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MHIC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MHIC (EIN 42-0680391)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202421369349311017
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-15T13:59:36-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE Suite 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP462045108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420680391EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital Iowa City IowaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3193390300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas ClancyPersonNm
Person TitleCEOPersonTitleTxt
Phone3193390300PhoneNum
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstThomasPersonFirstNm
Person LastClancyPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonShawna M JansonsPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas ClancyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$214,194,860GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mercyiowacity.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1873FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTo heal and comfort the sick and improve the health of the community in the spirit of Jesus Christ.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1310TotalEmployeeCnt
Total Volunteers149TotalVolunteersCnt
Total Gross UBI$4,909,844TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,075,832PYContributionsGrantsAmt
CY Contributions Grants$110,521CYContributionsGrantsAmt
PY Program Service Revenue$168,749,231PYProgramServiceRevenueAmt
CY Program Service Revenue$163,519,230CYProgramServiceRevenueAmt
PY Investment Income$4,158,235PYInvestmentIncomeAmt
CY Investment Income-$108,897CYInvestmentIncomeAmt
PY Other Revenue$1,035,307PYOtherRevenueAmt
CY Other Revenue$941,221CYOtherRevenueAmt
PY Total Revenue$177,018,605PYTotalRevenueAmt
CY Total Revenue$164,462,075CYTotalRevenueAmt
PY Grants And Similar Paid$14,665PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$12,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,453,482PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$66,665,626CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$123,367,437PYOtherExpensesAmt
CY Other Expenses$126,497,191CYOtherExpensesAmt
PY Total Expenses$193,835,584PYTotalExpensesAmt
CY Total Expenses$193,174,817CYTotalExpensesAmt
PY Revenues Less Expenses-$16,816,979PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,712,742CYRevenuesLessExpensesAmt
Total Assets BOY$209,423,313TotalAssetsBOYAmt
Total Assets EOY$160,030,077TotalAssetsEOYAmt
Total Liabilities BOY$153,616,891TotalLiabilitiesBOYAmt
Total Liabilities EOY$136,653,461TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$55,806,422NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$23,376,616NetAssetsOrFundBalancesEOYAmt
MissionMercy Iowa City ("Mercy") heals and comforts the sick and works to improve the health of the community in the spirit of Jesus Christ and the Catholic tradition of the Sisters of Mercy.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$124,731,710ExpenseAmt
Grant$12,000GrantAmt
Revenue$163,656,643RevenueAmt
DescHospital Services. In keeping with our mission of healing and comforting the sick, providing hospital medical services is at the heart of what we do. These services are provided in inpatient and outpatient settings, in situations that may be emergent, acute or chronic. Services include a 24 hour emergency unit, intensive and cardiovascular care. We also service a maternity unit and newborn nursery along with other surgical services, cardiac cath lab, cancer care, digestive care, telemetry monitored care, medical care, stroke care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$137,092ExpenseAmt
Revenue$99,199RevenueAmt
DescEducation. The ongoing education of Mercy staff is critical in the fast changing field of health care and it necessary to meet regulations and certifications. Mercy hosts a number of professional continuing education classes each year, which is attended by it's own staff and staff from other institutions. Mercy provides a setting for students who are considering a career in health care including a class of insight to possible careers and preparation for CNA exam.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,908,453ExpenseAmt
DescCommunity Benefit. Mercy's largest community benefit is the unpaid cost of Medicaid ($10.9 million). Other examples include cash donations to community non-for-profits such as the Free Medical Clinic, leadership time and skills that further the work of the non-for-profits, first aid booth provided at public events including the Johnson Co Fair. As a trusted, longtime member of the community, Mercy plays an important role not only in further community health but the general community good.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$135,777,255TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document42IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1310EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Thomas ClancyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3193393540PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dawna Miller
