 		13,921
0 		11,633
0 		228,017
0 		0
0
(14) DANIEL MCDOW (i)
(ii)		 102,661
0 		30,304
0 		113,945
0 		13,927
0 		10,636
0 		271,473
0 		72,227
0
(15) SABRA ROSENER (i)
(ii)		 206,757
0 		25,904
0 		60,523
0 		14,638
0 		20,270
0 		328,092
0 		0
0
(16) DUNCAN GALLAGHER (i)
(ii)		 0
0 		0
0 		621,676
0 		5,661
0 		0
0 		627,337
0 		621,676
0
(17) JAMES MORMANN (i)
(ii)		 0
0 		0
0 		232,505
0 		12,266
0 		14,018
0 		258,789
0 		235,697
0
(18) SARA VOTROUBEK (i)
(ii)		 0
0 		0
0 		278,228
0 		645
0 		8,950
0 		287,823
0 		280,134
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A TRAVEL: CEO AND BOARD MEMBERS USE PRIVATE CHARTER FOR BUSINESS TRAVEL BETWEEN AFFILIATE CITIES AND FOR BOARD OF DIRECTOR MEETINGS. THIS TRAVEL IS FOR BUSINESS PURPOSES ONLY. NO FIRST CLASS COMMERCIAL TRAVEL IS REIMBURSED. TRAVEL FOR COMPANIONS: SPOUSES SOMETIMES ACCOMPANY BOARD MEMBERS AND/OR OFFICERS ON ORGANIZATIONAL ACTIVITIES, INCLUDING BOARD RETREATS. THE ADDITIONAL COST ATTRIBUTABLE TO THE SPOUSE IS TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBER OR OFFICER AND REPORTED AS APPROPRIATE TO THE IRS.
  PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR THAT WAS INCLUDED IN THEIR TAXABLE INCOME: DUNCAN GALLAGHER $621,676, DANIEL MCDOW $72,227, JAMES MORMANN $235,697, SARA VOTROUBEK $280,134. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: VIVIAN BOYD $7,125, CHERYL BUSTOS $26,385, DENNIS DRAKE $171,473, JOY GROSSER $54,278, ALAN KAPLAN $72,609, WILLIAM LEAVER $376,323, KATHERINE MARCHIK $11,028, DANIEL MCDOW $6,000, JIM MORMANN $658, SABRA ROSENER $9,738, KEVIN VERMEER $169,973.
SUPPLEMENTAL INFORMATION PART III COMPENSATION FROM UNRELATED ORGANIZATION IOWA HEALTH SYSTEM PAYS BOARD FEES TO SHUTTLEWORTH & INGERSOLL, PLC IN THE AMOUNT OF: BASE PAY $15,000. WILLIAM PROWELL, DIRECTOR, IS AN OFFICER OF SHUTTLEWORTH & INGERSOLL, PLC.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number
42-1435199
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A IOWA FINANCE AUTHORITY
  		52-1699886 462466CF8 03-04-2009 244,270,000 SEE PART V   X   X   X
B IOWA FINANCE AUTHORITY
  		52-1699886 462466DS9 08-06-2009 402,440,333 SEE PART V   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 244,271,037 402,440,333    
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 201,270,000 351,270,000    
7 Issuance costs from proceeds . . . 1,064,433 1,064,433    
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 43,001,037 50,105,900    
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2011 2010
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X          
15 Were the bonds issued as part of an advance refunding issue?   X   X        
16 Has the final allocation of proceeds been made? . . X     X        
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . X   X          
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . X   X          
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X          
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0.120 % 0.120 %    
6 Total of lines 4 and 5 . . .. . . . . . 0.120 % 0.120 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X        
2 Is the bond issue a variable rate issue? X     X        
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue? X     X        
b Name of provider . SEE PART V
  		 
  		 
  		 
