TY 2019 Form 990 Schedule R

efile Public Visual Render ObjectId: 202023189349305992 - Submission: 2020-11-13 TIN: 42-0942273

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

EYERLY-BALL COMMUNITY MENTAL HEALTH
SERVICES

Employer identification number

42-0942273

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)ABBE CENTER FOR COMMUNITY MENTAL HEALTH INC 740 N 15TH AVE NO A HIAWATHA,IA52233 42-1045257	MENTAL HEALTH CARE	IA	501(C)(3)	509(A)(2)	ABBEHEALTH INC		No
(2)ABBEHEALTH INC 740 N 15TH AVE NO A HIAWATHA,IA52233 42-1373123	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	ST LUKE'S HEALTHCARE		No
(3)AGING SERVICES INC 740 N 15TH AVE NO A HIAWATHA,IA52233 23-7085316	SENIOR SERVICES	IA	501(C)(3)	170(B)(1) (A)(VI)	ABBEHEALTH INC		No
(4)ALLEN COLLEGE 1825 LOGAN AVENUE WATERLOO,IA50703 42-1351526	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IA	501(C)(3)	170(B)(1) (A)(II)	ALLEN HEALTH SYSTEMS INC		No
(5)ALLEN HEALTH SYSTEMS INC 1825 LOGAN AVENUE WATERLOO,IA50703 42-1201924	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(6)ALLEN MEMORIAL HOSPITAL CORPORATION 1825 LOGAN AVENUE WATERLOO,IA50703 42-0698265	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC		No
(7)ANAMOSA AREA AMBULANCE SERVICE 101 GRANT WOOD DRIVE ANAMOSA,IA52205 42-1466284	PROVIDE AMBULANCE SERVICES	IA	501(C)(3)	509(A)(3), TYPE III	ST LUKE'SJONES REGIONAL MEDICAL CENTER		No
(8)BLACK HAWK-GRUNDY MENTAL HEALTH CENTER INC 3251 WEST NINTH STREET WATERLOO,IA50702 42-0733463	MENTAL HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC		No
(9)CENTER FOR ALCOHOL AND DRUG SERVICES INC 4869 FOREST GROVE DRIVE BETTENDORF,IA52722 42-1134273	SUBSTANCE ABUSE SERVICES	IA	501(C)(3)	170(B)(1) (A)(VI)	THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH		No
(10)CENTRAL IOWA HEALTH PROPERTIES CORPORATION 1200 PLEASANT STREET DES MOINES,IA50309 42-1233759	PROPERTY HOLDING COMPANY	IA	501(C)(2)		CENTRAL IOWA HEALTH SYSTEM		No
(11)CENTRAL IOWA HEALTH SYSTEM 1200 PLEASANT STREET DES MOINES,IA50309 42-1189791	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(12)CENTRAL IOWA HOSPITAL CORPORATION 1200 PLEASANT STREET DES MOINES,IA50309 42-0680452	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	CENTRAL IOWA HEALTH SYSTEM		No
(13)CHATHAM OAKS 740 N 15TH AVE NO A HIAWATHA,IA52233 42-1302928	MENTAL HEALTH AND/OR DISABILITY RESIDENTIAL TREATMENT SERVICES	IA	501(C)(3)	509(A)(2)	ABBEHEALTH INC		No
(14)DES MOINES AREA MEDICAL EDUCATION CONSORTIUM INC 1415 WOODLAND AVE SUITE 130 DES MOINES,IA50309 42-1412497	COORDINATION OF MEDICAL EDUCATION PROGRAMS	IA	501(C)(3)	509(A)(3), TYPE III			No
(15)EYERLY-BALL COMMUNITY MENTAL HEALTH SERVICES 945 19TH STREET DES MOINES,IA50314 42-0942273	MENTAL HEALTH CARE	IA	501(C)(3)	509(A)(2)	CENTRAL IOWA HEALTH SYSTEM		No