Treasurer (End 7/22)40.002.00Yes (X)Yes (X)$366,748$0$32,802
Kim Volk
VP - Nursing40.000.00Yes (X)Yes (X)$251,722$0$25,884
Scott Alderman
VP - Information and Tech(End 12/22)40.000.00Yes (X)Yes (X)$249,028$0$13,207
Jeffrey Rooney
Treasurer (8/22-4/23)40.002.00Yes (X)Yes (X)$0$0$0
Jim Porter
Treasurer (Beg 5/23)40.002.00Yes (X)Yes (X)$0$0$0
Lynn Whisler
Board Member(End 3/23)/Sec(Beg 4/23)1.001.00Yes (X)Yes (X)$0$0$0
Madeline Windauer
Vice Chair (Beg 10/22)1.001.00Yes (X)Yes (X)$0$0$0
Mike Trachta
CEO & Administrator (End 3/23)40.002.00Yes (X)Yes (X)$0$0$0
Tom Clancy
Chair/Sec (End 3/23)/CEO (Beg 4/23)1.002.00Yes (X)Yes (X)$0$0$0
Tom McLaughlin
Chair (End 10/22)1.001.00Yes (X)Yes (X)$0$0$0
Bob Ritz
Board Member (End 3/23)1.001.00Yes (X)$0$0$0
Dave Vellinga
Board Member (End 3/23)1.000.00Yes (X)$0$0$0
Dr Chris Scott
Board Member1.000.00Yes (X)$0$0$0
Karin Franklin
Board Member (End 10/22)1.000.00Yes (X)$0$0$0
Jack Dusenbery
Board Member (End 10/22)1.000.00Yes (X)$0$0$0
Mary Westbrook
Board Member1.000.00Yes (X)$0$0$0
Peter Gardner
Board Member1.000.00Yes (X)$0$0$0
SR Helen Marie Burns
Board Member1.000.00Yes (X)$0$0$0
SR Linda Bechen
Board Member1.000.00Yes (X)$0$0$0
SR Rita Specht
Board Member1.000.00Yes (X)$0$0$0
Steven Anderson
Board Member1.001.00Yes (X)$0$0$0
Kimberley Rossiter
Assistant Treasurer (End 8/22)40.002.00Yes (X)$208,788$0$21,185
Stuart Elkin
Assistant Treasurer (Beg 9/22)40.001.00Yes (X)$170,462$0$5,733
Andrew Ashby
Physician40.000.00$538,134$0$36,461Yes (X)
Craig Huston
Physician40.000.00$533,131$0$41,185Yes (X)
Michael Hoffman
Physician40.000.00$498,496$0$40,061Yes (X)
Luke Brunkhorst
Physician40.000.00$502,463$0$32,353Yes (X)
Steven Udelhofen
Physician40.000.00$453,981$0$13,306Yes (X)
Martin Izakovic
Former VP/Physician40.000.00$211,649$0$20,984Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,984,602TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$283,161TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K147IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis Consolidated
PO Box 5068New YorkNY100875068Contract Nursing Labor$11,508,293
Allscripts Healthcare
24630 Network PlaceChicagoIL60631EHR/Help Desk Services$2,243,788
Medical Record Associates LLC
103 Central Street Ste AWellesleyMA02482Coding Services$1,941,943
Progressive Rehabilitation Associat
1130 Scott Blvd Ste 1Iowa CityIA52240Contract Rehab Services$1,619,677
MercyOne
PO Box 74008768ChicagoIL606748768Management Services$1,598,918
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K66CntrctRcvdGreaterThan100KCnt
Related Organizations$110,521RelatedOrganizationsAmt
Total Contributions$110,521TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue621400$79,029,550$79,029,550
Medicare/Medicaid621400$75,118,929$75,118,929
Lab Outreach621511$4,909,844$4,909,844
ASC/DIC Income900099$2,704,664$2,704,664
Wellmark Incentive900099$652,116$652,116

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,104,127TotalRevenueColumnAmt
Related Or Exempt Func Income$1,104,127RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$163,519,230TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$896,234TotalRevenueColumnAmt
Exclusion-$896,234ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,182,580RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$985,762RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$196,818RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$196,818TotalRevenueColumnAmt
Exclusion$196,818ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$49,534,360SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$48,747,023SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$787,337SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$787,337TotalRevenueColumnAmt
Exclusion$787,337ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income722310$507,791$507,791
Emerson Point Meal Svc722320$114,202$114,202

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,410TotalRevenueColumnAmt
Related Or Exempt Func Income$122,410RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$744,403OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$164,462,075TotalRevenueColumnAmt
Related Or Exempt Func Income$158,845,998RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,909,844UnrelatedBusinessRevenueAmt
Exclusion$595,712ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Program Services$12,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,123,830TotalAmt
Program Services$119,519ProgramServicesAmt
Management And General$1,004,311ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$55,609,733TotalAmt
