2014 Department of the Treasury Internal Revenue Service

Transcription

1 ** PUBLIC DISCLOSURE COPY ** OMB No Return of Organization Exempt From Inome Tax Form 990 Under setion 501(), 57, or 4947(a)(1) of the Internal Revenue Code (exept private foundations) 014 Department of the Treasury Internal Revenue Servie Do not enter soial seurity numers on this form as it may e made puli. Information aout Form 990 and its instrutions is at Open to Puli Inspetion A For the 014 alendar year, or tax year eginning and ending B Chek if C Name of organization D Employer identifiation numer appliale: Address hange Name hange STL CARE COMPANY Doing usiness as Initial return Numer and street (or P.O. ox if mail is not delivered to street address) Room/suite E Telephone numer Final return/ 106 A AVE NE terminated City or town, state or provine, ountry, and ZIP or foreign postal ode G Gross reeipts $ 0,19,59. Amended return CEDAR RAPIDS, IA 540 H(a) Is this a group return Appliation F Name and address of prinipal offier: THEODORE E. TOWNSEND, JR for suordinates? ~~ Yes No pending SAME AS C ABOVE H() Are all suordinates inluded? Yes No I Tax-exempt status: 501()() 501() ( ) (insert no.) 4947(a)(1) or 57 If "No," attah a list. (see instrutions) J Wesite: (SEE SCH O) H() Group exemption numer K Form of organization: Corporation Trust Assoiation Other L Year of formation: 1986 M State of legal domiile: IA Part I Summary 1 Briefly desrie the organization s mission or most signifiant ativities: IMPROVE PUBLIC HEALTH SERVICES DESIGNED TO PREVENT AND REDUCE SICKNESS. Ativities & Governane Revenue Expenses Net Assets or Fund Balanes Sign Here Paid Preparer Use Only Chek this ox Net unrelated usiness taxale inome from Form 990-T, line 4 16a Professional fundraising fees (Part I, olumn (A), line 11e) ~~~~~~~~~~~~~~ Total fundraising expenses (Part I, olumn (D), line 5) 0. true, orret, and omplete. Delaration of preparer (other than offier) is ased on all information of whih preparer has any knowledge. Signature of offier MILTON E. AUNAN II, SENIOR VP FINANCE/CFO Type or print name and title Print/Type preparer s name Firm s name Firm s address if the organization disontinued its operations or disposed of more than 5% of its net assets. Numer of voting memers of the governing ody (Part VI, line 1a) Numer of independent voting memers of the governing ody (Part VI, line 1) ~~~~~~~~~~~~~~ Total numer of individuals employed in alendar year 014 (Part V, line a) ~~~~~~~~~~~~~~~~ Preparer s signature ~~~~~~~~~~~~~~~~~~~~ Total numer of volunteers (estimate if neessary) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7 a Total unrelated usiness revenue from Part VIII, olumn (C), line 1 ~~~~~~~~~~~~~~~~~~~~ Contriutions and grants (Part VIII, line 1h) ~~~~~~~~~~~~~~~~~~~~~ Program servie revenue (Part VIII, line g) ~~~~~~~~~~~~~~~~~~~~~ Investment inome (Part VIII, olumn (A), lines, 4, and 7d) ~~~~~~~~~~~~~ Other revenue (Part VIII, olumn (A), lines 5, 6d, 8, 9, 10, and 11e) ~~~~~~~~ Total revenue - add lines 8 through 11 (must equal Part VIII, olumn (A), line 1) Grants and similar amounts paid (Part I, olumn (A), lines 1-) Benefits paid to or for memers (Part I, olumn (A), line 4) ~~~~~~~~~~~ ~~~~~~~~~~~~~ Salaries, other ompensation, employee enefits (Part I, olumn (A), lines 5-10) ~~~ = = a 7 Prior Year Current Year 4, ,16. 19,805, ,995,711., ,95. 18,57. 19,817,415. 0,19,59., ,4, ,866, Other expenses (Part I, olumn (A), lines 11a-11d, 11f-4e) ~~~~~~~~~~~~~ 8,96,58. 8,68, Total expenses. Add lines 1-17 (must equal Part I, olumn (A), line 5) ~~~~~~~ 18,8, ,494, Revenue less expenses. Sutrat line 18 from line 1 984,99. 64,74. Beginning of Current Year End of Year 0 Total assets (Part, line 16) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 9,496, ,01,40. 1 Total liailities (Part, line 6) ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1,65,796. 1,8,470. Net assets or fund alanes. Sutrat line 1 from line 0 7,84,190. 8,477,9. Part II Signature Blok Under penalties of perjury, I delare that I have examined this return, inluding aompanying shedules and statements, and to the est of my knowledge and elief, it is Chek if self-employed May the IRS disuss this return with the preparer shown aove? (see instrutions) Yes No LHA For Paperwork Redution At Notie, see the separate instrutions. Form 990 (014) Date Date Firm s EIN Phone no. 9 PTIN

2 Form 990 (014) STL CARE COMPANY Part III Statement of Program Servie Aomplishments 1 4 4a Chek if Shedule O ontains a response or note to any line in this Part III Briefly desrie the organization s mission: THE MISSION OF STL CARE COMPANY IS TO IMPROVE PUBLIC HEALTH SERVICES DESIGNED TO PREVENT AND REDUCE SICKNESS, PRODUCE POSITIVE HEALTH, PROVIDE QUALITY NURSING HOME CARE, ENCOURAGE PROACTIVE USE OF HEALTH AND MEDICAL RESOURCES, ACQUIRE ADEQUATE FUNDS AND FACILITIES AND, AS Did the organization undertake any signifiant program servies during the year whih were not listed on the prior Form 990 or 990-EZ? If "Yes," desrie these new servies on Shedule O. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ease onduting, or make signifiant hanges in how it onduts, any program servies? ~~~~~~ If "Yes," desrie these hanges on Shedule O. Desrie the organization s program servie aomplishments for eah of its three largest program servies, as measured y expenses. Setion 501()() and 501()(4) organizations are required to report the amount of grants and alloations to others, the total expenses, and Yes Yes Page revenue, if any, for eah program servie reported. ( Code: ) ( Expenses $ 9,750,068. inluding grants of $ 50. ) ( Revenue $ 1,71,99. ) RESIDENTIAL CARE AND TRAINING STL CARE COMPANY PROVIDES QUALITY RESIDENTIAL CARE TO THOSE INDIVIDUALS IN THE CEDAR RAPIDS COMMUNITY WHO ARE UNABLE TO LEAD A PRODUCTIVE LIFE THROUGH INDEPENDENT LIVING. PERSONS SERVED MAY INCLUDE THE ELDERLY AND/OR PERSONS WITH MENTAL OR PHYSICAL DISABILITIES. ASSISTANCE PROVIDED INCLUDES, BUT IS NOT LIMITED TO INTERMEDIATE AND SKILLED CARE, SKILLS TRAINING, TRAINING IN USE OF COMMUNITY RESOURCES, HOUSEKEEPING, MONEY MANAGEMENT, MAINTENANCE OF PRIMARY TREATMENT PROGRAMS, VOCATIONAL PREPARATION, BEHAVIORAL CONTROL, REPRESENTATIVE PAYEE SERVICES, ETC. TOTAL PATIENT DAYS WERE 60,519; TOTAL ADMISSIONS WERE 454 IN 014. No No 4 4 7,458, ,68,570. CONTINUING CARE HOSPITAL AT ST. LUKE S, LC ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) CONTINUING CARE HOSPITAL AT ST. LUKE S, LC OPERATES AS AN INDEPENDENTLY LICENSED HOSPITAL WITHIN A HOSPITAL. SPECIAL CARE IS PROVIDED FOR MEDICALLY COMPLE PATIENTS, MANY OF WHOM COME DIRECTLY OUT OF CRITICAL-CARE UNITS. OUR PATIENTS GENERALLY HAVE ACUTE MEDICAL AND NURSING CARE NEEDS, AND REQUIRE HOSPITAL STAYS THAT AVERAGE 5 DAYS OR MORE. SPECIAL CARE IS GIVEN TO MEDICALLY COMPLE OR CARDIAC CARE CASES REQUIRING DAILY MONITORING; VENTILATOR-DEPENDENT PATIENTS WHO REQUIRE MULTIPLE OR COMPLE INTERVENTION; OYGEN-DEPENDENT PATIENTS WHO NEED RESPIRATORY REHABILITATION; PATIENTS WITH NONHEALING WOUNDS; AND PATIENTS WITH DISABLITIES. ( Code: ) ( Expenses $ inluding grants of $ ) ( Revenue $ ) 4d 4e Other program servies (Desrie in Shedule O.) ( Expenses $ inluding grants of $ ) ( Revenue $ ) Total program servie expenses 17,08,97. Form 990 (014)

3 Form 990 (014) STL CARE COMPANY Part IV Cheklist of Required Shedules a a d e f 0a Is the organization desried in setion 501()() or 4947(a)(1) (other than a private foundation)? If "Yes," omplete Shedule A~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization required to omplete Shedule B, Shedule of Contriutors? ~~~~~~~~~~~~~~~~~~~~~~ Did the organization engage in diret or indiret politial ampaign ativities on ehalf of or in opposition to andidates for puli offie? If "Yes," omplete Shedule C, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Setion 501()() organizations. Did the organization engage in loying ativities, or have a setion 501(h) eletion in effet during the tax year? If "Yes," omplete Shedule C, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Is the organization a setion 501()(4), 501()(5), or 501()(6) organization that reeives memership dues, assessments, or similar amounts as defined in Revenue Proedure 98-19? If "Yes," omplete Shedule C, Part III ~~~~~~~~~~~~~~ Did the organization maintain any donor advised funds or any similar funds or aounts for whih donors have the right to provide advie on the distriution or investment of amounts in suh funds or aounts? If "Yes," omplete Shedule D, Part I Did the organization reeive or hold a onservation easement, inluding easements to preserve open spae, the environment, histori land areas, or histori strutures? If "Yes," omplete Shedule D, Part II~~~~~~~~~~~~~~ Did the organization maintain olletions of works of art, historial treasures, or other similar assets? If "Yes," omplete Shedule D, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount in Part, line 1, for esrow or ustodial aount liaility; serve as a ustodian for amounts not listed in Part ; or provide redit ounseling, det management, redit repair, or det negotiation servies? If "Yes," omplete Shedule D, Part IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization, diretly or through a related organization, hold assets in temporarily restrited endowments, permanent endowments, or quasi-endowments? If "Yes," omplete Shedule D, Part V ~~~~~~~~~~~~~~~~~~~~~~~~ If the organization s answer to any of the following questions is "Yes," then omplete Shedule D, Parts VI, VII, VIII, I, or as appliale. Did the organization report an amount for land, uildings, and equipment in Part, line 10? If "Yes," omplete Shedule D, Part VI ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - other seurities in Part, line 1 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for investments - program related in Part, line 1 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part VIII ~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other assets in Part, line 15 that is 5% or more of its total assets reported in Part, line 16? If "Yes," omplete Shedule D, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report an amount for other liailities in Part, line 5? If "Yes," omplete Shedule D, Part ~~~~~~ Did the organization s separate or onsolidated finanial statements for the tax year inlude a footnote that addresses the organization s liaility for unertain tax positions under FIN 48 (ASC 740)? If "Yes," omplete Shedule D, Part ~~~~ Did the organization otain separate, independent audited finanial statements for the tax year? If "Yes," omplete Shedule D, Parts I and II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization inluded in onsolidated, independent audited finanial statements for the tax year? If "Yes," and if the organization answered "No" to line 1a, then ompleting Shedule D, Parts I and II is optional ~~~~~ Is the organization a shool desried in setion 170()(1)(A)(ii)? If "Yes," omplete Shedule E ~~~~~~~~~~~~~~ 14a Did the organization maintain an offie, employees, or agents outside of the United States? ~~~~~~~~~~~~~~~~ Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, usiness, investment, and program servie ativities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," omplete Shedule F, Parts I and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part I, olumn (A), line, more than $5,000 of grants or other assistane to or for any foreign organization? If "Yes," omplete Shedule F, Parts II and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report on Part I, olumn (A), line, more than $5,000 of aggregate grants or other assistane to or for foreign individuals? If "Yes," omplete Shedule F, Parts III and IV ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report a total of more than $15,000 of expenses for professional fundraising servies on Part I, olumn (A), lines 6 and 11e? If "Yes," omplete Shedule G, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report more than $15,000 total of fundraising event gross inome and ontriutions on Part VIII, lines 1 and 8a? If "Yes," omplete Shedule G, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report more than $15,000 of gross inome from gaming ativities on Part VIII, line 9a? If "Yes," omplete Shedule G, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization operate one or more hospital failities? If "Yes," omplete Shedule H ~~~~~~~~~~~~~~~~ If "Yes" to line 0a, did the organization attah a opy of its audited finanial statements to this return? a d 11e 11f 1a a Yes Page No 19 0a 0 Form 990 (014)

4 Form 990 (014) STL CARE COMPANY Part IV Cheklist of Required Shedules (ontinued) 1 4a d 5a Setion 501()(), 501()(4), and 501()(9) organizations. Did the organization engage in an exess enefit transation with a disqualified person during the year? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~ a Did the organization report more than $5,000 of grants or other assistane to any domesti organization or domesti government on Part I, olumn (A), line 1? If "Yes," omplete Shedule I, Parts I and II ~~~~~~~~~~~~~~ Did the organization report more than $5,000 of grants or other assistane to or for domesti individuals on Part I, olumn (A), line? If "Yes," omplete Shedule I, Parts I and III ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization answer "Yes" to Part VII, Setion A, line, 4, or 5 aout ompensation of the organization s urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees? If "Yes," omplete Shedule J ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a tax-exempt ond issue with an outstanding prinipal amount of more than $100,000 as of the last day of the year, that was issued after Deemer 1, 00? If "Yes," answer lines 4 through 4d and omplete Shedule K. If "No", go to line 5a ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest any proeeds of tax-exempt onds eyond a temporary period exeption? ~~~~~~~~~~~ Did the organization maintain an esrow aount other than a refunding esrow at any time during the year to defease any tax-exempt onds? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization at as an "on ehalf of" issuer for onds outstanding at any time during the year? ~~~~~~~~~~~ Is the organization aware that it engaged in an exess enefit transation with a disqualified person in a prior year, and that the transation has not een reported on any of the organization s prior Forms 990 or 990-EZ? If "Yes," omplete Shedule L, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization report any amount on Part, line 5, 6, or for reeivales from or payales to any urrent or former offiers, diretors, trustees, key employees, highest ompensated employees, or disqualified persons? If "Yes," omplete Shedule L, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization provide a grant or other assistane to an offier, diretor, trustee, key employee, sustantial ontriutor or employee thereof, a grant seletion ommittee memer, or to a 5% ontrolled entity or family memer of any of these persons? If "Yes," omplete Shedule L, Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization a party to a usiness transation with one of the following parties (see Shedule L, Part IV instrutions for appliale filing thresholds, onditions, and exeptions): A urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~~~~~~~~~~ A family memer of a urrent or former offier, diretor, trustee, or key employee? If "Yes," omplete Shedule L, Part IV ~~ An entity of whih a urrent or former offier, diretor, trustee, or key employee (or a family memer thereof) was an offier, diretor, trustee, or diret or indiret owner? If "Yes," omplete Shedule L, Part IV~~~~~~~~~~~~~~~~~~~~~ Did the organization reeive more than $5,000 in non-ash ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~ Did the organization reeive ontriutions of art, historial treasures, or other similar assets, or qualified onservation ontriutions? If "Yes," omplete Shedule M ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization liquidate, terminate, or dissolve and ease operations? If "Yes," omplete Shedule N, Part I ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization sell, exhange, dispose of, or transfer more than 5% of its net assets? If "Yes," omplete Shedule N, Part II ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization own 100% of an entity disregarded as separate from the organization under Regulations setions and ? If "Yes," omplete Shedule R, Part I ~~~~~~~~~~~~~~~~~~~~~~~~ Was the organization related to any tax-exempt or taxale entity? If "Yes," omplete Shedule R, Part II, III, or IV, and Part V, line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5a Did the organization have a ontrolled entity within the meaning of setion 51()(1)? ~~~~~~~~~~~~~~~~~~ If "Yes" to line 5a, did the organization reeive any payment from or engage in any transation with a ontrolled entity within the meaning of setion 51()(1)? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~ Setion 501()() organizations. Did the organization make any transfers to an exempt non-haritale related organization? If "Yes," omplete Shedule R, Part V, line ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ondut more than 5% of its ativities through an entity that is not a related organization and that is treated as a partnership for federal inome tax purposes? If "Yes," omplete Shedule R, Part VI ~~~~~~~~ Did the organization omplete Shedule O and provide explanations in Shedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to omplete Shedule O 1 4a 4 4 4d 5a a a Yes Page 4 No 8 Form 990 (014)

5 Form 990 (014) STL CARE COMPANY Page 5 Part V Statements Regarding Other IRS Filings and Tax Compliane Chek if Shedule O ontains a response or note to any line in this Part V 1a Enter the numer reported in Box of Form Enter -0- if not appliale ~~~~~~~~~~~ a Enter the numer of Forms W-G inluded in line 1a. Enter -0- if not appliale ~~~~~~~~~~ 1 Did the organization omply with akup withholding rules for reportale payments to vendors and reportale gaming If at least one is reported on line a, did the organization file all required federal employment tax returns? ~~~~~~~~~~ Note. If the sum of lines 1a and a is greater than 50, you may e required to e-file (see instrutions) ~~~~~~~~~~~ 7 Organizations that may reeive dedutile ontriutions under setion 170(). a Did the organization reeive a payment in exess of $75 made partly as a ontriution and partly for goods and servies provided to the payor? d e f g h a a a 14a Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained y the Sponsoring organizations maintaining donor advised funds. Setion 501()(7) organizations. Enter: Setion 501()(1) organizations. Enter: 1a Setion 4947(a)(1) non-exempt haritale trusts. Is the organization filing Form 990 in lieu of Form 1041? a (gamling) winnings to prize winners? a Enter the numer of employees reported on Form W-, Transmittal of Wage and Tax Statements, filed for the alendar year ending with or within the year overed y this return ~~~~~~~~~~ Did the organization have unrelated usiness gross inome of $1,000 or more during the year? ~~~~~~~~~~~~~~ If "Yes," has it filed a Form 990-T for this year? If "No," to line, provide an explanation in Shedule O ~~~~~~~~~~ 4a At any time during the alendar year, did the organization have an interest in, or a signature or other authority over, a finanial aount in a foreign ountry (suh as a ank aount, seurities aount, or other finanial aount)?~~~~~~~ If "Yes," enter the name of the foreign ountry: J See instrutions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Finanial Aounts (FBAR). 5a Was the organization a party to a prohiited tax shelter transation at any time during the tax year? ~~~~~~~~~~~~ Did any taxale party notify the organization that it was or is a party to a prohiited tax shelter transation? ~~~~~~~~~ If "Yes," to line 5a or 5, did the organization file Form 8886-T? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Does the organization have annual gross reeipts that are normally greater than $100,000, and did the organization soliit any ontriutions that were not tax dedutile as haritale ontriutions? If "Yes," did the organization inlude with every soliitation an express statement that suh ontriutions or gifts were not tax dedutile? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization notify the donor of the value of the goods or servies provided? Setion 501()(9) qualified nonprofit health insurane issuers. Note. See the instrutions for additional information the organization must report on Shedule O. Did the organization reeive any payments for indoor tanning servies during the tax year? ~~~~~~~~~~~~~~~~ If "Yes," has it filed a Form 70 to report these payments? If "No," provide an explanation in Shedule O 1a a ~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization sell, exhange, or otherwise dispose of tangile personal property for whih it was required to file Form 88? ~~~~~~~~~~~~~~~ If "Yes," indiate the numer of Forms 88 filed during the year ~~~~~~~~~~~~~~~~ Did the organization reeive any funds, diretly or indiretly, to pay premiums on a personal enefit ontrat? Did the organization, during the year, pay premiums, diretly or indiretly, on a personal enefit ontrat? 7d 10a 10 11a ~~~~~~~ ~~~~~~~~~ If the organization reeived a ontriution of qualified intelletual property, did the organization file Form 8899 as required? ~ If the organization reeived a ontriution of ars, oats, airplanes, or other vehiles, did the organization file a Form 1098-C? sponsoring organization have exess usiness holdings at any time during the year? ~~~~~~~~~~~~~~~~~~~ Did the sponsoring organization make any taxale distriutions under setion 4966? Did the sponsoring organization make a distriution to a donor, donor advisor, or related person? Initiation fees and apital ontriutions inluded on Part VIII, line 1 ~~~~~~~~~~~~~~~ Gross reeipts, inluded on Form 990, Part VIII, line 1, for puli use of lu failities ~~~~~~ Gross inome from memers or shareholders ~~~~~~~~~~~~~~~~~~~~~~~~~~ Gross inome from other soures (Do not net amounts due or paid to other soures against amounts due or reeived from them.) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," enter the amount of tax-exempt interest reeived or arued during the year ~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~ Is the organization liensed to issue qualified health plans in more than one state? ~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves the organization is required to maintain y the states in whih the organization is liensed to issue qualified health plans ~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of reserves on hand~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a 4a 5a 5 5 6a 6 7a 7 7 7e 7f 7g 7h 8 9a 9 1a 1a 14a Yes No 14 Form 990 (014) 5