(16)FINLEY TRI-STATES HEALTH GROUP INC 350 NORTH GRANDVIEW AVENUE DUBUQUE,IA52001 42-1307495	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(17)FRIENDS OF THE BLACK HAWK-GRUNDY MENTAL HEALTH CENTER 3820 HILLSIDE DRIVE CEDAR FALLS,IA50613 42-1372380	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC		No
(18)GRINNELL REGIONAL MEDICAL CENTER 210 FOURTH AVENUE GRINNELL,IA50112 42-0933383	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	CENTRAL IOWA HEALTH SYSTEM		No
(19)GRINNELL REGIONAL MEDICAL CENTER AUXILIARY 210 FOURTH AVENUE GRINNELL,IA50112 23-7075505	CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES	IA	501(C)(3)	509(A)(3), TYPE I	GRINNELL REGIONAL MEDICAL CENTER		No
(20)GRINNELL REGIONAL MEDICAL CENTER FOUNDATION 210 FOURTH AVENUE GRINNELL,IA50112 42-1454737	CHARITABLE FUNDRAISING	IA	501(C)(3)	509(A)(3), TYPE I	GRINNELL REGIONAL MEDICAL CENTER		No
(21)HULT CENTER FOR HEALTHY LIVING INC 5409 N KNOXVILLE AVE PEORIA,IL61614 36-3510390	HEALTH EDUCATION TO THE COMMUNITY	IL	501(C)(3)	170(B)(1) (A)(VI)	PROCTOR HOSPITAL		No
(22)HUMAN SERVICE CENTER 600 FAYETTE PO BOX 1346 PEORIA,IL61654 37-1004882	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	UNITYPOINT HEALTH - UNITYPLACE		No
(23)IOWA HEALTH FOUNDATION 1415 WOODLAND AVE SUITE E-200 DES MOINES,IA50309 42-1467682	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	CENTRAL IOWA HEALTH SYSTEM		No
(24)IOWA HEALTH SYSTEM 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 42-1435199	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III			No
(25)IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 42-1411630	PRIMARY HEALTH CARE SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM		No
(26)KEOKUK AREA HOSPITAL 1600 MORGAN STREET KEOKUK,IA52632 42-0710268	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	KEOKUK HEALTH SYSTEMS INC		No
(27)KEOKUK AREA HOSPITAL FOUNDATION 1600 MORGAN STREET KEOKUK,IA52632 42-1202608	CHARITABLE FUNDRAISING	IA	501(C)(3)	509(A)(3) TYPE II	KEOKUK HEALTH SYSTEMS INC		No
(28)KEOKUK HEALTH SYSTEMS INC 1600 MORGAN STREET KEOKUK,IA52632 42-1237361	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(29)MEMORIAL FOUNDATION OF ALLEN HOSPITAL 1825 LOGAN AVENUE WATERLOO,IA50703 42-1201138	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	ALLEN HEALTH SYSTEMS INC		No
(30)MERITER FOUNDATION INC 202 SOUTH PARK STREET MADISON,WI53715 23-7098688	CHARITABLE FUNDRAISING	WI	501(C)(3)	170(B)(1) (A)(VI)	MERITER HEALTH SERVICES INC		No
(31)MERITER HEALTH SERVICES INC 202 SOUTH PARK STREET MADISON,WI53715 39-1412318	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	WI	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM		No
(32)MERITER HOSPITAL INC 202 SOUTH PARK STREET MADISON,WI53715 39-0806367	HOSPITAL	WI	501(C)(3)	170(B)(1) (A)(III)	MERITER HEALTH SERVICES INC		No
(33)MERITER MEDICAL GROUP INC 202 SOUTH PARK STREET MADISON,WI53715 05-0545222	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	WI	501(C)(3)	509(A)(3), TYPE III	MERITER HOSPITAL INC		No