 
c Term of hedge . . 26.000000000000      
d Was the hedge superintegrated? . X              
e Was a hedge terminated? .   X            
4a Were gross proceeds invested in a GIC? .   X   X        
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X        
6 Did the bond issue qualify for an exception to rebate? . . . X   X          
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
PART I, LINE A(F) - BOND ISSUES DESCRIPTION OF PURPOSE (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (IOWA HEALTH SYSTEM), SERIES 2005B ISSUED ON 7/27/05; (II) CONSTRUCT AND EQUIP HOSPITAL FACILITIES OF THE ORGANIZATION AND AFFILIATES LOCATED IN CEDAR RAPIDS, DES MOINES, DUBUQUE, FORT DODGE, SIOUX CITY, AND WATERLOO, IOWA.
PART I, LINE B(F) - BOND ISSUES DESCRIPTION OF PURPOSE (I) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS, (IOWA HEALTH SYSTEM), SERIES 2005A ISSUED ON 7/27/05; (II) REFUND A PORTION OF THE IOWA FINANCE AUTHORITY'S HOSPITAL FACILITIES REVENUE BONDS (IOWA HEALTH SYSTEM), SERIES 2008A ISSUED ON 5/20/08; (III) CONSTRUCT AND EQUIP HOSPITAL FACILITIES OF THE ORGANIZATION AND AFFILIATES LOCATED IN DES MOINES, DUBUQUE, SIOUX CITY, AND WATERLOO, IOWA.
PART II, LINE 3(A) - PROCEEDS TOTAL PROCEEDS AT ISSUE THERE IS A DIFFERENCE BETWEEN THE BOND ISSUE PRICE AND THE TOTAL PROCEEDS OF BOND ISSUE DUE TO INVESTMENT EARNINGS OF $1,037.
PART IV - ARBITRAGE NAME OF PROVIDER CITIBANK, N.A.; JPMORGAN CHASE BANK, N.A.; MORGAN STANLEY CAPITAL SERVICES, INC.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) MEDIMORE INC
  		COMMON BOARD MEMBER/OFFICER 244,534 EXPENSE REIMBURSEMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Identifier Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 7A   IOWA HEALTH SYSTEM IS A SUPPORTING ORGANIZATION TO AFFILIATED NONPROFIT HOSPITALS. EACH HOSPITAL HAS THE POWER TO APPOINT DIRECTORS TO THE BOARD.
FORM 990, PART VI, SECTION A, LINE 7B   IOWA HEALTH SYSTEM IS A SUPPORTING ORGANIZATION TO AFFILIATED NONPROFIT HOSPITALS. EACH HOSPITAL HAS THE POWER TO APPOINT BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11   THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TAX DEPARTMENT USING INFORMATION GATHERED FROM VARIOUS FUNCTIONAL AREAS OF THE ORGANIZATION. EACH SECTION OF THE RETURN IS REVIEWED BY THE RESPONSIBLE FUNCTIONAL AREA ALONG WITH THE TAX DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS.
  FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY. ANNUALLY ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND REPORTING PHYSICIANS ARE REQUESTED TO COMPLETE A QUESTIONNAIRE TO REPORT POTENTIAL CONFLICTS OF INTEREST. PERSONS WHO HAVE NOT RETURNED QUESTIONNAIRES ARE CONTACTED ADDITIONAL TIMES IN AN EFFORT TO RECEIVE COMPLETE AND ACCURATE RESPONSES FROM ALL PERSONS. THE ANNUAL QUESTIONNAIRES INCLUDE AN ACKNOWLEDGEMENT THAT THE OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN: 1) HAS ACCESS TO A COPY OF THE CONFLICT OF INTEREST POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) UNDERSTANDS THAT THE POLICY APPLIES TO ALL COMMITTEES AND SUBCOMMITTEES HAVING BOARD-DELEGATED POWERS; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SENIOR ADMINISTRATIVE STAFF AT ALL RELATED ORGANIZATIONS PROVIDE INFORMATION TO A CENTRAL COORDINATOR RELATED TO THE IDENTIFICATION OF WHICH INDIVIDUALS SHOULD RECEIVE THE QUESTIONNAIRE FOR COMPLETION. THE RESULTS ARE COMPILED CENTRALLY AND REVIEWED BY THE IOWA HEALTH SYSTEM COMPLIANCE OFFICER AND DIRECTOR OF INTERNAL AUDIT. THE DETAIL RESULTS ARE REPORTED TO A COMMITTEE OF THE SYSTEM BOARD. THE RESULTS RELATED TO SPECIFIC REGIONAL PARENT COMPANIES, THEIR HOSPITALS AND RELATED ORGANIZATIONS, ARE DISTRIBUTED IN DETAIL TO THE CHAIRPERSON OF THE REGIONAL PARENT ORGANIZATION, THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER AND COMPLIANCE MANAGER. THESE INDIVIDUALS ARE ALSO REMINDED OF THE APPROPRIATE PROCESS TO BE FOLLOWED DURING THE YEAR TO ADDRESS POTENTIAL CONFLICTS OF INTEREST THAT RELATE TO MATTERS THAT ARE BROUGHT TO THE BOARD OF DIRECTORS FOR ACTION. THE INFORMATION DISCLOSED IS USED TO IDENTIFY POTENTIAL CONFLICTS OF INTEREST AND TO ASSIST IN COMPLETING IRS AND MEDICAID QUESTIONNAIRES. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN TOGETHER WITH ALL MATERIAL FACTS, SHOULD BE DISCLOSED TO THE BOARD OF DIRECTORS AND MADE A MATTER OF RECORD, EITHER THROUGH AN ANNUAL PROCEDURE OR WHEN THE INTEREST OCCURS OR BECOMES A MATTER OF BOARD ACTION. ANY ORGANIZATIONAL OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN HAVING A CONFLICT OF INTEREST IN ANY MATTER SHOULD NOT BE PRESENT DURING GENERAL DISCUSSION NOR VOTE OR USE HIS OR HER PERSONAL INFLUENCE ON THE MATTER, AND HE OR SHE SHOULD NOT BE COUNTED IN DETERMINING THE EXISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EXISTS. THE BOARD SHOULD EXCLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EXISTS. IN CASES IN WHICH AN OFFICER, DIRECTOR, KEY EMPLOYEE, REPORTING PHYSICIAN OR THE INDIVIDUAL'S HOUSEHOLD MEMBER HAS A CONFLICT OF INTEREST IN AN ARRANGEMENT OR TRANSACTION, THE FOLLOWING ADDITIONAL STEPS MAY BE TAKEN AT THE DIRECTION OF THE BOARD OF DIRECTORS: 1) AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE OR SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL 1) DECIDE IF A CONFLICT OF INTEREST EXISTS, 2) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; 3) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE BOARD MUST FIRST FIND, BY MAJORITY VOTE OF DISINTERESTED MEMBERS, THAT THE ARRANGEMENT OR TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST, IS FAIR AND REASONABLE TO THE ORGANIZATION, AND, AFTER REASONABLE INVESTIGATION, THE DISINTERESTED MEMBERS HAVE DETERMINED THAT A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT CANNOT BE OBTAINED WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES; THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD-DELEGATED POWERS SHALL CONTAIN: 1) THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE NATURE OF THE FINANCIAL INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT, AND THE BOARD'S OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; 2) THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT, THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT, AND A RECORD OF ANY VOTES TAKEN IN CONNECTION THEREWITH; IN ORDER TO PROTECT THE ORGANIZATION'S BEST INTERESTS, APPROPRIATE DISCIPLINARY ACTION MAY BE TAKEN WITH RESPECT TO AN OFFICER, DIRECTOR, KEY EMPLOYEE OR REPORTING PHYSICIAN WHO VIOLATES THE CONFLICT OF INTEREST POLICY.
  FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS ("COMMITTEE") CONDUCTS A COMPREHENSIVE ANNUAL REVIEW OF ALL COMPENSATION AND BENEFITS PROVIDED TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, INCLUDING THE IHS CHIEF EXECUTIVE OFFICER (THE "CEO"). THIS ANNUAL REVIEW COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EXECUTIVE, ON A POSITION BY POSITION BASIS, TO THAT PROVIDED TO FUNCTIONALLY SIMILAR POSITIONS IN SIMILARLY SITUATED ORGANIZATIONS. THIS REVIEW IS CONDUCTED BY THE COMMITTEE WITH THE ASSISTANCE OF A NATIONAL, INDEPENDENT COMPENSATION CONSULTANT REPORTING DIRECTLY TO THE COMMITTEE. THE COMMITTEE HAS BEEN DELEGATED THE RESPONSIBILITY FOR OVERSIGHT OF EXECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TAX INTERMEDIATE SANCTIONS RULES. THE COMPENSATION CONSULTANT HOLDS ITSELF OUT TO THE PUBLIC AS A COMPENSATION CONSULTANT, PERFORMS THESE VALUATIONS ON A REGULAR BASIS, IS QUALIFIED TO MAKE THE VALUATIONS OF THE SERVICES INVOLVED, AND HAS SO INDICATED IN A WRITTEN CERTIFICATION TO THE COMMITTEE. BASED UPON THE ADVICE OF THE COMPENSATION CONSULTANT, AND APPLYING THE BOARD'S COMPENSATION PHILOSOPHY, THE COMMITTEE ESTABLISHES THE OVERALL ADJUSTMENT IN COMPENSATION AND BENEFITS FOR APPROXIMATELY THE TOP FIFTY EXECUTIVES IN THE ENTIRE HEALTH SYSTEM (SEVERAL OF WHICH ARE EMPLOYEES OF THE FILING ORGANIZATION) AND DELEGATES TO THE CEO THE AUTHORITY TO MAKE ADJUSTMENTS, CONSISTENT WITH THE COMMITTEE'S DIRECTION, FOR THE OTHER EXECUTIVES. THE COMMITTEE DETERMINES ALL ASPECTS OF THE COMPENSATION AND BENEFITS OF THE CEO. THE COMMITTEE INTENTIONALLY TAKES ALL THE STEPS NECESSARY TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE FEDERAL INCOME TAX LAW INTERMEDIATE SANCTIONS RULES, INCLUDING CONTEMPORANEOUS SUBSTANTIATION OF ALL COMMITTEE MEETINGS AND ACTIONS. THE ORGANIZATION BELIEVES IT IS IN FULL COMPLIANCE WITH SECTION 4958 OF THE IRC, PROVIDES NO MORE THAN REASONABLE AND FAIR MARKET VALUE COMPENSATION AND BENEFITS FOR ITS EMPLOYEES AND DOES NOT PROVIDE ANY EXCESS COMPENSATION OR BENEFITS AS PROHIBITED BY SECTION 4958. THE ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER, 2010 FOR THE FOLLOWING INDIVIDUALS: VIVIAN BOYD, CHERYL BUSTOS, DENNY DRAKE, JOY GROSSER, ALAN KAPLAN, WILLIAM LEAVER, KATHERINE MARCHIK, SABRA ROSENER, KEVIN VERMEER. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION.
  FORM 990, PART VI, SECTION C, LINE 19 IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, HAS VOLUNTARILY ADOPTED MANY OF OUR INDUSTRY'S GOVERNANCE "BEST PRACTICES." IOWA HEALTH SYSTEM HAS DONE SO TO FURTHER ASSURE OUR STAKEHOLDERS THAT OUR GOVERNANCE AND MANAGEMENT IS CONDUCTED RESPONSIBLY AND WARRANTS THE TRUST YOU PLACE IN US. IN SEPTEMBER 2003, THE IOWA HEALTH SYSTEM BOARD OF DIRECTORS VOLUNTARILY ADOPTED OVER 40 CHANGES TO ITS GOVERNANCE STRUCTURE TO BETTER COMPLY WITH GOVERNANCE BEST PRACTICES AND THE INTENT AND APPLICABLE REQUIREMENTS OF THE SARBANES-OXLEY ACT OF 2003. IN ADDITION, GOVERNANCE POLICIES AND RELATED INFORMATION HAS BEEN ADDED TO THE IOWA HEALTH SYSTEM WEBSITE, WWW.IHS.ORG, INCLUDING BUT NOT LIMITED TO: OVER 130 CORPORATE COMPLIANCE POLICIES, INCLUDING CHARITY CARE AND CONFLICTS OF INTEREST POLICIES; GOVERNANCE BEST PRACTICE POLICIES; THE IDENTIFICATION OF BOARD MEMBERS AND BOARD COMMITTEES; COMPENSATION FOR HOSPITAL CEO'S; AND FINANCIAL INFORMATION FOR THE PAST SEVEN YEARS.
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -15,892,940.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
IOWA HEALTH SYSTEM
 
