MHIC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MHIC (EIN 42-0680391)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202311329349304216
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T13:01:31-05:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 MONUMENT CIRCLE Suite 4200	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462045108	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420680391	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Iowa City Iowa	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3193390300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tom Clancy	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	3193390300	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Tom	PersonFirstNm
Person Last	Clancy	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Shawna M Jansons	PreparerPersonNm
PTIN	P01222873	PTIN
Phone	3174648600	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Tom Clancy	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$233,545,515	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercyiowacity.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1873	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	To heal and comfort the sick and improve the health of the community in the spirit of Jesus Christ.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1362	TotalEmployeeCnt
Total Volunteers	114	TotalVolunteersCnt
Total Gross UBI	$5,178,746	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,679,077	PYContributionsGrantsAmt
CY Contributions Grants	$3,075,832	CYContributionsGrantsAmt
PY Program Service Revenue	$176,260,217	PYProgramServiceRevenueAmt
CY Program Service Revenue	$168,749,231	CYProgramServiceRevenueAmt
PY Investment Income	$4,731,889	PYInvestmentIncomeAmt
CY Investment Income	$4,158,235	CYInvestmentIncomeAmt
PY Other Revenue	$10,609,055	PYOtherRevenueAmt
CY Other Revenue	$1,035,307	CYOtherRevenueAmt
PY Total Revenue	$193,280,238	PYTotalRevenueAmt
CY Total Revenue	$177,018,605	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,665	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$69,704,817	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$70,453,482	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$113,123,973	PYOtherExpensesAmt
CY Other Expenses	$123,367,437	CYOtherExpensesAmt
PY Total Expenses	$182,828,790	PYTotalExpensesAmt
CY Total Expenses	$193,835,584	CYTotalExpensesAmt
PY Revenues Less Expenses	$10,451,448	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$16,816,979	CYRevenuesLessExpensesAmt
Total Assets BOY	$261,026,318	TotalAssetsBOYAmt
Total Assets EOY	$209,423,313	TotalAssetsEOYAmt
Total Liabilities BOY	$164,155,664	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$153,616,891	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$96,870,654	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$55,806,422	NetAssetsOrFundBalancesEOYAmt
Mission	Mercy 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$121,624,627	ExpenseAmt
Grant	$14,665	GrantAmt
Revenue	$170,152,149	RevenueAmt
Desc	Hospital 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

Field	Value	IRS element (for citing)
Expense	$340,049	ExpenseAmt
Revenue	$282,544	RevenueAmt
Desc	Education. 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

Field	Value	IRS element (for citing)
Expense	$11,524,279	ExpenseAmt
Desc	Community Benefit. Mercy's community benefits take many forms, beginning with the traditional charity care of ($1.0 million) and the unpaid cost of Medicaid ($6.2 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. These efforts are detailed in Mercy's community health benefit report. 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

Field	Value	IRS element (for citing)
Total Program Service Expenses	$133,488,955	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1362	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tom Clancy	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3193393540	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Dawna Miller
Treasurer	40.00	2.00	Yes (X)	Yes (X)	$346,293	$0	$45,192
Scott Alderman
VP - Information and Technology	40.00	0.00	Yes (X)	Yes (X)	$231,048	$0	$23,146
Kim Volk
VP - Nursing	40.00	0.00	Yes (X)	Yes (X)	$215,130	$0	$24,513
Mike Trachta
CEO & Administrator (Beg 10/21)	1.00	41.00	Yes (X)	Yes (X)	$0	$0	$0
Sean Williams
CEO & Administrator (End 9/21)	40.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
Tom Clancy
Vice Chair/Secretary	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Bob Ritz
Board Member	1.00	1.00	Yes (X)		$0	$0	$0
Dave Vellinga
Board Member	1.00	1.00	Yes (X)		$0	$0	$0
Dr Chris Scott
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Jack Dusenbery
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Karin Franklin
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Madeline Windauer
Board Member	1.00	1.00	Yes (X)		$0	$0	$0
Mary Westbrook
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
SR Helen Marie Burns
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
SR Linda Bretchen
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
SR Rita Specht
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Steven Anderson
Board Member	1.00	0.00	Yes (X)		$0	$0	$0
Tom McLaughlin
Chair	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
Kimberley Rossiter
Assistant Treasurer	40.00	2.00		Yes (X)	$141,766	$0	$24,885
James Nielsen
Physician	40.00	0.00			$605,725	$0	$36,071	Yes (X)
Andrew Ashby
Physician	40.00	0.00			$536,364	$0	$34,539	Yes (X)
Luke Brunkhorst
Physician	40.00	0.00			$525,513	$0	$30,735	Yes (X)
Michael Hoffman
Physician	40.00	0.00			$465,724	$0	$41,395	Yes (X)
Rhys Kavanagh
Physician	40.00	0.00			$469,180	$0	$40,818	Yes (X)
Martin Izakovic
Former VP/Physician	40.00	0.00			$238,363	$0	$36,818		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,775,106	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$338,112	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	96	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Medefis Consolidated
PO Box 5068	New York	NY	100875068	Contract Nursing Labor	$8,431,850
Allscripts Healthcare