(34)METHODIST HEALTH SERVICES CORPORATION 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 37-1111135	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM		No
(35)METHODIST MEDICAL CENTER FOUNDATION 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 51-0186460	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	METHODIST HEALTH SERVICES CORPORATION		No
(36)METHODIST MEDICAL CENTER OF ILLINOIS 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 37-0661223	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	METHODIST HEALTH SERVICES CORPORATION		No
(37)METHODIST SERVICES INC 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 37-1111134	OFFICE RENTAL	IL	501(C)(3)	509(A)(2)	METHODIST HEALTH SERVICES CORPORATION		No
(38)NELLIE R SHERWOOD TRUST 1026 A AVENUE NE CEDAR RAPIDS,IA52402 42-6061621	PAY MEDICAL BILLS OF RETIRED TEACHERS UNABLE TO PAY	IA	501(C)(3)	509(A)(3), TYPE I	ST LUKE'S METHODIST HOSPITAL		No
(39)NORTH CENTRAL IOWA MENTAL HEALTH CENTER INCORPORATED 720 KENYON DRIVE FORT DODGE,IA50501 42-0937390	MENTAL HEALTH CARE	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC		No
(40)NORTHWEST IOWA HOSPITAL CORPORATION 2720 STONE PARK BLVD SIOUX CITY,IA51104 42-1019872	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC		No
(41)PARK COURT LIMITED 600 SOUTH 13TH STREET PEKIN,IL61554 37-1178386	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	PROGRESSIVE HEALTH SYSTEMS		No
(42)PEKIN MEMORIAL HOSPITAL 600 SOUTH 13TH STREET PEKIN,IL61554 37-0692351	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	PROGRESSIVE HEALTH SYSTEMS		No
(43)PENN CENTER INC 740 N 15TH AVE NO A HIAWATHA,IA52233 42-1421803	RESIDENTIAL TREATMENT SERVICES FOR INDEPENDENT LIVING	IA	501(C)(3)	509(A)(2)	ABBEHEALTH INC		No
(44)PRAIRIE VIEW VILLAS NO 1 1900 SPRING ROAD STE 300 OAK BROOK,IL60523 26-1755679	MENTAL HEALTH AND/OR DISABILITY RESIDENTIAL TREATMENT SERVICES	IL	501(C)(3)	170(B)(1) (A)(VI)	TAZWOOD MENTAL HEALTH CENTER INC		No
(45)PROCTOR HEALTH CARE INCORPORATED 5409 N KNOXVILLE AVE PEORIA,IL61614 37-1133412	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	METHODIST HEALTH SERVICES CORPORATION		No
(46)PROCTOR HEALTH SYSTEMS 5409 N KNOXVILLE AVE PEORIA,IL61614 36-4147437	PRIMARY HEALTH CARE SERVICES	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED		No
(47)PROCTOR HOSPITAL 5409 N KNOXVILLE AVE PEORIA,IL61614 37-0681540	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	PROCTOR HEALTH CARE INCORPORATED		No
(48)PROGRESSIVE HEALTH SYSTEMS 600 SOUTH 13TH STREET PEKIN,IL61554 37-1200263	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(49)SELF INSURANCE TRUST AGREEMENT EST BY METHODIST MEDICAL CENTER OF ILLINOIS 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 37-6181831	FUND SELF-INSURANCE PLAN	IL	501(C)(3)	509(A)(3), TYPE I	METHODIST MEDICAL CENTER OF ILLINOIS		No
(50)SIOUXLAND PACE INC 1200 TRI VIEW AVE SIOUX CITY,IA51103 26-1120134	ALL-INCLUSIVE CARE FOR THE ELDERLY	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTH SYSTEM INC		No
