2023-05-10T12:27:12-05:00 2022-06-30 990 2021-07-01 421478417 MERCY HEALTH NETWORK INC MERC 5153589200 1449 NW 128TH STREET BLDG 5 200 CLIVE IA 50325 ROBERT RITZ CEO 5153589200 2023-05-10 ROBERT RITZ 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MERCYONE ROBERT RITZ 1449 NW 128TH STREET BLDG 5 200 CLIVE IA 50325 38987227 0 X WWW.MERCYONE.ORG X 1998 DE TO PROVIDE HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT 6 0 0 0 0 0 0 0 24165394 37908876 1268898 1078351 0 0 25434292 38987227 112250 29000 0 0 3601658 3949801 0 0 0 23458677 32241874 27172585 36220675 -1738293 2766552 29567569 29982290 14777470 15142718 14790099 14839572 X MERCYONE SERVES WITH FIDELITY TO THE GOSPEL AS A COMPASSIONATE, HEALING MINISTRY OF JESUS CHRIST TO TRANSFORM THE HEALTH OF OUR COMMUNITIES. 0 0 31058555 29000 37908876 MERCY HEALTH NETWORK (MERCYONE) IS AN INTEGRATED SYSTEM OF MEMBER HOSPITALS AND OTHER HEALTH AND PATIENT CARE FACILITIES-UNITED INTO ONE OPERATING ORGANIZATION TO IMPROVE THE DELIVERY OF HEALTH CARE SERVICES TO THE PEOPLE OF IOWA AND SURROUNDING COMMUNITIES. MERCYONE IS SPONSORED BY COMMONSPIRIT HEALTH AND TRINITY HEALTH CORPORATION. MERCYONE PROVIDES SIGNIFICANT ADMINISTRATIVE, MANAGEMENT, GOVERNANCE AND OVERSIGHT RESPONSIBILITIES FOR THE OVERALL ACTIVITIES AND OPERATIONS OF MANY ACUTE CARE HOSPITALS, AMBULATORY CARE FACILITIES, HOME CARE AND HOSPICE PROGRAMS PRESENTLY OWNED AND OPERATED BY COMMONSPIRIT HEALTH OR TRINITY HEALTH.THE MERCYONE SYSTEM FUNCTIONS AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM (IN THE BROAD SENSE) BY ESTABLISHING A SINGLE SYSTEM THAT PROVIDES A CONTINUUM OF HEALTH CARE SERVICES PREVIOUSLY PROVIDED THROUGH SEPARATE PROVIDERS. THROUGH THIS SINGLE SYSTEM, THE RESPECTIVE MISSIONS OF COMMONSPIRIT HEALTH AND TRINITY HEALTH ARE UNIFIED AND THE ABILITY TO EFFECTIVELY AND EFFICIENTLY MEET THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED BY THE MERCYONE SYSTEM ARE ENHANCED.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION: WWW.MERCYONE.ORG 31058555 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 43 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 0 0 0 0 1 1 X JODIE ROETTGER 5153589267 1449 NW 128TH ST BLDG 5 SUITE 200 CLIVE IA 50325 ROBERT RITZ PRESIDENT AND CEO 54.00 1.00 X 1997684 0 45071 MICHAEL WEGNER EVP, REG CFO THR 2/22; INT REG COO 49.00 1.00 X 0 1286950 39835 KENT CARR MD FORMER HIGHEST COMPENSATED EMPLOYEE 0.00 0.00 X 0 1043933 10299 HIJINIO CARREON DO EVP, CHIEF MEDICAL EXECUTIVE 50.00 0.00 X 0 724671 49305 LINDA GOODWIN VP CLIN & OPS INTEG THROUGH 3/22 50.00 0.00 X 0 655742 36627 HEATHER CAMPBELL SECRETARY; CHIEF LEGAL OFFICER 49.00 1.00 X 0 529015 51246 ROBERT HEEN PRESIDENT, MEDICAL GROUP 50.00 0.00 X 0 496997 43492 MICHAEL TRACHTA SVP, NETWORK AFFILIATES 25.00 25.00 X 0 495647 42058 JANELL PITTMAN CHIEF MKTG & DIGITAL STRATEGY OFFCR 50.00 0.00 X 0 396993 18471 JODIE ROETTGER INTERIM CFO AS OF 2/22; VP FINANCE 49.00 1.00 X 0 361084 33180 LINDA ROSS DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 DAVID BITTNER DIRECTOR 1.00 0.00 X 0 0 0 MATTHEW BROWN DIRECTOR 1.00 0.00 X 0 0 0 LOUIS FIERENS II DIRECTOR 1.00 0.00 X 0 0 0 MITCH MELFI DIRECTOR 1.00 0.00 X 0 0 0 JON TIMMIS DIRECTOR 1.00 0.00 X 0 0 0 1997684 5991032 369584 0 1 1 1 PRESS GANEY ASSOCIATES PO BOX 88335 MILWAUKEE WI 53288 ENGAGEMENT SURVEY SERVICES 301685 MERCURY HEALTHCARE INC 1801 CALIFORNIA STREET DENVER CO 80202 WEB IMPLEMENTATION SERVICES 165943 INCREDIBLE HEALTH INC 1655 MISSION STREET UNIT 646 SAN FRANCISCO CA 94103 RECRUITING SERVICES 137500 SULLIVANCOTTER INC 