Employer identification number

42-1435199
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) DISEASE MANAGEMENT STRATEGIES LLC
1200 PLEASANT ST
DES MOINES,IA50309
11-3649153 		DISEASE CASE MANAGEMENT SERVICES IA 150,297 0 IOWA HEALTH SYSTEM
 
(2) BHC LC
1200 PLEASANT STREET
DES MOINES,IA50309
27-3820391 		INFORMATION TECHNOLOGY MGMT. IA 0 0 IOWA HEALTH SYSTEM
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) ALLEN COLLEGE

1825 LOGAN AVENUE

WATERLOO,IA50703
42-1351526 		EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS IA 501(C)(3) 170(B)(1) (A)(II) ALLEN HEALTH SYSTEMS INC
 
Yes
 
(2) ALLEN HEALTH SYSTEMS INC

1825 LOGAN AVENUE

WATERLOO,IA50703
42-1201924 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(3) ALLEN MEMORIAL HOSPITAL CORPORATION

1825 LOGAN AVENUE

WATERLOO,IA50703
42-0698265 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ALLEN HEALTH SYSTEMS INC
 
Yes
 
(4) ANAMOSA AREA AMBULANCE SERVICE

101 GRANT WOOD DRIVE

ANAMOSA,IA52205
42-1466284 		PROVIDE AMBULANCE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'SJONES REGIONAL MEDICAL CENTER
 
Yes
 
(5) CENTRAL IOWA HEALTH PROPERTIES CORPORATION

1200 PLEASANT STREET

DES MOINES,IA50309
42-1233759 		PROPERTY HOLDING COMPANY IA 501(C)(2)   CENTRAL IOWA HEALTH SYSTEM
 
Yes
 
(6) CENTRAL IOWA HEALTH SYSTEM

1200 PLEASANT STREET

DES MOINES,IA50309
42-1189791 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(7) CENTRAL IOWA HOSPITAL CORPORATION

1200 PLEASANT STREET

DES MOINES,IA50309
42-0680452 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) CENTRAL IOWA HEALTH SYSTEM
 
Yes
 
(8) FINLEY HEALTH FOUNDATION INC

350 NORTH GRANDVIEW AVENUE

DUBUQUE,IA52001
42-1286953 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) THE FINLEY HOSPITAL AND THE DUBUQUE VISITING NURSE ASSOCIATION
 
Yes
 
(9) FINLEY TRI-STATES HEALTH GROUP INC

350 NORTH GRANDVIEW AVENUE

DUBUQUE,IA52001
42-1307495 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(10) HNC SERVICES

1200 PLEASANT STREET

DES MOINES,IA50309
27-0987243 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(2) IOWA HEALTH SYSTEM
 
Yes
 
(11) INTRUST

11333 AURORA AVENUE

URBANDALE,IA50322
42-1477471 		HOME HEALTH CARE IA 501(C)(3) 509(A)(2) IOWA HEALTH SYSTEM
 
Yes
 
(12) IOWA HEALTH FOUNDATION

1440 INGERSOLL AVENUE

DES MOINES,IA50309
42-1467682 		CHARITABLE FUNDRAISING IA 501(C)(3) 509(A)(3), TYPE III CENTRAL IOWA HEALTH SYSTEM
 
Yes
 
(13) IOWA HEALTH SYSTEM

1200 PLEASANT STREET

DES MOINES,IA50309
42-1435199 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III  
Yes
 
(14) IOWA LUTHERAN HOSPITAL AUXILIARY

1440 INGERSOLL AVENUE

DES MOINES,IA50309
42-6059539 		SUPPORT IOWA LUTHERAN HOSPITAL MISSION TO IMPROVE HEALTHCARE IA 501(C)(3) 509(A)(3), TYPE III  
Yes
 
(15) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

8101 BIRCHWOOD COURT

JOHNSTON,IA50131
42-1411630 		PRIMARY HEALTH CARE SERVICES IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM
 
Yes
 
(16) JONES REGIONAL MEDICAL CENTER FOUNDATION

104 BROADWAY PLACE

ANAMOSA,IA52205
42-1429225 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ST LUKE'SJONES REGIONAL MEDICAL CENTER
 
Yes
 
(17) MEMORIAL FOUNDATION OF ALLEN HOSPITAL

1825 LOGAN AVENUE

WATERLOO,IA50703
42-1201138 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ALLEN HEALTH SYSTEMS INC
 
Yes
 
(18) NELLIE R SHERWOOD TRUST

1026 A AVENUE NE

CEDAR RAPIDS,IA52402
42-6061621 		PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY IA 501(C)(3) 509(A)(3), TYPE I ST LUKE'S METHODIST HOSPITAL
 
Yes
 
(19) NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED

720 KENYON DRIVE

FORT DODGE,IA50501
42-0937390 		MENTAL HEALTH CARE IA 501(C)(3) 170(B)(1) (A)(III) TRINITY HEALTH SYSTEMS INC
 
Yes
 
(20) NORTHWEST IOWA HOSPITAL CORPORATION

2720 STONE PARK BLVD

SIOUX CITY,IA51104
42-1019872 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) IOWA HEALTH SYSTEM
 
