2025-05-15T13:03:34-05:00 2024-06-30 420714325 RSM US LLP 4650 EAST 53RD STREET DAVENPORT IA 528073479 990 2023-07-01 420698295 MERCY MEDICAL CENTER MERC 3193986105 701 10TH ST SE CEDAR RAPIDS IA 52403 NATHAN VAN GENDEREN EXECUTIVE VP/CFO 3193986105 2025-05-14 1 0 JENIFER L CHASE P01306883 5638884000 2025-05-14 2023 2025-03-06 01:10:19Z NATHAN VAN GENDEREN 701 10TH ST SE CEDAR RAPIDS IA 52403 606543283 0 0928 X WWW.MERCYCARE.ORG X 1900 IA TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 25 20 3319 638 2173291 896175 17876568 9401529 408642537 467204529 11446110 1395215 -2259908 813913 435705307 478815186 15136676 14218152 0 0 227230854 240387684 0 0 0 213667899 233618095 456035429 488223931 -20330122 -9408745 714937396 728179406 225373343 233949157 489564053 494230249 X TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 0 0 394125356 14218152 465653895 MERCY MEDICAL CENTER (HOSPITAL) PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED. COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $42,540,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $3,855,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $4,590,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $14,380,000, PHYSICIAN EDUCATION - $(682,000). IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINAR ARE OFFERED ON A VARIETY OF TOPICS INCLUDING JOINT REPLACEMENT SURGERY, PRENATAL EDUCATION, DIABETES, MENTAL HEALTH DISORDERS, AND NUMEROUS OTHER MEDICAL CONDITIONS OF MEDICAL AND PSYCHOSOCIAL NATURE. SPECIALIZED CANCER SEMINARS ARE ALSO OFFERED. B. HOSPITAL MEETING FACILITIES WHICH ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY. M.S. SUPPORT GROUP, EASTERN IOWA ONCOLOGY NURSES SOCIETY, THE IOWA CANCER CONSORTIUM, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL OTHER GROUPS. C. CONTRIBUTIONS OF APPROXIMATELY 96,986 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,487,000 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS. 394125356 1 1 0 1 0 0 0 1 0 1 1 0 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 111 0 1 3319 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 25 20 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X KIM GRADY 3193986105 701 10TH ST SE CEDAR RAPIDS IA 52403 TIMOTHY QUINN MD PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X X 709298 0 85903 JOHN-PAUL BESONG MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 LYDIA BROWN MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 MICHELE BUSSE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BOB CATALDO MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHRIS DEWOLF MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BARRIE ERNST MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 TONY GOLOBIC MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER LUANN HANNASCH MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 NANCY KASPAREK MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER SHARON KERRIGAN MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BARB KNAPP MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER TERRY MALTBY MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHERYLE MITVALSKY CHAIRMAN 1.00 X X 0 0 0 DARREL MORF VICE CHAIRMAN/TREASURER 1.00 X X 0 0 0 RUE PATEL MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 FRED PILCHER MD MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 MARY QUASS MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 JOHN RIFE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHARLES ROHDE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 AL RUFFALO MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 KYLE SKOGMAN MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 JOHN SMITH MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER MAURITA SOUKUP SECRETARY 1.00 X X 0 0 0 ANN STROH MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 NATHAN VAN GENDEREN EXECUTIVE VICE PRESIDENT & CFO/COO 40.00 X 491544 0 66834 NANCY HILL CHIEF TALENT OFFICER 40.00 X 325587 0 41557 JEFFREY CASH CHIEF INFORMATION OFFICER 40.00 X 340132 0 52032 MARY BROBST FORMER CHIEF NURSING OFFICER 40.00 X 322299 0 20123 TONY MYERS MD CHIEF MEDICAL OFFICER 40.00 X 429220 0 66068 AMANDEEP DHALIWAL MD PHYSICIAN 40.00 X 1315465 0 29443 SACHIN GOYAL MD PHYSICIAN 40.00 X 1332795 0 7689 CHONG C LEE MD PHYSICIAN 40.00 X 1987567 0 32695 BARAKAT ABURAJAB ALTAMIMI MD PHYSICIAN 40.00 X 1276722 0 35382 SHANE A GAILUSHAS MD PHYSICIAN 40.00 X 1370136 0 40232 TIMOTHY L CHARLES FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 737385 0 427 10638150 0 478385 312 1 1 0 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT W STE 300 SAN DIEGO CA 92121 HEALTHCARE PROFESSIONAL SERVICES 16723708 ONCOLOGY ASSOCIATES OF CEDAR RAPIDS 701 10TH STREET CEDAR RAPIDS IA 52403 HEALTHCARE PROFESSIONAL SERVICES 5070800 SOUND PHYSICIANS PO BOX 942936 LOS ANGELES CA 90074 HEALTHCARE PROFESSIONAL SERVICES 4771218 TRIMEDX 5451 LAKEVIEW PKWY S DRIVE INDIANAPOLIS IN 46268 MAINTAIN AND REPAIR MEDICAL EQUPMENT 4676858 UNIVERSITY OF IOWA HEALTH CARE 200 HAWKINS DRIVE IOWA CITY IA 52242 HEALTHCARE PROFESSIONAL SERVICES 4037391 57 8844134 557395 40890 9401529 PATIENT REVENUES 621110 334954178 334954178 LABORATORY REVENUE 621500 132094153 131052077 1042076 FAMILY COUNSELING REVENUE 624100 156198 156198 467204529 4355329 4355329 2477034 1738424 738610 738610 738610 119961289 170833 122856872 235364 -2895583 -64531 -2960114 -2960114 2350083 2897437 -547354 -547354 INVESTMENT PARTNERSHIP INCOME(LOS 561000 4718793 3587578 1131215 MISCELLANEOUS REVENUE 621110 1364 1364 MRI JOINT VENTURE 621110 -4097500 -4097500 622657 478815186 465653895 2173291 1586471 X 14218152 14218152 2595954 2080396 515558 199114005 159569873 39544132 6393160 5123476 1269684 19809800 15875565 3934235 12474765 9997271 2477494 375602 301007 74595 37139 29763 7376 3156 2529 627 56532722 45305298 11227424 1250707 1002316 248391 105252520 84349322 20903198 654306 524361 129945 5438723 4358590 1080133 157205 125984 31221 278133 222896 55237 6171370 4945733 1225637 20787054 16658736 4128318 1949693 1562483 387210 UNRELATED BUSINESS INCO 197317 197317 CONTRACTED SERVICES 23814557 19084975 4729582 REPAIRS 3419858 2740673 679185 