MHIC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MHIC (EIN 42-0680391)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202511359349315226
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule N
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T18:27:27-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | 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 | 2023-07-01 | 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 | Marc Ross | PersonNm |
| Person Title | Liquidating Trustee Advisor | PersonTitleTxt |
| Phone | 5166779740 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Shawna M Jansons | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dan Childers | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Shuttleworth Ingersoll PLC 235 | AddressLine1Txt |
| Address Line2 | 6th Street SE | AddressLine2Txt |
| City | Cedar Rapids | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $138,333,590 | 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 |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 1251 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $1,791,420 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $110,521 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,519,230 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $82,847,239 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$108,897 | PYInvestmentIncomeAmt |
| CY Investment Income | -$63,344,408 | CYInvestmentIncomeAmt |
| PY Other Revenue | $941,221 | PYOtherRevenueAmt |
| CY Other Revenue | $197,291 | CYOtherRevenueAmt |
| PY Total Revenue | $164,462,075 | PYTotalRevenueAmt |
| CY Total Revenue | $19,700,122 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $12,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $30,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $66,665,626 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,618,329 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $126,497,191 | PYOtherExpensesAmt |
| CY Other Expenses | $83,954,104 | CYOtherExpensesAmt |
| PY Total Expenses | $193,174,817 | PYTotalExpensesAmt |
| CY Total Expenses | $124,602,433 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$28,712,742 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$104,902,311 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $160,030,077 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,990,746 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $136,653,461 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $108,425,111 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,376,616 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$64,434,365 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | Yes (1) | SignificantChangeInd |
| Expense | $67,521,105 | ExpenseAmt |
| Grant | $30,000 | GrantAmt |
| Revenue | $82,839,790 | 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. Effective January 31, 2024, Mercy Hospital ceased providing healthcare services to the community as a result of filing for bankruptcy and the organization's assets being acquired by the University of Iowa. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $135,074 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,449 | RevenueAmt |
| Desc | Education. The ongoing education of Mercy staff is critical in the fast changing field of health care and is necessary to meet regulations and certifications. Mercy hosts a number of professional continuing education classes each year, which are 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 to provide insight to possible careers and preparation for CNA exam.These educational activities were discontinued effective January 31, 2024, when Mercy Hospital ceased operations as a result of bankruptcy and the organization's assets being acquired by the University of Iowa. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,815,167 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Community Benefit. Mercy's largest community benefit is the unpaid cost of Medicaid ($6.8 million). This community benefit activity ceased effective January 31, 2024, when Mercy Hospital discontinued healthcare operations as a result of bankruptcy and the acquisition of its assets by the University of Iowa. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $74,471,346 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1251 | 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | 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 | 0 | 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 | Dan Childers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5166779740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o Shuttleworth Ingersoll PLC | AddressLine1Txt |
| City | Cedar Rapids | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 524062107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|---|---|
| Tom Clancy | |||||||||
| CEO & Adminnistrator | 40.00 | 0.00 | Yes (X) | Yes (X) | $315,704 | $0 | $5,317 | ||
| Kim Volk | |||||||||
| VP - Nursing | 40.00 | 0.00 | Yes (X) | Yes (X) | $246,879 | $0 | $34,341 | ||
| Jim Porter | |||||||||
| Treasurer | 41.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lynn Whisler | |||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Madeline Windauer | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dr Chris Scott | |||||||||
| Board Member (End 1/24) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary Westbrook | |||||||||
| Board Member (End 1/24) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Peter Gardner | |||||||||