6 Form 990 (014) STL CARE COMPANY Page 6 Part VI Governane, Management, and Dislosure For eah "Yes" response to lines through 7 elow, and for a "No" response to line 8a, 8, or 10 elow, desrie the irumstanes, proesses, or hanges in Shedule O. See instrutions. Chek if Shedule O ontains a response or note to any line in this Part VI Setion A. Governing Body and Management 1a Enter the numer of voting memers of the governing ody at the end of the tax year ~~~~~~ If there are material differenes in voting rights among memers of the governing ody, or if the governing a 9 Is there any offier, diretor, trustee, or key employee listed in Part VII, Setion A, who annot e reahed at the organization s mailing address? If "Yes," provide the names and addresses in Shedule O Setion B. Poliies (This Setion B requests information aout poliies not required y the Internal Revenue Code.) 1a a 16a exempt status with respet to suh arrangements? Setion C. Dislosure 17 List the states with whih a opy of this Form 990 is required to e filed J NONE ody delegated road authority to an exeutive ommittee or similar ommittee, explain in Shedule O. Enter the numer of voting memers inluded in line 1a, aove, who are independent ~~~~~~ Did any offier, diretor, trustee, or key employee have a family relationship or a usiness relationship with any other offier, diretor, trustee, or key employee? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization delegate ontrol over management duties ustomarily performed y or under the diret supervision of offiers, diretors, or trustees, or key employees to a management ompany or other person? ~~~~~~~~~~~~~~ Did the organization make any signifiant hanges to its governing douments sine the prior Form 990 was filed? ~~~~~ Did the organization eome aware during the year of a signifiant diversion of the organization s assets? ~~~~~~~~~ Did the organization have memers or stokholders? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7a Did the organization have memers, stokholders, or other persons who had the power to elet or appoint one or more memers of the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Are any governane deisions of the organization reserved to (or sujet to approval y) memers, stokholders, or persons other than the governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization ontemporaneously doument the meetings held or written ations undertaken during the year y the following: The governing ody? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eah ommittee with authority to at on ehalf of the governing ody? Desrie in Shedule O the proess, if any, used y the organization to review this Form 990. Did the organization have a written onflit of interest poliy? If "No," go to line 1 ~~~~~~~~~~~~~~~~~~~~ Were offiers, diretors, or trustees, and key employees required to dislose annually interests that ould give rise to onflits? ~~~~~~ Did the organization regularly and onsistently monitor and enfore ompliane with the poliy? If "Yes," desrie in Shedule O how this was done ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ for puli inspetion. Indiate how you made these availale. Chek all that apply. Own wesite Another s wesite Upon request Other (explain in Shedule O) 1a 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ 10a Did the organization have loal hapters, ranhes, or affiliates? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization have written poliies and proedures governing the ativities of suh hapters, affiliates, and ranhes to ensure their operations are onsistent with the organization s exempt purposes? ~~~~~~~~~~~~~ 11a Has the organization provided a omplete opy of this Form 990 to all memers of its governing ody efore filing the form? Did the organization have a written whistlelower poliy? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization have a written doument retention and destrution poliy? ~~~~~~~~~~~~~~~~~~~~~~ Did the proess for determining ompensation of the following persons inlude a review and approval y independent persons, omparaility data, and ontemporaneous sustantiation of the delieration and deision? The organization s CEO, Exeutive Diretor, or top management offiial Other offiers or key employees of the organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to line 15a or 15, desrie the proess in Shedule O (see instrutions). ~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the organization invest in, ontriute assets to, or partiipate in a joint venture or similar arrangement with a taxale entity during the year? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization follow a written poliy or proedure requiring the organization to evaluate its partiipation in joint venture arrangements under appliale federal tax law, and take steps to safeguard the organization s Setion 6104 requires an organization to make its Forms 10 (or 104 if appliale), 990, and 990-T (Setion 501()()s only) availale Desrie in Shedule O whether (and if so, how) the organization made its governing douments, onflit of interest poliy, and finanial statements availale to the puli during the tax year. 0 State the name, address, and telephone numer of the person who possesses the organization s ooks and reords: MILTON E. AUNAN II, SENIOR VP FINANCE/CFO A AVENUE NE, CEDAR RAPIDS, IA Form 990 (014) a 7 8a a 10 11a 1a a 15 16a 16 Yes Yes No No

7 Form 990 (014) STL CARE COMPANY Page 7 Part VII Compensation of Offiers, Diretors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contrators Chek if Shedule O ontains a response or note to any line in this Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this tale for all persons required to e listed. Report ompensation for the alendar year ending with or within the organization s tax year. List all of the organization s urrent offiers, diretors, trustees (whether individuals or organizations), regardless of amount of ompensation. Enter -0- in olumns (D), (E), and (F) if no ompensation was paid. List all of the organization s urrent key employees, if any. See instrutions for definition of "key employee." List the organization s five urrent highest ompensated employees (other than an offier, diretor, trustee, or key employee) who reeived reportale ompensation (Box 5 of Form W- and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. List all of the organization s former offiers, key employees, and highest ompensated employees who reeived more than $100,000 of reportale ompensation from the organization and any related organizations. List all of the organization s former diretors or trustees that reeived, in the apaity as a former diretor or trustee of the organization, more than $10,000 of reportale ompensation from the organization and any related organizations. List persons in the following order: individual trustees or diretors; institutional trustees; offiers; key employees; highest ompensated employees; and former suh persons. Chek this ox if neither the organization nor any related organization ompensated any urrent offier, diretor, or trustee. (A) (B) (C) (D) (E) (F) Name and Title Average hours per week (list any hours for related organizations elow line) Position (do not hek more than one ox, unless person is oth an offier and a diretor/trustee) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former Reportale ompensation from the organization (W-/1099-MISC) Reportale ompensation from related organizations (W-/1099-MISC) Estimated amount of other ompensation from the organization and related organizations MILTON AUNAN II 1.00 BOARD SEC & SR VP/CFO (STLCC) ,94. 86,80. MYRT BOWERS 1.00 BOARD MEMBER (CCH) DOUG LAIRD 1.00 BOARD MEMBER (CCH) MICHELLE NIERMANN 1.00 BOARD VICE CHAIR (STLCC & CCH) , ,770. NANCY PENNER 1.00 BOARD MEMBER (CCH) THEODORE TOWNSEND, JR BOARD CHAIR & PRES/CEO (STLCC) , ,085. KEVIN GAMBLE MGR PHARMACY , ,659. MARY KEUTER DIR PATIENT CARE , , Form 990 (014) 7

8 Form 990 (014) STL CARE COMPANY Page 8 Part VII Setion A. Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees (ontinued) (A) (B) (C) (D) (E) (F) Name and title Average Position (do not hek more than one Reportale Reportale Estimated hours per ox, unless person is oth an ompensation ompensation amount of week offier and a diretor/trustee) from from related other (list any the organizations ompensation hours for organization (W-/1099-MISC) from the related (W-/1099-MISC) organization organizations and related elow organizations line) Individual trustee or diretor Institutional trustee Offier Key employee Highest ompensated employee Former 1 4 d Su-total~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total from ontinuation sheets to Part VII, Setion A ~~~~~~~~~~ Total (add lines 1 and 1) Did the organization list any former offier, diretor, or trustee, key employee, or highest ompensated employee on line 1a? If "Yes," omplete Shedule J for suh individual ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Did any person listed on line 1a reeive or arue ompensation from any unrelated organization or individual for servies rendered to the organization? If "Yes," omplete Shedule J for suh person Setion B. Independent Contrators 1 (A) (B) (C) Name and usiness address Desription of servies Compensation MILLENNIUM REHAB & CONSULTING PO BO 67, ANKENY, IA 5001 REHAB THERAPIES 711,61. HEALTHCARE OF IOWA PO BO 548, CEDAR RAPIDS, IA 5406 ACCOUNTING/STAFFING 56,965. PRN STAFFING PO BO 5, CEDAR RAPIDS, IA 546 NURSING SERVICES 44,8. TRU NORTH PO BO 186, CEDAR RAPIDS, IA 5406 INSURANCE,08. DIVERSACARE PO BO 5, CEDAR RAPIDS, IA 5406 DIETARY/NURSING 190,184. Total numer of individuals (inluding ut not limited to those listed aove) who reeived more than $100,000 of reportale ompensation from the organization For any individual listed on line 1a, is the sum of reportale ompensation and other ompensation from the organization and related organizations greater than $150,000? If "Yes," omplete Shedule J for suh individual~~~~~~~~~~~~~ Complete this tale for your five highest ompensated independent ontrators that reeived more than $100,000 of ompensation from the organization. Report ompensation for the alendar year ending with or within the organization s tax year. Total numer of independent ontrators (inluding ut not limited to those listed aove) who reeived more than $100,000 of ompensation from the organization 5 16,87. 1,498, , ,87. 1,498, , Yes No Form 990 (014) 8

9 Form 990 (014) STL CARE COMPANY Part VIII Statement of Revenue Contriutions, Gifts, Grants and Other Similar Amounts Program Servie Revenue Other Revenue 1 a d e f g Nonash ontriutions inluded in lines 1a-1f: $ h 1a 1 1 1d 1e 1f Total. Add lines 1a-1f Business Code a NET PATIENT REVENUE ,755,94. 19,755,94. RENTAL INCOME ,09. 0,09. MISCELLANEOUS REVENUE ,684. 9, d e f g 6 a d d 8 a 9 a 10 a Total. Add lines a-f a a a Misellaneous Revenue Business Code 11 a MISCELLANEOUS REVENUE ,85. 14,85. CAFETERIA/FOOD SVCS 710,685.,685. Government grants (ontriutions) All other ontriutions, gifts, grants, and similar amounts not inluded aove ~~ Page 9 Chek if Shedule O ontains a response or note to any line in this Part VIII (A) (B) (C) (D) Total revenue Related or Unrelated Revenue exluded exempt funtion usiness from tax under setions revenue revenue Federated ampaigns Memership dues ~~~~~~ ~~~~~~~~ Fundraising events ~~~~~~~~ Related organizations ~~~~~~ All other program servie revenue ~~~~~ Investment inome (inluding dividends, interest, and other similar amounts) ~~~~~~~~~~~~~~~~~ Inome from investment of tax-exempt ond proeeds Royalties Gross rents ~~~~~~~ Less: rental expenses~~~ Rental inome or (loss) ~~ Net rental inome or (loss) 7 a Gross amount from sales of assets other than inventory Less: ost or other asis and sales expenses ~~~ Gain or (loss) ~~~~~~~ (i) Real (ii) Personal (i) Seurities (ii) Other Net gain or (loss) Gross inome from fundraising events (not inluding $ of ontriutions reported on line 1). See Part IV, line 18 ~~~~~~~~~~~~~ Less: diret expenses~~~~~~~~~~ Net inome or (loss) from fundraising events Gross inome from gaming ativities. See Part IV, line 19 ~~~~~~~~~~~~~ Less: diret expenses ~~~~~~~~~ Net inome or (loss) from gaming ativities Gross sales of inventory, less returns and allowanes ~~~~~~~~~~~~~ Less: ost of goods sold ~~~~~~~~ 10,000. 1,16. Net inome or (loss) from sales of inventory 114,16. 19,995, d All other revenue ~~~~~~~~~~~~~ e Total. Add lines 11a-11d ~~~~~~~~~~~~~~~ 18,57. 1 Total revenue. See instrutions. 0,19,59. 0,000, , Form 990 (014) 9

10 Form 990 (014) STL CARE COMPANY Part I Statement of Funtional Expenses Setion 501()() and 501()(4) organizations must omplete all olumns. All other organizations must omplete olumn (A). Chek if Shedule O ontains a response or note to any line in this Part I Do not inlude amounts reported on lines 6, (A) (B) (C) (D) Total expenses Program servie Management and Fundraising 7, 8, 9, and 10 of Part VIII. expenses general expenses expenses 1 Grants and other assistane to domesti organizations and domesti governments. See Part IV, line 1 ~ a d e f g a d Grants and other assistane to domesti individuals. See Part IV, line ~~~~~~~ Grants and other assistane to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ~~~ Benefits paid to or for memers ~~~~~~~ Compensation of urrent offiers, diretors, trustees, and key employees ~~~~~~~~ Compensation not inluded aove, to disqualified persons (as defined under setion 4958(f)(1)) and persons desried in setion 4958()()(B) ~~~ Other salaries and wages ~~~~~~~~~~ Pension plan aruals and ontriutions (inlude setion 401(k) and 40() employer ontriutions) Other employee enefits ~~~~~~~~~~ Payroll taxes ~~~~~~~~~~~~~~~~ Fees for servies (non-employees): Management ~~~~~~~~~~~~~~~~ Legal ~~~~~~~~~~~~~~~~~~~~ Aounting ~~~~~~~~~~~~~~~~~ Loying ~~~~~~~~~~~~~~~~~~ Professional fundraising servies. See Part IV, line 17 Investment management fees ~~~~~~~~ Other. (If line 11g amount exeeds 10% of line 5, olumn (A) amount, list line 11g expenses on Sh O.) Advertising and promotion ~~~~~~~~~ Offie expenses~~~~~~~~~~~~~~~ Information tehnology ~~~~~~~~~~~ Royalties ~~~~~~~~~~~~~~~~~~ Oupany ~~~~~~~~~~~~~~~~~ Travel ~~~~~~~~~~~~~~~~~~~ Payments of travel or entertainment expenses for any federal, state, or loal puli offiials Conferenes, onventions, and meetings ~~ Interest ~~~~~~~~~~~~~~~~~~ Payments to affiliates ~~~~~~~~~~~~ Depreiation, depletion, and amortization ~~ Insurane ~~~~~~~~~~~~~~~~~ Other expenses. Itemize expenses not overed aove. (List misellaneous expenses in line 4e. If line 4e amount exeeds 10% of line 5, olumn (A) e All other expenses 5 Total funtional expenses. Add lines 1 through 4e 6 Joint osts. Complete this line only if the organization reported in olumn (B) joint osts from a omined eduational ampaign and fundraising soliitation. Chek here if following SOP 98- (ASC ) 9,6,48. 8,48, , ,56. 80,816. 7, , , , ,5. 565,195. 5,00. 54,1. 54,1. 4,070. 4, , ,159. 5,0. 5,0.,554,959.,59,4. 5,75. 8,090. 8,090. 1,79,45. 1,1, ,956. 4,15. 4,15. 1,09,764. 1,07,981. 1,78. 7,966.,5. 5,61. 5, ,01. 17, , , , ,00. 6,9. 17,77. amount, list line 4e expenses on Shedule O.) ~~ MEDICAL SUPPLIES 1,00,504. 1,00,504. MISCELLANEOUS EPENSE 94,519. 1,8. 9,687. Page 10 19,494, ,08,97.,86, Form 990 (014) 10

11 Form 990 (014) STL CARE COMPANY Page 11 Part Balane Sheet Net Assets or Fund Balanes Liailities Assets Chek if Shedule O ontains a response or note to any line in this Part (A) (B) Beginning of year End of year 1 Cash - non-interest-earing ~~~~~~~~~~~~~~~~~~~~~~~~~,561,600. 1,6,4. Savings and temporary ash investments ~~~~~~~~~~~~~~~~~~ Pledges and grants reeivale, net ~~~~~~~~~~~~~~~~~~~~~ 4 Aounts reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~~~~,410,55. 4,78,6. 5 Loans and other reeivales from urrent and former offiers, diretors, trustees, key employees, and highest ompensated employees. Complete Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 6 Loans and other reeivales from other disqualified persons (as defined under setion 4958(f)(1)), persons desried in setion 4958()()(B), and ontriuting employers and sponsoring organizations of setion 501()(9) voluntary employees enefiiary organizations (see instr). Complete Part II of Sh L ~~ 6 7 Notes and loans reeivale, net ~~~~~~~~~~~~~~~~~~~~~~~ 1, Inventories for sale or use ~~~~~~~~~~~~~~~~~~~~~~~~~~ 71, ,64. 9 Prepaid expenses and deferred harges ~~~~~~~~~~~~~~~~~~ 51, , a Land, uildings, and equipment: ost or other asis. Complete Part VI of Shedule D ~~~ 10a 11,591,855. Less: aumulated depreiation ~~~~~~ 10 7,8,96. 4,400, ,08, Investments - pulily traded seurities ~~~~~~~~~~~~~~~~~~~ Investments - other seurities. See Part IV, line 11 ~~~~~~~~~~~~~~ Investments - program-related. See Part IV, line 11 ~~~~~~~~~~~~~ 1 14 Intangile assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other assets. See Part IV, line 11 ~~~~~~~~~~~~~~~~~~~~~~ Total assets. Add lines 1 through 15 (must equal line 4) 9,496, ,01, Aounts payale and arued expenses ~~~~~~~~~~~~~~~~~~ 1,07, ,168, Grants payale ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Deferred revenue ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tax-exempt ond liailities ~~~~~~~~~~~~~~~~~~~~~~~~~ 0 1 Esrow or ustodial aount liaility. Complete Part IV of Shedule D ~~~~ 1 Loans and other payales to urrent and former offiers, diretors, trustees, key employees, highest ompensated employees, and disqualified persons. Complete Part II of Shedule L ~~~~~~~~~~~~~~~~~~~~~~~ Seured mortgages and notes payale to unrelated third parties ~~~~~~ 4 Unseured notes and loans payale to unrelated third parties ~~~~~~~~ ,56. 5 Other liailities (inluding federal inome tax, payales to related third parties, and other liailities not inluded on lines 17-4). Complete Part of Shedule D ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 616, , Total liailities. Add lines 17 through 5 1,65, ,8,470. Organizations that follow SFAS 117 (ASC 958), hek here and omplete lines 7 through 9, and lines and 4. 7 Unrestrited net assets ~~~~~~~~~~~~~~~~~~~~~~~~~~~ 7,84, ,477, Temporarily restrited net assets Permanently restrited net assets ~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~ 8 9 Organizations that do not follow SFAS 117 (ASC 958), hek here and omplete lines 0 through Capital stok or trust prinipal, or urrent funds ~~~~~~~~~~~~~~~ Paid-in or apital surplus, or land, uilding, or equipment fund ~~~~~~~~ 0 1 Retained earnings, endowment, aumulated inome, or other funds ~~~~ Total net assets or fund alanes ~~~~~~~~~~~~~~~~~~~~~~ 7,84,190. 8,477,9. 4 Total liailities and net assets/fund alanes 9,496, ,01,40. Form 990 (014)

12 Form 990 (014) STL CARE COMPANY Page 1 Part I Reoniliation of Net Assets Chek if Shedule O ontains a response or note to any line in this Part I a Total revenue (must equal Part VIII, olumn (A), line 1) Total expenses (must equal Part I, olumn (A), line 5) ~~~~~~~~~~~~~~~~~~~~~~~~~~ Revenue less expenses. Sutrat line from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Net assets or fund alanes at eginning of year (must equal Part, line, olumn (A)) ~~~~~~~~~~ Net unrealized gains (losses) on investments Donated servies and use of failities Investment expenses Prior period adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other hanges in net assets or fund alanes (explain in Shedule O) ~~~~~~~~~~~~~~~~~~~ 10 Net assets or fund alanes at end of year. Comine lines through 9 (must equal Part, line, olumn (B)) 10 8,477,9. Part II Finanial Statements and Reporting Chek if Shedule O ontains a response or note to any line in this Part II Yes No 1 Aounting method used to prepare the Form 990: Cash Arual Other If the organization hanged its method of aounting from a prior year or heked "Other," explain in Shedule O. Were the organization s finanial statements ompiled or reviewed y an independent aountant? ~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were ompiled or reviewed on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis Were the organization s finanial statements audited y an independent aountant? ~~~~~~~~~~~~~~~~~~~ If "Yes," hek a ox elow to indiate whether the finanial statements for the year were audited on a separate asis, onsolidated asis, or oth: Separate asis Consolidated asis Both onsolidated and separate asis If "Yes" to line a or, does the organization have a ommittee that assumes responsiility for oversight of the audit, review, or ompilation of its finanial statements and seletion of an independent aountant?~~~~~~~~~~~~~~~ If the organization hanged either its oversight proess or seletion proess during the tax year, explain in Shedule O. a As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit At and OMB Cirular A-1? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 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 Shedule O and desrie any steps taken to undergo suh audits ,19,59. 19,494, ,74. 7,84,190. a a 0. Form 990 (014)