62272 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONSULTING SERVICES 134761 POLSINELLI SHUGHART 700 W 47TH STREET SUITE 1000 KANSAS CITY MO 64112 LEGAL SERVICES 128598 10 MANAGEMENT REVENUE 541610 37908876 37908876 37908876 705560 705560 372791 0 372791 372791 372791 38987227 37908876 0 1078351 X 29000 29000 3949801 3949801 991904 991904 120250 120250 30040949 30040949 96975 96975 133554 33389 100165 137742 137742 33820 33820 38854 38854 258794 258794 30322 30322 SUBSCRIPTIONS AND DUES 312880 312880 OTHER PROGRAM EXPENSES 45830 45830 36220675 31058555 5162120 0 328600 95000 2333037 1174794 1417037 1158243 13544568 14045064 7293229 9363376 6984135 5320607 29567569 29982290 2268200 3072303 12509270 12070415 14777470 15142718 X 14790099 14839572 14790099 14839572 29567569 29982290 X 2766552 -2766552 49473 X 0 0 0 X X 2 MERCY HEALTH SERVICES - IOWA 311373080 3 1 0 0 CATHOLIC HEALTH INITIATIVES - IOWA 420680448 3 1 0 0 2 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART 1, LINE 12G: MERCY HEALTH NETWORK (MERCYONE) PROVIDES HEALTH CARE DELIVERY SYSTEM SERVICES TO ITS SUPPORTED ORGANIZATIONS. PART IV, SECTION A, LINE 2: CATHOLIC HEALTH INITIATIVES - IOWA DOES NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1); IT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AS A HOSPITAL. CATHOLIC HEALTH INITIATIVES - IOWA IS A PUBLIC CHARITY AS DESCRIBED IN SECTION 509(A)(1) BECAUSE IT IS A HOSPITAL AS DESCRIBED UNDER SECTION 170(B)(1)(A)(III). PART IV, SECTION A, LINE 6: MERCYONE PROVIDED MANAGEMENT AND OTHER SERVICES TO RELATED ORGANIZATIONS WHO SHARE THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS. MERCYONE ALSO PROVIDED GRANTS TO UNRELATED CHARITIES THAT CARRY OUT THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS. PART IV, SECTION D, LINE 3: CERTAIN BOARD MEMBERS OF EACH SUPPORTED ORGANIZATION SERVE AS BOARD MEMBERS OR OFFICERS OF MERCYONE. AS REQUIRED BY THE GOVERNING DOCUMENTS, THE CEO OF EACH SUPPORTED ORGANIZATION IS ON THE MANAGEMENT TEAM OF MERCYONE. THE PRESIDENT AND CEO OF A SUPPORTED ORGANIZATION IS THE PRESIDENT AND CEO OF MERCYONE, AND CERTAIN OTHER OFFICERS EQUALLY SERVE BOTH THE MERCYONE AND A SUPPORTED ORGANIZATION. THIS COMBINATION OF OVERLAPPING CONTROL AND MANAGEMENT ALLOWS THE SUPPORTED ORGANIZATIONS TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND DIRECTING THE USE OF THE INCOME AND ASSETS OF MERCYONE. PART IV, SECTION E, LINE 2A: THE EXEMPT PURPOSES OF THE SUPPORTED ORGANIZATIONS OF MERCYONE ARE TO PROVIDE HEALTH CARE SERVICES TO COMMUNITIES THROUGHOUT THE STATE OF IOWA AND SURROUNDING STATES THROUGH THE OPERATION OF TAX-EXEMPT HEALTH CARE AND HOSPITAL SYSTEMS. SUBSTANTIALLY ALL OF MERCYONE'S ACTIVITIES ARE IN DIRECT FURTHERANCE OF THE EXEMPT PURPOSES OF ITS SUPPORTING ORGANIZATIONS BY IMPROVING THE DELIVERY OF HEALTH CARE SERVICES IN THEIR COMMUNITIES THROUGH THE PROVISION OF SIGNIFICANT ADMINISTRATIVE, MANAGEMENT, GOVERNANCE, AND OVERSIGHT SERVICES FOR THE OVERALL ACTIVITIES AND OPERATIONS OF HEALTH CARE AND HOSPITAL SYSTEMS IN THESE COMMUNITIES. PART IV, SECTION E, LINE 2B: EACH SUPPORTED ORGANIZATION OF MERCYONE IS A HEALTH CARE AND HOSPITAL SYSTEM. MERCYONE PROVIDES INTEGRATED HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. THESE ACTIVITIES INCLUDE PAYER STRATEGY/CONTRACTING, QUALITY/SAFETY MANAGEMENT, FINANCIAL SERVICES, MARKETING/COMMUNICATIONS STAFF, CORPORATE RESPONSIBILITY/COMPLIANCE OPERATIONS, STRATEGIC PLANNING, HUMAN RESOURCES, AND OTHER MANAGEMENT AND SUPPORT FUNCTIONS NECESSARY FOR THE OPERATION OF HEALTH CARE SYSTEMS. BUT FOR THE PROVISION OF THESE SERVICES BY MERCYONE, EACH SUPPORTED ORGANIZATION WOULD HAVE HAD TO ENGAGE IN THESE ACTIVITIES FOR ITSELF. 