24630 Network Place	Chicago	IL	60631	EHR/Help Desk Services	$3,800,179
The Chartis Group LLC
220 W Kinzie St	Chicago	IL	60654	EHR Implementation Consulting	$3,510,185
Vaya Workforce Solutions LLC
Dept CH18001	Palantine	IL	600558001	Contract Clinical Labor	$3,101,980
MercyOne
PO Box 74008768	Chicago	IL	606748768	Management Services	$2,885,332

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	71	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,329,000	RelatedOrganizationsAmt
Government Grants	$1,746,832	GovernmentGrantsAmt
Total Contributions	$3,075,832	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue	621400	$87,269,874	$87,269,874
Medicare/Medicaid	621400	$70,643,705	$70,643,705
Lab Outreach	621511	$5,178,746		$5,178,746
ASC/DIC Income	900099	$3,596,095	$3,596,095

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,060,811	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,060,811	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$168,749,231	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,340,923	TotalRevenueColumnAmt
Exclusion	$1,340,923	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,188,393	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,001,679	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$186,714	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,714	TotalRevenueColumnAmt
Exclusion	$186,714	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$58,342,543	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$55,525,231	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,817,312	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,817,312	TotalRevenueColumnAmt
Exclusion	$2,817,312	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income	722310	$468,790	$468,790
Emerson Point Meal Svc	722320	$130,046		$130,046
Telephone	517700	$64,585		$64,585

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$185,172	TotalRevenueColumnAmt
Related Or Exempt Func Income	$185,172	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$848,593	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$177,018,605	TotalRevenueColumnAmt
Related Or Exempt Func Income	$163,950,288	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,178,746	UnrelatedBusinessRevenueAmt
Exclusion	$4,813,739	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$13,550	TotalAmt
Program Services	$13,550	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,115	TotalAmt
Program Services	$1,115	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$993,739	TotalAmt
Program Services	$258,486	ProgramServicesAmt
Management And General	$735,253	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$156,513	TotalAmt
Management And General	$156,513	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$57,713,070	TotalAmt
Program Services	$40,220,238	ProgramServicesAmt
Management And General	$17,492,832	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,553,177	TotalAmt
Program Services	$1,082,409	ProgramServicesAmt
Management And General	$470,768	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,912,054	TotalAmt
Program Services	$4,120,110	ProgramServicesAmt
Management And General	$1,791,944	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,124,929	TotalAmt
Program Services	$2,874,663	ProgramServicesAmt
Management And General	$1,250,266	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,136,708	TotalAmt
Management And General	$2,136,708	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$498,118	TotalAmt
Management And General	$498,118	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$132,061	TotalAmt
Management And General	$132,061	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$26,508	TotalAmt
Management And General	$26,508	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$32,255,183	TotalAmt
Program Services	$21,791,494	ProgramServicesAmt
Management And General	$10,463,689	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$529,744	TotalAmt
Management And General	$529,744	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,894,459	TotalAmt
Program Services	$7,531,350	ProgramServicesAmt
Management And General	$4,363,109	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,165,218	TotalAmt
Program Services	$280,077	ProgramServicesAmt
Management And General	$7,885,141	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,492,937	TotalAmt
Program Services	$107,179	ProgramServicesAmt
Management And General	$2,385,758	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$137,408	TotalAmt
Program Services	$52,742	ProgramServicesAmt
Management And General	$84,666	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,135,993	TotalAmt
Program Services	$1,615,624	ProgramServicesAmt
Management And General	$2,520,369	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,811,444	TotalAmt
Program Services	$7,731,449	ProgramServicesAmt
Management And General	$2,079,995	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,327,052	TotalAmt
Management And General	$2,327,052	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$17,670,154	$17,658,660	$11,494
Pharmacy Supplies	$12,645,180	$12,372,477	$272,703
Bad Debt Expense	$11,023,219	$11,023,219
Food Expense	$1,221,357	$1,221,357

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,264,694	TotalAmt
Program Services	$3,532,756	ProgramServicesAmt
Management And General	$2,731,938	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$193,835,584	TotalAmt
Program Services	$133,488,955	ProgramServicesAmt
Management And General	$60,346,629	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$22,087,082	BOYAmt
EOY	$5,790,517	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,593,041	BOYAmt
EOY	$133,521	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,230,682	BOYAmt
EOY	$31,243,280	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,404,135	BOYAmt
EOY	$3,579,601	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,167,584	BOYAmt
EOY	$2,610,445	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$258,746,537	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$196,366,096	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$54,919,612	BOYAmt
EOY	$62,380,441	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$100,105,986	BOYAmt