13 OMB No SCHEDULE A (Form 990 or 990-EZ) Puli Charity Status and Puli Support Complete if the organization is a setion 501()() organization or a setion (a)(1) nonexempt haritale trust. Department of the Treasury Attah to Form 990 or Form 990-EZ. Open to Puli Internal Revenue Servie Information aout Shedule A (Form 990 or 990-EZ) and its instrutions is at Inspetion Name of the organization Employer identifiation numer STL CARE COMPANY Part I Reason for Puli Charity Status (All organizations must omplete this part.) See instrutions. The organization is not a private foundation eause it is: (For lines 1 through 11, hek only one ox.) a d e f g A hurh, onvention of hurhes, or assoiation of hurhes desried in setion 170()(1)(A)(i). A shool desried in setion 170()(1)(A)(ii). (Attah Shedule E.) A hospital or a ooperative hospital servie organization desried in setion 170()(1)(A)(iii). A medial researh organization operated in onjuntion with a hospital desried in setion 170()(1)(A)(iii). Enter the hospital s name, ity, and state: An organization operated for the enefit of a ollege or university owned or operated y a governmental unit desried in setion 170()(1)(A)(iv). (Complete Part II.) A federal, state, or loal government or governmental unit desried in setion 170()(1)(A)(v). An organization that normally reeives a sustantial part of its support from a governmental unit or from the general puli desried in setion 170()(1)(A)(vi). (Complete Part II.) A ommunity trust desried in setion 170()(1)(A)(vi). (Complete Part II.) An organization that normally reeives: (1) more than 1/% of its support from ontriutions, memership fees, and gross reeipts from ativities related to its exempt funtions - sujet to ertain exeptions, and () no more than 1/% of its support from gross investment inome and unrelated usiness taxale inome (less setion 511 tax) from usinesses aquired y the organization after June 0, See setion 509(a)(). (Complete Part III.) An organization organized and operated exlusively to test for puli safety. See setion 509(a)(4). An organization organized and operated exlusively for the enefit of, to perform the funtions of, or to arry out the purposes of one or more pulily supported organizations desried in setion 509(a)(1) or setion 509(a)(). See setion 509(a)(). Chek the ox in lines 11a through 11d that desries the type of supporting organization and omplete lines 11e, 11f, and 11g. Type I. A supporting organization operated, supervised, or ontrolled y its supported organization(s), typially y giving the supported organization(s) the power to regularly appoint or elet a majority of the diretors or trustees of the supporting organization. You must omplete Part IV, Setions A and B. Type II. A supporting organization supervised or ontrolled in onnetion with its supported organization(s), y having ontrol or management of the supporting organization vested in the same persons that ontrol or manage the supported organization(s). You must omplete Part IV, Setions A and C. Type III funtionally integrated. A supporting organization operated in onnetion with, and funtionally integrated with, its supported organization(s) (see instrutions). You must omplete Part IV, Setions A, D, and E. Type III non-funtionally integrated. A supporting organization operated in onnetion with its supported organization(s) that is not funtionally integrated. The organization generally must satisfy a distriution requirement and an attentiveness requirement (see instrutions). You must omplete Part IV, Setions A and D, and Part V. Chek this ox if the organization reeived a written determination from the IRS that it is a Type I, Type II, Type III funtionally integrated, or Type III non-funtionally integrated supporting organization. Enter the numer of supported organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Provide the following information aout the supported organization(s). (i) Name of supported (ii) EIN (iii) Type of organization (iv) Is the organization (v) Amount of monetary (vi) Amount of organization (desried on lines 1-9 listed in your support (see other support (see governing doument? aove or IRC setion Instrutions) Instrutions) (see instrutions)) Yes No Total LHA For Paperwork Redution At Notie, see the Instrutions for Shedule A (Form 990 or 990-EZ) 014 Form 990 or 990-EZ

14 Shedule A (Form 990 or 990-EZ) 014 Page Part II Support Shedule for Organizations Desried in Setions 170()(1)(A)(iv) and 170()(1)(A)(vi) (Complete only if you heked the ox 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 elow, please omplete Part III.) Setion A. Puli Support Calendar year (or fisal year eginning in) Total. Add lines 1 through ~~~ 6 Puli support. Sutrat line 5 from line 4. Calendar year (or fisal year eginning in) assets (Explain in Part VI.) ~~~~ Total support. Add lines 7 through 10 (a) 010 () 011 () 01 (d) 01 (e) 014 (f) Total (a) 010 () 011 () 01 (d) 01 (e) 014 (f) Total First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage a 1/% support test If the organization did not hek the ox on line 1, and line 14 is 1/% or more, hek this ox and 17a 10% -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, or 16, and line 14 is 10% or more, 18 Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ The value of servies or failities furnished y a governmental unit to the organization without harge ~ The portion of total ontriutions y eah person (other than a governmental unit or pulily supported organization) inluded on line 1 that exeeds % of the amount shown on line 11, olumn (f) ~~~~~~~~~~~~ Setion B. Total Support Amounts from line 4 ~~~~~~~ Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Net inome from unrelated usiness ativities, whether or not the usiness is regularly arried on ~ Other inome. Do not inlude gain or loss from the sale of apital Gross reeipts from related ativities, et. (see instrutions) ~~~~~~~~~~~~~~~~~~~~~~~ Puli support perentage for 014 (line 6, olumn (f) divided y line 11, olumn (f)) ~~~~~~~~~~~~ Puli support perentage from 01 Shedule A, Part II, line 14 ~~~~~~~~~~~~~~~~~~~~~ stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1/% support test If the organization did not hek a ox on line 1 or 16a, and line 15 is 1/% or more, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~~~~~~~~ 10% -fats-and-irumstanes test If the organization did not hek a ox on line 1, 16a, 16, or 17a, and line 15 is 10% or more, and if the organization meets the "fats-and-irumstanes" test, hek this ox and stop here. Explain in Part VI how the organization meets the "fats-and-irumstanes" test. The organization qualifies as a pulily supported organization ~~~~~~~~ Private foundation. If the organization did not hek a ox on line 1, 16a, 16, 17a, or 17, hek this ox and see instrutions Shedule A (Form 990 or 990-EZ) 014 % %

15 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Part III Support Shedule for Organizations Desried in Setion 509(a)() Calendar year (or fisal year eginning in) The value of servies or failities furnished y a governmental unit to the organization without harge ~ Total. Add lines 1 through 5 ~~~ 7a Amounts inluded on lines 1,, and reeived from disqualified persons Amounts inluded on lines and reeived from other than disqualified persons that exeed the greater of $5,000 or 1% of the amount on line 1 for the year ~~~~~~ Add lines 7a and 7 ~~~~~~~ 8 Puli support (Sutrat line 7 from line 6.) Calendar year (or fisal year eginning in) 9 Amounts from line 6 ~~~~~~~ 10a Gross inome from interest, dividends, payments reeived on seurities loans, rents, royalties and inome from similar soures ~ Unrelated usiness taxale inome (less setion 511 taxes) from usinesses aquired after June 0, 1975 ~~~~ (a) 010 () 011 () 01 (d) 01 (e) 014 (f) Total Page (a) 010 () 011 () 01 (d) 01 (e) 014 (f) Total 18,055, ,454, ,719,14. 19,814,81. 0,18, ,17, First five years. If the Form 990 is for the organization s first, seond, third, fourth, or fifth tax year as a setion 501()() organization, hek this ox and stop here Setion C. Computation of Puli Support Perentage 15 Puli support perentage for 014 (line 8, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~~~~~ % 16 Puli support perentage from 01 Shedule A, Part III, line % Setion D. Computation of Investment Inome Perentage 17 Investment inome perentage for 014 (line 10, olumn (f) divided y line 1, olumn (f)) ~~~~~~~~ % 18 Investment inome perentage from 01 Shedule A, Part III, line 17 ~~~~~~~~~~~~~~~~~~ 18.0 % 0 (Complete only if you heked the ox 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 elow, please omplete Part II.) Setion A. Puli Support Gifts, grants, ontriutions, and memership fees reeived. (Do not inlude any "unusual grants.") ~~ Gross reeipts from admissions, merhandise sold or servies performed, or failities furnished in any ativity that is related to the organization s tax-exempt purpose Gross reeipts from ativities that are not an unrelated trade or usiness under setion 51 ~~~~~ Tax revenues levied for the organization s enefit and either paid to or expended on its ehalf ~~~~ Setion B. Total Support Add lines 10a and 10 ~~~~~~ Net inome from unrelated usiness ativities not inluded in line 10, whether or not the usiness is regularly arried on ~~~~~~~ Other inome. Do not inlude gain or loss from the sale of apital assets (Explain in Part VI.) ~~~~ Total support. (Add lines 9, 10, 11, and 1.) 4,75. 7,70. 4,5. 4, ,16. 15, ,050,46. 18,445, ,71,16. 19,805, ,995, ,009, ,690.,86.,95. 18,57. 7, ,055, ,454, ,719,14. 19,814,81. 0,18, ,17,80. 1/% support tests If the organization did not hek a ox on line 14 or line 19a, and line 16 is more than 1/%, and line 18 is not more than 1/%, hek this ox and stop here. The organization qualifies as a pulily supported organization~~~~ Private foundation. If the organization did not hek a ox on line 14, 19a, or 19, hek this ox and see instrutions ,17,80.,445.,014. 1,7., ,678.,445.,014. 1,7., , ,059, ,457,6. 18,71,06. 19,817,415. 0,19,59. 95,184, a 1/% support tests If the organization did not hek the ox on line 14, and line 15 is more than 1/%, and line 17 is not more than 1/%, hek this ox and stop here. The organization qualifies as a pulily supported organization ~~~~~~~~~~ Shedule A (Form 990 or 990-EZ)

16 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Page 4 Part IV Supporting Organizations (Complete only if you heked a ox on line 11 of Part I. If you heked 11a of Part I, omplete Setions A and B. If you heked 11 of Part I, omplete Setions A and C. If you heked 11 of Part I, omplete Setions A, D, and E. If you heked 11d of Part I, omplete Setions A and D, and omplete Part V.) Setion A. All Supporting Organizations Yes No 1 Are all of the organization s supported organizations listed y name in the organization s governing douments? If "No" desrie in Part VI how the supported organizations are designated. If designated y lass or purpose, desrie the designation. If histori and ontinuing relationship, explain. 1 Did the organization have any supported organization that does not have an IRS determination of status under setion 509(a)(1) or ()? If "Yes," explain in Part VI how the organization determined that the supported organization was desried in setion 509(a)(1) or (). a Did the organization have a supported organization desried in setion 501()(4), (5), or (6)? If "Yes," answer () and () elow. a Did the organization onfirm that eah supported organization qualified under setion 501()(4), (5), or (6) and satisfied the puli support tests under setion 509(a)()? If "Yes," desrie in Part VI when and how the organization made the determination. Did the organization ensure that all support to suh organizations was used exlusively for setion 170()() (B) purposes? If "Yes," explain in Part VI what ontrols the organization put in plae to ensure suh use. 4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes" and if you heked 11a or 11 in Part I, answer () and () elow. 4a Did the organization have ultimate ontrol and disretion in deiding whether to make grants to the foreign supported organization? If "Yes," desrie in Part VI how the organization had suh ontrol and disretion despite eing ontrolled or supervised y or in onnetion with its supported organizations. 4 Did the organization support any foreign supported organization that does not have an IRS determination under setions 501()() and 509(a)(1) or ()? If "Yes," explain in Part VI what ontrols the organization used to ensure that all support to the foreign supported organization was used exlusively for setion 170()()(B) purposes. 4 5a Did the organization add, sustitute, or remove any supported organizations during the tax year? If "Yes," answer () and () elow (if appliale). Also, provide detail in Part VI, inluding (i) the names and EIN numers of the supported organizations added, sustituted, or removed, (ii) the reasons for eah suh ation, (iii) the authority under the organization s organizing doument authorizing suh ation, and (iv) how the ation was aomplished (suh as y amendment to the organizing doument). 5a Type I or Type II only. Was any added or sustituted supported organization part of a lass already 6 designated in the organization s organizing doument? Sustitutions only. Was the sustitution the result of an event eyond the organization s ontrol? Did the organization provide support (whether in the form of grants or the provision of servies or failities) to anyone other than (a) its supported organizations; () individuals that are part of the haritale lass 5 5 enefited y one or more of its supported organizations; or () other supporting organizations that also support or enefit one or more of the filing organization s supported organizations? If "Yes," provide detail in 7 Part VI. Did the organization provide a grant, loan, ompensation, or other similar payment to a sustantial ontriutor (defined in IRC 4958()()(C)), a family memer of a sustantial ontriutor, or a 5-perent 6 8 9a ontrolled entity with regard to a sustantial ontriutor? If "Yes," omplete Part I of Shedule L (Form 990). Did the organization make a loan to a disqualified person (as defined in setion 4958) not desried in line 7? If "Yes," omplete Part I of Shedule L (Form 990). Was the organization ontrolled diretly or indiretly at any time during the tax year y one or more disqualified persons as defined in setion 4946 (other than foundation managers and organizations desried 7 8 in setion 509(a)(1) or ())? If "Yes," provide detail in Part VI. Did one or more disqualified persons (as defined in line 9(a)) hold a ontrolling interest in any entity in whih 9a the supporting organization had an interest? If "Yes," provide detail in Part VI. Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal enefit 9 from, assets in whih the supporting organization also had an interest? If "Yes," provide detail in Part VI. 9 10a Was the organization sujet to the exess usiness holdings rules of IRC 494 eause of IRC 494(f) (regarding ertain Type II supporting organizations, and all Type III non-funtionally integrated supporting organizations)? If "Yes," answer () elow. 10a Did the organization have any exess usiness holdings in the tax year? (Use Shedule C, Form 470, to determine whether the organization had exess usiness holdings.) Shedule A (Form 990 or 990-EZ)

17 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Page 5 Part IV Supporting Organizations (ontinued) Yes No 11 a Has the organization aepted a gift or ontriution from any of the following persons? A person who diretly or indiretly ontrols, either alone or together with persons desried in () and () elow, the governing ody of a supported organization? A family memer of a person desried in (a) aove? A 5% ontrolled entity of a person desried in (a) or () aove? If "Yes" to a,, or, provide detail in Part VI. 11a Setion B. Type I Supporting Organizations Yes No 1 Did the diretors, trustees, or memership of one or more supported organizations have the power to regularly appoint or elet at least a majority of the organization s diretors or trustees at all times during the tax year? If "No," desrie in Part VI how the supported organization(s) effetively operated, supervised, or ontrolled the organization s ativities. If the organization had more than one supported organization, desrie how the powers to appoint and/or remove diretors or trustees were alloated among the supported organizations and what onditions or restritions, if any, applied to suh powers during the tax year. 1 Did the organization operate for the enefit of any supported organization other than the supported organization(s) that operated, supervised, or ontrolled the supporting organization? If "Yes," explain in Part VI how providing suh enefit arried out the purposes of the supported organization(s) that operated, supervised, or ontrolled the supporting organization. Setion C. Type II Supporting Organizations Yes No 1 Were a majority of the organization s diretors or trustees during the tax year also a majority of the diretors or trustees of eah of the organization s supported organization(s)? If "No," desrie in Part VI how ontrol or management of the supporting organization was vested in the same persons that ontrolled or managed the supported organization(s). 1 Setion D. Type III Supporting Organizations Yes No 1 Did the organization provide to eah of its supported organizations, y the last day of the fifth month of the organization s tax year, (1) a written notie desriing the type and amount of support provided during the prior tax year, () a opy of the Form 990 that was most reently filed as of the date of notifiation, and () opies of the organization s governing douments in effet on the date of notifiation, to the extent not previously provided? 1 Were any of the organization s offiers, diretors, or trustees either (i) appointed or eleted y the supported organization(s) or (ii) serving on the governing ody of a supported organization? If "No," explain in Part VI how the organization maintained a lose and ontinuous working relationship with the supported organization(s). By reason of the relationship desried in (), did the organization s supported organizations have a signifiant voie in the organization s investment poliies and in direting the use of the organization s inome or assets at all times during the tax year? If "Yes," desrie in Part VI the role the organization s supported organizations played in this regard. Setion E. Type III Funtionally-Integrated Supporting Organizations 1 Chek the ox next to the method that the organization used to satisfy the Integral Part Test during the year (see instrutions): a The organization satisfied the Ativities Test. Complete line elow. The organization is the parent of eah of its supported organizations. Complete line elow. The organization supported a governmental entity. Desrie in Part VI how you supported a government entity (see instrutions). Ativities Test. Answer (a) and () elow. Yes No a Did sustantially all of the organization s ativities during the tax year diretly further the exempt purposes of the supported organization(s) to whih the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these ativities diretly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these ativities onstituted sustantially all of its ativities. a Did the ativities desried in (a) onstitute ativities that, ut for the organization s involvement, one or more of the organization s supported organization(s) would have een engaged in? If "Yes," explain in Part VI the reasons for the organization s position that its supported organization(s) would have engaged in these ativities ut for the organization s involvement. Parent of Supported Organizations. Answer (a) and () elow. a Did the organization have the power to regularly appoint or elet a majority of the offiers, diretors, or trustees of eah of the supported organizations? Provide details in Part VI. a Did the organization exerise a sustantial degree of diretion over the poliies, programs, and ativities of eah of its supported organizations? If "Yes," desrie in Part VI the role played y the organization in this regard Shedule A (Form 990 or 990-EZ)

18 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Page 6 Part V Type III Non-Funtionally Integrated 509(a)() Supporting Organizations 1 Chek here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 0, See instrutions. All other Type III non-funtionally integrated supporting organizations must omplete Setions A through E. Setion A - Adjusted Net Inome (A) Prior Year (B) Current Year (optional) Net short-term apital gain Reoveries of prior-year distriutions Other gross inome (see instrutions) Add lines 1 through Depreiation and depletion Portion of operating expenses paid or inurred for prodution or olletion of gross inome or for management, onservation, or maintenane of property held for prodution of inome (see instrutions) Other expenses (see instrutions) Adjusted Net Inome (sutrat lines 5, 6 and 7 from line 4) Setion B - Minimum Asset Amount (A) Prior Year (B) Current Year (optional) 1 Aggregate fair market value of all non-exempt-use assets (see instrutions for short tax year or assets held for part of year): a d e Average monthly value of seurities Average monthly ash alanes Fair market value of other non-exempt-use assets Total (add lines 1a, 1, and 1) Disount laimed for lokage or other fators (explain in detail in Part VI): Aquisition indetedness appliale to non-exempt-use assets Sutrat line from line 1d Cash deemed held for exempt use. Enter 1-1/% of line (for greater amount, see instrutions). Net value of non-exempt-use assets (sutrat line 4 from line ) Multiply line 5 y.05 Reoveries of prior-year distriutions Minimum Asset Amount (add line 7 to line 6) 1a 1 1 1d Setion C - Distriutale Amount Current Year Adjusted net inome for prior year (from Setion A, line 8, Column A) 1 Enter 85% of line 1 Minimum asset amount for prior year (from Setion B, line 8, Column A) Enter greater of line or line 4 Inome tax imposed in prior year 5 Distriutale Amount. Sutrat line 5 from line 4, unless sujet to emergeny temporary redution (see instrutions) 6 Chek here if the urrent year is the organization s first as a non-funtionally-integrated Type III supporting organization (see instrutions). Shedule A (Form 990 or 990-EZ)

19 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Page 7 Part V Type III Non-Funtionally Integrated 509(a)() Supporting Organizations (ontinued) Setion D - Distriutions Current Year 1 Amounts paid to supported organizations to aomplish exempt purposes Amounts paid to perform ativity that diretly furthers exempt purposes of supported organizations, in exess of inome from ativity Administrative expenses paid to aomplish exempt purposes of supported organizations Amounts paid to aquire exempt-use assets Qualified set-aside amounts (prior IRS approval required) Other distriutions (desrie in Part VI). See instrutions. Total annual distriutions. Add lines 1 through 6. 8 Distriutions to attentive supported organizations to whih the organization is responsive (provide details in Part VI). See instrutions Distriutale amount for 014 from Setion C, line 6 Line 8 amount divided y Line 9 amount (i) (ii) (iii) Setion E - Distriution Alloations (see instrutions) Exess Distriutions Underdistriutions Distriutale Pre-014 Amount for Distriutale amount for 014 from Setion C, line 6 Underdistriutions, if any, for years prior to 014 (reasonale ause required-see instrutions) Exess distriutions arryover, if any, to 014: a d e f From 01 Total of lines a through e g h i j 4 Applied to underdistriutions of prior years Applied to 014 distriutale amount Carryover from 009 not applied (see instrutions) Remainder. Sutrat lines g, h, and i from f. Distriutions for 014 from Setion D, line 7: $ a 5 Applied to underdistriutions of prior years Applied to 014 distriutale amount Remainder. Sutrat lines 4a and 4 from 4. Remaining underdistriutions for years prior to 014, if any. Sutrat lines g and 4a from line (if amount greater than zero, see instrutions). 6 Remaining underdistriutions for 014. Sutrat lines h and 4 from line 1 (if amount greater than zero, see instrutions). 7 Exess distriutions arryover to 015. Add lines j and 4. 8 Breakdown of line 7: a d e Exess from 01 Exess from 014 Shedule A (Form 990 or 990-EZ)