Yes
 
(21) ST LUKE'S HEALTH CARE FOUNDATION

855 A AVENUE NE STE 105

CEDAR RAPIDS,IA52402
42-1106819 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) ST LUKE'S METHODIST HOSPITAL (50 BENEFICIAL INTEREST)
 
Yes
 
(22) ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY IOWA

2720 STONE PARK BLVD

SIOUX CITY,IA51104
42-1301885 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) NORTHWEST IOWA HOSPITAL CORPORATION (50 BENEFICIAL INTEREST)
 
Yes
 
(23) ST LUKE'S HEALTH RESOURCES

2720 STONE PARK BLVD

SIOUX CITY,IA51104
42-1059182 		OUTPATIENT CLINICS AND HEALTHCARE SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTH SYSTEM INC
 
Yes
 
(24) ST LUKE'S HEALTH SYSTEM INC

2720 STONE PARK BLVD

SIOUX CITY,IA51104
42-1294091 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE III IOWA HEALTH SYSTEM
 
Yes
 
(25) ST LUKE'S HEALTHCARE

1026 A AVENUE NE

CEDAR RAPIDS,IA52402
42-1487968 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(26) ST LUKE'S METHODIST HOSPITAL

1026 A AVENUE NE

CEDAR RAPIDS,IA52402
42-0504780 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE
 
Yes
 
(27) ST LUKE'SJONES REGIONAL MEDICAL CENTER

1795 HIGHWAY 64 EAST

ANAMOSA,IA52205
42-1487967 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) ST LUKE'S HEALTHCARE
 
Yes
 
(28) STL CARE COMPANY

1026 A AVENUE NE

CEDAR RAPIDS,IA52402
42-1276632 		IMPROVE PUBLIC HEALTH SERVICES IA 501(C)(3) 509(A)(2) ST LUKE'S HEALTHCARE
 
Yes
 
(29) THE DUBUQUE VISITING NURSE ASSOCIATION

350 NORTH GRANDVIEW AVENUE

DUBUQUE,IA52001
42-0680410 		PUBLIC HEALTH SERVICES/HOME CARE IA 501(C)(3) 509(A)(2) FINLEY TRI-STATES HEALTH GROUP INC
 
Yes
 
(30) THE FINLEY HOSPITAL

350 NORTH GRANDVIEW AVENUE

DUBUQUE,IA52001
42-0680354 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) FINLEY TRI-STATES HEALTH GROUP INC
 
Yes
 
(31) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH

2701 17TH STREET

ROCK ISLAND,IL61201
36-3678909 		MENTAL HEALTH CARE IL 501(C)(3) 170(B)(1) (A)(VI) TRINITY REGIONAL HEALTH SYSTEM
 
Yes
 
(32) TRINITY BUILDING CORPORATION

802 KENYON ROAD

FORT DODGE,IA50501
42-1376187 		PROPERTY HOLDING COMPANY IA 501(C)(2)   TRINITY HEALTH SYSTEMS INC
 
Yes
 
(33) TRINITY HEALTH FOUNDATION

802 KENYON ROAD

FORT DODGE,IA50501
42-1222381 		CHARITABLE FUNDRAISING IA 501(C)(3) 170(B)(1) (A)(VI) TRINITY HEALTH SYSTEMS INC
 
Yes
 
(34) TRINITY HEALTH FOUNDATION

2701 17TH STREET

ROCK ISLAND,IL61201
36-3321751 		CHARITABLE FUNDRAISING IL 501(C)(3) 170(B)(1) (A)(VI) TRINITY REGIONAL HEALTH SYSTEM
 
Yes
 
(35) TRINITY HEALTH SYSTEMS INC

802 KENYON ROAD

FORT DODGE,IA50501
42-1222877 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IA 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(36) TRINITY MEDICAL CENTER

2701 17TH STREET

ROCK ISLAND,IL61201
36-2739299 		HOSPITAL IL 501(C)(3) 170(B)(1) (A)(III) TRINITY REGIONAL HEALTH SYSTEM
 
Yes
 
(37) TRINITY REGIONAL HEALTH SYSTEM

2701 17TH STREET

ROCK ISLAND,IL61201
36-3351952 		SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE IL 501(C)(3) 509(A)(3), TYPE II IOWA HEALTH SYSTEM
 
Yes
 
(38) TRINITY REGIONAL HOSPITAL AUXILIARY

802 KENYON ROAD

FORT DODGE,IA50501
42-6081474 		CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES IA 501(C)(3) 509(A)(2) TRINITY REGIONAL MEDICAL CENTER
 
Yes
 
(39) TRINITY REGIONAL MEDICAL CENTER

802 KENYON ROAD

FORT DODGE,IA50501
42-1009175 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) TRINITY HEALTH SYSTEMS INC
 
Yes
 
(40) TRINITY VISITING NURSE & HOMECARE ASSOCIATION

2701 17TH STREET

ROCK ISLAND,IL61201
36-3052939 		HOME HEALTH CARE IL 501(C)(3) 509(A)(2) TRINITY REGIONAL HEALTH SYSTEM
 
Yes
 
(41) UNITY HEALTHCARE

1518 MULBERRY AVENUE

MUSCATINE,IA52761
42-0680337 		HOSPITAL IA 501(C)(3) 170(B)(1) (A)(III) TRINITY REGIONAL HEALTH SYSTEM
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) 1776 WESTLAKES PARKWAY LC

4949 WESTOWN PARKWAY SUITE 200
WEST DES MOINES,IA50266
20-5031651 		OWNERSHIP/RENTAL OF 2 COMMERCIAL OFFICE BUILDINGS IA N/A
 UNRELATED 177,822 12,340,369   No   Yes   33.330 %
(2) CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC

1200 PLEASANT STREET
DES MOINES,IA50309
27-3625869 		CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES IA N/A
 RELATED 80,551 66,239   No   Yes   20.000 %
(3) DES MOINES PARKING ASSOCIATES

1200 PLEASANT STREET
DES MOINES,IA50309
38-2622972 		PARKING DECK OPERATIONS IA CENTRAL IOWA HEALTH PROPERTIES CORPORATION
  		RELATED 267,486 3,933,296   No   Yes   100.000 %
(4) DUBUQUE ENDOSCOPY CENTER LC

1515 DELHI STREET SUITE 500
DUBUQUE,IA52001
20-1597161 		AMBULATORY SURGERY CENTER IA THE FINLEY HOSPITAL
  		RELATED 671,118 126,090   No   Yes   51.000 %
(5) FINLEYHARTIG HOMECARE LLC

703 MAIN ST
DUBUQUE,IA52001
42-1487138 		SALE/RENTAL OF MEDICAL EQUIPMENT IA N/A
 RELATED 172,294 783,074   No   Yes   50.000 %
(6) HEALTH CARE AFFILIATES OF THE TRI-STATES LLC

350 N GRANDVIEW AVE
DUBUQUE,IA52001
42-1428503 		PROVIDE ACCESS TO LICENSED SOFTWARE IA N/A
 RELATED   14,037   No   Yes   50.000 %
(7) HEALTH ENTERPRISES VENTURES LC