EOY	$52,778,600	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$78,490,419	BOYAmt
EOY	-$91,318,072	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$129,008,615	BOYAmt
EOY	$142,224,980	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$261,026,318	BOYAmt
EOY	$209,423,313	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$41,950,660	BOYAmt
EOY	$35,705,862	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,516,446	BOYAmt
EOY	$70,127,406	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,819,756	BOYAmt
EOY	$2,316,111	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$55,868,802	BOYAmt
EOY	$45,467,512	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$164,155,664	BOYAmt
EOY	$153,616,891	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$96,870,654	BOYAmt
EOY	$55,806,422	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$96,870,654	BOYAmt
EOY	$55,806,422	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$261,026,318	BOYAmt
EOY	$209,423,313	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$16,816,979	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,464,513	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,782,740	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$26,508	OtherActivitiesAmt
Total Lobbying Expenditures	$26,508	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Mercy 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,286,002	BeginningYearBalanceAmt
Contributions	$14,493	ContributionsAmt
Investment Earnings Or Losses	$377,510	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$533,466	GrantsOrScholarshipsAmt
End Year Balance	$17,144,539	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,775,239	BeginningYearBalanceAmt
Contributions	$456,231	ContributionsAmt
Investment Earnings Or Losses	$744,957	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$690,425	GrantsOrScholarshipsAmt
End Year Balance	$17,286,002	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.83300	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.16700	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$142,408,307	OtherCostOrOtherBasisAmt
Depreciation	$112,143,676	DepreciationAmt
Book Value	$30,264,631	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$110,892,507	OtherCostOrOtherBasisAmt
Depreciation	$83,597,282	DepreciationAmt
Book Value	$27,295,225	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,280,058	OtherCostOrOtherBasisAmt
Depreciation	$625,138	DepreciationAmt
Book Value	$654,920	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$62,380,441	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest-Foundation	$16,538,204
Due From Affiliates	$116,452,921
2011/2018 Bond Fund	$4,093,477
ROU Assets	$5,140,378

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$142,224,980	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Pension Benefit Liability	$39,474,959
Other Long-Term Liabilities	$4,382,256
Professional Liability Claims	$1,610,297

Field	Value	IRS element (for citing)
Total Liability	$45,467,512	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	All Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,341,169	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,341,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,089,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,906,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,183,110	NetCommunityBenefitExpnsAmt
Total Expense	0.05570	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,430,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,906,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,524,279	NetCommunityBenefitExpnsAmt
Total Expense	0.06300	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$229,149	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$229,149	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$617,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$492,985	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$124,173	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$846,307	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$492,985	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$353,322	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,277,302	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,399,701	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,877,601	NetCommunityBenefitExpnsAmt
Total Expense	0.06500	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,999	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,999	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,999	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$3,028,078	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$42,421,649	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$53,783,350	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,361,701	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Iowa City Ambulatory Surgery Center LLC
Outpatient Surgery Center	0.40000	0.60000
2 Corridor Radiology LLC
Outpatient Radiology Services	0.51000	0.49000
3 Eastern Iowa Rehabilitation Hospital LLC
Rehabilitation Services	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.mercyiowacity.org	WebsiteAddressTxt
State License	520074H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Emergency Room Other	Yes (X)	EmergencyRoomOtherInd