20 Shedule A (Form 990 or 990-EZ) 014 STL CARE COMPANY Page 8 Part VI Supplemental Information. Provide the explanations required y Part II, line 10; Part II, line 17a or 17; and Part III, line 1. Also omplete this part for any additional information. (See instrutions) Shedule A (Form 990 or 990-EZ) 014 0

21 ** PUBLIC DISCLOSURE COPY ** Shedule B (Form 990, 990-EZ, or 990-PF) Department of the Treasury Internal Revenue Servie Name of the organization Shedule of Contriutors Attah to Form 990, Form 990-EZ, or Form 990-PF. Information aout Shedule B (Form 990, 990-EZ, or 990-PF) and its instrutions is at OMB No Employer identifiation numer Organization type(hek one): STL CARE COMPANY Filers of: Setion: Form 990 or 990-EZ 501()( ) (enter numer) organization 4947(a)(1) nonexempt haritale trust not treated as a private foundation 57 politial organization Form 990-PF 501()() exempt private foundation 4947(a)(1) nonexempt haritale trust treated as a private foundation 501()() taxale private foundation Chek if your organization is overed y the General Rule or a Speial Rule. Note. Only a setion 501()(7), (8), or (10) organization an hek oxes for oth the General Rule and a Speial Rule. See instrutions. General Rule For an organization filing Form 990, 990-EZ, or 990-PF that reeived, during the year, ontriutions totaling $5,000 or more (in money or property) from any one ontriutor. Complete Parts I and II. See instrutions for determining a ontriutor s total ontriutions. Speial Rules For an organization desried in setion 501()() filing Form 990 or 990-EZ that met the 1/% support test of the regulations under setions 509(a)(1) and 170()(1)(A)(vi), that heked Shedule A (Form 990 or 990-EZ), Part II, line 1, 16a, or 16, and that reeived from any one ontriutor, during the year, total ontriutions of the greater of (1) $5,000 or () % of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II. For an organization desried in setion 501()(7), (8), or (10) filing Form 990 or 990-EZ that reeived from any one ontriutor, during the year, total ontriutions of more than $1,000 exlusively for religious, haritale, sientifi, literary, or eduational purposes, or for the prevention of ruelty to hildren or animals. Complete Parts I, II, and III. For an organization desried in setion 501()(7), (8), or (10) filing Form 990 or 990-EZ that reeived from any one ontriutor, during the year, ontriutions exlusively for religious, haritale, et., purposes, ut no suh ontriutions totaled more than $1,000. If this ox is heked, enter here the total ontriutions that were reeived during the year for an exlusively religious, haritale, et., purpose. Do not omplete any of the parts unless the General Rule applies to this organization eause it reeived nonexlusively religious, haritale, et., ontriutions totaling $5,000 or more during the year ~~~~~~~~~~~~~~~ $ Caution. An organization that is not overed y the General Rule and/or the Speial Rules does not file Shedule B (Form 990, 990-EZ, or 990-PF), ut it must answer "No" on Part IV, line, of its Form 990; or hek the ox on line H of its Form 990-EZ or on its Form 990-PF, Part I, line, to ertify that it does not meet the filing requirements of Shedule B (Form 990, 990-EZ, or 990-PF). LHA For Paperwork Redution At Notie, see the Instrutions for Form 990, 990-EZ, or 990-PF. Shedule B (Form 990, 990-EZ, or 990-PF) (014)

22 Shedule B (Form 990, 990-EZ, or 990-PF) (014) Name of organization Employer identifiation numer Page STL CARE COMPANY Part I Contriutors (see instrutions). Use dupliate opies of Part I if additional spae is needed. (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution 1 Person Payroll $ 10,000. Nonash (Complete Part II for nonash ontriutions.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II for nonash ontriutions.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II for nonash ontriutions.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II for nonash ontriutions.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II for nonash ontriutions.) (a) No. () Name, address, and ZIP + 4 () Total ontriutions (d) Type of ontriution $ Person Payroll Nonash (Complete Part II for nonash ontriutions.) Shedule B (Form 990, 990-EZ, or 990-PF) (014)

23 Shedule B (Form 990, 990-EZ, or 990-PF) (014) Name of organization Page Employer identifiation numer STL CARE COMPANY Part II Nonash Property (see instrutions). Use dupliate opies of Part II if additional spae is needed. (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ (a) No. from Part I () Desription of nonash property given () FMV (or estimate) (see instrutions) (d) Date reeived $ Shedule B (Form 990, 990-EZ, or 990-PF) (014)

24 Shedule B (Form 990, 990-EZ, or 990-PF) (014) Name of organization Page 4 Employer identifiation numer STL CARE COMPANY Part III (a) No. from Part I Exlusively religious, haritale, et., ontriutions to organizations desried in setion 501()(7), (8), or (10) that total more than $1,000 for the year from any one ontriutor. Complete olumns (a) through (e) and the following line entry. For organizations ompleting Part III, enter the total of exlusively religious, haritale, et., ontriutions of $1,000 or less for the year. (Enter this info. one.) $ Use dupliate opies of Part III if additional spae is needed. () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription 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 () Purpose of gift () Use of gift (d) Desription of how gift is held (e) Transfer of gift Transferee s name, address, and ZIP + 4 Relationship of transferor to transferee Shedule B (Form 990, 990-EZ, or 990-PF) (014) 4

25 SCHEDULE D OMB No (Form 990) Complete if the organization answered "Yes" to Form 990, Part IV, line 6, 7, 8, 9, 10, 11a, 11, 11, 11d, 11e, 11f, 1a, or 1. Department of the Treasury Attah to Form 990. Open to Puli Internal Revenue Servie Information aout Shedule D (Form 990) and its instrutions is at Inspetion Name of the organization Employer identifiation numer STL CARE COMPANY Part I Organizations Maintaining Donor Advised Funds or Other Similar Funds or Aounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds () Funds and other aounts a d a Total numer at end of year ~~~~~~~~~~~~~~~ Aggregate value of ontriutions to (during year) Aggregate value of grants from (during year) Aggregate value at end of year (i) (ii) ~~~~ ~~~~~~ ~~~~~~~~~~~~~ Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization s property, sujet to the organization s exlusive legal ontrol?~~~~~~~~~~~~~~~~~~ Did the organization inform all grantees, donors, and donor advisors in writing that grant funds an e used only for haritale purposes and not for the enefit of the donor or donor advisor, or for any other purpose onferring impermissile private enefit? Part II Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Purpose(s) of onservation easements held y the organization (hek all that apply). Preservation of land for puli use (e.g., rereation or eduation) Protetion of natural haitat Preservation of open spae Preservation of a historially important land area Preservation of a ertified histori struture Complete lines a through d if the organization held a qualified onservation ontriution in the form of a onservation easement on the last day of the tax year. Total numer of onservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Total areage restrited y onservation easements ~~~~~~~~~~~~~~~~~~~~~~~~~~ Numer of onservation easements on a ertified histori struture inluded in (a) ~~~~~~~~~~~~ Numer of onservation easements inluded in () aquired after 8/17/06, and not on a histori struture listed in the National Register ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a d Yes Yes No No Held at the End of the Tax Year Numer of onservation easements modified, transferred, released, extinguished, or terminated y the organization during the tax year Numer of states where property sujet to onservation easement is loated Does the organization have a written poliy regarding the periodi monitoring, inspetion, handling of violations, and enforement of the onservation easements it holds? ~~~~~~~~~~~~~~~~~~~~~~~~~ Staff and volunteer hours devoted to monitoring, inspeting, and enforing onservation easements during the year Amount of expenses inurred in monitoring, inspeting, and enforing onservation easements during the year $ Does eah onservation easement reported on line (d) aove satisfy the requirements of setion 170(h)(4)(B)(i) and setion 170(h)(4)(B)(ii)? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ In Part III, desrie how the organization reports onservation easements in its revenue and expense statement, and alane sheet, and inlude, if appliale, the text of the footnote to the organization s finanial statements that desries the organization s aounting for onservation easements. Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. 1a If the organization eleted, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide, in Part III, the text of the footnote to its finanial statements that desries these items. If the organization eleted, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and alane sheet works of art, historial treasures, or other similar assets held for puli exhiition, eduation, or researh in furtherane of puli servie, provide the following amounts relating to these items: Revenue inluded in Form 990, Part VIII, line 1 Assets inluded in Form 990, Part ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If the organization reeived or held works of art, historial treasures, or other similar assets for finanial gain, provide the following amounts required to e reported under SFAS 116 (ASC 958) relating to these items: Revenue inluded in Form 990, Part VIII, line 1 Assets inluded in Form 990, Part Supplemental Finanial Statements ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ $ $ 014 Yes Yes No No LHA For Paperwork Redution At Notie, see the Instrutions for Form 990. Shedule D (Form 990)

26 Shedule D (Form 990) 014 STL CARE COMPANY Page Part III Organizations Maintaining Colletions of Art, Historial Treasures, or Other Similar Assets (ontinued) Using the organization s aquisition, aession, and other reords, hek any of the following that are a signifiant use of its olletion items 4 5 a d e f d e If "Yes," explain the arrangement in Part III. Chek here if the explanation has een provided in Part III Part V Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. d e f g a (i) (ii) (a) Current year () Prior year () Two years ak (d) Three years ak (e) Four years ak 4 Desrie in Part III the intended uses of the organization s endowment funds. Part VI Land, Buildings, and Equipment. Complete if the organization answered "Yes" to Form 990, Part IV, line 11a. See Form 990, Part, line 10. 1a (hek all that apply): Puli exhiition Sholarly researh Preservation for future generations Loan or exhange programs Provide a desription of the organization s olletions and explain how they further the organization s exempt purpose in Part III. During the year, did the organization soliit or reeive donations of art, historial treasures, or other similar assets to e sold to raise funds rather than to e maintained as part of the organization s olletion? Yes Part IV Esrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part, line 1. 1a Is the organization an agent, trustee, ustodian or other intermediary for ontriutions or other assets not inluded on Form 990, Part? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1d 1e 1f Yes Yes a(i) a(ii) (a) Cost or other () Cost or other () Aumulated (d) Book value asis (investment) asis (other) depreiation 1,157,17. 1,157,17. 6,48,469. 4,49,5. 1,96,144. Leasehold improvements ~~~~~~~~~~ d Equipment ~~~~~~~~~~~~~~~~~,7,406.,50, ,885. e Other 768,66. 70, ,57. Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part, olumn (B), line 10.) 4,08,919. Other If "Yes," explain the arrangement in Part III and omplete the following tale: Beginning alane Additions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Distriutions during the year ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Ending alane ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Did the organization inlude an amount on Form 990, Part, line 1, for esrow or ustodial aount liaility? ~~~~~ 1a Beginning of year alane Contriutions ~~~~~~~~~~~~~~ Net investment earnings, gains, and losses Grants or sholarships Other expenditures for failities and programs Administrative expenses End of year alane ~~~~~~~ ~~~~~~~~~ ~~~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~~ Provide the estimated perentage of the urrent year end alane (line 1g, olumn (a)) held as: Board designated or quasi-endowment % Permanent endowment % Temporarily restrited endowment % The perentages in lines a,, and should equal 100%. a Are there endowment funds not in the possession of the organization that are held and administered for the organization y: unrelated organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ related organizations ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes" to a(ii), are the related organizations listed as required on Shedule R? ~~~~~~~~~~~~~~~~~~~~~~ Desription of property Land ~~~~~~~~~~~~~~~~~~~~ Buildings ~~~~~~~~~~~~~~~~~~ Amount Yes No No No No Shedule D (Form 990)

27 Shedule D (Form 990) 014 STL CARE COMPANY Page Part VII Investments - Other Seurities. Complete if the organization answered "Yes" to Form 990, Part IV, line 11. See Form 990, Part, line 1. (a) Desription of seurity or ategory (inluding name of seurity) () Book value () Method of valuation: Cost or end-of-year market value (1) Finanial derivatives ~~~~~~~~~~~~~~~ () Closely-held equity interests ~~~~~~~~~~~ () Other (A) (B) (C) (D) (E) (F) (G) (H) Total. (Col. () must equal Form 990, Part, ol. (B) line 1.) Part VIII Investments - Program Related. Complete if the organization answered "Yes" to Form 990, Part IV, line 11. See Form 990, Part, line 1. (a) Desription of investment () Book value () Method of valuation: Cost or end-of-year market value (1) () () (4) (5) (6) (7) (8) (9) Total. (Col. () must equal Form 990, Part, ol. (B) line 1.) Part I Other Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 11d. See Form 990, Part, line 15. (a) Desription () Book value (1) () () (4) (5) (6) (7) (8) (9) Total. (Column () must equal Form 990, Part, ol. (B) line 15.) Part Other Liailities. Complete if the organization answered "Yes" to Form 990, Part IV, line 11e or 11f. See Form 990, Part, line (a) Desription of liaility () Book value (1) Federal inome taxes () DUE TO AFFILIATES 689,900. () (4) (5) (6) (7) (8) (9) Total. (Column () must equal Form 990, Part, ol. (B) line 5.) 689,900.. Liaility for unertain tax positions. In Part III, provide the text of the footnote to the organization s finanial statements that reports the organization s liaility for unertain tax positions under FIN 48 (ASC 740). Chek here if the text of the footnote has een provided in Part III Shedule D (Form 990)

28 Shedule D (Form 990) 014 STL CARE COMPANY Page 4 Part I Reoniliation of Revenue per Audited Finanial Statements With Revenue per Return. Complete if the organization answered "Yes" to Form 990, Part IV, line 1a. 1 Total revenue, gains, and other support per audited finanial statements ~~~~~~~~~~~~~~~~~~~ 1 0,119, a d e Add lines a through d ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ e Sutrat line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a Investment expenses not inluded on Form 990, Part VIII, line 7 ~~~~~~~~ 4a Other (Desrie in Part III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 10,59. Add lines 4a and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4 10,59. 5 Total revenue. Add lines and 4. (This must equal Form 990, Part I, line 1.) 5 0,19,59. Part II Reoniliation of Expenses per Audited Finanial Statements With Expenses per Return. Complete if the organization answered "Yes" to Form 990, Part IV, line 1a. 1 Total expenses and losses per audited finanial statements ~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 19,49, a d e a Amounts inluded on line 1 ut not on Form 990, Part VIII, line 1: Net unrealized gains (losses) on investments Donated servies and use of failities ~~~~~~~~~~~~~~~~~~~~~~ Reoveries of prior year grants Other (Desrie in Part III.) Add lines a through d ~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 990, Part VIII, line 1, ut not on line 1: Amounts inluded on line 1 ut not on Form 990, Part I, line 5: Donated servies and use of failities ~~~~~~~~~~~~~~~~~~~~~~ Prior year adjustments ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other losses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other (Desrie in Part III.) ~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sutrat line e from line 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Amounts inluded on Form 990, Part I, line 5, ut not on line 1: Investment expenses not inluded on Form 990, Part VIII, line 7 Other (Desrie in Part III.) ~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~ Add lines 4a and 4 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5 Total expenses. Add lines and 4. (This must equal Form 990, Part I, line 18.) Part III Supplemental Information. Provide the desriptions required for Part II, lines, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1 and ; Part V, line 4; Part, line ; Part I, lines d and 4; and Part II, lines d and 4. Also omplete this part to provide any additional information. a d a d 4a 4 1,617. e ,119, ,49,000. 1, ,494,617. PART, LINE : UNITYPOINT HEALTH AND MOST OF ITS SUBSIDIARIES ARE CLASSIFIED AS TA-EEMPT ORGANIZATIONS AS DESCRIBED IN SECTIONS 501(C)() AND 501(C)() OF THE INTERNAL REVENUE CODE (THE CODE). TA-EEMPT ORGANIZATIONS ARE NOT SUBJECT TO FEDERAL AND STATE INCOME TAES ON RELATED INCOME, PURSUANT TO SECTION 501(A) OF THE CODE. THESE ORGANIZATIONS ARE SUBJECT TO FEDERAL AND STATE INCOME TAES TO THE ETENT THEY HAVE UNRELATED BUSINESS INCOME AS DESCRIBED UNDER PROVISIONS OF SECTION 511 OF THE CODE. THE SYSTEM FILES FORM 990 FOR SUBSTANTIALLY ALL OF ITS OPERATING ENTITIES IN THE U.S. FEDERAL JURISDICTION AND IS NO LONGER SUBJECT TO EAMINATION BY TA AUTHORITIES FOR THE YEARS BEFORE 011. THE SYSTEM HAS NO MATERIAL Shedule D (Form 990) 014 8

29 Shedule D (Form 990) 014 STL CARE COMPANY Part III Supplemental Information (ontinued) Page 5 UNCERTAIN TA POSITIONS. CERTAIN SUBSIDIARIES ARE SUBJECT TO FEDERAL AND STATE INCOME TAES. SOME OF THESE CORPORATIONS HAVE ACCUMULATED NET OPERATING LOSS CARRYFORWARDS THAT ARE AVAILABLE TO OFFSET FUTURE TAABLE INCOME, IF ANY, DURING THE CARRYFORWARD PERIOD. DEFERRED TA ASSETS AND LIABILITIES RELATED TO THESE SUBSIDIARIES WERE NOT MATERIAL. PART I, LINE 4B - OTHER ADJUSTMENTS: ELIMINATING ENTRIES 8,700. ROUNDING 1,659. TOTAL TO SCHEDULE D, PART I, LINE 4B 10,59. PART II, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1, Shedule D (Form 990) 014 9

30 SCHEDULE H (Form 990) Department of the Treasury Internal Revenue Servie If "Yes," was it a written poliy? If the organization had multiple hospital failities, indiate whih of the following est desries appliation of the finanial assistane poliy to its various hospital failities during the tax year. If the organization used fators other than FPG in determining eligiility, desrie in Part VI the riteria used for determining eligiility for free or disounted are. Inlude in the desription whether the organization used an asset test or other threshold, regardless of inome, as a fator in determining eligiility for free or disounted are. 4 Did the organization s finanial assistane poliy that applied to the largest numer of its patients during the tax year provide for free or disounted are to the "medially indigent"? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5a Did the organization udget amounts for free or disounted are provided under its finanial assistane poliy during the tax year? ~~~~ Complete the following tale using the worksheets provided in the Shedule H instrutions. Do not sumit these worksheets with the Shedule H. OMB No Finanial Assistane and Certain Other Community Benefits at Cost Numer of Persons Total ommunity Diret offsetting Net ommunity Perent Finanial Assistane and (a) () () (d) (e) (f) ativities or served enefit expense revenue enefit expense of total programs (optional) (optional) expense Means-Tested Government Programs d Total Finanial Assistane and Means-Tested Government Programs Complete if the organization answered "Yes" to Form 990, Part IV, question 0. Attah to Form 990. Information aout Shedule H (Form 990) and its instrutions is at Answer the following ased on the finanial assistane eligiility riteria that applied to the largest numer of the organization s patients during the tax year. a Did the organization use Federal Poverty Guidelines (FPG) as a fator in determining eligiility for providing free are? a e f g h i j k Applied uniformly to all hospital failities Generally tailored to individual hospital failities If "Yes," indiate whih of the following was the FPG family inome limit for eligiility for free are: ~~~~~~~~~~~~~ 100% 150% 00% Other % Did the organization use FPG as a fator in determining eligiility for providing disounted are? If "Yes," indiate whih Other Benefits Total. Other Benefits ~~~~~~ Total. Add lines 7d and 7j Applied uniformly to most hospital failities of the following was the family inome limit for eligiility for disounted are: ~~~~~~~~~~~~~~~~~~~~~~~~ 00% 50% 00% 50% 400% Other % If "Yes," did the organization s finanial assistane expenses exeed the udgeted amount? ~~~~~~~~~~~~~~~~ If "Yes" to line 5, as a result of udget onsiderations, was the organization unale to provide free or disounted are to a patient who was eligile for free or disounted are? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6a Did the organization prepare a ommunity enefit report during the tax year? ~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," did the organization make it availale to the puli? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Finanial Assistane at ost (from Worksheet 1) ~~~~~~~~~~ Mediaid (from Worksheet, olumn a) ~~~~~~~~~~~ Costs of other means-tested government programs (from Worksheet, olumn ) ~~~~~ Community health improvement servies and ommunity enefit operations (from Worksheet 4) ~~~~~~~ Health professions eduation (from Worksheet 5) ~~~~~~~ Susidized health servies (from Worksheet 6) ~~~~~~~ Researh (from Worksheet 7) ~~ Cash and in-kind ontriutions for ommunity enefit (from Worksheet 8) ~~~~~~~~~ Hospitals 014 Open to Puli Inspetion Name of the organization Employer identifiation numer STL CARE COMPANY Part I Finanial Assistane and Certain Other Community Benefits at Cost Yes No 1a Did the organization have a finanial assistane poliy during the tax year? If "No," skip to question 6a ~~~~~~~~~~~ 1a 1 65, ,188..% 7,555,1. 7,58,84. 16,69..08% 7,60,400. 7,58,84. 81, % 7,60,400. 7,58,84. 81, % LHA For Paperwork Redution At Notie, see the Instrutions for Form 990. Shedule H (Form 990) a 4 5a 5 5 6a 6