TAXES & LICENSES 2431795 1948839 482956 4866238 3899801 966437 488223931 394125356 94098575 0 8265576 10427727 -321553 -698731 53324654 88547908 630112 811116 10126745 10003254 10020954 9611679 620079762 396207137 221026870 223872625 267154854 238834936 144709184 146768892 714937396 728179406 89435271 102473420 1177423 0 111146126 0 0 108502609 23614523 22973128 225373343 233949157 X 411276767 415713907 78287286 78516342 489564053 494230249 714937396 728179406 X -9408745 13013394 1061547 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 37139 37139 0 PART II-B, LINE 1: THE FOLLOWING PERCENTAGES OF DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES: 19.45% TO THE IOWA HOSPITAL ASSOCIATION, 3.65% TO THE CATHOLIC HEALTH ASSOCIATION, 4.9% TO THE CEDAR RAPIDS METRO ECONOMIC ALLIANCE, 15.18% TO THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, 6% TO THE IOWA STATE BAR ASSOCIATION, 3% TO THE SOCIETY FOR HUMAN RESOURCE MANAGEMENT, AND 1% TO AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES. X 0 71036435 173970 3974012 -211346 1794544 73601219 81579640 65958 3287666 -129890 14026719 71036435 82365623 5693080 -2715364 716834 3046863 81579642 65433553 6112026 10511350 -812952 504258 82365623 34140867 30594750 1101466 232175 171355 65433553 0.53360 0.46640 0.00000 0 1 1 24585741 24585741 378908594 233603956 145304638 212569710 159919413 52650297 4015717 2683768 1331949 223872625 INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION 132904337 C INVESTMENT IN CEDAR RAPIDS PHO 2170000 C SLEEP LAB JOINT VENTURE 1201000 C INVESTMENT IN MR ASSOCIATES 372000 C INVESTMENT IN MEDICAL MALL 343008 C INVESTMENT IN UMCSC 300000 C INVESTMENT IN MERCY SENIOR HOUSING 3825521 C INVESTMENT IN US RENAL CARE 4133000 C INVESTMENT IN MERCY SURGERY CENTER 1520026 C 146768892 PENSION LIABILITY 9106344 SELF INSURANCE RESERVES 11442434 THIRD PARTY SETTLEMENTS 2424350 22973128 X PART III, LINE 1A: MERCY MEDICAL CENTER (HOSPITAL) HAS A SMALL COLLECTION OF ARTWORK. THE COLLECTION IS ON DISPLAY FOR PUBLIC VIEWING. THE HOSPITAL HAS ELECTED NOT TO CAPITALIZE THEIR COLLECTION AS PERMITTED BY STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 116, ACCOUNTING FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE HOSPITAL'S COLLECTIONS THAT HAVE BEEN DONATED ARE NOT RECOGNIZED AS ASSETS ON THE BALANCE SHEETS. NONE OF THE ARTWORK HAS BEEN SOLD TO RAISE FUNDS. PART V, LINE 4: MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC. (FOUNDATION), A TAX-EXEMPT RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE HALL-PERRINE CANCER CENTER AND CANCER CENTER PROGRAMS, HALL RADIATION CENTER, OLDORF HOSPICE HOUSE, HOSPICE OF MERCY PROGRAMS, HALLMAR, WATTS LIBRARY, CAREGIVERS CENTER, ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER, MERCY MEDICAL CENTER OPERATING AND CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTOR'S DISCRETION. PART X, LINE 2: MERCY MEDICAL CENTER (HOSPITAL) IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2024 AND 2023, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990T FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 97889322 0 0 0 0 0 0 97889322 0 97889322 1 0 1 1 1 0 1 1 X 1 X 1 X 1 1 0 1 1 46683675 30807478 15876197 0.03250 49186375 31615525 17570850 0.03600 95870050 62423003 33447047 0.06850 563689 563689 0.00120 142501 630476 0 0.00000 4605415 6927007 0 0.00000 630273 630273 0.00130 5941878 7557483 1193962 0.00250 101811928 69980486 34641009 0.07100 246275 246275 0.00050 95562 95562 0.00020 341837 341837 0.00070 1 7199780 181013709 223555669 -42541960 X 1 1 1 MR ASSOCIATES LLP MRI SERVICES 0.33000 0.00000 0.33000 2 EASTERN IOWA SLEEP CENTER LLC SLEEP STUDIES 0.33000 0.00000 0.33000 3 CEDAR RAPIDS PHYSICIANS-HOSP ORG LC (DBA PARAMOUNT HEALTH OPTIONS) PAYOR CONTRACTING 0.54000 0.00000 0.46000 4 PCI REGIONAL MED MALL LLC MEDICAL SERVICES 0.10000 0.00000 0.80000 5 MERCY SURGERY CENTER AMBULATORY SURGERY CENTER 0.60000 0.00000 0.40000 1 1 MERCY MEDICAL CENTER 701 10TH STREET SE CEDAR RAPIDS IA 52403 WWW.MERCYCARE.ORG 570036H X X X MERCY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X SEE PART V X 1 21 1 SEE PART V 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X HTTPS://WWW.MERCYCARE.ORG/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY MEDICAL CENTER PART V, SECTION B, LINE 5: THE 2021 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE CHNA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) INCLUDE PARTNERSHIPS WITH A MULTITUDE OF COMMUNITY STAKEHOLDERS, INCLUDING MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER. THE ALIGNMENT OF THE CHA AND CHIP FOR ALL FOUR ENTITIES IN LINN COUNTY MINIMIZES DUPLICATION AND MAXIMIZES IMPACT, AS ALL AFOREMENTIONED ORGANIZATIONS ARE REQUIRED UNDER LAW, OR BY FUNDERS, TO ASSESS THE HEALTH OF THE COMMUNITY AND DEVELOP AN IMPLEMENTATION PLAN FOR MEETING IDENTIFIED COMMUNITY NEEDS.THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, STATE OF IOWA REPRESENTATIVE, STATE OF IOWA SENATOR, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL.IN ADDITION, MERCY MEDICAL CENTER CONTACTED THE SECONDARY SERVICE AREA PUBLIC HEALTH DEPARTMENTS TO BETTER UNDERSTAND THEIR COUNTY'S NEEDS THROUGH UTILIZING THEIR MOST RECENT CHNA.THE TOGETHER! HEALTHY LINN COLLABORATIVE USES THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK TO GUIDE THE CHA AND CHIP PROCESS. MAPP IS A NATIONALLY RECOGNIZED FRAMEWORK FOR CONDUCTING COMMUNITY-WIDE STRATEGIC PLANNING TO IMPROVE COMMUNITY HEALTH. THIS FRAMEWORK BALANCES QUANTITATIVE DATA ABOUT HEALTH TRENDS WITH THE EXPERIENCES OF COMMUNITY MEMBERS AND INSIGHT FROM CONTENT EXPERTS IN THE AGENCIES WITHIN THE LOCAL PUBLIC HEALTH SYSTEM. MAPP CURRENTLY CONSISTS OF SIX PHASES AND EMPHASIZES SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY AS KEY FACTORS THAT INFLUENCE THE OVERALL HEALTH OF THE COMMUNITY.THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IS A QUANTITATIVE ANALYSIS THAT ANSWERS THE QUESTIONS, "HOW HEALTHY IS OUR COMMUNITY? AND "WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE?" RESULTS OF THE CHSA PROVIDE AN UNDERSTANDING OF THE COMMUNITY'S HEALTH STATUS AND ENSURE THAT THE COMMUNITY'S PRIORITIES CONSIDER SPECIFIC HEALTH STATUS