(51)ST LUKE'S HEALTH RESOURCES 2720 STONE PARK BLVD SIOUX CITY,IA51104 42-1059182	OUTPATIENT CLINICS AND HEALTHCARE SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTH SYSTEM INC		No
(52)ST LUKE'S HEALTH SYSTEM INC 2720 STONE PARK BLVD SIOUX CITY,IA51104 42-1294091	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE III	IOWA HEALTH SYSTEM		No
(53)ST LUKE'S HEALTHCARE 1026 A AVENUE NE CEDAR RAPIDS,IA52402 42-1487968	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(54)ST LUKE'S METHODIST HOSPITAL 1026 A AVENUE NE CEDAR RAPIDS,IA52402 42-0504780	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE		No
(55)ST LUKE'SJONES REGIONAL MEDICAL CENTER 1795 HIGHWAY 64 EAST ANAMOSA,IA52205 42-1487967	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ST LUKE'S HEALTHCARE		No
(56)STL CARE COMPANY 1026 A AVENUE NE CEDAR RAPIDS,IA52402 42-1276632	IMPROVE PUBLIC HEALTH SERVICES	IA	501(C)(3)	509(A)(2)	ST LUKE'S HEALTHCARE		No
(57)TAZWOOD MENTAL HEALTH CENTER INC 3248 VANDEVER AVE PEKIN,IL61554 37-1278969	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	UNITYPOINT HEALTH - UNITYPLACE		No
(58)THE DUBUQUE VISITING NURSE ASSOCIATION 350 NORTH GRANDVIEW AVENUE DUBUQUE,IA52001 42-0680410	PUBLIC HEALTH SERVICES/HOME CARE	IA	501(C)(3)	509(A)(2)	FINLEY TRI-STATES HEALTH GROUP INC		No
(59)THE FINLEY HOSPITAL 350 NORTH GRANDVIEW AVENUE DUBUQUE,IA52001 42-0680354	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	FINLEY TRI-STATES HEALTH GROUP INC		No
(60)THE ROBERT YOUNG CENTER FOR COMMUNITY MENTAL HEALTH 2701 17TH STREET ROCK ISLAND,IL61201 36-3678909	MENTAL HEALTH CARE	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM		No
(61)TRIMARK PHYSICIANS GROUP 802 KENYON ROAD FORT DODGE,IA50501 45-3791448	SUPPORT SERVICES FOR MEDICAL CARE AND HEALTH SERVICES	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC		No
(62)TRINITY BUILDING CORPORATION 802 KENYON ROAD FORT DODGE,IA50501 42-1376187	PROPERTY HOLDING COMPANY	IA	501(C)(2)		TRINITY HEALTH SYSTEMS INC		No
(63)TRINITY COLLEGE OF NURSING & HEALTH SCIENCES 2122 25TH AVE ROCK ISLAND,IL61201 81-0994377	EDUCATE AND DEVELOP HEALTHCARE PROFESSIONALS	IL	501(C)(3)	170(B)(1) (A)(II)	TRINITY MEDICAL CENTER		No
(64)TRINITY HEALTH FOUNDATION 802 KENYON ROAD FORT DODGE,IA50501 42-1222381	CHARITABLE FUNDRAISING	IA	501(C)(3)	170(B)(1) (A)(VI)	TRINITY HEALTH SYSTEMS INC		No
(65)TRINITY HEALTH FOUNDATION 2701 17TH STREET ROCK ISLAND,IL61201 36-3321751	CHARITABLE FUNDRAISING	IL	501(C)(3)	170(B)(1) (A)(VI)	TRINITY REGIONAL HEALTH SYSTEM		No
(66)TRINITY HEALTH SYSTEMS INC 802 KENYON ROAD FORT DODGE,IA50501 42-1222877	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(67)TRINITY MEDICAL CENTER 2701 17TH STREET ROCK ISLAND,IL61201 36-2739299	HOSPITAL	IL	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM		No
(68)TRINITY REGIONAL HEALTH SYSTEM 2701 17TH STREET ROCK ISLAND,IL61201 36-3351952	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	IOWA HEALTH SYSTEM		No