31 Shedule H (Form 990) 014 STL CARE COMPANY Page Part II Community Building Ativities Complete this tale if the organization onduted any ommunity uilding ativities during the tax year, and desrie in Part VI how its ommunity uilding ativities promoted the health of the ommunities it serves. (a) Numer of ativities or programs (optional) () Persons served (optional) () Total ommunity uilding expense (d) Diret offsetting revenue (e) Net ommunity uilding expense (f) Perent of total expense Total Part III Bad Det, Mediare, & Colletion Praties Setion A. Bad Det Expense 1 4 Setion B. Mediare Physial improvements and housing Eonomi development Community support Environmental improvements Leadership development and training for ommunity memers Coalition uilding Community health improvement advoay Workfore development Other Did the organization report ad det expense in aordane with Healthare Finanial Management Assoiation Statement No. 15? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Enter the amount of the organization s ad det expense. Explain in Part VI the methodology used y the organization to estimate this amount Enter the estimated amount of the organization s ad det expense attriutale to patients eligile under the organization s finanial assistane poliy. Explain in Part VI the methodology used y the organization to estimate this amount and the rationale, if any, for inluding this portion of ad det as ommunity enefit ~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~ Provide in Part VI the text of the footnote to the organization s finanial statements that desries ad det expense or the page numer on whih this footnote is ontained in the attahed finanial statements. Enter total revenue reeived from Mediare (inluding DSH and IME) Enter Mediare allowale osts of are relating to payments on line 5 ~~~~~~~~~~~~ ~~~~~~~~~~~~ Sutrat line 6 from line 5. This is the surplus (or shortfall) ~~~~~~~~~~~~~~~~~~ Desrie in Part VI the extent to whih any shortfall reported in line 7 should e treated as ommunity enefit. Also desrie in Part VI the osting methodology or soure used to determine the amount reported on line 6. Chek the ox that desries the method used: Cost aounting system Cost to harge ratio Other Setion C. Colletion Praties 9a Did the organization have a written det olletion poliy during the tax year? ~~~~~~~~~~~~~~~~~~~~~~~ 9a If "Yes," did the organization s olletion poliy that applied to the largest numer of its patients during the tax year ontain provisions on the olletion praties to e followed for patients who are known to qualify for finanial assistane? Desrie in Part VI 9 Part IV Management Companies and Joint Ventures (owned 10% or more y offiers, diretors, trustees, key employees, and physiians - see instrutions) ,46. (a) Name of entity () Desription of primary () Organization s (d) Offiers, diret- (e) Physiians ativity of entity profit % or stok ownership % ors, trustees, or key employees profit % or stok ownership % Yes No profit % or stok ownership % Shedule H (Form 990) 014 1

32 Shedule H (Form 990) 014 STL CARE COMPANY Part V Faility Information Setion A. Hospital Failities (list in order of size, from largest to smallest) How many hospital failities did the organization operate during the tax year? 1 Name, address, primary wesite address, and state liense numer (and if a group return, the name and EIN of the suordinate hospital organization that operates the hospital faility) Liensed hospital Gen. medial & surgial Children s hospital Teahing hospital Critial aess hospital Researh faility ER-4 hours ER-other Other (desrie) 1 CONTINUING CARE HOSPITAL AT ST. LUKE S 106 A AVENUE NE, 6TH FLOOR CEDAR RAPIDS, IA LONG-TERM ACUTE H CARE HOSPITAL Page Faility reporting group Shedule H (Form 990) 014

33 Shedule H (Form 990) 014 STL CARE COMPANY Part V Faility Information (ontinued) Setion B. Faility Poliies and Praties (Complete a separate Setion B for eah of the hospital failities or faility reporting groups listed in Part V, Setion A) Page 4 Name of hospital faility or letter of faility reporting group CONTINUING CARE HOSPITAL AT ST. LUKE S Line numer of hospital faility, or line numers of hospital failities in a faility reporting group (from Part V, Setion A): Community Health Needs Assessment a d e f g h i j Was the hospital faility first liensed, registered, or similarly reognized y a State as a hospital faility in the urrent tax year or the immediately preeding tax year? Was the hospital faility aquired or plaed into servie as a tax-exempt hospital in the urrent tax year or the immediately preeding tax year? If "Yes," provide details of the aquisition in Setion C ~~~~~~~~~~~~~~~~~ During the tax year or either of the two immediately preeding tax years, did the hospital faility ondut a ommunity health needs assessment (CHNA)? If "No," skip to line 1~~~~~~~~~~~~~~~~~~~~~~~~~~~~ a If "Yes," (list url): If "No", is the hospital faility s most reently adopted implementation strategy attahed to this return? ~~~~~~~~~~~ If "Yes" to line 1a, did the organization file Form 470 to report the setion 4959 exise tax? ~~~~~~~~~~~~~~~~ If "Yes" to line 1, what is the total amount of setion 4959 exise tax the organization reported on Form 470 $ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," indiate what the CHNA report desries (hek all that apply): a A definition of the ommunity served y the hospital faility Demographis of the ommunity Existing health are failities and resoures within the ommunity that are availale to respond to the health needs of the ommunity How data was otained The signifiant health needs of the ommunity Primary and hroni disease needs and other health issues of uninsured persons, low-inome persons, and minority groups The proess for identifying and prioritizing ommunity health needs and servies to meet the ommunity health needs The proess for onsulting with persons representing the ommunity s interests Information gaps that limit the hospital faility s aility to assess the ommunity s health needs Other (desrie in Setion C) Indiate the tax year the hospital faility last onduted a CHNA: 0 In onduting its most reent CHNA, did the hospital faility take into aount input from persons who represent the road interests of the ommunity served y the hospital faility, inluding those with speial knowledge of or expertise in puli health? If "Yes," desrie in Setion C how the hospital faility took into aount input from persons who represent the ommunity, and identify the persons the hospital faility onsulted ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the hospital faility s CHNA onduted with one or more other hospital failities? If "Yes," list the other hospital failities in Setion C ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Was the hospital faility s CHNA onduted with one or more organizations other than hospital failities? If "Yes," list the other organizations in Setion C ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did the hospital faility make its CHNA report widely availale to the puli? ~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," indiate how the CHNA report was made widely availale (hek all that apply): a Hospital faility s wesite (list url): Other wesite (list url): UNITYPOINT.ORG/CEDARRAPIDS/SERVICES-CONTI d Made a paper opy availale for puli inspetion without harge at the hospital faility Other (desrie in Setion C) Did the hospital faility adopt an implementation strategy to meet the signifiant ommunity health needs identified through its most reently onduted CHNA? If "No," skip to line 11 ~~~~~~~~~~~~~~~~~~~~~~~~ Indiate the tax year the hospital faility last adopted an implementation strategy: 0 1 Is the hospital faility s most reently adopted implementation strategy posted on a wesite? ~~~~~~~~~~~~~~~~ Desrie in Setion C how the hospital faility is addressing the signifiant needs identified in its most reently onduted CHNA and any suh needs that are not eing addressed together with the reasons why suh needs are not eing addressed. 1a Did the organization inur an exise tax under setion 4959 for the hospital faility s failure to ondut a CHNA as required y setion 501(r)()? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ for all of its hospital failities? Shedule H (Form 990) a a 1 Yes No

34 Shedule H (Form 990) 014 STL CARE COMPANY Part V Faility Information (ontinued) Finanial Assistane Poliy (FAP) Page 5 Name of hospital faility or letter of faility reporting group 1 Explained eligiility riteria for finanial assistane, and whether suh assistane inluded free or disounted are? ~~~~~ e f g h d e d e f g h i Did the hospital faility have in plae during the tax year a written finanial assistane poliy that: If "Yes," indiate the eligiility riteria explained in the FAP: a Federal poverty guidelines (FPG), with FPG family inome limit for eligiility for free are of 00 and FPG family inome limit for eligiility for disounted are of 400 % Inome level other than FPG (desrie in Setion C) Asset level d Medial indigeny Insurane status Underinsurane status Resideny Other (desrie in Setion C) Explained the asis for alulating amounts harged to patients? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Explained the method for applying for finanial assistane? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," indiate how the hospital faility s FAP or FAP appliation form (inluding aompanying instrutions) explained the method for applying for finanial assistane (hek all that apply): a Desried the information the hospital faility may require an individual to provide as part of his or her appliation Desried the supporting doumentation the hospital faility may require an individual to sumit as part of his or her appliation Provided the ontat information of hospital faility staff who an provide an individual with information aout the FAP and FAP appliation proess Provided the ontat information of nonprofit organizations or government agenies that may e soures of assistane with FAP appliations Otter (desrie in Setion C) 16 Inluded measures to puliize the poliy within the ommunity served y the hospital faility? ~~~~~~~~~~~~~~~ If "Yes," indiate how the hospital faility puliized the poliy (hek all that apply): a The FAP was widely availale on a wesite (list url): SEE PART V The FAP appliation form was widely availale on a wesite (list url): SEE PART V A plain language summary of the FAP was widely availale on a wesite (list url): The FAP was availale upon request and without harge (in puli loations in the hospital faility and y mail) The FAP appliation form was availale upon request and without harge (in puli loations in the hospital faility and y mail) A plain language summary of the FAP was availale upon request and without harge (in puli loations in the hospital faility and y mail) Notie of availaility of the FAP was onspiuously displayed throughout the hospital faility Notified memers of the ommunity who are most likely to require finanial assistane aout availaility of the FAP Other (desrie in Setion C) CONTINUING CARE HOSPITAL AT ST. LUKE S % Yes No Billing and Colletions 17 Did the hospital faility have in plae during the tax year a separate illing and olletions poliy, or a written finanial assistane poliy (FAP) that explained all of the ations the hospital faility or other authorized party may take upon non-payment? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 18 Chek all of the following ations against an individual that were permitted under the hospital faility s poliies during the tax year efore making reasonale efforts to determine the individual s eligiility under the faility s FAP: a Reporting to redit ageny(ies) Selling an individual s det to another party Ations that require a legal or judiial proess d Other similar ations (desrie in Setion C) e None of these ations or other similar ations were permitted 17 Shedule H (Form 990)

35 Shedule H (Form 990) 014 STL CARE COMPANY Part V Faility Information (ontinued) Page 6 Name of hospital faility or letter of faility reporting group 19 0 a d a d e f Poliy Relating to Emergeny Medial Care 1 a d Charges to Individuals Eligile for Assistane Under the FAP (FAP-Eligile Individuals) 4 a d Did the hospital faility or other authorized party perform any of the following ations during the tax year efore making reasonale efforts to determine the individual s eligiility under the faility s FAP? ~~~~~~~~~~~~~~ If "Yes", hek all ations in whih the hospital faility or a third party engaged: Reporting to redit ageny(ies) Selling an individual s det to another party Ations that require a legal or judiial proess Other similar ations (desrie in Setion C) Indiate whih efforts the hospital faility or other authorized party made efore initiating any of the ations listed (whether or not heked) in line 19 (hek all that apply): Notified individuals of the finanial assistane poliy on admission Notified individuals of the finanial assistane poliy prior to disharge Notified individuals of the finanial assistane poliy in ommuniations with the individuals regarding the individuals ills Doumented its determination of whether individuals were eligile for finanial assistane under the hospital faility s finanial assistane poliy Other (desrie in Setion C) Non of these efforts were made Did the hospital faility have in plae during the tax year a written poliy relating to emergeny medial are that required the hospital faility to provide, without disrimination, are for emergeny medial onditions to individuals regardless of their eligiility under the hospital faility s finanial assistane poliy? ~~~~~~~~~~~~~~~ If "No," indiate why: The hospital faility did not provide are for any emergeny medial onditions The hospital faility s poliy was not in writing The hospital faility limited who was eligile to reeive are for emergeny medial onditions (desrie in Setion C) Other (desrie in Setion C) Indiate how the hospital faility determined, during the tax year, the maximum amounts that an e harged to FAP-eligile individuals for emergeny or other medially neessary are. The hospital faility used its lowest negotiated ommerial insurane rate when alulating the maximum amounts that an e harged The hospital faility used the average of its three lowest negotiated ommerial insurane rates when alulating the maximum amounts that an e harged The hospital faility used the Mediare rates when alulating the maximum amounts that an e harged Other (desrie in Setion C) During the tax year, did the hospital faility harge any FAP-eligile individual to whom the hospital faility provided emergeny or other medially neessary servies more than the amounts generally illed to individuals who had insurane overing suh are? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," explain in Setion C. During the tax year, did the hospital faility harge any FAP-eligile individual an amount equal to the gross harge for any servie provided to that individual? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ If "Yes," explain in Setion C. CONTINUING CARE HOSPITAL AT ST. LUKE S Yes No Shedule H (Form 990)

36 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. CONTINUING CARE HOSPITAL AT ST. LUKE S: PART V, SECTION B, LINE 5: THE TARGET AREA FOR THE ASSESSMENT INCLUDED AN EIGHT COUNTY REGION OF LINN COUNTY AND SEVEN OF ITS CONTIGUOUS COUNTIES (BUCHANAN, DELAWARE, BENTON, JONES, IOWA, JOHNSON AND CEDAR). PUBLIC HEALTH AND HOSPITAL REPRESENTATIVES FROM EACH COUNTY WERE INVITED TO SERVE ON A STEERING COMMITTEE TO HELP GUIDE THE CHNA PROCESS FROM START TO FINISH. SPECIAL ATTENTION WAS PAID TO RECRUITING DIVERSE SUBSETS OF THE POPULATION TO HELP ACCURATELY IDENTIFY THE MOST CRITICAL ISSUES IN THE AREA. A LIST OF ALL THE CONTRIBUTORS FOR EACH STEP IN THE PROCESS IS AVAILABLE BY REQUEST. CONTINUING CARE HOSPITAL AT ST. LUKE S: PART V, SECTION B, LINE 6A: IN ADDITION TO ST. LUKE S HOSPITAL, ST. LUKE S CARE COMPANY (CONTINUING CARE HOSPITAL) AND JONES REGIONAL MEDICAL CENTER, THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: MERCY MEDICAL CENTER, VIRGINIA GAY HOSPITAL, AND REGIONAL MEDICAL CENTER. PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH STEERING COMMITTEE MEMBERS FROM THE FOLLOWING ORGANIZATIONS: CEDAR COUNTY, BENTON COUNTY PUBLIC HEALTH, COMMUNITY HEALTH FREE CLINIC, HACAP, HIS HANDS FREE CLINIC, JOHNSON COUNTY PUBLIC HEALTH, JONES REGIONAL MEDICAL CENTER, LINN COMMUNITY CARE, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, REGIONAL MEDICAL CENTER, ST. LUKE S HOSPITAL, UNITED WAY OF EAST CENTRAL IOWA, AND VIRGINIA GAY HOSPITAL Shedule H (Form 990) 014 6

37 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. CONTINUING CARE HOSPITAL AT ST. LUKE S: PART V, SECTION B, LINE 11: ST. LUKE S METHODIST HOSPITAL, ST. LUKE S CARE COMPANY (CONTINUING CARE HOSPITAL) AND JONES REGIONAL MEDICAL CENTER ARE ADDRESSING THE NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT BY CONTINUING TO MAKE PROGRESS ON AND MEETING THE OBJECTIVES IDENTIFIED IN THEIR RESPECTIVE PLANS. MANY OBJECTIVES THAT WE IDENTIFIED AND ARE IMPLEMENTING GET SPREAD ACROSS OUR REGION THAT INCLUDES ALL THREE ENTITIES, HOWEVER, WE WOULD LIKE TO HIGHLIGHT A FEW SPECIFIC TO THE SITES. OBESITY: ST. LUKE S METHODIST HOSPITAL AND CONTINUING CARE HOSPITAL HELD HEALTHY EATING PROMOTION PROGRAMS INCLUDING COOKING WITH THE CARDIOLOGIST. WE ARE A BLUE ZONE WORKSITE. IN ADDITION, UNITYPOINT CLINICS HAVE BEEN ROLLING OUT PATIENT CENTERED MEDICAL HOMES WHICH HELP PATIENTS WITH HEALTHY EATING. THE MAJORITY OF CLINICS WILL HAVE MOVED TO THIS MODEL AND HAVE RECEIVED DESIGNATION AS SUCH. THESE CLINICS ALSO ARE IN THE JONES COUNTY AREA. STAFF ACROSS THE CONTINUUM WERE ALSO TRAINED IN CHRONIC DISEASE MANAGEMENT IN 014 AND 015 TO SUPPORT OUR PATIENTS ON IDENTIFYING THEIR GOALS, MOTIVATIONAL INTERVIEWING AND SIGNS AND SYMPTOMS IF THEY HAVE A CONDITION. THIS IS NOW AN ONGOING PART OF ORIENTATION FOR APPLICABLE TEAM MEMBERS. CANCER: ST. LUKE S METHODIST HOSPITAL AND CONTINUING CARE HOSPITAL HAVE OFFERED FOUR COMMUNITY CANCER PREVENTION PROGRAMS IN THE AREAS OF LUNG CANCER SCREENING/PREVENTION, SKIN CANCER PREVENTION, ORAL/HEAD AND NECK SCREENING. WE HAVE INCREASED THE NUMBER OF INDIVIDUALS RECEIVING A LUNG CHECK TO SCREEN FOR LUNG CANCER AND ASSOCIATED RISK FACTORS FROM 10 IN 015 COMPARED TO 1 IN 014. WE HAVE COLLABORATED WITH AREA HIGH SCHOOLS TO DEVELOP AND IMPLEMENT A VERY SUCCESSFUL SKIN CANCER PREVENTION SOCIAL Shedule H (Form 990) 014 7

38 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. MARKETING CAMPAIGN. WE HAD A 015 FREE MAMMOGRAPHY AND PAP EVENT IN COLLABORATION WITH COMMUNITY PARTNERS WHERE WE PROVIDED FOR WOMEN AGE WITH NO MEDICAL INSURANCE QUALIFY INCOME GUIDELINES DO APPLY. ALL PATIENTS WERE SIGNED UP FOR THE CARE FOR YOURSELF AND ESPECIALLY FOR YOU PROGRAMS WITH LINN COUNTY PUBLIC HEALTH, RECEIVED INFORMATION REGARDING INSURANCE SIGN UP AND ACCESS TO OTHER SERVICES BY EASTERN IOWA HEALTH CENTER. NINETEEN TOTAL INDIVIDUALS WERE SEEN WITH 19 CBE AND MAMMOGRAMS PERFORMED WITH 9 PAP TESTS PERFORMED. SUBSTANCE ABUSE: ST. LUKE S METHODIST HOSPITAL AND CONTINUING CARE HOSPITAL THROUGH THE ST. LUKE S PHARMACY DEPARTMENT HAS SUPPORTED THE NATIONAL PRESCRIPTION DRUG TAKE-BACK DAYS BY PROVIDING SIGNAGE IN THE HALLWAYS, COMMUNICATION WITH OUR ASSOCIATES, AND ADDITIONAL BROCHURES ON LOCATIONS TO TAKE-BACK MEDICATIONS. WE HAVE REPRESENTATION ON THE LINN COUNTY COALITION FOR SAFE AND HEALTHY COMMUNITIES, A COALITION THAT MEETS MONTHLY TO SUPPORT DRUG FREE COMMUNITIES. TO SUPPORT TOBACCO CESSATION, OUR HEALTH PROMOTIONS TEAM CONTACTED AND FOLLOWED 117 PATIENTS. OF THESE 117 PATIENTS, 5 WERE ENROLLED IN QUITLINE IOWA. IN ADDITION, OUR PATIENT CENTERED MEDICAL HOMES REFERRED AND CONTINUE TO REFER PEOPLE TO QUITLINE IOWA. AT THIS TIME, WE DON T HAVE THE TOTAL NUMBER REFERRED FROM THE PATIENT CENTERED MEDICAL HOME, DUE TO A RECENT ELECTRONIC HEALTH RECORD CONVERSION, BUT BELIEVE WE HAVE SURPASSED THE GOAL OF 00. WE ARE CURRENTLY WORKING ON AUTOMATIC REFERRAL SYSTEM. MENTAL HEALTH: ST. LUKE S METHODIST HOSPITAL AND CONTINUING CARE HOSPITAL HAVE BEEN FURTHERING OUR OBJECTIVES TO SUPPORT MENTAL HEALTH NEEDS. IN THE CONTINUING CARE HOSPITAL, WE HAVE PROVIDED EDUCATION TO ALL CLINICAL STAFF AT THE ANNUAL SKILLS FAIR IN OCTOBER 015. A QUESTIONS DEPRESSION SCREEN HAS BEGUN TO BE COMPLETED ON ADMISSION FOR EACH PATIENT Shedule H (Form 990) 014 8