Program Services$44,054,665ProgramServicesAmt
Management And General$11,555,068ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$135,316TotalAmt
Program Services$94,302ProgramServicesAmt
Management And General$41,014ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,803,587TotalAmt
Program Services$4,044,520ProgramServicesAmt
Management And General$1,759,067ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,993,160TotalAmt
Program Services$2,782,833ProgramServicesAmt
Management And General$1,210,327ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$848,792TotalAmt
Management And General$848,792ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,073,674TotalAmt
Management And General$1,073,674ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$206,535TotalAmt
Management And General$206,535ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$28,315TotalAmt
Management And General$28,315ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,213,949TotalAmt
Program Services$25,617,885ProgramServicesAmt
Management And General$14,596,064ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$412,397TotalAmt
Management And General$412,397ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,709,410TotalAmt
Program Services$8,354,811ProgramServicesAmt
Management And General$4,354,599ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,932,545TotalAmt
Program Services$151,434ProgramServicesAmt
Management And General$8,781,111ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,777,251TotalAmt
Program Services$113,856ProgramServicesAmt
Management And General$2,663,395ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$389,127TotalAmt
Program Services$70,908ProgramServicesAmt
Management And General$318,219ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,107,263TotalAmt
Program Services$1,620,890ProgramServicesAmt
Management And General$2,486,373ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,130,077TotalAmt
Program Services$6,876,589ProgramServicesAmt
Management And General$2,253,488ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,140,642TotalAmt
Management And General$2,140,642ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$18,694,714$18,683,685$11,029
Pharmacy Supplies$10,704,804$10,704,804$0
Bad Debt Expense$9,558,655$9,558,655$0
Food Expense$895,392$895,392$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,673,649TotalAmt
Program Services$2,020,507ProgramServicesAmt
Management And General$1,653,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$193,174,817TotalAmt
Program Services$135,777,255ProgramServicesAmt
Management And General$57,397,562ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,790,517BOYAmt
EOY$9,838,383EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$133,521BOYAmt
EOY$68,269EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,243,280BOYAmt
EOY$27,890,458EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,579,601BOYAmt
EOY$2,992,970EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,610,445BOYAmt
EOY$3,164,673EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$259,054,727LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,475,259LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$62,380,441BOYAmt
EOY$54,579,468EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$52,778,600BOYAmt
EOY$11,032,514EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$91,318,072BOYAmt
EOY-$109,415,759EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$142,224,980BOYAmt
EOY$159,879,101EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$209,423,313BOYAmt
EOY$160,030,077EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,705,862BOYAmt
EOY$37,200,486EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$70,127,406BOYAmt
EOY$69,158,372EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,316,111BOYAmt
EOY$1,736,338EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,467,512BOYAmt
EOY$28,558,265EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$153,616,891BOYAmt
EOY$136,653,461EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,806,422BOYAmt
EOY$23,376,616EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$55,806,422BOYAmt
EOY$23,376,616EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$209,423,313BOYAmt
EOY$160,030,077EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$28,712,742ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$3,717,064OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or BroadcastYes (1)PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$28,315OtherActivitiesAmt
Total Lobbying Expenditures$28,315TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMercy Hospital, Iowa City, Iowa is a member of the Iowa Hospital Association (IHA) and American Hospital Association (AHA). A percentage of membership dues paid to IHA and AHA relate to Lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,417,674BeginningYearBalanceAmt
Contributions$16,570ContributionsAmt