(69)TRINITY REGIONAL HOSPITAL AUXILIARY 802 KENYON ROAD FORT DODGE,IA50501 42-6081474	CHARITABLE FUNDRAISING AND VOLUNTEER SERVICES	IA	501(C)(3)	509(A)(2)	TRINITY REGIONAL MEDICAL CENTER		No
(70)TRINITY REGIONAL MEDICAL CENTER 802 KENYON ROAD FORT DODGE,IA50501 42-1009175	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY HEALTH SYSTEMS INC		No
(71)TRI-STATE MEDICAL GROUP INC 1600 MORGAN STREET KEOKUK,IA52632 42-1435525	PRIMARY HEALTH CARE SERVICES	IA	501(C)(3)	170(B)(1)(A)(III)	KEOKUK HEALTH SYSTEMS INC		No
(72)UNITY HEALTHCARE 1518 MULBERRY AVENUE MUSCATINE,IA52761 42-0680337	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	TRINITY REGIONAL HEALTH SYSTEM		No
(73)UNITY HEALTHCARE FOUNDATION 1518 MULBERRY AVENUE MUSCATINE,IA52761 42-1525031	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IA	501(C)(3)	509(A)(3), TYPE I	UNITY HEALTHCARE		No
(74)UNITYPOINT HEALTH - MARSHALLTOWN 1825 LOGAN AVENUE WATERLOO,IA50703 81-5034179	HOSPITAL	IA	501(C)(3)	170(B)(1) (A)(III)	ALLEN HEALTH SYSTEMS INC		No
(75)UNITYPOINT HEALTH - UNITYPLACE 221 NORTHEAST GLEN OAK AVENUE PEORIA,IL61636 83-4051901	SUPPORT AFFILIATES' MISSION TO IMPROVE HEALTH CARE	IL	501(C)(3)	509(A)(3), TYPE II	METHODIST HEALTH SERVICES CORPORATION		No
(76)UNITYPOINT AT HOME 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 42-1477471	HOME HEALTH CARE	IA	501(C)(3)	509(A)(2)	IOWA HEALTH SYSTEM		No
(77)UNITYPOINT HEALTH AT WORK 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 81-0872241	EMPLOYER ONSITE MEDICAL SERVICES AND OCCUPATIONAL MEDICINE	IA	501(C)(3)	170(B)(1) (A)(III)	IOWA HEALTH SYSTEM		No
(78)WISCONSIN DIALYSIS INC 3034 FISH HATCHERY ROAD MADISON,WI53713 30-0072647	OUTPATIENT KIDNEY DIALYSIS	WI	501(C)(3)	509(A)(3), TYPE III			No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ADVANCED IMAGING CENTER LLC 615 VALLEY VIEW DRIVE MOLINE,IL61265 36-4356301	DIAGNOSTIC RADIOLOGY CENTER	IA	N/A
(2) ALLEN MEMORIAL HOSPITAL ORTHOPEDIC CO-MANAGEMENT CO LLC 1825 LOGAN AVE WATERLOO,IA50703 45-3237125	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
(3) ANKENY MEDICAL PARK SURGERY CENTER LC 3625 NORTH ANKENY BLVD STE J ANKENY,IA50021 83-1281114	AMBULATORY SURGERY CENTER	IA	N/A
(4) CENTRAL IOWA CARDIOVASCULAR CO-MANAGEMENT CO LLC 1200 PLEASANT ST DES MOINES,IA50309 27-3625869	CARDIOVASCULAR MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
(5) CENTRAL IOWA ONCOLOGY CO-MANAGEMENT COMPANY 1200 PLEASANT STREET DES MOINES,IA50309 45-3017991	ONCOLOGY MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
(6) CENTRAL IOWA PHYSIO LLC 4714 GETTYSBURG ROAD MECHANICSBURG,PA17055 36-4799633	PHYSICAL THERAPY SERVICES	IA	N/A
(7) CENTRAL IOWA SURGICAL SERVICES CO-MANAGEMENT CO LLC 1200 PLEASANT ST DES MOINES,IA50309 47-1608704	SURGICAL MANAGEMENT & ADMINISTRATIVE SERVICES	IA	N/A
(8) HEALTH CARE AFFILIATES OF THE TRI-STATES LLC 350 N GRANDVIEW AVE DUBUQUE,IA52001 42-1428503	PROVIDE ACCESS TO LICENSED SOFTWARE	IA	N/A