4250 GLASS ROAD NE
CEDAR RAPIDS,IA52402
39-1894290 		INVESTMENT VEHICLE OWNING PARTS OF EACH OF THE CLINICAL JOINT VENTURES IA N/A
 UNRELATED -15,790 775,135   No 59,802   No 55.660 %
(8) HY-VEEIOWA HEALTH LC

5820 WESTOWN PARKWAY
WEST DES MOINES,IA50266
26-3293530 		PRIMARY CARE CLINIC IA N/A
 RELATED -172,539 31,249   No   Yes   0 %
(9) IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC

1200 PLEASANT STREET
DES MOINES,IA50309
03-0482623 		OUTPATIENT DIAGNOSTIC IMAGING IA N/A
 RELATED 1,746,221 3,109,901   No   Yes   50.000 %
(10) IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

1200 PLEASANT STREET
DES MOINES,IA50309
42-1511142 		GROUP PURCHASING IA N/A
 RELATED 5,755,039 8,927,942 Yes     Yes   100.000 %
(11) LAKEVIEW SURGERY CENTER LC

1200 PLEASANT STREET
DES MOINES,IA50309
42-1516120 		SURGERY CENTER IA N/A
 RELATED 3,292,459 5,440,740   No   Yes   50.000 %
(12) MEDICAL LABORATORIES OF EASTERN IOWA LC

1026 A AVE NE
CEDAR RAPIDS,IA52402
42-1359640 		MEDICAL LABORATORY SERVICES IA N/A
 RELATED 420,861 977,532   No   Yes   50.000 %
(13) METRO MRI CENTER LIMITED PARTNERSHIP

615 VALLEY VIEW DRIVE SUITE 102
MOLINE,IL61265
36-3710164 		PROVIDE MRI AND OTHER MEDICAL SERVICES IL N/A
 RELATED 701,249 1,694,638   No   Yes   33.970 %
(14) MR ASSOCIATES LLP

1455 SHERMAN ROAD
HIAWATHA,IA52233
42-1260463 		OWN AND OPERATE MR UNIT IA N/A
 RELATED 2,823,501 2,022,295   No   Yes   33.330 %
(15) NORTHEAST IOWA PHYSICAL THERAPY AND SPORTS MEDICINE LLC

1825 LOGAN AVENUE
WATERLOO,IA50703
20-2124978 		ATHLETIC TRAINING AND SPORTS MEDICINE IA N/A
 RELATED -91,474 28,104   No   Yes   50.000 %
(16) ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC

1200 PLEASANT STREET
DES MOINES,IA50309
42-1508092 		AMBULATORY SURGERY CENTER IA N/A
 RELATED 2,578,454 3,587,597   No   Yes   50.000 %
(17) PIERCE STREET SAME DAY SURGERY LC

2730 PIERCE STREET
SIOUX CITY,IA51104
20-5895205 		AMBULATORY SURGERY CENTER IA N/A
 RELATED 1,357,604 3,410,402   No   Yes   50.000 %
(18) QUAD CITY AMBULATORY SURGERY CENTER LLC

520 VALLEY VIEW DRIVE SUITE 300
MOLINE,IL61265
36-4471903 		AMBULATORY SURGERY CENTER. IL N/A
 RELATED 323,527 3,373,129   No   Yes   50.000 %
(19) TEAM DES MOINES PARTNERS LLC

1205 TECHNOLOGY PARKWAY
CEDAR FALLS,IA50613
26-2753371 		COMPUTER SUPPORT IA N/A
 UNRELATED       No   Yes   0 %
(20) THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC

1075 FIRST AVENUE SE
CEDAR RAPIDS,IA52403
72-1550812 		AMBULATORY SURGERY CENTER. IA N/A
 RELATED 3,374,710 7,172,047   No   Yes   50.000 %
(21) TRINITY BETTENDORF ORTHOPEDIC CO-MANAGEMENT COMPANY LLC

4500 UTICA RIDGE RD
BETTENDORF,IA52722
27-2562753 		ORTHOPEDIC SERVICE LINES ADMINISTRATIVE SERVICES IA N/A
 RELATED 20,893 128,254   No   Yes   50.000 %
(22) TRI-WEBSTER LC

1610 COLLINS ST
WEBSTER CITY,IA50595
01-0740062 		MEDICAL BUILDING AND SURROUNDING PROPERTY IA N/A
 RELATED 113,048 1,782,267   No   Yes   50.000 %
(23) WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC

1660 60TH STREET
WEST DES MOINES,IA50266
27-1414600 		ORTHOPEDIC SERVICE LINES MANAGEMENT IA N/A
 RELATED 204,040 4,258   No   Yes   20.000 %
(24) WEST LAKES MEDICAL EQUIPMENT LLC

5950 UNIVERSITY AVENUE SUITE 321
WEST DES MOINES,IA50266
26-3300536 		MEDICAL EQUIPMENT SALES AND RENTAL IA N/A
 UNRELATED 67,986 198,717   No 65,291 Yes   50.000 %
(25) WEST LAKES SLEEP CENTER LLC

5950 UNIVERSITY AVENUE SUITE 2
WEST DES MOINES,IA50266
26-3193923 		SLEEP DISORDER CENTER AS INDEPENDENT DIAGNOSTIC TESTING FACILITY IA N/A
 RELATED 23,024 355,798   No   Yes   50.000 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) BROADBAND INC
1200 PLEASANT ST
DES MOINES,IA50309
27-3819741 		INFORMATION TECHNOLOGY MGMT. IA IHS
  		C 62,920   100.000 %
(2) MEDIMORE INC
1200 PLEASANT ST
DES MOINES,IA50309
42-1414390 		MANAGED CARE IA IHS
  		C 155,826   100.000 %
(3) PRECEDENCE INC
4622 PROGRESS DRIVE STE A
DAVENPORT,IA52807
37-1288604 		MANAGED MENTAL CARE IA RYC
  		C 535,068 395,659 100.000 %
(4) RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC
700 E UNIVERSITY AVE
DES MOINES,IA50316
26-1271143 		SPECIALTY PHYSICIANS MEDICAL CARE IA CIHC
  		C 406,868 164,732 57.100 %
(5) ST LUKE'S DEVELOPMENT COMPANY
1026 A AVE NE
CEDAR RAPIDS,IA52402
42-1353658 		LESSOR NONRESIDENTIAL REAL ESTATE IA SLHCF
  		C     100.000 %
(6) STL HEALTH RESOURCES CO
1026 A AVE NE
CEDAR RAPIDS,IA52402
42-1193499 		PHYSICIAN OFFICE RENTAL IA SLMH
  		C 1,075,846 6,293,579 100.000 %
(7) TRIMARK PHYSICIANS GROUP INC
802 KENYON ROAD
FORT DODGE,IA50501
42-1335554 		MEDICAL CLINICS IA THS
  		C 43,433,525 17,778,844 100.000 %
(8) TRINITY HEALTH ENTERPRISES INC
2701 17TH ST
ROCK ISLAND,IL61201
36-3320141 		RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY IL TRHS
  		C 3,554,376 3,394,181 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ALLEN COLLEGE

   0 BASED ON GAAP, CASH, AND/OR FMV.
(2) ALLEN HEALTH SYSTEMS INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(3) ALLEN MEMORIAL HOSPITAL CORPORATION