Investment Earnings Or Losses$1,759,209InvestmentEarningsOrLossesAmt
Grants Or Scholarships$51,458GrantsOrScholarshipsAmt
End Year Balance$18,141,995EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,513,591BeginningYearBalanceAmt
Contributions$37,504ContributionsAmt
Investment Earnings Or Losses-$2,858,763InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,274,658GrantsOrScholarshipsAmt
End Year Balance$16,417,674EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,457,386BeginningYearBalanceAmt
Contributions$47,025ContributionsAmt
Investment Earnings Or Losses$5,088,018InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,078,838GrantsOrScholarshipsAmt
End Year Balance$20,513,591EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,144,539BeginningYearBalanceAmt
Contributions$140,115ContributionsAmt
Investment Earnings Or Losses-$233,781InvestmentEarningsOrLossesAmt
Grants Or Scholarships$593,487GrantsOrScholarshipsAmt
End Year Balance$16,457,386EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$17,286,002BeginningYearBalanceAmt
Contributions$14,493ContributionsAmt
Investment Earnings Or Losses$377,510InvestmentEarningsOrLossesAmt
Grants Or Scholarships$533,466GrantsOrScholarshipsAmt
End Year Balance$17,144,539EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.84900BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.15100PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,165,665OtherCostOrOtherBasisAmt
Book Value$4,165,665BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,179,515OtherCostOrOtherBasisAmt
Depreciation$114,713,621DepreciationAmt
Book Value$26,465,894BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,601,856OtherCostOrOtherBasisAmt
Depreciation$89,119,323DepreciationAmt
Book Value$23,482,533BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,107,691OtherCostOrOtherBasisAmt
Depreciation$642,315DepreciationAmt
Book Value$465,376BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$54,579,468TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest-Foundation$18,243,290
Due From Affiliates$133,051,398
2011/2018 Bond Fund$4,235,604
ROU Assets$4,348,809
FieldValueIRS element (for citing)
Total Book Value Other Assets$159,879,101TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Pension Benefit Liability$23,548,912
Other Long-Term Liabilities$3,566,988
Professional Liability Claims$1,442,365
FieldValueIRS element (for citing)
Total Liability$28,558,265TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationAll Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,617,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,708,554DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,908,453NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,617,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,708,554DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,908,453NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,617,007TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,708,554DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,908,453NetCommunityBenefitExpnsAmt
Total Expense0.05900TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,666,865BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$41,068,574ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$54,452,970CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$13,384,396MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Iowa City Ambulatory Surgery Center LLC
Outpatient Surgery Center0.400000.60000
2 Corridor Radiology LLC
Outpatient Radiology Services0.510000.49000
3 Eastern Iowa Rehabilitation Hospital LLC
Rehabilitation Services0.510000.49000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mercyiowacity.orgWebsiteAddressTxt
State License520074HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Emergency Room OtherYes (X)EmergencyRoomOtherInd
OtherLab OutreachOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital Iowa City IowaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 5: To solicit input from community stakeholders (key informants), those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was compiled by Mercy Iowa City; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Final participation included representatives of the organizations outlined below.- Coralville Fire Department- Iowa City- Iowa City Area Development- Iowa City Crisis Center- Iowa City Fire Department- Johnson County- Johnson County Public Health Representative- Kinze Manufacturing- Lone Tree School District- Mercy Hospital Emergency Physicians- Mercy Services- NAMI of Johnson County- Oaknoll Retirement Community- Rural Health and Safety of Eastern Iowa (RHSEI)- UI College of Public Health - United Way- University Police- Washington County Hospital and ClinicsThrough this process, input was gathered from several individuals whose organizations work with low income, minority, or other medically underserved populations.