Other	Lab Outreach	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Iowa City Iowa	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Section C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Mercy Hospital, Iowa City, Iowa	Part 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, Iowa	Part 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, Iowa	Part 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: Maintain 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: Continue to offer a free pre-diabetes class taught by a registered dietician. This is offered as a virtual class in order to improve access to anyone interested. Continue to provide diabetic education to hospital based nurses so they can more directly convey the importance of managing this disease to patients. We also offer 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 continue 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: Maintain 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: Maintain a primary care presence in these two counties. Lung Cancer - Cedar and Muscatine:Maintain our low-dose CT screening program for long term smokers. Continue to offer smoking cessation counseling.Heart Disease - Iowa: Maintain our Primary Stroke Center designation through The Joint Commission and our recognition as a Blue Distinction Center for heart care. Maintain our Emergency Care protocols and training that have helped us achieve interventions "faster than the national average".Births to Adolescents - Muscatine and Washington: Maintain 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. Maintain our website support including a free pregnancy tracker app. STI - Johnson: Continue to staff the infectious disease position. This person will monitor chlamydia incidence and maintain relationships with the public health departments at the county and state levels.
Mercy Hospital, Iowa City, Iowa	Part 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, Iowa	Part 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, Iowa	Part 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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - Mercy Home Health Care	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Facility	Home Health and Private Duty Nursing	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	Mercy Hospital 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:	Amounts in the table were derived using a cost accounting system that addresses all patient segments. A cost to charge ratio derived from completing IRS worksheet 2 was used to determine the amounts in Part I, Line 7a, 7b, 7c. and 7g.
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 $ 11,023,218.
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 .2747 to that amount.
Part III, Line 3:	Mercy Hospital 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 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 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 II, Community Building Activities:	Community Support:Mercy is proud to continue our dedicated annual support that we provide to our community.Mercy has provided support to the following community organizations in financial support, promotional collaboration and/or colleague volunteer time:Through the Iowa City Free Medical Clinic, Mercy provided mammograms and radiology exams at no charge to community members. Mercy holds a high emphasis for the importance of preventative care and wants to ensure access to mammograms for all community members, regardless of financial means. Mercy Iowa City is pleased to continue our partnership with Iowa City Hospice; often accepting patients for acute care and/or respite care. Mercy accommodates subsidies for Hospice patients as needed and is proud to continue to promote the value Iowa City Hospice in our community. Continued collaboration with Team Breast Friends, Breast Cancer Awareness Association through promotional materials offered in cancer care bags provided to Mercy cancer patients purchased by the Mercy Guild. The Mercy Hospital Foundation works with Team Breast Friends to offer in annual support to women in need who were unable to pay for mammography services at the hospital.Mercy Hospital is a partner in the community-wide initiative called Honoring Your Wishes. Mercy helps community members talk about long-term health care wishes and desires. Mercy offers to create a written plan of those wishes and desires referred to as Advanced Directives. This service is highly educational to community members and is provided at no charge through the Mercy Pastoral Care Department. Mercy's Pastoral Care Department provides clothing to discharged patients who lack appropriate attire, often because what they had worn when they were admitted was cut off in the Emergency Room to provide immediate care. Transportation is also provided via paid taxi for discharged patients and/or their family members as needed due to lack of financial means for required transportation.Mercy's 24-hour Mercy On-Call service provides medical triage and health information, scheduling of provider appointments, and refers callers to local supporting services as appropriate at no charge to the community member. This is a valued service and often complimented by community members such as new mothers seeking guidance on potential medical needs for their newborn or community members who are new to our community and unsure of existing resources. SHIIP (Senior Health Insurance Information Program) Volunteers assist seniors navigate through Medicare insurance enrollment with emphasis on the annual Medicare Open Enrollment Period for Part D coverage. 478 community members realized savings during Open Enrollment for Part D in FY 22' for our community members served through Mercy Iowa City. NAMI (National Association for Mental Illness) Mercy supports the annual NAMI walk in efforts to bring awareness and assistance for mental illness.AHA (American Heart Association) Mercy Iowa City supports the AHA Go Red For Women Luncheon to help bring awareness, early detection for heart disease to women.Mercy continues to be a donation site for the Toys-for-Tots annual toy drive, providing toys over the holiday season for children in need. Toys delivered to Mercy Iowa City are then delivered to the designated drop off area for final collection by Toys-for-Tots through Mercy colleague volunteered time. Environmental Improvements:Mercy has been a good neighbor by maintaining its buildings and landscaping at a quality level. Mercy also continues to pursue extensive recycling (including newspapers, office paper, magazines, plastic, batteries, cooking oil, construction materials and more) and pursues equipment that reduce energy consumption as equipment requires replacement.Coalition Building:Mercy is involved in many ways with local citizens and groups that are working to afford all members of our community a good quality of life and to improve overall quality of life.