 A 3,435,223 BASED ON GAAP, CASH, AND/OR FMV.
(4) ALLEN MEMORIAL HOSPITAL CORPORATION

 C 4,089,772 BASED ON GAAP, CASH, AND/OR FMV.
(5) ALLEN MEMORIAL HOSPITAL CORPORATION

 I 1,248,030 BASED ON GAAP, CASH, AND/OR FMV.
(6) ALLEN MEMORIAL HOSPITAL CORPORATION

 K 11,343,224 BASED ON GAAP, CASH, AND/OR FMV.
(7) ALLEN MEMORIAL HOSPITAL CORPORATION

 M 24,799 BASED ON GAAP, CASH, AND/OR FMV.
(8) ANAMOSA AREA AMBULANCE SERVICE

   0 BASED ON GAAP, CASH, AND/OR FMV.
(9) BROADBAND INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(10) CENTRAL IOWA HEALTH PROPERTIES CORPORATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(11) CENTRAL IOWA HEALTH SYSTEM

   0 BASED ON GAAP, CASH, AND/OR FMV.
(12) CENTRAL IOWA HOSPITAL CORPORATION

 A 7,781,775 BASED ON GAAP, CASH, AND/OR FMV.
(13) CENTRAL IOWA HOSPITAL CORPORATION

 C 365,445 BASED ON GAAP, CASH, AND/OR FMV.
(14) CENTRAL IOWA HOSPITAL CORPORATION

 I 3,633,061 BASED ON GAAP, CASH, AND/OR FMV.
(15) CENTRAL IOWA HOSPITAL CORPORATION

 K 34,709,008 BASED ON GAAP, CASH, AND/OR FMV.
(16) CENTRAL IOWA HOSPITAL CORPORATION

 M 76,151 BASED ON GAAP, CASH, AND/OR FMV.
(17) DES MOINES PARKING ASSOCIATES

   0 BASED ON GAAP, CASH, AND/OR FMV.
(18) DUBUQUE ENDOSCOPY CENTER LC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(19) FINLEY HEALTH FOUNDATION INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(20) FINLEY TRI-STATES HEALTH GROUP INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(21) HNC SERVICES

 P 244,776 BASED ON GAAP, CASH, AND/OR FMV.
(22) INTRUST

 A 60,607 BASED ON GAAP, CASH, AND/OR FMV.
(23) INTRUST

 J 307,222 BASED ON GAAP, CASH, AND/OR FMV.
(24) INTRUST

 K 2,150,361 BASED ON GAAP, CASH, AND/OR FMV.
(25) IOWA HEALTH FOUNDATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(26) IOWA HEALTH SYSTEM CONTRACTING SERVICES LC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(27) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

 B 9,167,837 BASED ON GAAP, CASH, AND/OR FMV.
(28) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

 J 901,960 BASED ON GAAP, CASH, AND/OR FMV.
(29) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

 K 7,826,834 BASED ON GAAP, CASH, AND/OR FMV.
(30) IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

 M 15,970 BASED ON GAAP, CASH, AND/OR FMV.
(31) JONES REGIONAL MEDICAL CENTER FOUNDATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(32) MEDIMORE INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(33) MEMORIAL FOUNDATION OF ALLEN HOSPITAL

   0 BASED ON GAAP, CASH, AND/OR FMV.
(34) NELLIE R SHERWOOD TRUST

   0 BASED ON GAAP, CASH, AND/OR FMV.
(35) NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED

   0 BASED ON GAAP, CASH, AND/OR FMV.
(36) NORTHWEST IOWA HOSPITAL CORPORATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(37) PRECEDENCE INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(38) RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(39) ST LUKE'S DEVELOPMENT COMPANY

   0 BASED ON GAAP, CASH, AND/OR FMV.
(40) ST LUKE'S HEALTH CARE FOUNDATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(41) ST LUKE'S HEALTH FOUNDATION OF SIOUX CITY IOWA

   0 BASED ON GAAP, CASH, AND/OR FMV.
(42) ST LUKE'S HEALTH RESOURCES

   0 BASED ON GAAP, CASH, AND/OR FMV.
(43) ST LUKE'S HEALTH SYSTEM INC

 A 2,341,599 BASED ON GAAP, CASH, AND/OR FMV.
(44) ST LUKE'S HEALTH SYSTEM INC

 I 1,074,106 BASED ON GAAP, CASH, AND/OR FMV.
(45) ST LUKE'S HEALTH SYSTEM INC

 K 8,539,434 BASED ON GAAP, CASH, AND/OR FMV.
(46) ST LUKE'S HEALTH SYSTEM INC

 M 18,100 BASED ON GAAP, CASH, AND/OR FMV.
(47) ST LUKE'S HEALTHCARE

   0 BASED ON GAAP, CASH, AND/OR FMV.
(48) ST LUKE'S METHODIST HOSPITAL

 A 4,162,453 BASED ON GAAP, CASH, AND/OR FMV.
(49) ST LUKE'S METHODIST HOSPITAL

 C 2,580,746 BASED ON GAAP, CASH, AND/OR FMV.
(50) ST LUKE'S METHODIST HOSPITAL

 I 1,731,124 BASED ON GAAP, CASH, AND/OR FMV.
(51) ST LUKE'S METHODIST HOSPITAL

 K 18,067,975 BASED ON GAAP, CASH, AND/OR FMV.
(52) ST LUKE'S METHODIST HOSPITAL

 M 38,386 BASED ON GAAP, CASH, AND/OR FMV.
(53) ST LUKE'SJONES REGIONAL MEDICAL CENTER

   0 BASED ON GAAP, CASH, AND/OR FMV.
(54) STL CARE COMPANY

   0 BASED ON GAAP, CASH, AND/OR FMV.
(55) STL HEALTH RESOURCES CO

   0 BASED ON GAAP, CASH, AND/OR FMV.
(56) THE DUBUQUE VISITING NURSE ASSOCIATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(57) THE FINLEY HOSPITAL

 A 598,195 BASED ON GAAP, CASH, AND/OR FMV.
(58) THE FINLEY HOSPITAL

 I 555,371 BASED ON GAAP, CASH, AND/OR FMV.
(59) THE FINLEY HOSPITAL

 K 5,185,022 BASED ON GAAP, CASH, AND/OR FMV.
(60) THE FINLEY HOSPITAL

 M 11,240 BASED ON GAAP, CASH, AND/OR FMV.
(61) THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH

   0 BASED ON GAAP, CASH, AND/OR FMV.
(62) TRIMARK PHYSICIANS GROUP INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(63) TRINITY BUILDING CORPORATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(64) TRINITY HEALTH ENTERPRISES INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(65) TRINITY HEALTH FOUNDATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(66) TRINITY HEALTH FOUNDATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(67) TRINITY HEALTH SYSTEMS INC