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 7a:https://www.mercyiowacity.org/upload/docs/About%20Mercy/2021%20PRC%20CHNA%20Report%20-%20Mercy%20Iowa%20City.pdf
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 10a:https://www.mercyiowacity.org/upload/docs/About%20Mercy/2021%20CHNA%20Implementation%20Plan.pdf
Mercy Hospital, Iowa City, Iowa:Part V, Section B, Line 11:The 2021 CHNA summarized 11 areas of opportunity identified through Public Health, Vital Statistics, and Benchmark Data and 6 areas of need identified by Key Informants considered to be major needs. Mercy Hospital is addressing these needs as follows:Mental Health - Access to providers and facilities:In 2022, we hired a full-time physician psychiatrist specialist to both extend our psychiatric visits on our hospital campus and also to lead an effort to evaluate the options for developing a closed psychiatric unit. In the outpatient setting, we also have hired a second therapist to increase our therapy visits. We also intend to maintain mental health related links such as "Guild to Mental Health Resources" as well as "Stress and Coping" on our website for quick and convenient educational information available to the public.Nutrition, Physical Activity & Weight - Cultural headwinds and lack of insurance covered programs for children: In 2022, we expanded our bariatric surgery program by hiring a second physician and a second dietician. Bariatric surgery is an effective treatment option especially when it is supported by a robust support program that features dieticians. We intend to maintain our posts of healthy recipes with video instruction on the Mercy website and to provide a walk-in Wellness Program which aims to increase physical activity and increase healthy eating in our community.Substance Abuse - Alcohol, meth, opioid treatment options limited: Maintained a nurse navigator service that provides callbacks to patients as well as assisting these patients and their families in obtaining counseling services, transportation, or primary care referrals. Reopen meeting rooms so the local AA chapter can resume in-person meetings once our rooms become available, provided COVID status safety concerns are met.Diabetes - Limited access to dieticians and poor insurance coverage: Offered a free pre-diabetes class taught by a registered dietician. This was offered as a virtual class in order to improve access to anyone interested. Continued to provide diabetic education to hospital based nurses so they can more directly convey the importance of managing this disease to patients. We also offered individualized diabetic education which covers nutrition management, the role of physical activity, psychosocial adjustment and healthy coping, glucose monitoring and insulin administration.Corona Virus/COVID-19 - Vaccination rate disparities: We began offering vaccinations in select clinics in 2021 and intend to continue offering those as long as the need persists. We also continued to offer tele visits which provide improved access to our providers for those in more rural settings where travel may be more difficult.Dementia/Alzheimer's - Lack of geriatric care units, adult daycare, and outpatient services focused on memory disorders: Maintained a nurse navigator service to arrange therapies and to assist in obtaining home health and/or respite care for the patients' caregivers. Primary Care Access - Cedar and Muscatine: Maintained a primary care presence in these two counties. Lung Cancer - Cedar and Muscatine:Maintained our low-dose CT screening program for long term smokers. Continue to offer smoking cessation counseling.Heart Disease - Iowa: Maintained our Primary Stroke Center designation through The Joint Commission and our recognition as a Blue Distinction Center for heart care. Maintained our Emergency Care protocols and training that have helped us achieve interventions "faster than the national average".Births to Adolescents - Muscatine and Washington: Maintained our primary care clinic in Muscatine and continue to provide support by linking prospective mothers to our OBGYN affiliates, our pediatric outpatient clinic, our breastfeeding support classes, and to provide access to our financial counselors. Maintained our website support including a free pregnancy tracker app. STI - Johnson: Continued to staff the infectious disease position. This person will monitor chlamydia incidence and maintained relationships with the public health departments at the county and state levels.
Mercy Hospital, Iowa City, IowaPart V, line 16a, FAP website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/MercyIC%20Financial%20Assistance%20Policy_2021.pdf
Mercy Hospital, Iowa City, IowaPart V, line 16b, FAP Application website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/Financial%20Assistance%20App_2021.pdf
Mercy Hospital, Iowa City, IowaPart V, line 16c, FAP Plain Language Summary Website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/MercyIC%20Plain%20Language%20Summary_2021.pdf
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - Mercy Home Health CareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
FacilityHome Health and Private Duty NursingFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Mercy Hospital, Iowa City, Iowa also uses asset level, medical indigency, insurance status, and underinsurance status as factors in determining eligibility for free and discounted care.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 9,558,655.
Part III, Line 2:The amount of bad debt expense reported on line 2 was derived from taking actual bad debt write-offs and applying the cost to charge ratio of .2790 to that amount.
Part III, Line 3:Mercy Hospital, Iowa City, Iowa works with those qualifying for charity care along every step of the process. Every effort is made to work with the patient to provide financial assistance when appropriate. While there are people who do not cooperate with Mercy Hospital, Iowa City, Iowa regarding payment plans, financial assistance or with those trying to get help from Government programs. For individuals not providing necessary information, it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital, Iowa City, Iowa is unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals do not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy.