Part III, Line 4:	Mercy Hospital'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 6/30/22. 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 06/30/22.
Part III, Line 9b:	Mercy Hospital 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 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 2021 was approximately 154,748. Mercy Hospital 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 Iowa City 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 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 States	IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Iowa City Area Development Group Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	136 S Dubuque Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52240	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	421234837	RecipientEIN
IRC Section	501(c)(6)	IRCSectionDesc
Cash Grant	$12,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	General Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	All 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Nielsen
Physician	$579,459	$0	$0	$0	$26,266	$0	$11,313	$0	$24,758	$0	$641,796	$0	$0	$0
Andrew Ashby
Physician	$517,989	$0	$0	$0	$18,375	$0	$6,824	$0	$27,715	$0	$570,903	$0	$0	$0
Luke Brunkhorst
Physician	$486,017	$0	$39,011	$0	$485	$0	$4,874	$0	$25,861	$0	$556,248	$0	$0	$0
Rhys Kavanagh
Physician	$420,101	$0	$48,839	$0	$240	$0	$10,150	$0	$30,668	$0	$509,998	$0	$0	$0
Michael Hoffman
Physician	$444,614	$0	$10,810	$0	$10,300	$0	$10,150	$0	$31,245	$0	$507,119	$0	$0	$0
Dawna Miller
Treasurer	$290,553	$0	$54,250	$0	$1,490	$0	$11,721	$0	$33,471	$0	$391,485	$0	$0	$0
Martin Izakovic
Former VP/Physician	$204,804	$0	$18,932	$0	$14,627	$0	$6,825	$0	$29,993	$0	$275,181	$0	$0	$0
Scott Alderman
VP - Information and Technology	$208,048	$0	$11,500	$0	$11,500	$0	$4,812	$0	$18,334	$0	$254,194	$0	$0	$0
Kim Volk
VP - Nursing	$203,947	$0	$10,725	$0	$458	$0	$5,055	$0	$19,458	$0	$239,643	$0	$0	$0
Kimberley Rossiter
Assistant Treasurer	$134,678	$0	$6,721	$0	$367	$0	$5,095	$0	$19,790	$0	$166,651	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 7	FormAndLineReferenceDesc
Explanation	Non-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.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
City of Hills Iowa
A	420920947	000000000	2018-05-10	$40,501,771	Refund Bonds issued 04/29/08	0	0	0
City of Hills Iowa
B	420920947	431669AW0	2011-11-30	$44,742,571	Build and Equip Facility; Refund Bonds issued 7/16/1998	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$2,920,000	$40,501,771	$4,050,177	$2,131,594	$34,320,000	2018	Yes (1)	0	Yes (1)	Yes (1)
B	$18,100,000	$44,743,882		$20,002,570	$24,151,438	2012	Yes (1)	0	Yes (1)	Yes (1)	$589,874

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 B:	Rebate calculation was performed 5/21/14.