39 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. IN THE CONTINUING CARE HOSPITAL AS WELL AS IN ALL UNITYPOINT CLINICS. WE ARE PLANNING TO ROLE THIS OUT IN THE HOSPITAL AS WELL. AN OBJECTIVE OF THE CONTINUING CARE HOSPITAL OFFERS SUPPORT TO PATIENTS AND FAMILIES THROUGH SPIRITUAL CARE DEPARTMENT. A CHAPLAIN TO PROVIDE INITIAL PATIENT VISIT WITHIN 48 BUSINESS HOURS OF ADMISSION AND FOLLOW-UP VISITS ON A WEEKLY BASIS OR AS NEEDED. WHILE MEETING PATIENTS SPIRITUAL CARE NEEDS DOES NOT NECESSARILY MEAN THAT THEIR MENTAL HEALTH NEEDS ARE BEING ADDRESSED, THIS IS AN INDICATOR OF SUPPORT BEING OFFERED TO CCH PATIENTS. BETWEEN SEPT. 104 AND SEPT. 015, 80% OF CCH S GAVE A TOP BO RATING OF HIGHLY SATISFIED WHEN ASKED IF THEIR SPIRITUAL CARE NEEDS WERE MET DURING THEIR HOSPITAL STAY. WE ENSURE MENTAL HEALTH IS PART OF PATIENT CARE TEAM CONFERENCE DISCUSSIONS AND CARE PLANS FOR ALL PATIENTS FROM JANUARY 014 TO DECEMBER 015. THIS IS PART OF THE WEEKLY DISCUSSION AT OUR PATIENT CARE TEAM MEETINGS. RECOMMENDATIONS IN REGARDS TO MENTAL HEALTH TREATMENTS ARE BROUGHT TO THE PROVIDER BY CASE MANAGEMENT FOLLOWING THE MEETING. IN ADDITION, WE HAVE INCLUDED A BEHAVIORAL HEALTH REPRESENTATIVE IN OUR ST. LUKE S MEETINGS TO ADDRESS HIGH RISK PATIENT NEEDS, AND HAVE STARTED TO INTEGRATE BEHAVIORAL HEALTH INTO THE PATIENT CENTERED MEDICAL HOMES. OBJECTIVES WE ARE CONTINUING TO WORK ON ARE RELATED TO OUR ADOLESCENT LIFE PROGRAM WITH IMPLEMENTING YOUTH SUICIDE SCREENING. ONE OF THE LARGE HIGH SCHOOLS HAS IMPLEMENTED A GOOD SCREENING, BUT THERE IS ADDITIONAL OPPORTUNITY IN OTHER SCHOOLS. IN ADDITION, WE ARE CONSISTENTLY MAKING SURE MOST OF OUR KIDS SEE A THERAPIST (FAMILY OR INDIVIDUAL). HOWEVER WE DO NOT HAVE A THERAPIST WHO COMES TO WORK WITH THE FAMILIES. ACCESS TO CARE: ST. LUKE S METHODIST HOSPITAL AND JONES REGIONAL MEDICAL CENTER SUPPORTED INDIVIDUALS IN OUR COMMUNITY WHO DIDN T HAVE INSURANCE WITH SIGNING UP FOR THE IOWA HEALTH AND WELLNESS PROGRAM. WE Shedule H (Form 990) 014 9

40 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. TRAINED INDIVIDUALS IN THE HOSPITAL ON HOW TO BE DESIGNATED COUNSELORS TO ASSIST AND MAINTAINED SCHEDULED HOURS IN THE HOSPITAL AND VOLUNTEERED IN COMMUNITY SITES TO ASSIST. WE ARE AN ACTIVE MEMBER IN THE LINN COUNTY COMMUNITY COALITION, A COLLECTIVE EFFORT IN THE COMMUNITY TO PROMOTE, SUPPORT AND OFFER INSURANCE SIGN UP ASSISTANCE. OUR COMMUNITY COALITION EFFORTS WERE RECOGNIZED BY IOWA REPRESENTATIVES IN CONGRESS AS WELL AS MEMBERS IN STATE LEADERSHIP. TO REDUCE THE USE OF THE EMERGENCY ROOM FOR NON-EMERGENT CARE BY PROVIDING A PLAN OF CARE IN CONJUNCTION WITH THE PRIMARY CARE PROVIDER, OUR EMERGENCY DEPARTMENT CONSISTENT CARE PROGRAM (EDCCP) HAS CONTINUED TO EPAND THE CARE PLANS FOR INDIVIDUALS. IN ADDITION, THIS PROGRAM IS NOW AT JONES REGIONAL MEDICAL CENTER AS WELL AS HAS BEEN SPREAD THROUGHOUT UNITYPOINT HEALTH IN STATES. THE EDCCP TEAM MEETS QUARTERLY TO DISCUSS OPPORTUNITIES, AS WELL AS HOSTS QUARTERLY CALLS WITH OTHER EDCCP PROGRAMS IN THE HEALTH SYSTEM AND A YEARLY FACE TO FACE MEETING. NEW STAFF COMING INTO OUR ED DEPARTMENT RECEIVES TRAINING ON EDCCP. IN 014, WE ESTABLISHED A POPULATION HEALTH STEERING COMMITTEE TO ADDRESS THE HEALTH OF OUR POPULATION AND ACCESS TO SERVICES. REPRESENTATIVES OF ST. LUKE S, CONTINUING CARE HOSPITAL AND JONES ARE PARTICIPANTS. IN 014 A MEMBER OF THE CCH TEAM SERVED AS THE ELDERLY CONSORTIUM SECRETARY. CCH AND ST. LUKE S HAVE JOINTLY HOSTED AT LEAST ONE ELDERLY CONSORTIUM MEETING IN 014 AND 015. CCH HAS ALSO PROVIDED EDUCATION TO THE CONSORTIUM IN 014 AND 015. ST. LUKE S, JONES REGIONAL AND CCH ALL WORK WITH EACH PATIENT INDIVIDUALLY TO ENSURE THEY ARE ASSIGNED TO A PRIMARY CARE PROVIDER PRIOR TO DISCHARGE AND ASSIGNED TO AN AREA CARE COORDINATOR OR CARE NAVIGATOR (FOR HIGH RISK PATIENTS). SEUAL HEALTH: PER OUR OBJECTIVES, WE HAVE A REPRESENTATIVE THAT REGULARLY ATTENDS THE SEUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES Shedule H (Form 990)

41 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility. OUR FAMILY HEALTH CENTER PROVIDES WEEKLY CLINICS AT JONES REGIONAL AND OTHER LOCATIONS. IN ADDITION, 4 EDUCATION / OUTREACH EFFORTS HAVE BEEN COMPLETED BY OUR FAMILY HEALTH CENTER SERVING OVER,000 PARTICIPATING STUDENTS. ORAL HEALTH: OUR DR. RHYS B. JONES DENTAL HEALTH CENTER CARES FOR LOW-INCOME CHILDREN AND DEVELOPMENTALLY-DISABLED INDIVIDUALS FROM EAST CENTRAL IOWA. IN 015 YEAR TO DATE, THE CENTER HAS PROVIDED OVER 4,500 VISITS TO THIS POPULATION. OF THESE VISITS, THEY HAVE SERVED 900 NEW PATIENTS IN 015. THEY CONTINUE TO DO DENTAL SCREENINGS FOR THE MAJORITY OF SCHOOLS THROUGHOUT LINN COUNTY. CONTINUING CARE HOSPITAL AT ST. LUKE S: PART V, SECTION B, LINE 1H: PATIENTS WHO QUALIFY AND ARE RECEIVING BENEFITS FROM THE FOLLOWING PROGRAMS MAY BE PRESUMED ELIGIBLE FOR 100% FINANCIAL ASSISTANCE: THE U.S. DEPARTMENT OF AGRICULTURE FOOD AND NUTRITION SERVICE FOOD STAMP PROGRAM, FAMILY INVESTMENT PROGRAM, BARNABAS UPLIFT, MISSION HEALTH, AND VARIOUS COUNTY AND STATE RELIEF PROGRAMS. PART V, SECTION B, LINE 16A: PART V, SECTION B, LINE 16B: Shedule H (Form 990)

42 Shedule H (Form 990) 014 STL CARE COMPANY Page 7 Part V Faility Information (ontinued) Setion C. Supplemental Information for Part V, Setion B. Provide desriptions required for Part V, Setion B, lines, j, 5, 6a, 6, 7d, 11, 1, 1h, 15e, 16i, 18d, 19d, 0e, 1, 1d, d,, and 4. If appliale, provide separate desriptions for eah hospital faility in a faility reporting group, designated y faility reporting group letter and hospital faility line numer from Part V, Setion A ("A, 1," "A, 4," "B, " "B,," et.) and name of hospital faility Shedule H (Form 990) 014 4

43 Shedule H (Form 990) 014 STL CARE COMPANY Part V Faility Information (ontinued) Setion D. Other Health Care Failities That Are Not Liensed, Registered, or Similarly Reognized as a Hospital Faility Page 8 (list in order of size, from largest to smallest) How many non-hospital health are failities did the organization operate during the tax year? Name and address 1 LIVING CENTER WEST 1050 FOURTH AVENUE SE CEDAR RAPIDS, IA 540 LIVING CENTER EAST 10 5TH AVENUE STREET CEDAR RAPIDS, IA 5405 Type of Faility (desrie) NURSING FACILITY NURSING FACILITY/ICFMR Shedule H (Form 990)

44 Shedule H (Form 990) 014 STL CARE COMPANY Part VI Supplemental Information Page 9 Provide the following information Required desriptions. Provide the desriptions required for Part I, lines, 6a, and 7; Part II and Part III, lines,, 4, 8 and 9. Needs assessment. Desrie how the organization assesses the health are needs of the ommunities it serves, in addition to any CHNAs reported in Part V, Setion B. Patient eduation of eligiility for assistane. Desrie how the organization informs and eduates patients and persons who may e illed for patient are aout their eligiility for assistane under federal, state, or loal government programs or under the organization s finanial assistane poliy. Community information. Desrie the ommunity the organization serves, taking into aount the geographi area and demographi onstituents it serves. Promotion of ommunity health. Provide any other information important to desriing how the organization s hospital failities or other health are failities further its exempt purpose y promoting the health of the ommunity (e.g., open medial staff, ommunity oard, use of surplus funds, et.). Affiliated health are system. If the organization is part of an affiliated health are system, desrie the respetive roles of the organization and its affiliates in promoting the health of the ommunities served. State filing of ommunity enefit report. If appliale, identify all states with whih the organization, or a related organization, files a ommunity enefit report. PART I, LINE 6A: THE HOSPITALS S COMMUNITY BENEFIT REPORT IS CONTAINED WITHIN THE IOWA HEALTH SYSTEM COMMUNITY BENEFIT REPORT WHICH CAN BE LOCATED AT THIS SYSTEM-WIDE REPORT IS COMPLETED IN ADDITION TO THE COMMUNITY BENEFIT REPORT FOR THE HOSPITAL AND ITS REGIONAL AFFILIATES. PART I, LINE 7: THE AMOUNTS ON LINES 7B-7C (UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) ARE OBTAINED FROM A COST ACCOUNTING SYSTEM OF APPLICABLE PATIENT SEGMENTS. PART III, LINE 4: THE HEALTH SYSTEM PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE HEALTH SYSTEM BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY Shedule H (Form 990)

45 Shedule H (Form 990) STL CARE COMPANY Part VI Supplemental Information (Continuation) Page 9 WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. PART III, LINE 9B: AFTER THE PATIENT MEETS THE QUALIFICATIONS FOR FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE IS PARTIALLY OR ENTIRELY WRITTEN OFF, AS APPROPRIATE. ANY REMAINING BALANCE, IF ANY, WOULD BE COLLECTED UNDER THE NORMAL DEBT COLLECTION POLICY. PART VI, LINE : STL CARE COMPANY CONTINUALLY WORKS WITH COMMUNITY PARTNERS IN EAST CENTRAL IOWA TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. SPECIFICALLY, STL CARE COMPANY IS A SPONSORING PARTNER OF CONTINUING CARE HOSPITAL AT ST. LUKE S (LTACH) WHICH IS A COMMUNITY COLLABORATIVE CONVENED BY STL CARE COMPANY TO ASSESS, ADDRESS AND MONITOR THE HEALTH NEEDS OF LINN COUNTY. THROUGH A PLANNED AND ORGANIZED EFFORT, LTACH DEVELOPS A HEALTH AGENDA BY IDENTIFYING SPECIFIC HEALTH PRIORITIES THAT ARE RELEVANT TO THE COMMUNITY. LTACH WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES THROUGH LEVERAGING THE RESOURCES OF THE COMMUNITY. STL CARE COMPANY, AS A SPONSORING AGENCY, ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION AND CAPACITY. FURTHER, LTACH HAS DEVELOPED A MEASUREMENT PROCESS TO EVALUATE EFFECTIVENESS AS WELL AS NEED. STL CARE COMPANY IS ALSO A SPONSORING PARTNER IN LTACH. THIS COLLABORATIVE HAS COMPLETED A RECENT COUNTY-WIDE HEALTH ASSESSMENT. FROM THIS, PRIORITIES AND STRATEGIES HAVE BEEN IDENTIFIED. STL CARE COMPANY HAS ACTIVELY ENGAGED IN ADDRESSING AND MONITORING HEALTH ISSUES AND NEEDS AS A RESULT OF THIS PROCESS. STL CARE COMPANY FOCUSES ON THE SOCIAL DETERMINANTS OF HEALTH AND HOW TO IMPACT THEM IN THE EFFORT TO RAISE THE Shedule H (Form 990) 45

46 Shedule H (Form 990) STL CARE COMPANY Part VI Supplemental Information (Continuation) Page 9 COMMUNITY HEALTH STATUS. THIS PROVIDES OPPORTUNITIES FOR STL CARE COMPANY TO ENGAGE IN VARIOUS AREAS OF SERVICE TO THE COMMUNITY THAT MAY BE OUTSIDE OF ITS TYPICAL EPERTISE BUT WITHIN ITS EISTING RESOURCES. IN ADDITION TO THESE ORGANIZED COMMUNITY EFFORTS, STL CARE COMPANY CONTINUALLY MONITORS COMMUNITY NEEDS SPECIFIC TO IT S SERVICE LINES AND THE RESOURCES IT CAN LEVERAGE TO ADDRESS THEM. INDIVIDUAL DEPARTMENTS OFTEN WORK TO IDENTIFY SPECIFIC NEEDS RELATED TO THEIR SERVICES AND THE POPULATION THEY IMPACT. PART VI, LINE : STL CARE COMPANY PERFORMS THE FOLLOWING ACTIVITIES TO COMMUNICATE THE AVAILABILITY OF CHARITY CARE AND FINANCIAL ASSISTANCE TO ALL PATIENTS: 1) PLACES SIGNAGE, INFORMATION, AND/OR BROCHURES IN APPROPRIATE AREAS OF THE PROVIDER (E.G., THE EMERGENCY DEPARTMENT, AND REGISTRATION AND CHECK-OUT/CASHIER AREAS) STATING THE PROVIDER/PHYSICIAN PRACTICE OFFERS CHARITY CARE AND DESCRIBES HOW TO OBTAIN MORE INFORMATION ABOUT FINANCIAL ASSISTANCE, ) PLACES A NOTE ON THE HEALTH-CARE BILL AND STATEMENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE, ) DESIGNATES INDIVIDUALS WHO CAN EPLAIN THE PROVIDER S CHARITY CARE POLICY, AND 4) INSTRUCTS STAFF WHO INTERACT WITH PATIENTS TO DIRECT QUESTIONS REGARDING THE CHARITY CARE POLICY TO THE PROPER PROVIDER REPRESENTATIVE. INFORMATION IS ALSO PROVIDED TO PATIENTS AND FAMILIES UPON ADMISSION WITH THE INITIAL ADMISSION PAPERWORK. THE CASE MANAGER OR REPRESENTATIVE SITS DOWN WITH EACH PATIENT AND/OR FAMILY MEMBER TO REVIEW THE INFORMATION. ADDITIONAL QUESTIONS BY PATIENTS AND FAMILIES MAY ALSO BE ADDRESSED AT FAMILY CARE CONFERENCES OR ON A ONE-TO-ONE BASIS THROUGHOUT THE PATIENT S STAY Shedule H (Form 990) 46

47 Shedule H (Form 990) STL CARE COMPANY Part VI Supplemental Information (Continuation) Page 9 PART VI, LINE 4: CONTINUING CARE HOSPITAL AT ST. LUKE S IS A -BED COMMUNITY HOSPITAL SERVING EAST-CENTRAL IOWA. WE ARE NONDENOMINATIONAL AND SERVES ALL WHO COME HERE, REGARDLESS OF REASON OR CIRCUMSTANCE. CONTINUNING CARE HOSPITAL AT ST. LUKE S MAINLY SERVES THE AREAS AROUND CEDAR RAPIDS AND IOWA CITY, IOWA. HOWEVER BEING ONE OF ONLY TWO LONG-TERM ACUTE CARE HOSPITALS IN THE STATE OF IOWA, WE ARE SERVING PATIENTS FROM ALL OVER CENTRAL AND EASTERN IOWA. FOR THESE COUNTIES, THE MEDIAN HOUSEHOLD INCOMES RANGE FROM $5,44 TO $58,088, AND THE AVERAGE POVERTY RATE IS 10 PERCENT. LINN AND JOHNSON COUNTIES, THE ONLY COUNTIES IN THE SERVICE AREA WITH SIGNIFICANT MINORITY POPULATION, AVERAGE 86 PERCENT CAUCASIAN, 5 PERCENT AFRICAN-AMERICAN, 4 PERCENT ASIAN, 4 PERCENT HISPANIC AND 1 PERCENT AMERICAN INDIAN. PART VI, LINE 5: THE HOSPITAL IS ORGANIZED AND OPERATED ECLUSIVELY FOR CHARITABLE PURPOSES WITH THE GOAL OF PROMOTING THE HEALTH OF THE COMMUNITIES IT SERVES. THE HOSPITAL SUPPORTS THIS MISSION WITH A COMMUNITY BOARD, OPEN MEDICAL STAFF, AND AN EMERGENCY ROOM AVAILABLE TO PATIENTS REGARDLESS OF ABILITY TO PAY. THE BOARD OF DIRECTORS OF THE HOSPITAL IS COMPOSED OF CIVIC LEADERS WHO RESIDE IN THE SERVICE AREA OF THE HOSPITAL. THE BOARD ACTIVELY DEBATES AND SETS POLICY AND STRATEGIC DIRECTION FOR THE HOSPITAL BUT DOES NOT GET INVOLVED IN ISSUES RELATED TO THE DIRECT OPERATIONS OF THE HOSPITAL. THE BOARD TAKES A BALANCED APPROACH WHEN ADDRESSING COMMUNITY AND BUSINESS/FINANCIAL CONCERNS. THE BOARD IS ALSO THE PRIMARY GROUP FOR Shedule H (Form 990) 47

48 Shedule H (Form 990) STL CARE COMPANY Part VI Supplemental Information (Continuation) Page 9 DETERMINING THE USE OF HOSPITAL SURPLUS FUNDS, WHICH ARE ALL USED TO FURTHER OUR CHARITABLE PURPOSE. PART VI, LINE 6: THE HOSPITAL IS PART OF IOWA HEALTH SYSTEM (D/B/A UNITYPOINT HEALTH). INITIALLY FORMED IN 1994, UNITYPOINT HEALTH IS THE STATE S FIRST AND LARGEST INTEGRATED HEALTH SYSTEM, SERVING NEARLY ONE OF EVERY THREE PATIENTS IN IOWA. THROUGH RELATIONSHIPS WITH HOSPITALS IN METROPOLITAN AND RURAL COMMUNITIES AND MORE THAN 80 PHYSICIAN CLINICS, UNITYPOINT HEALTH PROVIDES CARE THROUGHOUT IOWA, ILLINOIS, AND SOUTHERN WISCONSIN. UNITYPOINT HEALTH ENTITIES EMPLOY THE STATE S LARGEST NONPROFIT WORKFORCE, WITH MORE THAN 0,000 EMPLOYEES WORKING TOWARD INNOVATIVE ADVANCEMENTS TO DELIVER THE BEST OUTCOME FOR EVERY PATIENT EVERY TIME. EACH YEAR, THROUGH MORE THAN 4.5 MILLION PATIENT VISITS, UNITYPOINT HEALTH HOSPITALS AND CLINICS PROVIDE A FULL RANGE OF CARE TO PATIENTS AND FAMILIES. WITH ANNUAL REVENUES OF $.7 BILLION, UNITYPOINT HEALTH IS THE FOURTH LARGEST NONDENOMINATIONAL HEALTH SYSTEM IN AMERICA AND PROVIDES COMMUNITY BENEFIT PROGRAMS AND SERVICES TO IMPROVE THE HEALTH OF PEOPLE IN ITS COMMUNITIES. UNITYPOINT HEALTH AND ITS AFFILIATES ENGAGE IN COMMUNITY HEALTH PROGRAMS AND SERVICES THROUGHOUT IOWA, AND WORK WITH VOLUNTEER AND CIVIC ORGANIZATIONS, SCHOOLS, BUSINESSES, INSURERS AND INDIVIDUALS TO SUPPORT ACTIVITIES THAT BENEFIT PEOPLE THROUGHOUT THE STATE. IN 014, UNITYPOINT HEALTH AND ITS AFFILIATES PROVIDED MORE THAN $44 MILLION OF COMMUNITY BENEFIT. THE CONTRIBUTIONS TO THEIR COMMUNITIES BY UNITYPOINT HEALTH AND ITS AFFILIATES ARE REPORTED IN DETAIL IN STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (PART III) OF THE IRS FORM 990 OF THOSE AFFILIATES Shedule H (Form 990) 48