ISSUES, SUCH AS RATES OF INCREASING CHRONIC DISEASE, SEXUALLY TRANSMITTED INFECTIONS, AND HEALTH INEQUITIES.LINN COUNTY CONDUCTED THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) BETWEEN MAY AND NOVEMBER OF 2021. THE CTSA IS A QUALITATIVE ANALYSIS OF PERCEPTIONS, THOUGHTS, AND OPINIONS COMMUNITY MEMBERS HAVE REGARDING HEALTH. OF PARTICULAR INTEREST WAS IDENTIFYING NEEDS OF THE COMMUNITY, PERCEIVED QUALITY OF LIFE, AND ASSETS AVAILABLE THAT MAY BE USED TO IMPROVE COMMUNITY HEALTH. THE ASSESSMENT PROCESS WAS GUIDED BY A CTSA SUBCOMMITTEE WITH REPRESENTATION FROM MULTIPLE ENTITIES AND ORGANIZATIONS WITHIN THE LOCAL PUBLIC HEALTH SYSTEM AND IS ASSOCIATED WITH THE LARGER TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE TARGET AUDIENCE FOR THIS ASSESSMENT IS COMMUNITY MEMBERS WHO WORK, RESIDE, WORSHIP, GO TO SCHOOL, OR SEEK ENTERTAINMENT IN LINN COUNTY. AN INITIAL SUBCOMMITTEE MEETING WAS HELD ON OCTOBER 15, 2020, TO PLAN THE ASSESSMENT. OVERALL, IT WAS DECIDED THAT THE ASSESSMENT SHOULD HAVE A GREATER EMPHASIS ON UNDERLYING FACTORS OF POOR HEALTH RATHER THAN A FOCUS ON HEALTH CONDITIONS, AS WELL AS A NEED TO REACH THOSE PREVIOUSLY MISSED THROUGH TRADITIONAL SURVEYING. THE GROUP DECIDED TO MOVE FORWARD WITH DEVELOPING A COMMUNITY HEALTH SURVEY AS THE PRIMARY METHOD FOR COLLECTING COMMUNITY INPUT, STICKER BOARDS FOR QUICKLY ENGAGING COMMUNITY MEMBERS IN COMMON SPACES WHERE SOCIAL DISTANCING COULD STILL OCCUR AND FOCUS GROUPS TO TARGET POPULATIONS NOT CAPTURED THROUGH THE BROADER SURVEY. IN ADDITION, THE ASSESSMENT INCLUDED TARGETED QUESTIONS EVALUATING THE CURRENT HEALTH PRIORITIES THAT WERE SELECTED IN THE 2019-2023 CHIP INCLUDING MENTAL HEALTH, OBESITY, AND COMMUNITY SAFETY. THIS WILL HELP THE TOGETHER! HEALTHY LINN COLLABORATIVE DIG DEEPER INTO THESE ISSUES AS WELL AS IDENTIFY THE NEED FOR CONTINUED PRIORITIZATION.ASSESSMENT ACTIVITIES TOOK PLACE BETWEEN MAY AND DECEMBER OF 2021. AFTER PRELIMINARY ASSESSMENT OF THE SURVEY RESULTS, POPULATIONS THAT WERE UNDERREPRESENTED IN THE SURVEY WERE IDENTIFIED, INCLUDING THOSE 65 YEARS AND OLDER, IMMIGRANT/REFUGEES, COMMUNITIES OF COLOR, LOW TO MIDDLE INCOME, AND RURAL RESIDENTS. THROUGH AN IDENTIFIED NEED TO HOLD FOCUS GROUPS, THE MAPP CORE TEAM COLLABORATED WITH THE COMMUNITY IMPACT ASSESSMENT TEAM FROM UNITED WAY TO HOLD JOINT FOCUS GROUPS. OVERALL, THREE FOCUS GROUPS AND ONE INFORMANT INTERVIEW WAS HELD TO GAIN ADDITIONAL INFORMATION FROM THE UNDERREPRESENTED POPULATIONS. FOCUS GROUPS INCLUDED MEMBERS FROM THE YOUNG PARENTS NETWORK, NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE (NAACP), AND THE AFRICAN AMERICAN MEN'S GROUP. AN ADDITIONAL INFORMANT INTERVIEW WAS CONDUCTED WITH LEADERSHIP FROM UNITED WE MARCH FORWARD, TO CAPTURE THE NEEDS AND PERSPECTIVES OF IMMIGRANT AND REFUGEE RESIDENTS. DATA OBTAINED THROUGH THIS COMPREHENSIVE COMMUNITY ASSESSMENT WERE SYNTHESIZED INTO A SINGLE REPORT AND BROKEN DOWN INTO LOGICAL CATEGORIES TO RELAY ASSESSMENT FINDINGS. THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED MENTAL HEALTH; LIFESTYLE BARRIERS, INCLUDING ACCESS TO FOOD AND EQUITABLE OPPORTUNITIES TO BE ACTIVE; COMMUNITY SAFETY; SAFE AND AFFORDABLE HOUSING; ACCESS TO HEALTHCARE; CHRONIC DISEASE; SEXUALLY TRANSMITTED INFECTIONS; AND SUBSTANCE USE. SINCE THE DEVELOPMENT OF THE 2019-2021 CHIP, LINN COUNTY HAS EXPERIENCED SIGNIFICANT CHANGES; INCREASED LEVELS OF STRESS, ANXIETY, DEPRESSION, AND SUICIDAL IDEATION WERE DESCRIBED FOLLOWING THE ONSET OF THE COVID-19 PANDEMIC AND THE 2020 DERECHO. LIKEWISE, THESE EVENTS EXACERBATED THE ACCESSIBILITY OF HEALTHY AND AFFORDABLE FOODS, PARTICULARLY FOR MIDDLE TO LOW-INCOME RESIDENTS, AND THE DERECHO PLACED AN EMPHASIS ON AN ALREADY STRUGGLING SYSTEM OF SAFE AND AFFORDABLE HOUSING.DURING THE LAST ROUND OF THE CHNA IN 2018, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE USED A SERIES OF PRIORITIZATION TOOLS IN COMBINATION WITH DATA REFLECTION; ASSET AND COMMUNITY MAPPING; SMALL AND LARGE GROUP DISCUSSION; AND AN AGREED UPON SET OF PRIORITIZATION CRITERIA TO DETERMINE WHICH THREE ISSUES NEEDED TO BE ADDRESSED BEFORE THE COMMUNITY VISION COULD BE REALIZED. THE STEERING COMMITTEE WAS LIMITED TO THE TOP THREE ISSUES TO MAINTAIN A REALISTIC, FOCUSED SCOPE OF WORK. THE PRIORITIZATION CRITERIA FOR STRATEGIC ISSUES WERE: -THE ISSUE IS DATA DRIVEN, APPEARING IN TWO OR MORE OF THE ASSESSMENTS -ADDRESSING THE ISSUE REQUIRES A COLLABORATIVE, MULTI-SECTOR APPROACH -ALIGNMENT WITH THE TOGETHER! HEALTHY LINN VISION -ASSETS ARE AVAILABLE WITHIN THE LOCAL PUBLIC HEALTH SYSTEM TO AFFECT THE ISSUE -THE ISSUE REFLECTS A NEED THAT TOGETHER! HEALTHY LINN CAN INFLUENCE THE SIZE AND SIGNIFICANCE OF THE ISSUE HAS SIGNIFICANT IMPACTAT THE END OF THIS PRIORITIZATION SESSION, THREE BROAD ISSUES WERE IDENTIFIED IN RANK ORDER: MENTAL HEALTH, OBESITY, AND SAFETY. USING DATA FROM THE MID-CYCLE ASSESSMENT CONDUCTED IN 2021, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONVENED ON MARCH 10, 2022, TO REVIEW RESULTS OF THE ASSESSMENT AND EVALUATE WHAT ADJUSTMENTS, IF ANY, SHOULD BE APPLIED TO THE EXTENDED 2019-2023 COMMUNITY HEALTH IMPROVEMENT PLAN. FOLLOWING REVIEW OF THE ASSESSMENT FINDINGS, THE MAPP CORE TEAM PRESENTED SOME RECOMMENDATIONS FOR THE STEERING COMMITTEE TO CONSIDER FOR MODIFICATIONS, INCLUDING EXTENDING THE 2019-2021 PLAN TO 2023; HONE IN ON THE UNDERLYING FACTORS DRIVING THE ISSUES OF OBESITY AND SAFETY; GATHER ADDITIONAL DATA TO TARGET PLANNED STRATEGIES, POPULATIONS IMPACTED AND GEOGRAPHIC LOCATION; AND MAKE MODIFICATIONS TO THE PLAN BASED ON THE ADDITIONAL DATA FINDINGS. RECOMMENDATIONS WERE UNANIMOUSLY ACCEPTED FOR CONTINUATION AND ADJUSTMENT OF THE COMMUNITY HEALTH IMPROVEMENT PLAN. THE PRIORITIZED SIGNIFICANT NEEDS FOR THE 2021 LINN COUNTY CHNA ARE MENTAL HEALTH, LIFESTYLE BARRIERS (INCLUDING ACCESS TO FOOD AND OPPORTUNITIES TO BE ACTIVE), COMMUNITY SAFETY, AND SAFE AND AFFORDABLE HOUSING. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6A: LINN COUNTY PUBLIC HEALTH FACILITATED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND MERCY MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN CEDAR RAPIDS, IA. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6B: THE 2021 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE CHA AND CHIP INCLUDE PARTNERSHIPS WITH A MULTITUDE OF COMMUNITY STAKEHOLDERS, INCLUDING MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER. THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, STATE OF IOWA REPRESENTATIVE, STATE OF IOWA SENATOR, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL.ADDITIONALLY, MERCY MEDICAL CENTER REQUESTED INPUT FROM THE PUBLIC HEALTH DEPARTMENTS OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES, AND TAMA COUNTIES REGARDING HEALTH PRIORITIES IN THEIR AREA. MERCY MEDICAL CENTER PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER (HOSPITAL) IS ADDRESSING THE FOUR PRIORITIZED SIGNIFICANT NEEDS IDENTIFIED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN A VARIETY OF WAYS. MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF MENTAL HEALTH BY EXPLORING OPTIONS FOR MORE PSYCHIATRIC CONSULTATIVE ROLES WITHIN MERCYCARE CLINICS, PROVIDING AREA SCHOOL DISTRICTS WITH MENTAL HEALTH SERVICES, OFFERING TELEHEALTH MENTAL HEALTH APPOINTMENTS, PARTICIPATING IN THE STEERING COMMITTEE OF THE LINN COUNTY MENTAL HEALTH ACCESS CENTER, INCREASING EARLY INTERVENTION SERVICES FOR SUICIDE THROUGH A SCREENING TOOL AND CREATION OF SAFETY PLAN/INTERVENTIONS AND PROVIDING SCREENING, ONGOING SUPPORT, AND TREATMENT AT SEDLACEK TREATMENT CENTER.THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF FOOD INSECURITY BY PROVIDING NUTRITION EDUCATION AND COUNSELING, PROVIDING A WELLNESS PROGRAM FOR EMPLOYEES, PURCHASING AND OFFERING LOCAL FRESH PRODUCE FOR PATIENTS, VISITORS AND STAFF, SCREENING PATIENTS FOR FOOD INSECURITY AND PARTNERING WITH HACAP FOOD RESERVOIR TO PROVIDE SHORT AND LONG TERM SUPPORTS, PROVIDING FOOD RESOURCES AT CATHERINE'S CUPBOARD FOR EMPLOYEES AND VOLUNTEERS, AND PROVIDING IN-KIND SPACE TO METRO CATHOLIC OUTREACH, A FOOD PANTRY IN ONE OF THE HOSPITAL'S BUILDINGS FOR $1 RENT/YEAR. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF COMMUNITY SAFETY BY ENHANCING MERCY'S ANTI-HUMAN TRAFFICKING EFFORTS, PARTICIPATING IN COMMUNITY EFFORTS TO REDUCE GUN VIOLENCE, INCLUDING RESTORATIVE JUSTICE PROGRAMMING AT A LOCAL SCHOOL, ASSESSING PATIENTS FOR ABUSE OR ASSAULT AND CONNECTING TO COMMUNITY RESOURCES, IMPLEMENTING PHYSICAL ENVIRONMENT SAFETY IMPROVEMENTS HOSPITAL-WIDE, AND OFFERING TRAINING RELATED TO SAFETY BOTH INTERNALLY AND EXTERNALLY TO MERCY MEDICAL CENTER. THE HOSPITAL IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF SAFE AND AFFORDABLE HOUSING THROUGH PARTICIPATING IN COMMUNITY INITIATIVES FOCUSED ON AFFORDABLE HOUSING AND EXPLORING OPTIONS TO FURTHER SUPPORT THESE EFFORTS. ADDITIONALLY, THE HOSPITAL IS SCREENING FOR HOUSING NEEDS AND PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS TO PROVIDE HOUSING ASSISTANCE. WHEN APPROPRIATE, THE HOSPITAL OCCUPATIONAL THERAPY DEPARTMENTS COMPLETES A SAFETY ASSESSMENT AT HOME FOR PATIENTS. HISTORICALLY, THE HOSPITAL HAS INCREASED ACCESS TO AND PROVIDED SUPPORT OF AFFORDABLE HOUSING COMMUNITY DEVELOPMENT INITIATIVES, INCLUDING THE PROCUREMENT OF PROPERTY AND/OR PROVIDING FINANCIAL ASSISTANCE IN THE DEVELOPMENT OF LOW-INCOME HOUSING. MERCY MEDICAL CENTER DESCRIBES IN ITS MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY HOW IT IS ADDRESSING OTHER NEEDS IDENTIFIED IN THE CHNA. THESE INCLUDE ACCESS TO HEALTH CARE, A CHRONIC DISEASE, NATURAL ENVIRONMENT, SEXUAL HEALTH, SUBSTANCE USE, AND TRANSPORTATION. MERCY MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS THAT EXCEED 400% OF FPL TABLE ARE ELIGIBLE FOR DISCOUNTS ON ALL BALANCES IN EXCESS OF 10% OF GROSS PERSONAL EARNINGS PER CALENDAR YEAR. SCHEDULE H, PART V, SECTION B, LINE 5, CONTINUED: FOR THE FULL COMMUNITY HEALTH ASSESSMENT REPORTS PREPARED BY LINN COUNTY PUBLIC HEALTH, PLEASE VISIT: HTTP://WWW.LINNCOUNTY.ORG/613/REPORTS-AND-PUBLICATIONS. MERCY MEDICAL CENTER DID NOT RECEIVE ANY WRITTEN COMMENTS ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA OR IMPLEMENTATION STRATEGY. HOWEVER, ON THE CHNA AND IMPLEMENTATION STRATEGY WEBPAGE OF THE HOSPITAL WEBSITE, THERE IS A "QUESTIONS?" FORM THAT CAN BE FILLED OUT BY ANY INDIVIDUAL. THE SUBMITTED ONLINE FORM GOES TO THE HOSPITAL'S MARKETING DEPARTMENT AND WOULD BE FORWARDED TO THE HOSPITAL'S COMMUNITY BENEFIT OFFICE. ANY MAILED WRITTEN COMMENTS WOULD BE FORWARDED TO THE COMMUNITY BENEFIT OFFICE. SCHEDULE H, PART V, SECTION B, LINE 7A: HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A: HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: NOT APPLICABLE PART I, LINE 7: MERCY MEDICAL CENTER UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7. PART I, LINE 7G: NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): BAD DEBT EXPENSE WAS NOT INCLUDED IN THE DENOMINATOR BECAUSE IT WAS REPORTED ON LINE 2D OF PART VIII, STATEMENT OF REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: MERCY MEDICAL CENTER (HOSPITAL) PARTICIPATED IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES THE HOSPITAL SERVES. THIS INCLUDED MERCY STAFF REPRESENTATION ON COALITIONS, COMMITTEES, AND BOARDS SUCH AS BIG BROTHERS BIG SISTERS OF CEDAR RAPIDS. THE HOSPITAL MADE CASH CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS THROUGH THEIR MENTOR, EDUCATIONAL, OR AFTER SCHOOL PROGRAMMING FOR YOUTH. PART III, LINE 2: THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE IN THE AUDITED FINANCIAL STATEMENTS. THEREFORE, NO BAD DEBT EXPENSE IS RECOGNIZED FOR UNCOLLECTED AMOUNTS ON PATIENT ACCOUNTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 3: NOT APPLICABLE PART III, LINE 4: PLEASE SEE THE PATIENT SERVICE REVENUE FOOTNOTE ON PAGE 11 OF THE ATTACHED AUDITED FINANCIALS REGARDING IMPLICIT PRICE CONCESSIONS. PART III, LINE 8: THE COSTS SHOWN FOR THE MEDICARE SHORTFALL ARE BASED ON TOTAL CHARGES OF ALL MEDICARE AND MEDICARE REPLACEMENT (PART C) PATIENTS. THE SHORTFALL IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES BY THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2, LESS PAYMENTS WE RECEIVED FOR THESE SERVICES.THE MEDICARE COST REPORT IS NOT AN APPROPRIATE SOURCE TO DETERMINE THE COSTS FOR THESE PATIENTS. MANY ITEMS, INCLUDING ALL OUTPATIENT SERVICES FOR PATIENTS WHO ARE COVERED BY A MEDICARE REPLACEMENT PLAN (PART