Part III, Line 4:Mercy Hospital, Iowa City, Iowa did not undergo an audit for the fiscal year ended June 30, 2023 as the entity filed a voluntary petition for relief under chapter 11 of title 11 of the United States Code in the United States Bankruptcy Court for the Northern District of Iowa on August 7, 2023. Mercy Hospital, Iowa City, Iowa has entered into an agreement with the State of Iowa, on behalf of the University of Iowa pursuant to which the State of Iowa, on behalf of the University of Iowa, has agreed to purchase substantially all of the assets of Mercy Hospital, Iowa City, Iowa. Following the acquisition, the medical services previously provided by Mercy Hospital, Iowa City, Iowa will be provided by the University of Iowa and its affiliates, and Mercy Hospital, Iowa City, Iowa will no longer exist as a hospital providing health care services. As a result, the footnote that describes bad debt expense is based on the most recent audited financial statements issued for the fiscal year ended June 30, 2022.Mercy Hospital, Iowa City, Iowa's audited financial statements includes a footnote for the provision of uncollectible accounts on Page 12 of the audited financial statements.
Part III, Line 8:Total revenue was determined using charges per the CMS Provider Statistical Reimbursement System reports for Fee Reimbursed Services for the fiscal year ended 6/30/23. Costs calculated using the Cost to Charge Ratio for the appropriate services from the submitted Medicare Cost Report Form 2552-96 for the fiscal year ended 06/30/23.
Part III, Line 9b:Mercy Hospital, Iowa City, Iowa has two policies related to debt collection. The Financial Assistance Policy provides guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospitals. Patient may be given a financial assistance application at the time of service, be offered financial assistance during the normal collection process or learn of the option on the Hospital website. All patients with no insurance are offered financial assistance via billing statements & follow-up telephone calls. Any patient that is known to qualify for financial assistance is provided assistance. The payment plan policy enables those who qualify for patient financial assistance to establish payment plans of the remaining balance of their bill.
Part VI, Line 2:The most recent community health needs assessment was conducted in December 2021. The organization engaged Professional Research Consultants to conduct the assessment. The community health survey is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the communities the organization serves. The survey instrument used for the assessment is based largely on the Centers for Disease Control (CDC), Behavioral Risk Factor Surveillance System (BRFS), as well as various other public health surveys and customized questions addressing gaps in indicator data, relative to nation health promotion and disease prevention objectives and other recognized health issues.
Part VI, Line 3:If a patient is deemed to not have insurance coverage (self-pay) or is under-insured, a referral is made to our third-party vendor to screen the patient for Medicaid eligibility. They can also assist with marketplace products and social security applications. If they are not eligible for Medicaid/Emergency Medicaid, our third-party eligibility vendor notifies the patient of the financial counselors and places a referral to the financial counselor to assist the patient. In order to be eligible for financial assistance the patients must complete the Medicaid, Medicare, and/or insurance exchange review process. The level of assistance is based on where the patient falls on the federal poverty level. The financial counselors provide/assist the patient with completion of the financial aid application and noting the account according to the outcome.
Part VI, Line 4:Mercy Hospital, Iowa City, Iowa is located in the community of Iowa City, Iowa, in Johnson County along the east central part of the state. The county's population in 2022 was approximately 156,420. Mercy Hospital, Iowa City, Iowa services 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service areas includes: Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 340,200. Iowa City is home to the University of Iowa, which has an enrollment of approximately 31,317 for the 2022-2023 academic year. Johnson County is well-educated, of individuals 25 and older, 95.3 percent are high school graduates and 54 percent hold a bachelors degree or higher. The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness and manufacturing. According to the U.S. Census Bureau, 14.7 percent of the Johnson County population lived below the poverty line between 2017 and 2021, compared to 11.1 percent for the entire state.
Part VI, Line 5:Mercy Hospital, Iowa City, Iowa is faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy Hospital, Iowa City, Iowa does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with the Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and Hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community preparedness issues; treating emergency patients according to EMTALA guidelines and service all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community.