0 1 0 0 0 0 1 120250 0 1 84389 204639 0 PART II-B, LINE 1: MERCY HEALTH NETWORK (MERCYONE) HAS ENGAGED ONE OR MORE LOBBYING FIRMS TO PROVIDE GOVERNMENTAL RELATIONS FOR MERCYONE FOR STATE LEGISLATIVE AND REGULATORY ISSUES. MERCYONE BACKS PUBLIC POLICIES THAT PROMOTE BETTER HEALTH, BETTER CARE AND LOWER COSTS. MERCYONE WANTS TO ENSURE AFFORDABLE, HIGH-QUALITY CARE FOR ALL. AT THE STATE CAPITAL IN DES MOINES, MERCYONE WORKS WITH MEMBERS OF THE LEGISLATURE, THE GOVERNOR'S OFFICE, AND THE STATE AGENCIES. AT THE FEDERAL LEVEL, MERCYONE MEETS WITH THE IOWA CONGRESSIONAL DELEGATION AND THEIR STAFF SEVERAL TIMES EACH YEAR. IN THOSE MEETINGS, MERCYONE SPEAKS ON BEHALF OF OUR PATIENTS, PROVIDERS AND MEDICAL CENTERS. 1826384 748672 1077712 506653 426122 80531 1158243 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 2340844 F EQUITY METHOD INVESTMENTS 5852110 C HEDGE FUNDS 1170422 F 9363376 MISCELLANEOUS RECEIVABLES 1512608 INVESTMENT IN UNCONSOL. AFFILIATES 3112725 OPERATING LEASE RIGHT-OF-USE ASSETS 695274 5320607 RELATED PARTY PAYABLES 1251917 OTHER CURRENT LIABILITIES 9665597 OPERATING LEASE LIABILITIES 1152901 12070415 1 1 0 0 0 0 0 0 0 ROBERT RITZ PRESIDENT AND CEO 1235353 0 542654 0 219677 0 16733 0 28338 0 2042755 0 0 0 MICHAEL WEGNER EVP, REG CFO THR 2/22; INT REG COO 0 776342 0 487996 0 22612 0 17275 0 22560 0 1326785 0 0 KENT CARR MD FORMER HIGHEST COMPENSATED EMPLOYEE 0 12089 0 75436 0 956408 0 9322 0 977 0 1054232 0 0 HIJINIO CARREON DO EVP, CHIEF MEDICAL EXECUTIVE 0 582630 0 118377 0 23664 0 17351 0 31954 0 773976 0 0 LINDA GOODWIN VP CLIN & OPS INTEG THROUGH 3/22 0 510193 0 115881 0 29668 0 19038 0 17589 0 692369 0 0 HEATHER CAMPBELL SECRETARY; CHIEF LEGAL OFFICER 0 404643 0 103621 0 20751 0 19712 0 31534 0 580261 0 0 ROBERT HEEN PRESIDENT, MEDICAL GROUP 0 376995 0 118070 0 1932 0 10150 0 33342 0 540489 0 0 MICHAEL TRACHTA SVP, NETWORK AFFILIATES 0 384190 0 95525 0 15932 0 17100 0 24958 0 537705 0 0 JANELL PITTMAN CHIEF MKTG & DIGITAL STRATEGY OFFCR 0 300811 0 75730 0 20452 0 16444 0 2027 0 415464 0 0 JODIE ROETTGER INTERIM CFO AS OF 2/22; VP FINANCE 0 270769 0 69900 0 20415 0 13355 0 19825 0 394264 0 0 PART I, LINE 3 MERCY HEALTH NETWORK'S (MERCYONE) CEO IS PAID DIRECTLY BY COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION. COMMONSPIRIT HEALTH USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR MERCYONE'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B CERTAIN REPORTABLE INDIVIDUALS ARE COVERED BY AN EXECUTIVE SEVERANCE POLICY THAT PROVIDES MARKET-STANDARD COMPENSATION, RANGING FROM PAYMENTS OF NINE MONTHS TO TWO YEARS OF BASE COMPENSATION, DEPENDING ON THE EXECUTIVE'S POSITION, IN THE EVENT OF A POSITION ELIMINATION OR OTHER INVOLUNTARY TERMINATION, IN ACCORDANCE WITH THE GUIDELINES OF THE POLICY. THE FOLLOWING REPORTABLE INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE 2021 CALENDAR YEAR, AND THESE SEVERANCE PAYMENTS WERE INCLUDED IN THE INDIVIDUALS' W-2 INCOME AND REPORTABLE COMPENSATION ON PART VII AND SCHEDULE J, PART II, COLUMN (B)(III): KENT CARR, $956,062 LINE 4B: DURING THE 2021 CALENDAR YEAR, COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION, MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR DIVISION CEOS/PRESIDENTS AND OTHER DESIGNATED COMMONSPIRIT HEALTH EXECUTIVES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. NO REPORTABLE INDIVIDUALS RECEIVED DISTRIBUTIONS FROM THE COMMONSPIRIT HEALTH DEFERRED COMPENSATION