 I 1,026,988 BASED ON GAAP, CASH, AND/OR FMV.
(68) TRINITY HEALTH SYSTEMS INC

 M 19,130 BASED ON GAAP, CASH, AND/OR FMV.
(69) TRINITY HEALTH SYSTEMS INC

 O 1,926,451 BASED ON GAAP, CASH, AND/OR FMV.
(70) TRINITY HEALTH SYSTEMS INC

   0 BASED ON GAAP, CASH, AND/OR FMV.
(71) TRINITY MEDICAL CENTER

 K 28,170 BASED ON GAAP, CASH, AND/OR FMV.
(72) TRINITY REGIONAL HEALTH SYSTEM

 A 6,321,082 BASED ON GAAP, CASH, AND/OR FMV.
(73) TRINITY REGIONAL HEALTH SYSTEM

 C 2,281,874 BASED ON GAAP, CASH, AND/OR FMV.
(74) TRINITY REGIONAL HEALTH SYSTEM

 I 2,354,564 BASED ON GAAP, CASH, AND/OR FMV.
(75) TRINITY REGIONAL HEALTH SYSTEM

 K 19,486,976 BASED ON GAAP, CASH, AND/OR FMV.
(76) TRINITY REGIONAL HEALTH SYSTEM

 M 40,758 BASED ON GAAP, CASH, AND/OR FMV.
(77) TRINITY REGIONAL HOSPITAL AUXILIARY

   0 BASED ON GAAP, CASH, AND/OR FMV.
(78) TRINITY REGIONAL MEDICAL CENTER

 A 933,667 BASED ON GAAP, CASH, AND/OR FMV.
(79) TRINITY REGIONAL MEDICAL CENTER

 K 9,012,902 BASED ON GAAP, CASH, AND/OR FMV.
(80) TRINITY VISITING NURSE & HOMECARE ASSOCIATION

   0 BASED ON GAAP, CASH, AND/OR FMV.
(81) UNITY HEALTHCARE

   0 BASED ON GAAP, CASH, AND/OR FMV.
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
SECTION 512(B)(13) CONTROLLED ENTITY SCHEDULE R, PART II, COLUMN (G) THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED HEALTH SYSTEM AND HAS A COMMON PARENT ORGANIZATION, "IOWA HEALTH SYSTEM." FOR ENTITIES THAT ARE PART OF THE CONSOLIDATED HEALTH SYSTEM (WITH COMMON CONTROL) THE ATTRIBUTION RULES OF IRC SECTION 318 APPLY; MEANING THAT ALL ORGANIZATIONS ARE DEEMED TO HAVE CONTROL OF THE ORGANIZATIONS OWNED BY THE CONTROLLING ORGANIZATION. AS SUCH, WE ARE REPORTING ALL RELATED ORGANIZATIONS OF THE HEALTH SYSTEM IN PARTS II, III & IV. FOR PART V REPORTING, THE TRANSACTIONS DISCLOSED ARE THOSE BETWEEN THE DIRECTLY CONTROLLED PARENT-SUBSIDIARY ONLY.
Additional Data


Software ID:  
Software Version:  






TY 2010 AffiliatedGroupSchedule
Name:
IOWA HEALTH SYSTEM
EIN: 42-1435199
Affiliated Group Business Name:
IOWA HEALTH SYSTEM
 
Address. Either US or Foreign Type:
1200 PLEASANT STREET
DES MOINES, IA50309    
EIN:
42-1435199
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
828,928
Total Lobbying Expenditures:
828,928
Other Exempt Purpose Expenditures:
156,850,395
Total Exempt Purpose Expenditures:
157,679,323
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
HNC SERVICES
 
Address. Either US or Foreign Type:
1200 PLEASANT STREET
DES MOINES, IA50309    
EIN:
27-0987243
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
173,820
Total Exempt Purpose Expenditures:
173,820
Lobbying Nontaxable Amount:
34,764
Grassroots Nontaxable Amount:
8,691
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
INTRUST
 
Address. Either US or Foreign Type:
11333 AURORA AVENUE
URBANDALE, IA50322    
EIN:
42-1477471
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
47,323,453
Total Exempt Purpose Expenditures:
47,323,453
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
CENTRAL IOWA HEALTH SYSTEM
 
Address. Either US or Foreign Type:
1200 PLEASANT STREET
DES MOINES, IA50309    
EIN:
42-1189791
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,712,629
Total Exempt Purpose Expenditures:
2,712,629
Lobbying Nontaxable Amount:
285,631
Grassroots Nontaxable Amount:
71,408
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
CENTRAL IOWA HOSPITAL CORPORATION
 
Address. Either US or Foreign Type:
1200 PLEASANT STREET
DES MOINES, IA50309    
EIN:
42-0680452
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
24,000
Total Lobbying Expenditures:
24,000
Other Exempt Purpose Expenditures:
586,314,483
Total Exempt Purpose Expenditures:
586,338,483
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
IOWA HEALTH FOUNDATION
 
Address. Either US or Foreign Type:
1440 INGERSOLL AVENUE
DES MOINES, IA50309    
EIN:
42-1467682
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
6,126,705
Total Exempt Purpose Expenditures:
6,126,705
Lobbying Nontaxable Amount:
456,335
Grassroots Nontaxable Amount:
114,084
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ANAMOSA AREA AMBULANCE SERVICE
 
Address. Either US or Foreign Type:
101 GRANT WOOD DRIVE
ANAMOSA, IA52205    
EIN:
42-1466284
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
388,395
Total Exempt Purpose Expenditures:
388,395
Lobbying Nontaxable Amount:
77,679
Grassroots Nontaxable Amount:
19,420
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST LUKE'S METHODIST HOSPITAL
 
Address. Either US or Foreign Type:
1026 A AVENUE NE
CEDAR RAPIDS, IA52402    
EIN:
42-0504780
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
253,840,526
Total Exempt Purpose Expenditures:
253,840,526
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST LUKE'S HEALTHCARE
 
Address. Either US or Foreign Type:
1026 A AVENUE NE
CEDAR RAPIDS, IA52402    
EIN:
42-1487968
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,434,602
Total Exempt Purpose Expenditures:
1,434,602
Lobbying Nontaxable Amount:
218,460
Grassroots Nontaxable Amount:
54,615
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
STL CARE COMPANY
 
Address. Either US or Foreign Type:
1026 A AVENUE NE
CEDAR RAPIDS, IA52402    
EIN:
42-1276632
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
17,131,300
Total Exempt Purpose Expenditures:
17,131,300
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST LUKE'SJONES REGIONAL MEDICAL CENTER
 
Address. Either US or Foreign Type:
104 BROADWAY PLACE
ANAMOSA, IA52205    
EIN:
42-1487967
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
10,518,645
Total Exempt Purpose Expenditures:
10,518,645
Lobbying Nontaxable Amount:
675,932
Grassroots Nontaxable Amount:
168,983
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
NELLIE SHERWOOD TRUST
 
Address. Either US or Foreign Type:
1026 A AVENUE NE
CEDAR RAPIDS, IA52402    
EIN:
42-6061621
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
24,414
Total Exempt Purpose Expenditures:
24,414
Lobbying Nontaxable Amount:
4,883
Grassroots Nontaxable Amount:
1,221
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ALLEN HEALTH SYSTEMS INC
 
Address. Either US or Foreign Type:
1825 LOGAN AVENUE
WATERLOO, IA50703    
EIN:
42-1201924
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,307,732
Total Exempt Purpose Expenditures:
1,307,732
Lobbying Nontaxable Amount:
205,773
Grassroots Nontaxable Amount:
51,443
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ALLEN MEMORIAL HOSPITAL CORPORATION
 