C) AND MANY SERVICES SUCH AS LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHERS PAID ON A FEE FOR SERVICE BASIS, ARE NOT INCLUDED ON THE MEDICARE COST REPORT. IN ADDITION, HOSPICE, HOME HEALTH, AND DIALYSIS SERVICES, ALTHOUGH INCLUDED IN MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, THE VAST MAJORITY OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE OR MEDICAID. NEITHER GOVERNMENT PROGRAM HAS HISTORICALLY REIMBURSED ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THESE PATIENT POPULATIONS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 20.85%. THIS PERCENTAGE INCREASES TO 66.64% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE. PART III, LINE 9B: MERCY MEDICAL CENTER UNDERSTANDS PATIENTS MAY NOT HAVE THE ABILITY TO PAY FOR SERVICES NOR RECOGNIZE THE OPPORTUNITY THEY MAY HAVE TO RECEIVE FINANCIAL ASSISTANCE. TO AID IN THIS PROCESS, MERCY MEDICAL CENTER HAS IMPLEMENTED A PRESUMPTIVE CHARITY ELIGIBILITY PROGRAM (PCEP). PATIENTS WHO QUALIFY FOR THIS PROGRAM DO NOT COMPLETE PAPERWORK. MERCY MEDICAL CENTER UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS FROM THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE: - MERCY MEDICAL CENTER WILL PROVIDE THE SAME INFORMATION CONCERNING SERVICES AND CHARGES TO ALL PATIENTS. - MERCY MEDICAL CENTER WILL NOT KNOWINGLY SEND A PATIENT'S BILL TO A COLLECTION AGENCY BEFORE INITIAL FINANCIAL ELIGIBILITY ASSISTANCE DETERMINATION HAS BEEN MADE. - MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT. PART VI, LINE 2: MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM COMPLETED SOCIAL DETERMINANTS OF HEALTH SCREENINGS ON PATIENTS, THE COMMUNITY FREE CLINICS, COMMUNITY COALITIONS, COMMUNITY-BASED ORGANIZATIONS, AND THE LOCAL PUBLIC HEALTH DEPARTMENTS TO MODIFY CURRENT ACTIVITIES AND CREATE INNOVATIVE PROGRAMS TO ADDRESS HEALTH NEEDS. ADDITIONALLY, MERCY MEDICAL CENTER RECEIVES REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS FOR FINANCIAL AND IN-KIND SUPPORT TO ADDRESS COMMUNITY NEEDS FOR WHICH THEY PROVIDE PROGRAMS AND SERVICES. MERCY MEDICAL CENTER UTILIZES ALL THIS INFORMATION, IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL. PART VI, LINE 3: EDUCATION: MERCY MEDICAL CENTER (HOSPITAL) POSTS SIGNAGE AND PROVIDES BROCHURES REGARDING FINANCIAL ASSISTANCE INFORMATION AT ALL POINTS OF ENTRY. THERE IS A NOTIFICATION ON THE BACK OF ALL STATEMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ASSIST QUALIFYING PATIENTS. TRAINING: MERCY MEDICAL CENTER HAS EDUCATED AND TRAINED STAFF MEMBERS AT ALL REGISTRATION LOCATIONS ABOUT OUR FINANCIAL ASSISTANCE POLICY AND LISTENING TO INDIVIDUALS THAT MAY NEED ASSISTANCE. OUR EMERGENCY DEPARTMENT STAFF IS TRAINED ON MEDICAID APPLICATIONS. THE HOSPITAL HAS HIRED PATIENT MATTERS TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. PATIENT MATTERS AND OUR FINANCIAL ADVOCATE TEAM KEEP IN COMMUNICATION TO ENSURE PATIENT NEEDS ARE MET. PART VI, LINE 4: MERCY MEDICAL CENTER (HOSPITAL) SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). THE MAJORITY OF THE HOSPITAL'S PATIENTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES LIVE IN LINN COUNTY. THE COMMUNITY ADDITIONALLY INCLUDES THOSE COUNTIES ADJACENT TO LINN COUNTY AND WITHIN A REASONABLE DRIVING TIME TO THE HOSPITAL. THE TOTAL POPULATION OF LINN COUNTY IN 2023 WAS 230,299. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS WAS 519,729. DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS: 49.9% MALE, 50.1% FEMALE 87.61% CAUCASIAN 6.01% AFRICAN AMERICAN 0.59% NATIVE AMERICAN 3.08% ASIAN/PACIFIC 2.54% TWO OR MORE RACES 4.82% HISPANIC 17.5% OF PERSONS LIVING IN THE HOSPITAL'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER 94.93% ARE HIGH SCHOOL GRADUATES WHILE 36.82% HOLD A BACHELOR'S DEGREE OR HIGHER THE MEDIAN HOUSEHOLD INCOME IS $73,493 THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 10.95% AS COMPARED TO 11.0% FOR ALL OF IOWA 13% OF THE HOSPITAL'S PATIENTS USE MEDICAID AND THE NUMBER OF UNINSURED INDIVIDUALS UNDER AGE 65 IN IOWA IS 4.7% ACCORDING TO THE US CENSUS BUREAU THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.42 FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN BENTON, BUCHANAN, CEDAR, DELAWARE, JONES, LINN AND TAMA COUNTIES (HTTPS://DATAWAREHOUSE.HRSA.GOV/TOOLS/ANALYZERS/MUAFIND.ASPX)AS OF JULY 2024, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 3.6%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 2.6-4.4%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE, AND AGRICULTURE.UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL IS IN LINN COUNTY AND SERVES A SIMILAR GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY IOWA CITY ARE IN JOHNSON COUNTY, REGIONAL MEDICAL CENTER IS IN DELAWARE COUNTY, UNITYPOINT HEALTH - JONES REGIONAL MEDICAL CENTER IS IN JONES COUNTY, AND VIRGINIA GAY HOSPITAL IS IN BENTON COUNTY. PART VI, LINE 5: MERCY MEDICAL CENTER'S (HOSPITAL) BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PRIMARY SERVICE AREA. THE BOARD CONSISTS OF 25 MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE HOSPITAL. THE CEO OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF ADDITIONALLY SERVE AS EX-OFFICIO, VOTING MEMBERS. IN THE EVENT THAT THE PRESIDENT OF THE MEDICAL STAFF IS ALSO AN EMPLOYEE OF THE HOSPITAL, HE OR SHE WILL SERVE AS AN EX-OFFICIO, NON-VOTING MEMBER. THE GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN DECISION-MAKING FOR THE HOSPITAL. IN ADDITION, THREE SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. THERE ARE CURRENTLY FOUR WOMEN RELIGIOUS SERVING ON THE BOARD.MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.MERCY MEDICAL CENTER UTILIZES OPERATING INCOME SURPLUSES TO FUND CAPITAL EXPENDITURES. THE PROPOSED CAPITAL ITEMS ARE REVIEWED BY STAFF, MEDICAL STAFF, AND ADMINISTRATION TO ENSURE ITEMS WILL PROVIDE ONGOING HIGH-QUALITY, LOW-COST CARE TO PATIENTS AND ALIGN WITH THE STRATEGIC INITIATIVES FOR THE FACILITY. ANY EXCESS OPERATING FUNDS RETAINED BY THE ORGANIZATION ARE USED FOR FUTURE CAPITAL IMPROVEMENTS OR OPERATING FUNDS AS NEEDED.IN PARTNERSHIP WITH THE COMMUNITY HEALTH FREE CLINIC, FIRST LIGHT CHRISTIAN FELLOWSHIP, AND PROJECT HEALTH, THE HOSPITAL SUPPORTED A PROSTATE CANCER