PLAN DURING 2021. DUE TO THE "SUPER" VESTING RULES UNDER COMMONSPIRT HEALTH'S DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAVE MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN FIVE YEARS OF PLAN PARTICIPATION ARE ELIGIBLE TO RECEIVE THEIR 2021 CONTRIBUTIONS IN CASH. DURING 2021, THE FOLLOWING PAYMENTS WERE MADE PURSUANT TO THE SUPER VESTING RULES: ROBERT RITZ, $202,733 COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)). PART VII, LINE 5: ROBERT RITZ, CEO, IS PAID DIRECTLY BY COMMONSPIRIT HEALTH, AN UNRELATED ORGANIZATION. MERCYONE REIMBURSED COMMONSPIRIT HEALTH FOR ROBERT RITZ'S COMPENSATION. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF MERCY HEALTH NETWORK (MERCYONE) ARE TRINITY HEALTH CORPORATION AND COMMONSPIRIT HEALTH. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER OF MERCYONE HAS THE RIGHT TO APPOINT ONE-HALF OF THE BOARD OF DIRECTORS OF MERCYONE. FORM 990, PART VI, SECTION A, LINE 7B THE TWO MEMBERS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. BOTH MEMBERS MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MERCYONE IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MERCYONE HAS ADOPTED A CONFLICT OF INTEREST POLICY, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCYONE, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCYONE (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCYONE. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 MERCYONE DOES NOT CURRENTLY MAKE ITS DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 515,938. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,938. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 12,032,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,032,913. SHARED SERVICES: PROGRAM SERVICE EXPENSES 17,492,098. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,492,098. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS FROM AFFILIATE 49,473. MERCY COMMUNITY HOSPITAL GROUP LLC 1449 NW 128TH ST BLDG 5 SUITE 200 CLIVE IA 50325 352473948 ACCOUNTABLE CARE ORGANIZATION IA 0 0 MERCY HEALTH NETWORK INC MERCY HEALTH SERVICES - IOWA CORP 1000 4TH STREET SW MASON CITY IA 50401 311373080 HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION 1 WHEATON FRANCISCAN HEALTHCARE - IOWA INC 3421 WEST NINTH STREET WATERLOO IA 50702 421177001 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IA 501(C)(3) LINE 12C, III-FI MERCY HEALTH NETWORK INC 1 NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD 3421 WEST NINTH STREET WATERLOO IA 50702 421207432 TITLE HOLDING COMPANY IA 501(C)(2) WHEATON FRANCISCAN HEALTHCARE-IOWA 1 SARTORI MEMORIAL HOSPITAL INC 515 COLLEGE STREET CEDAR FALLS IA 50613 420758901 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA 1 SARTORI HEALTH CARE FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421240996 FOUNDATION IA 501(C)(3) LINE 12A, I SARTORI MEMORIAL HOSPITAL INC 1 MERCY HOSPITAL OF FRANCISCAN SISTERS INC 201 8TH AVENUE SE OELWEIN IA 50662 421178403 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA 1 COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA 1 COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(C)(3) LINE 10 COVENANT MEDICAL CENTER INC 1 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW ELKADER IA 52043 420818642 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 CATHOLIC HEALTH INITIATIVES 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MERCY HEALTH SERVICES - IOWA CORP Q 10857269 PER BOOKS CATHOLIC HEALTH INITIATIVES - IOWA CORP Q 12175975 PER BOOKS WHEATON FRANCISCAN HEALTHCARE - IOWA INC Q 4537544 PER BOOKS