49 Shedule H (Form 990) STL CARE COMPANY Part VI Supplemental Information (Continuation) Page 9 PART VI, LINE 7, LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: IA Shedule H (Form 990) 49

50 SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Servie For ertain Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees Complete if the organization answered "Yes" on Form 990, Part IV, line. Attah to Form 990. Information aout Shedule J (Form 990) and its instrutions is at OMB No Open to Puli Inspetion Name of the organization Employer identifiation numer STL CARE COMPANY Part I Questions Regarding Compensation 1a Chek the appropriate ox(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Setion A, line 1a. Complete Part III to provide any relevant information regarding these items. First-lass or harter travel Travel for ompanions Tax indemnifiation and gross-up payments Disretionary spending aount Compensation Information Housing allowane or residene for personal use Payments for usiness use of personal residene Health or soial lu dues or initiation fees Personal servies (e.g., maid, hauffeur, hef) 014 Yes No If any of the oxes on line 1a are heked, did the organization follow a written poliy regarding payment or reimursement or provision of all of the expenses desried aove? If "No," omplete Part III to explain~~~~~~~~~~~ Did the organization require sustantiation prior to reimursing or allowing expenses inurred y all diretors, trustees, and offiers, inluding the CEO/Exeutive Diretor, regarding the items heked in line 1a? ~~~~~~~~~~~~ 1 Indiate whih, if any, of the following the filing organization used to estalish the ompensation of the organization s CEO/Exeutive Diretor. Chek all that apply. Do not hek any oxes for methods used y a related organization to estalish ompensation of the CEO/Exeutive Diretor, ut explain in Part III. Compensation ommittee Written employment ontrat Independent ompensation onsultant Compensation survey or study Form 990 of other organizations Approval y the oard or ompensation ommittee 4 a During the year, did any person listed in Form 990, Part VII, Setion A, line 1a, with respet to the filing organization or a related organization: Reeive a severane payment or hange-of-ontrol payment? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Partiipate in, or reeive payment from, a supplemental nonqualified retirement plan? ~~~~~~~~~~~~~~~~~~~~ Partiipate in, or reeive payment from, an equity-ased ompensation arrangement? ~~~~~~~~~~~~~~~~~~~~ If "Yes" to any of lines 4a-, list the persons and provide the appliale amounts for eah item in Part III. 4a a a LHA Only setion 501()(), 501()(4), and 501()(9) organizations must omplete lines 5-9. For persons listed in Form 990, Part VII, Setion A, line 1a, did the organization pay or arue any ompensation ontingent on the revenues of: The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Any related organization? If "Yes" to line 5a or 5, desrie in Part III. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For persons listed in Form 990, Part VII, Setion A, line 1a, did the organization pay or arue any ompensation ontingent on the net earnings of: The organization? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Any related organization? If "Yes" to line 6a or 6, desrie in Part III. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ For persons listed in Form 990, Part VII, Setion A, line 1a, did the organization provide any non-fixed payments not desried in lines 5 and 6? If "Yes," desrie in Part III ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Were any amounts reported in Form 990, Part VII, paid or arued pursuant to a ontrat that was sujet to the initial ontrat exeption desried in Regulations setion (a)()? If "Yes," desrie in Part III ~~~~~~~~~~~ If "Yes" to line 8, did the organization also follow the reuttale presumption proedure desried in Regulations setion ()? For Paperwork Redution At Notie, see the Instrutions for Form 990. Shedule J (Form 990) 014 5a 5 6a

51 Shedule J (Form 990) 014 STL CARE COMPANY Part II Offiers, Diretors, Trustees, Key Employees, and Highest Compensated Employees. Use dupliate opies if additional spae is needed. For eah individual whose ompensation must e reported in Shedule J, report ompensation from the organization on row (i) and from related organizations, desried in the instrutions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of olumns (B)(i)-(iii) for eah listed individual must equal the total amount of Form 990, Part VII, Setion A, line 1a, appliale olumn (D) and (E) amounts for that individual. Page (A) Name and Title (B) Breakdown of W- and/or 1099-MISC ompensation (C) Retirement and (D) Nontaxale (E) Total of olumns (F) Compensation other deferred enefits (B)(i)-(D) in olumn (B) (i) Base (ii) Bonus & (iii) Other ompensation reported as deferred ompensation inentive reportale in prior Form 990 ompensation ompensation MILTON AUNAN II (i) BOARD SEC & SR VP/CFO (STLCC) (ii) 80,405. 9,96.,96. 7,851. 1,59. 49, MICHELLE NIERMANN (i) BOARD VICE CHAIR (STLCC & CCH) (ii) 89,66. 85,054., ,789. 0, , THEODORE TOWNSEND, JR. (i) BOARD CHAIR & PRES/CEO (STLCC) (ii) 451, , ,10. 18,51. 0, , (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) 51 Shedule J (Form 990) 014

52 Shedule J (Form 990) 014 STL CARE COMPANY Part III Supplemental Information Provide the information, explanation, or desriptions required for Part I, lines 1a, 1,, 4a, 4, 4, 5a, 5, 6a, 6, 7, and 8, and for Part II. Also omplete this part for any additional information. Page PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED RETIREMENT PLAN WITH THE FOLLOWING CHANGES TO THEIR ACCOUNTS: MILTON AUNAN II $51,4, MICHELLE NIERMANN $47,789, AND THEODORE TOWNSEND, JR. $14,405. Shedule J (Form 990)

53 SCHEDULE O (Form 990 or 990-EZ) Department of the Treasury Internal Revenue Servie Name of the organization Supplemental Information to Form 990 or 990-EZ 014 OMB No Complete to provide information for responses to speifi questions on Form 990 or 990-EZ or to provide any additional information. Attah to Form 990 or 990-EZ. Open to Puli Information aout Shedule O (Form 990 or 990-EZ) and its instrutions is at Inspetion Employer identifiation numer STL CARE COMPANY FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: NECESSARY, TO EMPLOY PERSONNEL TO ADMINISTER AND CONDUCT GENERALIZED PUBLIC HEALTH SERVICES. FORM 990, PART VI, SECTION A, LINE 6: ST. LUKE S HEALTHCARE, A TA-EEMPT IOWA NONPROFIT CORPORATION, IS THE SOLE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A: ST. LUKE S HEALTHCARE, AS SOLE MEMBER, SHALL APPOINT BOARD OF DIRECTORS. IN ADDITION, ST. LUKE S METHODIST HOSPITAL PRESIDENT SHALL BE E-OFFICIO BOARD MEMBER WITH VOTE. FORM 990, PART VI, SECTION A, LINE 7B: ST. LUKE S HEALTHCARE, AS SOLE MEMBER, SHALL APPOINT BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11: THE FORM 990 IS PREPARED INTERNALLY BY THE IOWA HEALTH SYSTEM TA 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 TA DEPARTMENT. A DRAFT COPY OF THE RETURN IS PROVIDED TO THE CFO FOR REVIEW. A SUBCOMMITTEE OF THE BOARD REVIEWS THE FORM 990 AND REPORTS BACK TO THE FULL BOARD. A FULL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 1C: LHA For Paperwork Redution At Notie, see the Instrutions for Form 990 or 990-EZ. Shedule O (Form 990 or 990-EZ) (014)

54 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY 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; ) HAS READ AND UNDERSTANDS THE POLICY; ) 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 TA-EEMPT STATUS, IT MUST CONTINUOUSLY ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TA-EEMPT 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 EECUTIVE 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 Shedule O (Form 990 or 990-EZ) (014) 54

55 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY 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 EISTENCE OF A QUORUM FOR PURPOSES OF THE MATTER OR ITEM AS TO WHICH A CONFLICT EISTS. THE BOARD SHOULD ECLUDE THE INDIVIDUAL FROM ANY DISCUSSION OR VOTE IN WHICH THE BOARD DECIDES WHETHER OR NOT A CONFLICT OF INTEREST EISTS. 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 EISTS, ) A DISINTERESTED PERSON OR COMMITTEE MAY BE APPOINTED TO INVESTIGATE ALTERNATIVES TO THE PROPOSED ARRANGEMENT OR TRANSACTION; ) IN ORDER TO APPROVE THE ARRANGEMENT OR TRANSACTION, THE Shedule O (Form 990 or 990-EZ) (014) 55

56 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY 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 EISTED; ) 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 EECUTIVE 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 EECUTIVE OFFICER (THE "CEO"). THIS ANNUAL REVIEW Shedule O (Form 990 or 990-EZ) (014) 56

57 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY COMPARES THE TOTAL COMPENSATION AND VALUE OF BENEFITS PROVIDED TO EACH EECUTIVE, 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 EECUTIVE COMPENSATION AND IS MADE UP ENTIRELY OF INDEPENDENT DIRECTORS WITHIN THE MEANING OF THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" UNDER THE FEDERAL INCOME TA 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 APPROIMATELY THE TOP FIFTY EECUTIVES 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 EECUTIVES. 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 TA 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 ECESS COMPENSATION Shedule O (Form 990 or 990-EZ) (014) 57

58 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY OR BENEFITS AS PROHIBITED BY SECTION THE ANNUAL REVIEW OF COMPENSATION AND BENEFITS WAS LAST PERFORMED IN DECEMBER 014 FOR THE FOLLOWING INDIVIDUALS: MILTON AUNAN II, MICHELLE NIERMANN, AND THEODORE TOWNSEND, JR. THE COMPENSATION AND BENEFITS OF THE OTHER PERSONS LISTED ON FORM 990, PART VII WAS ESTABLISHED BY AN INDEPENDENT PERSON/COMMITTEE USING AN INDEPENDENT COMPENSATION CONSULTANT AND/OR COMPENSATION SURVEY OR STUDY FOR SIMILARLY QUALIFED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. COMPENSATION AND BENEFITS ARE BASED ON THE FAIR MARKET VALUE OF THE SERVICES PROVIDED TO THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION S GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST THROUGH THE IOWA HEALTH SYSTEM, OUR PARENT ORGANIZATION, LEGAL DEPARTMENT. THE ORGANIZATION S CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE ON THE IOWA HEALTH SYSTEM WEBSITE, FORM 990, PART I, LINE 11G, OTHER FEES: HEALTH-CARE PURCHASED SERVICES: PROGRAM SERVICE EPENSES 1,571,485. MANAGEMENT AND GENERAL EPENSES 15,00. FUNDRAISING EPENSES 0. TOTAL EPENSES 1,586,785. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EPENSES 1,957, Shedule O (Form 990 or 990-EZ) (014) 58

59 Shedule O (Form 990 or 990-EZ) (014) Page Name of the organization Employer identifiation numer STL CARE COMPANY MANAGEMENT AND GENERAL EPENSES 10,45. FUNDRAISING EPENSES 0. TOTAL EPENSES 1,968,174. TOTAL OTHER FEES ON FORM 990, PART I, LINE 11G, COL A,554,959. FORM 990, LINE J, WEBSITE: Shedule O (Form 990 or 990-EZ) (014) 59

60 Related Organizations and Unrelated Partnerships OMB No SCHEDULE R (Form 990) Complete if the organization answered "Yes" on Form 990, Part IV, line, 4, 5, 6, or Attah to Form 990. Department of the Treasury Open to Puli Internal Revenue Servie Information aout Shedule R (Form 990) and its instrutions is at Inspetion Name of the organization Employer identifiation numer STL CARE COMPANY Part I Identifiation of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line. (a) () () (d) (e) (f) Name, address, and EIN (if appliale) of disregarded entity Primary ativity Legal domiile (state or foreign ountry) Total inome End-of-year assets Diret ontrolling entity CONTINUING CARE HOSPITAL AT ST. LUKE'S, L.C , 106 A AVE NE, CEDAR RAPIDS, LONG-TERM ACUTE CARE IA 540 HOSPITAL IOWA 7,68,570.,86,86.STL CARE COMPANY Part II Identifiation of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 4 eause it had one or more related tax-exempt organizations during the tax year. (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) Diret ontrolling entity Setion 51()(1) ontrolled entity? ALLEN COLLEGE LOGAN AVENUE EDUCATE AND DEVELOP 170(B)(1) ALLEN HEALTH WATERLOO, IA 5070 HEALTHCARE PROFESSIONALS IOWA 501(C)() (A)(II) SYSTEMS, INC. ALLEN HEALTH SYSTEMS, INC SUPPORT AFFILIATES' 185 LOGAN AVENUE MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH WATERLOO, IA 5070 CARE IOWA 501(C)() TYPE II SYSTEM ALLEN MEMORIAL HOSPITAL CORPORATION , 185 LOGAN AVENUE, WATERLOO, IA 170(B)(1) ALLEN HEALTH 5070 HOSPITAL IOWA 501(C)() (A)(III) SYSTEMS, INC. ANAMOSA AREA AMBULANCE SERVICE ST. LUKE'S/JONES 101 GRANT WOOD DRIVE REGIONAL MEDICAL ANAMOSA, IA 505 PROVIDE AMBULANCE SERVICES IOWA 501(C)() 509(A)() CENTER For Paperwork Redution At Notie, see the Instrutions for Form 990. Shedule R (Form 990) 014 Yes No LHA 60

61 Shedule R (Form 990) STL CARE COMPANY Part II Continuation of Identifiation of Related Tax-Exempt Organizations (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) Diret ontrolling entity Setion 51()(1) ontrolled organization? CENTRAL IOWA HEALTH PROPERTIES CORPORATION , 100 PLEASANT STREET, DES CENTRAL IOWA MOINES, IA 5009 PROPERTY HOLDING COMPANY IOWA 501(C)() HEALTH SYSTEM CENTRAL IOWA HEALTH SYSTEM SUPPORT AFFILIATES' 100 PLEASANT STREET MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH DES MOINES, IA 5009 CARE IOWA 501(C)() TYPE II SYSTEM CENTRAL IOWA HOSPITAL CORPORATION , 100 PLEASANT STREET, DES 170(B)(1) CENTRAL IOWA MOINES, IA 5009 HOSPITAL IOWA 501(C)() (A)(III) HEALTH SYSTEM DES MOINES AREA MEDICAL EDUCATION CONSORTIUM, INC , 1415 WOODLAND COORDINATION OF MEDICAL 509(A)(), AVE., SUITE 10, DES MOINES, IA 5009 EDUCATION PROGRAMS IOWA 501(C)() TYPE III FINLEY TRI-STATES HEALTH GROUP, INC. - SUPPORT AFFILIATES' , 50 NORTH GRANDVIEW AVENUE, MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH DUBUQUE, IA 5001 CARE IOWA 501(C)() TYPE II SYSTEM HULT CENTER FOR HEALTHY LIVING, INC , 5409 N KNOVILLE AVE, PEORIA, IL HEALTH EDUCATION TO THE 170(B)(1) COMMUNITY ILLINOIS 501(C)() (A)(VI) PROCTOR HOSPITAL IOWA HEALTH FOUNDATION WOODLAND AVE., SUITE E (B)(1) CENTRAL IOWA DES MOINES, IA 5009 CHARITABLE FUNDRAISING IOWA 501(C)() (A)(VI) HEALTH SYSTEM IOWA HEALTH SYSTEM SUPPORT AFFILIATES' 1776 WEST LAKES PKWY, #400 MISSION TO IMPROVE HEALTH 509(A)(), WEST DES MOINES, IA 5066 CARE IOWA 501(C)() TYPE III IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION , 8101 BIRCHWOOD COURT, JOHNSTON, PRIMARY HEALTH CARE 170(B)(1) IOWA HEALTH IA 5011 SERVICES IOWA 501(C)() (A)(III) SYSTEM MEMORIAL FOUNDATION OF ALLEN HOSPITAL , 185 LOGAN AVENUE, WATERLOO, IA 170(B)(1) ALLEN HEALTH 5070 CHARITABLE FUNDRAISING IOWA 501(C)() (A)(VI) SYSTEMS, INC. MERITER FOUNDATION, INC SOUTH PARK STREET 170(B)(1) MERITER HEALTH MADISON, WI 5715 CHARITABLE FUNDRAISING WISCONSIN 501(C)() (A)(VI) SERVICES, INC. MERITER HEALTH SERVICES, INC SUPPORT AFFILIATES' 0 SOUTH PARK STREET MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH MADISON, WI 5715 CARE WISCONSIN 501(C)() TYPE II SYSTEM Yes No

62 Shedule R (Form 990) STL CARE COMPANY Part II Continuation of Identifiation of Related Tax-Exempt Organizations (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) Diret ontrolling entity Setion 51()(1) ontrolled organization? MERITER HOSPITAL, INC SOUTH PARK STREET 170(B)(1) MERITER HEALTH MADISON, WI 5715 HOSPITAL WISCONSIN 501(C)() (A)(III) SERVICES, INC. MERITER MEDICAL GROUP, INC SUPPORT SERVICES FOR 0 SOUTH PARK STREET MEDICAL CARE AND HEALTH 509(A)(), MERITER HOSPITAL, MADISON, WI 5715 SERVICES WISCONSIN 501(C)() TYPE II INC. METHODIST HEALTH SERVICES CORPORATION - SUPPORT AFFILIATES' , 1 NORTHEAST GLEN OAK AVENUE, MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH PEORIA, IL 6166 CARE ILLINOIS 501(C)() TYPE III SYSTEM METHODIST MEDICAL CENTER FOUNDATION - METHODIST HEALTH , 1 NORTHEAST GLEN OAK AVENUE, 170(B)(1) SERVICES PEORIA, IL 6166 CHARITABLE FUNDRAISING ILLINOIS 501(C)() (A)(VI) CORPORATION METHODIST MEDICAL CENTER OF ILLINOIS - METHODIST HEALTH , 1 NORTHEAST GLEN OAK AVENUE, 170(B)(1) SERVICES PEORIA, IL 6166 HOSPITAL ILLINOIS 501(C)() (A)(III) CORPORATION METHODIST SERVICES, INC METHODIST HEALTH 1 NORTHEAST GLEN OAK AVENUE SERVICES PEORIA, IL 6166 OFFICE RENTAL ILLINOIS 501(C)() 509(A)() CORPORATION NELLIE R. SHERWOOD TRUST PAY MEDICAL BILLS OF ST. LUKE'S 106 A AVENUE NE RETIRED TEACHERS UNABLE TO 509(A)(), METHODIST CEDAR RAPIDS, IA 540 PAY IOWA 501(C)() TYPE I HOSPITAL NORTH CENTRAL IOWA MENTAL HEALTH CENTER, INCORPORATED , 70 KENYON DRIVE, 170(B)(1) TRINITY HEALTH FORT DODGE, IA MENTAL HEALTH CARE IOWA 501(C)() (A)(III) SYSTEMS, INC. NORTHWEST IOWA HOSPITAL CORPORATION , 70 STONE PARK BLVD., SIOU 170(B)(1) IOWA HEALTH CITY, IA HOSPITAL IOWA 501(C)() (A)(III) SYSTEM PROCTOR HEALTH CARE INCORPORATED - SUPPORT AFFILIATES' METHODIST HEALTH , 5409 N KNOVILLE AVE, PEORIA, IL MISSION TO IMPROVE HEALTH 170(B)(1) SERVICES CARE ILLINOIS 501(C)() (A)(III) CORPORATION PROCTOR HEALTH SYSTEMS N KNOVILLE AVE PRIMARY HEALTH CARE 170(B)(1) PROCTOR HEALTH PEORIA, IL SERVICES ILLINOIS 501(C)() (A)(III) CARE INCORPORATED PROCTOR HOSPITAL N KNOVILLE AVE 170(B)(1) PROCTOR HEALTH PEORIA, IL HOSPITAL ILLINOIS 501(C)() (A)(III) CARE INCORPORATED Yes No