(9) IOWA DIAGNOSTIC IMAGING AND PROCEDURE CENTER LC 1200 PLEASANT STREET DES MOINES,IA50309 03-0482623	OUTPATIENT DIAGNOSTIC IMAGING	IA	N/A
(10) IOWA HEALTH SYSTEM CONTRACTING SERVICES LC 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 42-1511142	GROUP PURCHASING	IA	N/A
(11) LAKEVIEW SURGERY CENTER LC 1200 PLEASANT STREET DES MOINES,IA50309 42-1516120	SURGERY CENTER	IA	N/A
(12) MERITER UW PHYSICIANS CONTRACTING COMPANY LLC 202 SOUTH PARK STREET MADISON,WI53715 39-1998819	HEALTH SERVICES	WI	N/A
(13) MIDWEST ORTHOPAEDIC HOSPITAL AT UNITYPOINT HEALTH-PROCTOR LLC 5409 N KNOXVILLE AVE PEORIA,IL61614 84-3733879	OUTPATIENT ORTHOPEDIC SERVICE LINE MANAGEMENT	IL	N/A
(14) MISSISSIPPI VALLEY SLEEP DISORDER CENTER LC 3400 DEXTER COURT DAVENPORT,IA52807 42-1489697	MEDICAL LABORATORY SERVICES	IA	N/A
(15) MMCI ORTHOPEDIC CO-MANAGEMENT COMPANY LLC 221 NE GLEN OAK AVE PEORIA,IL61636 46-1219459	ORTHOPEDIC MANAGEMENT & ADMINISTRATIVE SERVICES	IL	N/A
(16) MR ASSOCIATES LLP 1956 1ST AVENUE NE CEDAR RAPIDS,IA52402 42-1260463	OWN AND OPERATE MR UNIT	IA	N/A
(17) ORTHOPAEDIC OUTPATIENT SURGERY CENTER LC 1200 PLEASANT STREET DES MOINES,IA50309 42-1508092	AMBULATORY SURGERY CENTER	IA	N/A
(18) REHABILITATION THERAPY SERVICES LLC 416 ST MARKS CT 110 PEORIA,IL61603 81-0584193	REHABILATION THERAPY	IL	N/A
(19) THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS LLC 1075 FIRST AVENUE SE CEDAR RAPIDS,IA52403 72-1550812	AMBULATORY SURGERY CENTER.	IA	N/A
(20) UPHT-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 47-3564984	AMBULATORY SURGERY CENTER INVESTMENT	DE	N/A
(21) WEST HOSPITAL ORTHOPEDIC CO-MANAGEMENT COMPANY LLC 1660 60TH STREET WEST DES MOINES,IA50266 27-1414600	ORTHOPEDIC SERVICE LINES MANAGEMENT	IA	N/A
(22) WEST LAKES SLEEP CENTER LLC 5950 UNIVERSITY AVENUE SUITE 2 WEST DES MOINES,IA50266 26-3193923	SLEEP DISORDER DIAGNOSTIC TESTING FACILITY	IA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ABBE MANAGEMENT CORPORATION 740 N 15TH AVE NO A HIAWATHA,IA52233 42-1361755	MANAGEMENT SERVICES	IA	N/A	C				No
(2) BELCREST SERVICES LTD 5409 N KNOXVILLE AVE PEORIA,IL61614 37-1196307	MEDICAL SERVICES	IL	N/A	C				No
(3) BROADBAND INC 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 27-3819741	INFORMATION TECHNOLOGY MGMT.	IA	N/A	C				No
(4) DELHI POINT CONDO ASSOCIATION 350 N GRANDVIEW DUBUQUE,IA52001 42-1467002	REAL ESTATE MANAGEMENT	IA	N/A	C				No
(5) HCP CORPORATION 202 SOUTH PARK STREET MADISON,WI53715 39-1177562	REAL ESTATE RENTAL	WI	N/A	C				No
(6) HANSEN CHARITABLE REMAINDER ANNUITY TRUST 210 FOURTH AVENUE GRINNELL,IA50112 39-6770806	INVESTMENT	IA	N/A	T				No
(7) HANSEN CHARITABLE REMAINDER UNITRUST 210 FOURTH AVENUE GRINNELL,IA50112 39-6770807	INVESTMENT	IA	N/A	T				No
(8) HEALTH ADVANTAGE PLUS INC 210 4TH AVENUE GRINNELL,IA50112 42-1436490	PHYSICAL THERAPY	IA	N/A	C				No
(9) HEALTH PLUS INC 5409 N KNOXVILLE AVE PEORIA,IL61614 37-1295532	MANAGED CARE ADMINISTRATION	IL	N/A	C				No