SCREENING IN SEPTEMBER 2023 AT THE FREE CLINIC, WHERE 43 MEN WERE SCREENED FOR PROSTATE CANCER. THIS COLLABORATIVE AND SOCIAL EVENT FOCUSED ON OUTREACH TO BLACK MEN, GIVEN PROSTATE CANCER NEGATIVELY AFFECTS BLACK MEN MORE THAN MEN OF OTHER RACES.THE HOSPITAL COLLABORATED WITH THE TWO FREE CLINICS, CATHOLIC WORKER HOUSE, AND WILLIS DADY HOMELESS SERVICES, TO PROVIDE ACCESS TO BREAST CANCER SCREENING FOR WOMEN WHO HAVE BARRIERS TO ACCESSING CARE. THE HOSPITAL'S TEAM MEMBERS ENSURED 10 WOMEN RECEIVED MAMMOGRAMS, TWO UNINSURED WOMEN WERE ASSISTED TO ENROLL IN MEDICAID, AND FIVE WOMEN COMPLETED AN ENROLLMENT FOR A MERCY PRIMARY CARE PROVIDER.THE ESPECIALLY FOR YOU (EFY) RACE AGAINST BREAST CANCER SUPPORTS FREE MAMMOGRAMS, AS WELL AS BREAST-CARE AND GYNECOLOGICAL SERVICES, FOR AREA INDIVIDUALS IN NEED THROUGH THE ESPECIALLY FOR YOU FUND. IN 2023, THE EFY FUND HELPED 869 INDIVIDUALS ACCESS OVER 4,000 SERVICES.THE HOSPITAL PROVIDED IN-KIND LAB AND RADIOLOGY SERVICES TO BOTH LOCAL FREE CLINICS AS WELL AS PROVIDERS TO WORK AT THE COMMUNITY HEALTH FREE CLINIC (CHFC). THE NUMBER OF PATIENTS SEEN BY A HOSPITAL PROVIDER AT CHFC FROM JULY 2023 TO JUNE 2024 WAS 3,722. THE HOSPITAL PROVIDED ACCESS TO MEDICAL CARE IN RURAL IOWA, INCLUDING ANAMOSA, CENTER POINT, MARENGO, MONTICELLO, MOUNT VERNON, AND TAMA. HOSPITAL TEAM MEMBERS ASSISTED 290 INDIVIDUALS IN SIGNING UP FOR MEDICAID OR MARKETPLACE INSURANCE. IN THE CALENDAR YEAR 2023, SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP) VOLUNTEERS SERVED 1,688 CLIENTS AND SAVED MEDICARE BENEFICIARIES $1,706,335 IN PRESCRIPTION COSTS.THE HOSPITAL'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM, WHICH IS PART OF THE EMERGENCY DEPARTMENT, STARTED MORE THAN 20 YEARS AGO AS A FREE SERVICE TO CARE FOR AND ASSIST VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL HAS 18 SPECIALLY TRAINED SANE RNS WHO ARE AVAILABLE 24/7. THE HOSPITAL'S SANE PROGRAM AVERAGES APPROXIMATELY 50 EXAMS TO THESE PATIENTS ANNUALLY. THE FAMILY CAREGIVERS CENTER OF THE HOSPITAL HAS CONNECTED WITH 2,329 CAREGIVERS, INCLUDING 1,791 FEMALE CAREGIVERS AND 538 MALE CAREGIVERS. OF THESE, 1,430 ARE CARING FOR SOMEONE LIVING WITH DEMENTIA AND 288 ARE CARING FOR SOMEONE WITH MULTIPLE CHRONIC CONDITIONS. THE CENTER ALSO SUPPORTS 985 SPOUSAL CAREGIVERS AND 1,071 ADULT CHILDREN CARING FOR THEIR PARENTS. THE CENTER HAS TWO LOCATIONS - ONE ON MERCY'S MAIN CAMPUS, AS WELL AS ONE IN THE CHRIS & SUZY DEWOLF FAMILY INNOVATION CENTER FOR AGING & DEMENTIA.THE HOSPITAL CONTINUED SCREENING FOR NONMEDICAL NEEDS SUCH AS FOOD, TRANSPORTATION, HOUSING, AND VIOLENCE TO OUR INPATIENT UNITS, MERCY PEDIATRIC CLINIC, HPCC, AND SOME PRIMARY CARE CLINICS. PATIENTS WHO IDENTIFY AS HAVING A NEED ARE CONNECTED TO RESOURCES AND SERVICES TO ADDRESS THESE CRITICAL FACTORS AFFECTING HEALTH OUTCOMES.THE HOSPITAL PROVIDED IN-KIND SPACE TO SIX NONPROFITS HOUSED IN MERCY'S SR. MARY LAWRENCE COMMUNITY CENTER. THE HOSPITAL'S HEALTH EQUITY FUND PROVIDED SUPPORT TO NINE LOCAL NONPROFIT ORGANIZATIONS WITH INITIATIVES FOCUSED ON ADDRESSING ACCESS TO BEHAVIORAL HEALTH SERVICES, FOOD INSECURITY, AND SAFE AND AFFORDABLE HOUSING. THE HOSPITAL CONTINUED ITS COLLABORATION WITH HACAP FOOD RESERVOIR. AS PART OF THIS EFFORT, THE HOSPITAL PROVIDES FOOD BOXES TO PATIENTS IN NEED AND CONNECTS PATIENTS TO OTHER ASSISTANCE AVAILABLE. THE HOSPITAL PARTNERS WITH HERITAGE AREA AGENCY ON AGING TO SUPPORT SAFE AND SUCCESSFUL PATIENT TRANSITIONS FROM HOSPITAL TO HOME. CRUSH, A LOCAL RECOVERY SUPPORT SERVICE, AND LINN COUNTY PUBLIC HEALTH, WORK IN CONJUNCTION WITH SEDLACEK TREATMENT CENTER AND THE EMERGENCY DEPARTMENT TO SUPPORT INDIVIDUALS EXPERIENCING A SUBSTANCE ABUSE CRISIS. THE HOSPITAL PROVIDES DRUG FREE WORKFORCE TRAINING TO COMMUNITY EMPLOYERS AND SERVES OVER 42 AREA EMPLOYERS WITH AN EMPLOYEE ASSISTANCE PROGRAM. THOSE SERVICES INCLUDE INDIVIDUAL SESSIONS, PRESENTATIONS ON MENTAL HEALTH, URGENT RESPONSE TO CRISIS IN THE WORKPLACE AND MANAGEMENT CONSULTATION. MERCY FAMILY COUNSELING PROVIDES URGENT, IN-CLINIC, MENTAL HEALTH COUNSELING FOR TWO LOCAL SCHOOL DISTRICTS.SISTER ORGANIZATIONS MOUNT MERCY UNIVERSITY, THE CATHERINE MCAULEY CENTER AND THE HOSPITAL CONTINUED THE TRADITION OF SPREADING MERCY IN OUR COMMUNITY WITH CIRCLE THE CITY WITH MERCY A ONE-DAY COMMUNITY SERVICE PROJECT. IN JULY 2023, MEMBERS OF EACH ORGANIZATION WORKED WITH TAKE AWAY HUNGER TO PUT TOGETHER 15,000 MEAL KITS. THE FOOD WAS GIVEN TO LOCAL FAMILIES IN NEED. TWENTY-TWO HOSPITAL STAFF MEMBERS PARTICIPATED IN UNITED WAY OF EAST CENTRAL IOWA'S DAY OF CARING IN MAY 2024. HOSPITAL VOLUNTEERS HELPED COMMUNITY ORGANIZATIONS WITH FIVE DIFFERENT EFFORTS, INCLUDING BEAUTIFICATION IN WELLINGTON HEIGHTS, CLEANING, AND PAINTING IN THE KITCHEN FOR SALVATION ARMY, GROUND MAINTENANCE FOR CAMP COURAGEOUS, TREE PLANTING ON THE SAC AND FOX TRAIL AND GROUND CLEANUP FOR THE GIRL SCOUT CAMP.IN JANUARY 2024, THE HOSPITAL HOSTED A "HEAD, SHOULDERS, KNEES & TOES" DRIVE IN PARTNERSHIP WITH OLIVET NEIGHBORHOOD MISSION AND THE EASTERN IOWA HEALTH CENTER TO COLLECT ITEMS TO HELP INDIVIDUALS EXPERIENCING HOMELESSNESS IN OUR COMMUNITY GET THROUGH THE WINTER. ALTOGETHER, HOSPITAL STAFF AND VOLUNTEERS DONATED FOUR LINEN CARTS OF WINTER GEAR.EACH YEAR, MERCY CAREGIVERS MAKE DONATIONS TO LOCAL ORGANIZATIONS THROUGH THE HOSPITAL'S JOYFUL GIVING CAMPAIGN. THIS YEAR, HOSPITAL EMPLOYEES DONATED $131,865 TO THE CATHERINE MCAULEY CENTER, HALL-PERRINE CANCER CENTER, MERCY HOSPICE, MERCY MEDICAL CENTER FOUNDATION, UNITED WAY OF EAST CENTRAL IOWA, AND VARIETY - THE CHILDREN'S CHARITY. DURING MISSION WEEK, HOSPITAL STAFF DONATED FOUR LINEN CARTS AND 10 FLAT BEDS FULL OF SUPPLIES, AS WELL AS $660 IN MONETARY DONATIONS TO ST. JOHN OF THE CROSS CATHOLIC WORKER HOUSE, FOUNDATION 2, AND WILLIS DADY HOMELESS SERVICES. THIS INCLUDED ITEMS THAT EACH OF THE SHELTERS RELIES ON HEAVILY TO HELP THEIR CLIENTS LIVE EACH DAY. ITEMS INCLUDED TOILET PAPER, PAPER TOWELS, CLEANING SUPPLIES, HYGIENE PRODUCTS, LAUNDRY SOAP AND BEDDING. IN DECEMBER 2023, HOSPITAL STAFF MEMBERS RANG THE BELL FOR THE SALVATION ARMY KETTLE CAMPAIGN. IN AUGUST 2023, HALL-PERRINE CANCER CENTER (HPCC) PROVIDED 102 BACKPACKS FULL OF SCHOOL SUPPLIES TO KIDS