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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Sister Helen Marie Burns, board member; Sister Rita Specht, board member; and Sister Linda Bretchen, Board Member are members of the Sister of Mercy of the Americas West Midwest Community, Inc. Dawna Miller and Kimberley Rossiter have a business relationship as all three simultaneously serve together on the Mercy Services Iowa City, Iowa board.
Form 990, Part VI, Section A, line 3	MercyOne provides certain management oversight and personnel services pursuant to a strategic management affiliation agreement. Sean Williams, Chief Executive Officer (ending 09/21) 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, Sean Williams is compensated $972,326 by MercyOne. Mike Trachta, Chief Executive Officer (beginning 10/21) 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 $90,649 by MercyOne.
Form 990, Part VI, Section A, line 6	Mercy's sole member is the Sisters of Mercy of the Americas West Midwest Community, Inc.
Form 990, Part VI, Section A, line 7b	Mercy'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 11b	The Form 990 is prepared and reviewed by Mercy Hospital management and is also reviewed by Deloitte Tax LLP. In addition, a board resolution was established that provides that each board member be (i) provided a copy of the Form 990 as it is intended to be filed, and (ii) given a reasonable opportunity before filing to provide to the Audit Committee any comments, corrections, concerns or other inputs on the proposed Form. The Audit Committee's review process shall be intended to reasonably verify that the Form 990 has been fully and accurately completed, including but not limited to, all inquiries therein relating to corporate governance. After completing its review, the Audit Committee, on the Board's behalf, shall have the authority to authorize the filing of the annual Form 990.
Form 990, Part VI, Section B, line 12c	A 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 15	Compensation 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 19	The organization will provide any documents open to public inspection upon request.
Form 990, Part IX, line 11g	Outside Services: Program service expenses 21,791,494. Management and general expenses 10,463,689. Fundraising expenses 0. Total expenses 32,255,183.
Form 990, Part XI, line 9:	Change in Unrecognized Pension Actuarial Gain 667,732. Change in Beneficial Interest in Foundation -4,181,975. Change in Beneficial Interest of Services -12,830,776. Pension Income 3,373,072. Transfer to Self-Insured Trust -1,000,000. Other 1,189,207.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Mercy Foundation
500 East Market Street	Iowa City	IA	52245	237040506	Foundation/Fundraising	IA	501(c)(3)	12A, I	Mercy Hospital	Yes (1)
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
500 East Market Street	Iowa City	IA	52245	426591803	Self Insurance	IA	501(c)(3)	12A, I	Mercy Hospital	Yes (1)
Sisters of Mercy of the Americas West Midwest Community Inc
7262 Mercy Road	Omaha	NE	68124	262400800	Religious Order	NE	501(c)(3)	Religious Order		0	N/A
Mercy Hospital Guild
500 East Market Street	Iowa City	IA	52245	426099912	Fundraising	IA	501(c)(3)	12C, III-FI		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Iowa City Ambulatory Surgical Center LLC
2963 Northgate Drive	Iowa City	IA	52245	208503424	Outpatient Surgery	IA	Mercy Hospital	Related	$3,589,831	$1,368,442	0	Yes (1)	0.51000
Corridor Radiology LLC
2769 Heartland Drive Suite 307	Coralville	IA	52241	430635070	Radiology Services	IA	Mercy Hospital	Related	$383,727	$96,664	0	0	0.51000
Eastern Iowa Rehabilitation Hospital LLC
680 S 4th Street	Louisville	KY	40202	831589139	Inpatient Rehabilitation Care	IA	Mercy Hospital	Related	-$542,590	-$2,725,000	0	0	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Services Iowa City Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
EIN	421241044	EIN
Primary Activities	Medical Clinic Services	PrimaryActivitiesTxt
Legal Domicile State	IA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	$25,455,747	ShareOfTotalIncomeAmt
Share Of EOY Assets	$7,108,725	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Foundation
C	$1,329,000	Cost
Mercy Services Iowa City Inc
A	$670,990	Cost
Mercy Services Iowa City Inc
R	$5,950,000	Cost
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
R	$1,000,000	Cost
Mercy Services Iowa City Inc
Q	$2,971,697	Cost
Mercy Services Iowa City Inc
O	$6,843,610	Cost