Part VI, Line 7, Reports Filed With StatesIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Iowa City Area Development Group IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 S Dubuque StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52240ZIPCd
FieldValueIRS element (for citing)
Recipient EIN421234837RecipientEIN
IRC Section501(c)(6)IRCSectionDesc
Cash Grant$12,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantGeneral SupportPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org0Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAll organizations Mercy provides assistance to are local organizations. Therefore, Mercy is in frequent contact with the organizations and is generally aware of their use of Mercy's assistance. However, there is no formal mechanism in place to track specific uses of the assistance. Mercy Hospital offers a Temporary Assistance Program (TAP) for emergency financial needs that employees may have. This confidential program offers crisis assistance and health benefit assistance.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Andrew Ashby
Physician$517,684$0$2,000$0$18,450$0$7,175$0$29,286$0$574,595$0$0$0
Craig Huston
Physician$488,131$0$45,000$0$0$0$10,213$0$30,972$0$574,316$0$0$0
Michael Hoffman
Physician$482,196$0$2,400$0$13,900$0$10,675$0$29,386$0$538,557$0$0$0
Luke Brunkhorst
Physician$500,063$0$2,000$0$400$0$5,125$0$27,228$0$534,816$0$0$0
Steven Udelhofen
Physician$415,781$0$38,000$0$200$0$6,429$0$6,877$0$467,287$0$0$0
Dawna Miller
Treasurer (End 7/22)$207,266$0$54,638$0$104,844$0$8,332$0$24,470$0$399,550$0$0$0
Kim Volk
VP - Nursing$239,038$0$12,150$0$534$0$4,523$0$21,361$0$277,606$0$0$0
Scott Alderman
VP - Information and Tech(End 12/22)$237,140$0$11,788$0$100$0$6,187$0$7,020$0$262,235$0$0$0
Martin Izakovic
Former VP/Physician$173,495$0$19,865$0$18,289$0$4,928$0$16,056$0$232,633$0$0$0
Kimberley Rossiter
Assistant Treasurer (End 8/22)$194,183$0$7,750$0$6,855$0$5,002$0$16,183$0$229,973$0$0$0
Stuart Elkin
Assistant Treasurer (Beg 9/22)$170,317$0$0$0$145$0$5,733$0$0$0$176,195$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aDawna Miller, Chief Financial Officer received severance payments amounting to $103,884 in calendar year 2022 as part of her employment contract.
Part I, Line 7Non-fixed payments were provided to administrators and physicians who met stated criteria that included meeting certain RVU (Relative Value Unit), productivity levels, specified CMS/JACHO performance core indicators and certain patient satisfaction and/or nursing satisfaction survey scores.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Hills Iowa
A4209209470000000002018-05-10$40,501,771Refund Bonds issued 04/29/08000
City of Hills Iowa
B420920947431669AW02011-11-30$44,742,571Build and Equip Facility; Refund Bonds issued 7/16/1998000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIssuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A$3,885,000$40,501,771$4,050,177$2,131,594$34,320,0002018Yes (1)0Yes (1)Yes (1)
B$20,345,000$44,743,882$20,002,570$24,151,4382012Yes (1)0Yes (1)Yes (1)$589,874

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)000.000000.000000.0000000Yes (1)
B00Yes (1)000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00000000Yes (1)
B000Yes (1)000Yes (1)Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3:Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Schedule K, Part IV, Line 2c, Column A:The organization is in bankruptcy; no rebate calculation has been performed.
Schedule K, Part IV, Line 2c, Column B:Rebate calculation was performed 11/30/21.
Schedule K, Part IV, Line 6, Column B:Such amounts were appropriately yield restricted.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Sister Helen Marie Burns, board member; Sister Rita Specht, board member; and Sister Linda Bechen, Board Member are members of the Sisters of Mercy of the Americas West Midwest Community, Inc. Mike Trachta, Jeff Rooney, Stuart Elkin, Dawna Miller, and Kimberly Rossiter have a business relationship as they simultaneously serve together on the Mercy Services Iowa City, Iowa board.