63 Shedule R (Form 990) STL CARE COMPANY Part II Continuation of Identifiation of Related Tax-Exempt Organizations (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) Diret ontrolling entity Setion 51()(1) ontrolled organization? Yes SELF INSURANCE TRUST AGREEMENT EST. BY METHODIST MEDICAL CENTER OF ILLINOIS, 1 509(A)(), METHODIST MEDICAL NORTHEAST GLEN OAK AVENUE, PEORIA, IL 6166 FUND SELF-INSURANCE PLAN ILLINOIS 501(C)() TYPE I CENER OF ILLINOIS SHARED MAGNETIC RESONANCE IMAGING FACILITY, INC , 1104 JOHN NOLEN DRIVE, 509(A)(), MADISON, WI 571 MEDICAL TECHNOLOGY WISCONSIN 501(C)() TYPE I SIOULAND PACE, INC COOK STREET ALL-INCLUSIVE CARE FOR THE 170(B)(1) ST. LUKE'S HEALTH SIOU CITY, IA 5110 ELDERLY IOWA 501(C)() (A)(III) SYSTEM, INC. ST. LUKE'S HEALTH RESOURCES STONE PARK BLVD. OUTPATIENT CLINICS AND ST. LUKE'S HEALTH SIOU CITY, IA HEALTHCARE SERVICES IOWA 501(C)() 509(A)() SYSTEM, INC. ST. LUKE'S HEALTH SYSTEM, INC SUPPORT AFFILIATES' 70 STONE PARK BLVD. MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH SIOU CITY, IA CARE IOWA 501(C)() TYPE III SYSTEM ST. LUKE'S HEALTHCARE SUPPORT AFFILIATES' 106 A AVENUE NE MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH CEDAR RAPIDS, IA 540 CARE IOWA 501(C)() TYPE II SYSTEM ST. LUKE'S METHODIST HOSPITAL A AVENUE NE 170(B)(1) ST. LUKE'S CEDAR RAPIDS, IA 540 HOSPITAL IOWA 501(C)() (A)(III) HEALTHCARE ST. LUKE'S/JONES REGIONAL MEDICAL CENTER , 1795 HIGHWAY 64 EAST, ANAMOSA, 170(B)(1) ST. LUKE'S IA 505 HOSPITAL IOWA 501(C)() (A)(III) HEALTHCARE STL CARE COMPANY A AVENUE NE IMPROVE PUBLIC HEALTH ST. LUKE'S CEDAR RAPIDS, IA 540 SERVICES IOWA 501(C)() 509(A)() HEALTHCARE THE DUBUQUE VISITING NURSE ASSOCIATION - FINLEY TRI-STATES , 50 NORTH GRANDVIEW AVENUE, PUBLIC HEALTH HEALTH GROUP, DUBUQUE, IA 5001 SERVICES/HOME CARE IOWA 501(C)() 509(A)() INC. THE FINLEY HOSPITAL FINLEY TRI-STATES 50 NORTH GRANDVIEW AVENUE 170(B)(1) HEALTH GROUP, DUBUQUE, IA 5001 HOSPITAL IOWA 501(C)() (A)(III) INC. THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH , TH STREET, ROCK 170(B)(1) TRINITY REGIONAL ISLAND, IL 6101 MENTAL HEALTH CARE ILLINOIS 501(C)() (A)(VI) HEALTH SYSTEM No

64 Shedule R (Form 990) STL CARE COMPANY Part II Continuation of Identifiation of Related Tax-Exempt Organizations (a) () () (d) (e) (f) (g) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Exempt Code setion Puli harity status (if setion 501()()) Diret ontrolling entity Setion 51()(1) ontrolled organization? Yes No TRIMARK PHYSICIANS GROUP SUPPORT SERVICES FOR 80 KENYON ROAD MEDICAL CARE AND HEALTH 170(B)(1) TRINITY HEALTH FORT DODGE, IA SERVICES IOWA 501(C)() (A)(III) SYSTEMS, INC. TRINITY BUILDING CORPORATION KENYON ROAD TRINITY HEALTH FORT DODGE, IA PROPERTY HOLDING COMPANY IOWA 501(C)() SYSTEMS, INC. TRINITY HEALTH FOUNDATION KENYON ROAD 170(B)(1) TRINITY HEALTH FORT DODGE, IA CHARITABLE FUNDRAISING IOWA 501(C)() (A)(VI) SYSTEMS, INC. TRINITY HEALTH FOUNDATION TH STREET 170(B)(1) TRINITY REGIONAL ROCK ISLAND, IL 6101 CHARITABLE FUNDRAISING ILLINOIS 501(C)() (A)(VI) HEALTH SYSTEM TRINITY HEALTH SYSTEMS, INC SUPPORT AFFILIATES' 80 KENYON ROAD MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH FORT DODGE, IA CARE IOWA 501(C)() TYPE II SYSTEM TRINITY MEDICAL CENTER TH STREET 170(B)(1) TRINITY REGIONAL ROCK ISLAND, IL 6101 HOSPITAL ILLINOIS 501(C)() (A)(III) HEALTH SYSTEM TRINITY REGIONAL HEALTH SYSTEM SUPPORT AFFILIATES' TH STREET MISSION TO IMPROVE HEALTH 509(A)(), IOWA HEALTH ROCK ISLAND, IL 6101 CARE ILLINOIS 501(C)() TYPE II SYSTEM TRINITY REGIONAL HOSPITAL AUILIARY , 80 KENYON ROAD, FORT DODGE, IA CHARITABLE FUNDRAISING AND TRINITY REGIONAL VOLUNTEER SERVICES IOWA 501(C)() 509(A)() MEDICAL CENTER TRINITY REGIONAL MEDICAL CENTER KENYON ROAD 170(B)(1) TRINITY HEALTH FORT DODGE, IA HOSPITAL IOWA 501(C)() (A)(III) SYSTEMS, INC. UNITY HEALTHCARE MULBERRY AVENUE 170(B)(1) TRINITY REGIONAL MUSCATINE, IA 5761 HOSPITAL IOWA 501(C)() (A)(III) HEALTH SYSTEM UNITY HEALTHCARE FOUNDATION SUPPORT AFFILIATES' 1518 MULBERRY AVENUE MISSION TO IMPROVE HEALTH 509(A)(), TRINITY REGIONAL MUSCATINE, IA 5761 CARE IOWA 501(C)() TYPE I HEALTH SYSTEM UNITYPOINT AT HOME AURORA AVENUE IOWA HEALTH URBANDALE, IA 50 HOME HEALTH CARE IOWA 501(C)() 509(A)() SYSTEM

65 Shedule R (Form 990) 014 Part III Part IV Identifiation of Related Organizations Taxale as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 4 eause it had one or more related organizations treated as a partnership during the tax year. (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Legal Primary ativity domiile Diret ontrolling Predominant inome Share of total Share of Disproportionate Code V-UBI General or managing (state or entity (related, unrelated, inome end-of-year amount in ox alloations? partner? foreign exluded from tax under assets 0 of Shedule ountry) setions ) Yes No K-1 (Form 1065) Yes No Name, address, and EIN of related organization Identifiation of Related Organizations Taxale as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 4 eause it had one or more related organizations treated as a orporation or trust during the tax year. (a) () () (d) (e) (f) (g) (h) (i) Name, address, and EIN of related organization STL CARE COMPANY Primary ativity Legal domiile (state or foreign ountry) Diret ontrolling entity Type of entity (C orp, S orp, or trust) Share of total inome Share of end-of-year assets Perentage ownership Page Perentage ownership ADVANCED IMAGING CENTER, LLC DIAGNOSTIC , 615 VALLEY VIEW RADIOLOGY DRIVE, MOLINE, IL 6165 CENTER IA N/A N/A N/A N/A N/A N/A N/A N/A ALLEN MEMORIAL HOSPITAL ORTHOPEDIC ORTHOPEDIC CO-MANAGEMENT CO., MANAGEMENT & LLC , 185 LOGAN ADMINISTRATIVE AVE, WATERLOO, IA 5070 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A CENTRAL IOWA CARDIOVASCULAR CARDIOVASCULAR CO-MANAGEMENT CO., L.L.C. - MANAGEMENT & , 100 PLEASANT ST, ADMINISTRATIVE DES MOINES, IA 5009 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A CENTRAL IOWA ONCOLOGY ONCOLOGY CO-MANAGEMENT COMPANY - MANAGEMENT & , 100 PLEASANT ADMINISTRATIVE STREET, DES MOINES, IA 5009 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A Yes No BELCREST SERVICES LTD N KNOVILLE AVE PEORIA, IL MEDICAL SERVICES IL N/A C CORP N/A N/A N/A BROADBAND, INC WEST LAKES PKWY. #400 INFORMATION WEST DES MOINES, IA 5066 TECHNOLOGY MGMT. IA N/A C CORP N/A N/A N/A DELHI POINT CONDO ASSOCIATION N. GRANDVIEW REAL ESTATE DUBUQUE, IA 5001 MANAGEMENT IA N/A C CORP N/A N/A N/A HCP CORPORATION SOUTH PARK STREET MADISON, WI 5715 REAL ESTATE RENTAL WI N/A C CORP N/A N/A N/A HEALTH PLUS INC N KNOVILLE AVE MANAGED CARE PEORIA, IL ADMINISTRATION IL N/A C CORP N/A N/A N/A 65 Setion 51()(1) ontrolled entity? Shedule R (Form 990) 014

66 Shedule R (Form 990) STL CARE COMPANY Part III Continuation of Identifiation of Related Organizations Taxale as a Partnership (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Legal Primary ativity Disproportionate alloations? amount in ox General or domiile Diret ontrolling Predominant inome Share of total Share of Code V-UBI managing (state or entity (related, unrelated, inome end-of-year partner? foreign exluded from tax under assets 0 of Shedule ountry) setions ) Yes No K-1 (Form 1065) Yes No Name, address, and EIN of related organization Perentage ownership CENTRAL IOWA SURGICAL SURGICAL SERVICES CO-MANAGEMENT CO., MANAGEMENT & L.L.C , 100 ADMINISTRATIVE PLEASANT ST, DES MOINES, IA SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A DUBUQUE ENDOSCOPY CENTER, L.C , 1515 DELHI STREET, SUITE 500, DUBUQUE, AMBULATORY IA 5001 SURGERY CENTER IA N/A N/A N/A N/A N/A N/A N/A N/A ENSEVA - HIAWATHA, L.L.C , 755 METZGER COLLOCATION DRIVE, HIAWATHA, IA 5 FACILITY IA N/A N/A N/A N/A N/A N/A N/A N/A FINLEY DEPT. OF SURGERY SURGERY CO-MGMT. CO., LLC - DEPARTMENT , 50 N GRANDVIEW MANAGEMENT AVE, DUBUQUE, IA 5001 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A HEALTH CARE AFFILIATES OF THE TRI-STATES, L.L.C. - PROVIDE ACCESS , 50 N. GRANDVIEW TO LICENSED AVE, DUBUQUE, IA 5001 SOFTWARE IA N/A N/A N/A N/A N/A N/A N/A N/A HEALTH ENTERPRISES VENTURES, L.C , 450 GLASS INVESTMENT ROAD NE, CEDAR RAPIDS, IA VEHICLE OWNING 540 CLINICAL JVS IA N/A N/A N/A N/A N/A N/A N/A N/A IOWA HEALTH SYSTEM CONTRACTING SERVICES LC , 1776 WEST LAKES GROUP PKWY, #400, WEST DES MOINES, PURCHASING IA N/A N/A N/A N/A N/A N/A N/A N/A MEDICAL LABORATORIES OF EASTERN IOWA, L.C. - MEDICAL , 106 A AVE NE, LABORATORY CEDAR RAPIDS, IA 540 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A MERITER UW PHYSICIANS CONTRACTING COMPANY, LLC , 0 SOUTH PARK STREET, MADISON, WI 5715 HEALTH SERVICES WI N/A N/A N/A N/A N/A N/A N/A N/A

67 Shedule R (Form 990) STL CARE COMPANY Part III Continuation of Identifiation of Related Organizations Taxale as a Partnership (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Legal Primary ativity Disproportionate alloations? amount in ox General or domiile Diret ontrolling Predominant inome Share of total Share of Code V-UBI managing (state or entity (related, unrelated, inome end-of-year partner? foreign exluded from tax under assets 0 of Shedule ountry) setions ) Yes No K-1 (Form 1065) Yes No Name, address, and EIN of related organization Perentage ownership MISSISSIPPI VALLEY SLEEP DISORDER CENTER, L.C. - MEDICAL , 400 DETER LABORATORY COURT, DAVENPORT, IA 5807 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A MMCI ORTHOPEDIC CO-MANAGEMENT ORTHOPEDIC COMPANY, L.L.C , MANAGEMENT & 1 NE GLEN OAK AVE, PEORIA, ADMINISTRATIVE IL 6166 SERVICES IL N/A N/A N/A N/A N/A N/A N/A N/A MMCI SURGERY CO-MANAGEMENT SURGERY COMPANY, L.L.C , MANAGEMENT & 1 NE GLEN OAK AVE, PEORIA, ADMINISTRATIVE IL 6166 SERVICES IL N/A N/A N/A N/A N/A N/A N/A N/A MR ASSOCIATES, LLP , ST AVENUE OWN AND OPERATE NE, CEDAR RAPIDS, IA 540 MR UNIT IA N/A N/A N/A N/A N/A N/A N/A N/A REGIONAL HEALTH PARTNERS, LLC , 158 W SOUTH AMBULATORY ST, KEWANEE, IL 6144 HEALTH CLINICS IL N/A N/A N/A N/A N/A N/A N/A N/A REHABILITATION THERAPY SERVICES, L.L.C , 416 ST. MARK'S REHABILATION CT, #110, PEORIA, IL 6160 THERAPY IL N/A N/A N/A N/A N/A N/A N/A N/A SLRMC CARDIOVASCULAR CARDIOVASCULAR CO-MANAGEMENT COMPANY, LLC. - MANAGEMENT & 45-54, 70 STONE PARK ADMINISTRATIVE BLVD, SIOU CITY, IA SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS, L.L.C , 1075 FIRST AVENUE AMBULATORY SE, CEDAR RAPIDS, IA 540 SURGERY CENTER. IA N/A N/A N/A N/A N/A N/A N/A N/A TRINITY BETTENDORF ORTHOPEDIC ORTHOPEDIC CO-MANAGEMENT COMPANY, LLC - SERVICE LINES , 4500 UTICA RIDGE ADMINISTRATIVE RD, BETTENDORF, IA 57 SERVICES IA N/A N/A N/A N/A N/A N/A N/A N/A

68 Shedule R (Form 990) STL CARE COMPANY Part IV Continuation of Identifiation of Related Organizations Taxale as a Corporation or Trust (a) () () (d) (e) (f) (g) (h) (i) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Diret ontrolling entity Type of entity (C orp, S orp, or trust) Share of total inome Share of end-of-year assets Perentage ownership Yes No HNC SERVICES WEST LAKES PKWY, #400 FIBER OPTIC NETWORK WEST DES MOINES, IA 5066 SERVICES IA N/A C CORP N/A N/A N/A MEDIMORE, INC WEST LAKES PKWY. #400 WEST DES MOINES, IA 5066 MANAGED CARE IA N/A C CORP N/A N/A N/A MERITER HEALTH ENTERPRISES, INC , 0 SOUTH PARK STREET, MADISON, WI 5715 MANAGEMENT SERVICES WI N/A C CORP N/A N/A N/A MERITER MANAGEMENT SERVICES, INC , 0 SOUTH PARK STREET, MADISON, ADMINISTRATIVE WI 5715 SERVICES WI N/A C CORP N/A N/A N/A METHODIST HEALTH VENTURES, INC P.O. BO 87 PHARMACY/OFFICE PEORIA, IL STAFFING IL N/A C CORP N/A N/A N/A METHODIST PHYSICIAN SERVICES, INC , P.O. BO 87, PEORIA, IL MEDICAL SERVICES IL N/A C CORP N/A N/A N/A PRECEDENCE, INC PROGRESS DRIVE, STE A DAVENPORT, IA 5807 MANAGED MENTAL CARE IA N/A C CORP N/A N/A N/A PROVIDER RESOURCE MANAGEMENT, INC , P.O. BO 87, PEORIA, IL RESOURCE MANAGEMENT IL N/A C CORP N/A N/A N/A PHYSICIANS PLUS INSURANCE CORPORATION , 650 NOVATION PARKWAY, SUITE FEDERALLY QUALIFIED 400, MADISON, WI 571 HMO WI N/A C CORP N/A N/A N/A RURAL IOWA SPECIALTY PHYSICIAN CONSORTIUM, INC , 700 E UNIVERSITY AVE, DES SPECIALTY PHYSICIANS MOINES, IA 5016 MEDICAL CARE IA N/A C CORP N/A N/A N/A STL HEALTH RESOURCES CO A AVE NE PHYSICIAN OFFICE CEDAR RAPIDS, IA 540 RENTAL IA N/A C CORP N/A N/A N/A TRINITY HEALTH ENTERPRISES, INC. - RETAIL DURABLE , TH ST, ROCK ISLAND, IL MEDICAL EQUIPMENT & 6101 PHARMACY IL N/A C CORP N/A N/A N/A Setion 51()(1) ontrolled entity?

69 Shedule R (Form 990) STL CARE COMPANY Part IV Continuation of Identifiation of Related Organizations Taxale as a Corporation or Trust (a) () () (d) (e) (f) (g) (h) (i) Name, address, and EIN of related organization Primary ativity Legal domiile (state or foreign ountry) Diret ontrolling entity Type of entity (C orp, S orp, or trust) Share of total inome Share of end-of-year assets Perentage ownership Yes No TRINITY PHYSICIAN HOSPITAL ORGANIZATION, LTD , 46 PROGRESS DRIVE, STE A, DAVENPORT, IA 5807 MANAGED HEALTH CARE IA N/A C CORP N/A N/A N/A Setion 51()(1) ontrolled entity?

70 Shedule R (Form 990) 014 STL CARE COMPANY Page Part V Transations With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 4, 5, or 6. Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this shedule. Yes No 1 a d e During the tax year, did the organization engage in any of the following transations with one or more related organizations listed in Parts II-IV? Reeipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a ontrolled entity ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1a Gift, grant, or apital ontriution to related organization(s) Gift, grant, or apital ontriution from related organization(s) Loans or loan guarantees to or for related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Loans or loan guarantees y related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1 1 1d 1e f g h i j Dividends from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sale of assets to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Purhase of assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Exhange of assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Lease of failities, equipment, or other assets to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1f 1g 1h 1i 1j k Lease of failities, equipment, or other assets from related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ l Performane of servies or memership or fundraising soliitations for related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ m Performane of servies or memership or fundraising soliitations y related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ n Sharing of failities, equipment, mailing lists, or other assets with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ o Sharing of paid employees with related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1k 1l 1m 1n 1o p q Reimursement paid to related organization(s) for expenses ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Reimursement paid y related organization(s) for expenses~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1p 1q r s Other transfer of ash or property to related organization(s) ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Other transfer of ash or property from related organization(s) If the answer to any of the aove is "Yes," see the instrutions for information on who must omplete this line, inluding overed relationships and transation thresholds. (a) () () (d) Name of related organization Transation Amount involved Method of determining amount involved type (a-s) 1r 1s (1) () () (4) (5) (6) Shedule R (Form 990) 014

71 Shedule R (Form 990) 014 STL CARE COMPANY Page 4 Part VI Unrelated Organizations Taxale as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 7. Provide the following information for eah entity taxed as a partnership through whih the organization onduted more than five perent of its ativities (measured y total assets or gross revenue) that was not a related organization. See instrutions regarding exlusion for ertain investment partnerships. (a) () () (d) (e) (f) (g) (h) (i) (j) (k) Are all Primary ativity Predominant inome partners se. Share of Share of Disproportionate amount in ox 0 managing Code V-UBI General or (related, unrelated, 501()() orgs.? total end-of-year alloations? partner? Name, address, and EIN of entity Legal domiile (state or foreign ountry) exluded from tax under setions ) of Shedule K-1 inome assets Yes No Yes No (Form 1065) Yes No Perentage ownership Shedule R (Form 990)

72 Shedule R (Form 990) 014 STL CARE COMPANY Part VII Supplemental Information Provide additional information for responses to questions on Shedule R (see instrutions). Page 5 SCHEDULE R, PARTS I - IV: IOWA HEALTH SYSTEM AND SUBSIDIARIES (D/B/A UNITYPOINT HEALTH) IOWA HEALTH SYSTEM IS AN IOWA NONPROFIT CORPORATION FORMED IN DECEMBER IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM SEVENTEEN HOSPITAL FACILITIES AND VARIOUS AMBULATORY SERVICE AND CLINIC LOCATIONS IN IOWA, ILLINOIS AND WISCONSIN. PRIMARY, SECONDARY AND TERTIARY CARE SERVICES ARE PROVIDED TO RESIDENTS OF IOWA, ILLINOIS, WISCONSIN AND ADJACENT STATES. ON APRIL 16, 01, IOWA HEALTH SYSTEM BEGAN BEING PUBLICLY KNOWN AS UNITYPOINT HEALTH (THE SYSTEM). THIS NAME CHANGE REFLECTS THE TRANSFORMATION OF CLINICAL PROCESSES UNDERWAY WITHIN THE SYSTEM AND THE ADAPTATION TO BETTER ADDRESS THE HEALTH CARE NEEDS OF COMMUNITIES, INCLUDING BUILDING A MODEL OF DELIVERING HEALTH CARE THAT COORDINATES CARE AROUND THE PATIENT WHILE FOCUSING ON IMPROVING THE QUALITY OF CARE AND REDUCING COSTS. THE LEGAL NAME OF THE PARENT REMAINS IOWA HEALTH SYSTEM, WITH THE UNITYPOINT HEALTH NAME REFLECTING A DOING BUSINESS AS (D/B/A) Shedule R (Form 990) 014 7