Address. Either US or Foreign Type:
1825 LOGAN AVENUE
WATERLOO, IA50703    
EIN:
42-0698265
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
163,275,025
Total Exempt Purpose Expenditures:
163,275,025
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
MEMORIAL FOUNDATION OF ALLEN HOSPITAL
 
Address. Either US or Foreign Type:
1825 LOGAN AVENUE
WATERLOO, IA50703    
EIN:
42-1201138
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,346,006
Total Exempt Purpose Expenditures:
1,346,006
Lobbying Nontaxable Amount:
209,601
Grassroots Nontaxable Amount:
52,400
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ALLEN COLLEGE
 
Address. Either US or Foreign Type:
1825 LOGAN AVENUE
WATERLOO, IA50703    
EIN:
42-1351526
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
5,287,361
Total Exempt Purpose Expenditures:
5,287,361
Lobbying Nontaxable Amount:
414,368
Grassroots Nontaxable Amount:
103,592
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
NORTHWEST IOWA HOSPITAL CORPORATION
 
Address. Either US or Foreign Type:
2720 STONE PARK BLVD
SIOUX CITY, IA51104    
EIN:
42-1019872
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
104,892,826
Total Exempt Purpose Expenditures:
104,892,826
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST LUKE'S HEALTH SYSTEM INC
 
Address. Either US or Foreign Type:
2720 STONE PARK BLVD
SIOUX CITY, IA51104    
EIN:
42-1294091
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,663,097
Total Exempt Purpose Expenditures:
1,663,097
Lobbying Nontaxable Amount:
233,155
Grassroots Nontaxable Amount:
58,289
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
ST LUKE'S HEALTH RESOURCES
 
Address. Either US or Foreign Type:
2720 STONE PARK BLVD
SIOUX CITY, IA51104    
EIN:
42-1059182
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
14,227,861
Total Exempt Purpose Expenditures:
14,227,861
Lobbying Nontaxable Amount:
861,393
Grassroots Nontaxable Amount:
215,348
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
FINLEY TRI-STATES HEALTH GROUP INC
 
Address. Either US or Foreign Type:
350 NORTH GRANDVIEW AVENUE
DUBUQUE, IA52001    
EIN:
42-1307495
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
368,925
Total Exempt Purpose Expenditures:
368,925
Lobbying Nontaxable Amount:
73,785
Grassroots Nontaxable Amount:
18,446
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
THE FINLEY HOSPITAL
 
Address. Either US or Foreign Type:
350 NORTH GRANDVIEW AVENUE
DUBUQUE, IA52001    
EIN:
42-0680354
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
70,306,065
Total Exempt Purpose Expenditures:
70,306,065
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
THE DUBUQUE VISITING NURSE ASSOCIATION
 
Address. Either US or Foreign Type:
350 NORTH GRANDVIEW AVENUE
DUBUQUE, IA52001    
EIN:
42-0680410
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,710,336
Total Exempt Purpose Expenditures:
2,710,336
Lobbying Nontaxable Amount:
285,517
Grassroots Nontaxable Amount:
71,379
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
 
Address. Either US or Foreign Type:
720 KENYON ROAD
FORT DODGE, IA50501    
EIN:
42-0937390
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,845,356
Total Exempt Purpose Expenditures:
1,845,356
Lobbying Nontaxable Amount:
242,268
Grassroots Nontaxable Amount:
60,567
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY HEALTH SYSTEMS INC
 
Address. Either US or Foreign Type:
802 KENYON ROAD
FORT DODGE, IA50501    
EIN:
42-1222877
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
3,283,868
Total Exempt Purpose Expenditures:
3,283,868
Lobbying Nontaxable Amount:
314,193
Grassroots Nontaxable Amount:
78,548
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY REGIONAL MEDICAL CENTER
 
Address. Either US or Foreign Type:
802 KENYON ROAD
FORT DODGE, IA50501    
EIN:
42-1009175
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
77,927,524
Total Exempt Purpose Expenditures:
77,927,524
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY REGIONAL HOSPITAL AUXILIARY
 
Address. Either US or Foreign Type:
802 KENYON ROAD
FORT DODGE, IA50501    
EIN:
42-6081474
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
349,358
Total Exempt Purpose Expenditures:
349,358
Lobbying Nontaxable Amount:
69,872
Grassroots Nontaxable Amount:
17,468
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY HEALTH FOUNDATION
 
Address. Either US or Foreign Type:
802 KENYON ROAD
FORT DODGE, IA50501    
EIN:
42-1222381
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
1,241,797
Total Exempt Purpose Expenditures:
1,241,797
Lobbying Nontaxable Amount:
199,180
Grassroots Nontaxable Amount:
49,795
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH
 
Address. Either US or Foreign Type:
2701 17TH STREET
ROCK ISLAND, IL61201    
EIN:
36-3678909
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
50,000
Total Lobbying Expenditures:
50,000
Other Exempt Purpose Expenditures:
15,959,685
Total Exempt Purpose Expenditures:
16,009,685
Lobbying Nontaxable Amount:
950,484
Grassroots Nontaxable Amount:
237,621
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY HEALTH FOUNDATION
 
Address. Either US or Foreign Type:
2701 17TH STREET
ROCK ISLAND, IL61201    
EIN:
36-3321751
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
2,449,223
Total Exempt Purpose Expenditures:
2,449,223
Lobbying Nontaxable Amount:
272,461
Grassroots Nontaxable Amount:
68,115
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY MEDICAL CENTER
 
Address. Either US or Foreign Type:
2701 17TH STREET
ROCK ISLAND, IL61201    
EIN:
36-2739299
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
25,000
Total Lobbying Expenditures:
25,000
Other Exempt Purpose Expenditures:
263,124,105
Total Exempt Purpose Expenditures:
263,149,105
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY REGIONAL HEALTH SYSTEM
 
Address. Either US or Foreign Type:
2701 17TH STREET
ROCK ISLAND, IL61201    
EIN:
36-3351952
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
8,403,207
Total Exempt Purpose Expenditures:
8,403,207
Lobbying Nontaxable Amount:
570,160
Grassroots Nontaxable Amount:
142,540
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
TRINITY VISITING NURSE & HOMEMAKER ASSOCIATION
 
Address. Either US or Foreign Type:
2701 17TH STREET
ROCK ISLAND, IL61201    
EIN:
36-3052939
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
24,518,284
Total Exempt Purpose Expenditures:
24,518,284
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0
Affiliated Group Business Name:
UNITY HEALTHCARE
 
Address. Either US or Foreign Type:
1518 MULBERRY AVENUE
MUSCATINE, IA52761    
EIN:
42-0680337
Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
0
Total Lobbying Expenditures:
0
Other Exempt Purpose Expenditures:
46,846,864
Total Exempt Purpose Expenditures:
46,846,864
Lobbying Nontaxable Amount:
1,000,000
Grassroots Nontaxable Amount:
250,000
Tot Lobbying Grassroot Minus Non Tx:
0
Tot Lobby Expend Mns Lobbying Non Tx:
0
Share Of Excess Lobbying:
0