TOUCHED BY CANCER AND PROVIDED 150 THANKSGIVING BASKETS IN NOVEMBER 2023 FOR COMMUNITY MEMBERS FIGHTING CANCER. IN DECEMBER 2023 HPCC HOSTED HOLIDAY MAGIC, THIS EVENT PROVIDED PATIENTS AND THEIR FAMILIES WITH AN EVENING OF SANTA, FOOD, AND FAMILY FUN WE HAD 115 ATTENDEES. HPCC CREATED AND DISTRIBUTED OVER 30 COPING KITS WHICH ARE FILLED WITH AGE-APPROPRIATE ITEMS TO HELP CHILDREN WITH STRESS AND TO PROVIDE COPING STRATEGIES. IN OCTOBER 2023, HPCC CREATED A MOBILE LIBRARY WITH OVER 100 BOOKS THAT SUPPORT CHILDREN WHO ARE IMPACTED BY A CANCER DIAGNOSIS OR TREATMENT. BEFORE THE HOLIDAYS, HPCC DISTRIBUTED OVER 400 PRE-MADE COOKIE KITS AS CARING FOR CHILDREN THROUGH A CANCER DIAGNOSIS AND TREATMENT IS DIFFICULT.THE HOSPITAL SUPPORTS THE CEDAR RAPIDS MEDICAL SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT - THE MEDICAL QUARTER REGIONAL MEDICAL DISTRICT (MEDQUARTER) - TO ENHANCE OUR COMMUNITY'S NATIONALLY RECOGNIZED REPUTATION FOR HIGH-QUALITY, LOW-COST CARE WITH A CONCENTRATED AREA OF MEDICAL SERVICES THAT ARE EASILY ACCESSIBLE. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 MERCY SERVICE CORPORATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 421199429 501(C)(3) 12720000 0 FOR USE IN CONTINUING OPERATIONS MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 510233180 501(C)(3) 569400 0 FOR USE IN CONTINUING OPERATIONS CATHERINE MCAULEY CENTER 1220 5TH AVE SE CEDAR RAPIDS IA 52403 421342872 501(C)(3) 35000 0 GENERAL SUPPORT WAYPOINT 318 5TH STREET SE CEDAR RAPIDS IA 52401 420680307 501(C)(3) 20000 0 GENERAL SUPPORT CATHOLIC CHARITIES 1229 MT LORETTA AVE DUBUQUE IA 52003 420680493 501(C)(3) 20000 0 GENERAL SUPPORT ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER 701 10TH ST SE CEDAR RAPIDS IA 52403 420698295 501(C)(3) 20000 0 GENERAL SUPPORT MATTHEW 25 201 3RD AVE SW CEDAR RAPIDS IA 52404 260467321 501(C)(3) 20000 0 GENERAL SUPPORT HORIZONS A FAMILY SERVICE ALLIANCE 819 5TH STREET SE PO BOX 667 CEDAR RAPIDS IA 52403 421135083 501(C)(3) 20000 0 GENERAL SUPPORT CEDAR VALLEY HABITAT FOR HUMANITY 350 6TH AVE SE CEDAR RAPIDS IA 52401 421320296 501(C)(3) 20000 0 GENERAL SUPPORT FOUNDATION 2 1540 2ND AVE SE CEDAR RAPIDS IA 52403 421078444 501(C)(3) 20000 0 GENERAL SUPPORT HERITAGE AREA AGENCY ON AGING 6301 KIRKWOOD BLVD SW CEDAR RAPIDS IA 52404 830545648 501(C)(3) 19500 0 GENERAL SUPPORT JUNIOR ACHIEVEMENT 324 3RD STREET SE SUITE 200 CEDAR RAPIDS IA 52401 420919209 501(C)(3) 12450 0 GENERAL SUPPORT HACAP 1515 HAWKEYE DR HIAWATHA IA 52233 420898405 501(C)(3) 10000 0 GENERAL SUPPORT LINN COUNTY PUBLIC HEALTH 501 13TH STREET NW CEDAR RAPIDS IA 52405 426004338 LINN COUNTY 10000 0 GENERAL SUPPORT AFRICAN AMERICAN MUSEUM OF IOWA 55 12TH AVE SE CEDAR RAPIDS IA 52401 421414305 501(C)(3) 6500 0 GENERAL SUPPORT 15 0 PART I, LINE 2: ALL CHECKS ARE ISSUED DIRECTLY TO EACH ORGANIZATION TO BE USED AT ITS DISCRETION. 1 X X X X 0 1 0 0 0 0 0 0 0 CHONG C LEE MD PHYSICIAN 1852203 0 131800 0 3564 0 6259 0 26436 0 2020262 0 0 0 SHANE A GAILUSHAS MD PHYSICIAN 612660 0 756666 0 810 0 7250 0 32982 0 1410368 0 0 0 AMANDEEP DHALIWAL MD PHYSICIAN 674309 0 640616 0 540 0 7250 0 22193 0 1344908 0 0 0 SACHIN GOYAL MD PHYSICIAN 840558 0 467134 0 25103 0 5632 0 2057 0 1340484 0 0 0 BARAKAT ABURAJAB ALTAMIMI MD PHYSICIAN 827952 0 429167 0 19603 0 7250 0 28132 0 1312104 0 0 0 TIMOTHY QUINN MD PRESIDENT & CHIEF EXECUTIVE OFFICER 705684 0 0 0 3614 0 57922 0 27981 0 795201 0 0 0 TIMOTHY L CHARLES FORMER PRESIDENT & CHIEF EXECUTIVE O 168423 0 0 0 568962 0 0 0 427 0 737812 0 0 0 NATHAN VAN GENDEREN EXECUTIVE VICE PRESIDENT & CFO/COO 490296 0 0 0 1248 0 43232 0 23602 0 558378 0 0 0 TONY MYERS MD CHIEF MEDICAL OFFICER 425606 0 0 0 3614 0 38597 0 27471 0 495288 0 0 0 JEFFREY CASH CHIEF INFORMATION OFFICER 334698 0 0 0 5434 0 29949 0 22083 0 392164 0 0 0 NANCY HILL CHIEF TALENT OFFICER 323741 0 0 0 1846 0 29875 0 11682 0 367144 0 0 0 MARY BROBST FORMER CHIEF NURSING OFFICER 237345 0 0 0 84954 0 6015 0 14108 0 342422 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2023: JEFFREY CASH - $22,391, NANCY HILL-DAVIS - $22,961, TIMOTHY QUINN M.D. - $49,672, TONY MYERS M.D. - $30,347, AND NATHAN VAN GENDEREN - $34,982. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION AND EARNINGS CREDITS MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2023. MERCY CARE MANAGEMENT INC SEE BELOW IN PART V 1430698 MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT. 0 FORM 990, SCHEDULE L, PART IV, COLUMN B TIMOTHY QUINN, M.D. IS AN OFFICER, AND BARRIE ERNST, RUE PATEL, FRED PILCHER, M.D. AND KYLE SKOGMAN ARE MEMBERS OF THE BOARD OF TRUSTEES OF MERCY MEDICAL CENTER AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, ALL THE AFOREMENTIONED INDIVIDUALS WERE OFFICERS OR MEMBERS OF THE BOARD OF DIRECTORS OF MERCY CARE MANAGEMENT, INC. X 1 38000 FMV X STAFF MEALS 1 2890 FMV 0 0 0 PART I, COLUMN (B): MERCY MEDICAL CENTER IS REPORTING THE NUMBER OF CONTRIBUTIONS. FORM 990, PART VI, SECTION A, LINE 1A MERCY MEDICAL CENTER'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE GOVERNING BODY IN BETWEEN BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL) IS MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE HOSPITAL'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE HOSPITAL'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE HOSPITAL'S BOARD AT ANY TIME FOR ANY REASON. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL), MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION, HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE HOSPITAL'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE HOSPITAL'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE HOSPITAL'S BOARD AT ANY TIME FOR ANY REASON. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL), MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS: 1. AMEND, REPEAL, OR RESTATE THE ARTICLES OF INCORPORATION; 2. ANY MATTER DIRECTLY RELATED TO THE RELIGIOUS PRINCIPLES AND MORAL PHILOSOPHY OF THE SISTERS OF MERCY; 3. ADOPT OR CHANGE THE PHILOSOPHY AND MISSION OF THE HOSPITAL; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, AND MERGER OR CONSOLIDATION OF THE HOSPITAL WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE HOSPITAL; 6. ADOPTION OR AMENDMENT TO LONG-TERM STRATEGIC PLANS; 7. ADOPTION OR AMENDMENT TO ANNUAL CAPITAL OR OPERATING BUDGETS; AND 8. APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE COMMITTEE IS PROVIDED WITH GENERAL BACKGROUND INFORMATION REGARDING THE FORM 990, AND THE FORM ITSELF (INCLUDING ATTACHMENTS) IS REVIEWED. UPON REQUEST, THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE AND MANAGEMENT ARE AVAILABLE TO ANSWER QUESTIONS FROM THE TRUSTEES ON THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C MERCY MEDICAL CENTER REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AS WELL AS EACH EMPLOYEE TO DISCLOSE ANY INTEREST IN, OBLIGATION OR DUTY TO, OR ACTIVITY FOR ANY CONCERN IN WHICH A DIRECTOR, OFFICER, KEY EMPLOYEE, OR EMPLOYEE OR THEIR FAMILY MEMBER MAY BE INVOLVED THAT: MIGHT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR MIGHT HAVE THE APPEARANCE OF ADVERSELY AFFECTING THE DIRECTOR'S, OFFICER'S, KEY EMPLOYEE'S, OR EMPLOYEE'S JUDGMENT OR ACTIONS IN PERFORMING HIS/HER DUTIES TOWARDS MERCY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES SHALL FILE AN INITIAL CONFLICT OF INTEREST REPORT UPON HIRE AND SHALL BE REQUIRED TO FILE AN UPDATED REPORT IMMEDIATELY IF ANY CHANGES OCCUR WHICH RESULT IN A CONFLICT OF INTEREST OR FINANCIAL INTEREST. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES (SUPERVISOR AND ABOVE), PHYSICIANS, AND ANY EMPLOYEE IN A POSITION TO INFLUENCE A PURCHASE DECISION SHALL RE-SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WITH ANY NECESSARY CHANGES, EACH YEAR AND IMMEDIATELY IF ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. ALL BOARD MEMBERS SHALL SUBMIT IN WRITING A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. THE STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR AND AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS WITH A MERCY MEDICAL CENTER BOARD MEMBER: -UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, THE CORPORATE OFFICER, OR THE CEO MAKING SUCH DISCLOSURE MAY BE ASKED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. -THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. -IN THE CASE OF DISCLOSURE BY A MEDICAL STAFF MEMBER, PHYSICIAN, EXECUTIVE STAFF MEMBER, DEPARTMENT DIRECTOR, SUPERVISOR, OR OTHER INDIVIDUAL, THE PRESIDENT/CEO OF ENTITY SHALL DETERMINE, BASED ON THE FACTS AND CIRCUMSTANCES DISCLOSED, IF A CONFLICT OF INTEREST EXISTS. -THE PRESIDENT/CEO OF ENTITY SHALL REPORT THE RESULTS OF ALL DETERMINATIONS, WITH REGARD TO CONFLICT OF INTEREST, TO THE CHAIR OF THE BOARD. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF MERCY MEDICAL CENTER KEY PERSONNEL, EMPLOYEES, OR OTHER AFFECTED PARTIES, TERMINATION OF EMPLOYMENT. RETENTION PERIOD: ALL CERTIFICATES AND DISCLOSURE SUMMARY DOCUMENTS OF CURRENT OR FORMER EMPLOYEES (AND RELATED CORRESPONDENCE) WILL BE RETAINED IN ACCORDANCE WITH MERCY'S RECORD RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF MERCY MEDICAL CENTER'S TOP MANAGEMENT OFFICIAL IS SET BY THE MERCYCARE SERVICE CORPORATION'S HUMAN RESOURCES COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED AND DOCUMENTED ON MARCH 18, 2024. FORM 990, PART VI, SECTION C, LINE 19 MERCY MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 43,623,164. MANAGEMENT AND GENERAL EXPENSES 10,810,563. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,433,727. MALPRACTICE TRUST FEES: PROGRAM SERVICE EXPENSES 1,682,134. MANAGEMENT AND GENERAL EXPENSES 416,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,098,995. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -4,230,702. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS 2,397,262. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 56,322. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY -68. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 2,838,733. FORM 990, PART XI, LINE 2C THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. MERCYCARE ACCOUNTABLE CARE ORGANIZATION LLC 701 10TH STREET SE CEDAR RAPIDS IA 52403 833158753 ACCOUNTABLE CARE ORGANIZATION IA 1595241 1164431 MERCY MEDICAL CENTER MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC 701 10TH STREET SE CEDAR RAPIDS IA 52403 510233180 FUNDRAISING FOR MERCY MEDICAL CENTER IA 501(C)(3) LINE 12B, TYPE II MERCY MEDICAL CENTER 1 MERCYCARE SERVICE CORPORATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 421199429 HEALTHCARE OVERSIGHT IA 501(C)(3) LINE 12B, TYPE II N/A 0 MERCY-PHS SENIOR HOUSING INC 701 10TH STREET SE CEDAR RAPIDS IA 52403 843118573 APPROPRIATE AND DEVELOP SENIOR HOUSING PROJECT IA 501(C)(3) LINE 10 MERCY MEDICAL CENTER 1 MR ASSOCIATES LLP 1956 1ST AVE NE CEDAR RAPIDS IA 52402 421260463 MEDICAL IMAGING IA MERCY MEDICAL CENTER RELATED 1790590 637664 0 1 0.33330 CEDAR RAPIDS PHYSICIANS-HOSP ORG LC 1715 1ST AVE SE STE 200 CEDAR RAPIDS IA 52402 421445014 PHYSICIAN CREDENTIALING IA N/A RELATED 310239 3407382 0 158837 0 0.53780 EASTERN IOWA SLEEP CENTER 275 10TH ST SE STE 3330 CEDAR RAPIDS IA 52403 260310416 SLEEP STUDIES IA N/A RELATED 191629 460255 0 1 0.33330 USRC EASTERN IOWA LLC 5851 LEGACY CIRCLE STE 900 PLANO TX 75024 844628073 DIALYSIS TX N/A RELATED 576644 363715 0 1 0.49000 MERCY SURGERY CENTER LLC 701 10TH STREET SE CEDAR RAPIDS IA 52403 841875159 OUTPATIENT SURGERY CENTER IA MERCY MEDICAL CENTER RELATED 168232 4680354 0 1 0.60000 MERCY CARE MANAGEMENT INC PO BOX 786 CEDAR RAPIDS IA 52406 421198970 MEDICAL CLINICS IA N/A C 1 MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC) PO BOX 786 CEDAR RAPIDS IA 52406 421442443 MEDICAL SERVICES IA N/A C 1 MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC) PO BOX 786 CEDAR RAPIDS IA 52406 421442442 SUPPORT SERVICES IA N/A C 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MERCY CARE MANAGEMENT INC A 1430698 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION A 1 FAIR MARKET VALUE MERCYCARE SERVICE CORPORATION B 12720000 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION B 569400 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION C 8556328 FAIR MARKET VALUE MERCYCARE SERVICE CORPORATION C 287806 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION Q 1140273 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION E 7081053 FAIR MARKET VALUE