(10) HNC SERVICES 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 27-0987243	FIBER OPTIC NETWORK SERVICES	IA	N/A	C				No
(11) HOME HEALTH PLUS SERVICES INC PO BOX 87 PEORIA,IL61650 36-4053068	HOME HEALTH SERVICES	IL	N/A	C				No
(12) KEOKUK AREA MEDICAL EQUIPMENT AND SUPPLY INC 420 NORTH 17TH STREET KEOKUK,IA52632 42-1237312	RETAIL DURABLE MEDICAL EQUIPMENT	IA	N/A	C				No
(13) MARIGOLD CITY LAND TRUST NO ONE 2956 COURT STREET PEKIN,IL61554 27-2750273	PROPERTY MANAGEMENT	IL	N/A	T				No
(14) MEDIMORE INC 1776 WEST LAKES PKWY 400 WEST DES MOINES,IA50266 42-1414390	MANAGED CARE	IA	N/A	C				No
(15) MERITER HEALTH ENTERPRISES INC 202 SOUTH PARK STREET MADISON,WI53715 39-1293620	MANAGEMENT SERVICES	WI	N/A	C				No
(16) MERITER MANAGEMENT SERVICES INC 202 SOUTH PARK STREET MADISON,WI53715 39-1458235	ADMINISTRATIVE SERVICES	WI	N/A	C				No
(17) METHODIST HEALTH VENTURES INC PO BOX 87 PEORIA,IL61650 37-1140939	PHARMACY/OFFICE STAFFING	IL	N/A	C				No
(18) OPTIMUM HEALTH SOLUTIONS INC 221 NORTHEAST GLEN OAK AVE PEORIA,IL61636 20-5430137	HEALTH & WELLNESS CONSULTING	IA	N/A	C				No
(19) PEKIN PROHEALTH INC 600 SOUTH 13TH STREET PEKIN,IL61554 37-1117052	CLINIC	IL	N/A	C				No
(20) PRECEDENCE INC 4622 PROGRESS DRIVE STE A DAVENPORT,IA52807 37-1288604	MANAGED MENTAL CARE	IA	N/A	C				No
(21) PROVIDER RESOURCE MANAGEMENT INC PO BOX 87 PEORIA,IL61650 37-1223550	RESOURCE MANAGEMENT	IL	N/A	C				No
(22) STL HEALTH RESOURCES CO 1026 A AVE NE CEDAR RAPIDS,IA52402 42-1193499	PHYSICIAN OFFICE RENTAL	IA	N/A	C				No
(23) TRINITY HEALTH ENTERPRISES INC 2701 17TH ST ROCK ISLAND,IL61201 36-3320141	RETAIL DURABLE MEDICAL EQUIPMENT & PHARMACY	IL	N/A	C				No

Schedule R (Form 990) 2019

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Schedule R (Form 990) 2019

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Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2019

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Schedule R (Form 990) 2019

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Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2019

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Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation
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 1994. IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 36 HOSPITAL FACILITIES AND OVER 400 OUTPATIENT SITES 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, 2013, 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).

Return Reference

Explanation

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 1994. IOWA HEALTH SYSTEM AND ITS SUBSIDIARIES PROVIDE INPATIENT AND OUTPATIENT CARE AND PHYSICIAN SERVICES FROM 36 HOSPITAL FACILITIES AND OVER 400 OUTPATIENT SITES 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, 2013, 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).

Schedule R (Form 990) 2019

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