Form 990, Part VI, Section A, line 3MercyOne provided certain management oversight and personnel services pursuant to a strategic management affiliation agreement through March 2023. Mike Trachta, Chief Executive Officer (ending 3/23) of Mercy Hospital, Iowa City, Iowa is not an employee of the hospital, but rather an employee of MercyOne, a management company. For his role as Chief Executive Officer of Mercy Hospital Iowa City, Mike Trachta is compensated $582,271 by MercyOne. Martinville Dunn provided certain management oversight and personnel services pursuant to a strategic management affiliation agreement. Jeffrey Rooney, Chief Financial Officer (beginning 9/22 and ending 4/23) of Mercy Hospital, Iowa City, Iowa is not an employee of the hospital but rather an employee of Martinville Dunn, a management company. For his role as Chief Financial Officer of Mercy Hospital Iowa City, Jeffrey Rooney was compensated $290,398 by Martinville Dunn.
Form 990, Part VI, Section A, line 6Mercy's sole member is the Sisters of Mercy of the Americas West Midwest Community, Inc.
Form 990, Part VI, Section A, line 7bMercy's sole member, Sisters of Mercy of the Americas West Midwest Community, Inc., maintains a number of "reserved powers" including but not limited to approval of annual budgets, approval of amendments to the articles of incorporation and bylaws, approval of real property transactions and approval of long term borrowing.
Form 990, Part VI, Section B, line 11bThe form 990 is reviewed by Mercy Hospital, Iowa City, Iowa's controller, the chief financial officer, and an outside independent accounting and tax firm prior to submitting the form 990 to the IRS. The form 990 was not reviewed by the organization's board of directors before submitting it to the IRS.
Form 990, Part VI, Section B, line 12cA conflict of interest statement is signed at the beginning of Board members term and on an annual basis there after. Any abstention from a vote is recorded in Board minutes. After the fiscal year end a "look back" questionnaire is distributed to all Board members to disclose any conflicts of interest that may have taken place in the previous year.
Form 990, Part VI, Section B, line 15Compensation for all executives and other key employees is determined based on national or regional market data for comparable positions at comparatively sized hospitals. The Executive Committee of the Board of Directors uses this market-based information to set the President and CEO's compensation. In turn, the CEO uses this same information to set compensation for officers and key employees, which is also approved by the board.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part IX, line 11gOutside Services: Program service expenses 25,617,885. Management and general expenses 14,596,064. Fundraising expenses 0. Total expenses 40,213,949.
Form 990, Part XI, line 9:Change in Unrecognized Pension Actuarial Gain 14,178,927. Change in Beneficial Interest in Foundation 1,705,086. Change in Beneficial Interest of Services -17,361,627. Pension Cost -1,264,450. Transfer to Self-Insured Trust -975,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Mercy Foundation
500 East Market StreetIowa CityIA52245237040506Foundation/FundraisingIA501(c)(3)12A, IMercy HospitalYes (1)
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
500 East Market StreetIowa CityIA52245426591803Self InsuranceIA501(c)(3)12A, IMercy HospitalYes (1)
Sisters of Mercy of the Americas West Midwest Community Inc
7262 Mercy RoadOmahaNE68124262400800Religious OrderNE501(c)(3)Religious Order0N/A
Mercy Hospital Guild
500 East Market StreetIowa CityIA52245426099912FundraisingIA501(c)(3)12C, III-FI0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Iowa City Ambulatory Surgical Center LLC
2963 Northgate DriveIowa CityIA52245208503424Outpatient SurgeryIAMercy HospitalRelated$2,828,785$1,622,7330Yes (1)0.40000
Corridor Radiology LLC
2769 Heartland Drive Suite 307CoralvilleIA52241430635070Radiology ServicesIAMercy HospitalRelated$192,489-$55,239000.51000
Eastern Iowa Rehabilitation Hospital LLC
680 S 4th StreetLouisvilleKY40202831589139Inpatient Rehabilitation CareIAMercy HospitalRelated-$801,558$7,942,126000.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Mercy Services Iowa City IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
EIN421241044EIN
Primary ActivitiesMedical Clinic ServicesPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$21,944,593ShareOfTotalIncomeAmt
Share Of EOY Assets$20,776,448ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Foundation
C$110,521Cost
Mercy Services Iowa City Inc
A$670,990Cost
Mercy Services Iowa City Inc
R$6,850,000Cost
Mercy Services Iowa City Inc
S$2,700,000Cost
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
B$975,000Cost
Mercy Services Iowa City Inc
Q$6,841,576Cost
Mercy Services Iowa City Inc
O$4,917,795Cost