| Board Member (End 1/24) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Helen Marie Burns | |||||||||
| Board Member (End 1/24) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Linda Bechen | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Rita Specht | |||||||||
| Board Member (End 1/24) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven Anderson | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Toney | |||||||||
| Chief Restructuring Officer | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Hoffman | |||||||||
| Physician | 40.00 | 0.00 | $572,630 | $0 | $45,557 | Yes (X) | |||
| Ali Mohammed | |||||||||
| Physician | 40.00 | 0.00 | $483,494 | $0 | $23,246 | Yes (X) | |||
| Luke Brunkhorst | |||||||||
| Physician | 40.00 | 0.00 | $457,373 | $0 | $36,413 | Yes (X) | |||
| Spas Kotev | |||||||||
| Physician | 40.00 | 0.00 | $474,011 | $0 | $18,961 | Yes (X) | |||
| Katherine Ignacio | |||||||||
| Physician | 40.00 | 0.00 | $464,006 | $0 | $28,706 | Yes (X) | |||
| Dawna Miller | |||||||||
| Former Officer (End 7/22) | 0.00 | 0.00 | $122,216 | $0 | $0 | Yes (X) | |||
| Mike Trachta | |||||||||
| Former Officer (End 03/23) | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Jeffrey Rooney | |||||||||
| Former Officer (End 04/23) | 0.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,136,313 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $192,541 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 128 | 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 | $11,763,317 |
| ToneyKorf Partners LLC | |||||
| 80 State Street | Albany | NY | 122072543 | Management Services | $5,553,885 |
| McDermott Will and Emery LLC | |||||
| 444 West Lake Street | Chicago | IL | 606060029 | Legal Services | $4,589,778 |
| Altera Digital Health Inc | |||||
| 2429 Military Rd Suite 300 | Niagara Falls | NY | 14304 | Electronic Health Record | $2,801,998 |
| Revology | |||||
| 201 E Washington St Unit 1302 | Iowa City | IA | 52240 | Revenue Cycle Oversight | $1,927,270 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Serv. Revenue | 621400 | $39,544,783 | $39,544,783 | |
| Medicare/Medicaid | 621400 | $37,587,988 | $37,587,988 | |
| ASC/DIC Income | 900099 | $2,057,760 | $2,057,760 | |
| Lab Outreach | 621511 | $1,791,420 | $1,791,420 | |
| Wellmark Incentive | 900099 | $1,304,232 | $1,304,232 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $561,056 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $561,056 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $82,847,239 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,840,072 | TotalRevenueColumnAmt |
| Exclusion | -$1,840,072 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $452,807 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $570,690 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$117,883 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$117,883 | TotalRevenueColumnAmt |
| Exclusion | -$117,883 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,030,963 | SecuritiesAmt |
| Other | $46,527,479 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,676,429 | SecuritiesAmt |
| Other | $108,386,349 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $354,534 | SecuritiesAmt |
| Other | -$61,858,870 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$61,504,336 | TotalRevenueColumnAmt |
| Exclusion | -$61,504,336 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria Income | Desc |
| Business | 722310 | BusinessCd |
| Total Revenue Column | $315,174 | TotalRevenueColumnAmt |
| Exclusion | $315,174 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $315,174 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,700,122 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,055,819 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,791,420 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$63,147,117 | 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 | $30,000 | TotalAmt |
| Program Services | $30,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,966 | TotalAmt |
| Program Services | $123,440 | ProgramServicesAmt |
| Management And General | $647,526 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,144,748 | TotalAmt |
| Program Services | $27,715,026 | ProgramServicesAmt |
| Management And General | $6,429,722 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,630 | TotalAmt |
| Program Services | $366,929 | ProgramServicesAmt |
| Management And General | $28,701 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,880,980 | TotalAmt |
| Program Services | $2,007,755 | ProgramServicesAmt |
| Management And General | $873,225 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,426,005 | TotalAmt |
| Program Services | $1,690,683 | ProgramServicesAmt |
| Management And General | $735,322 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,003,885 | TotalAmt |
| Program Services | $2,585,141 | ProgramServicesAmt |
| Management And General | $3,418,744 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $763,656 | TotalAmt |
| Management And General | $763,656 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,130 | TotalAmt |
| Management And General | $87,130 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,105,509 | TotalAmt |
| Program Services | $12,966,241 | ProgramServicesAmt |
| Management And General | $17,139,268 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,562 | TotalAmt |
| Management And General | $47,562 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,217,482 | TotalAmt |
| Program Services | $4,979,362 | ProgramServicesAmt |
| Management And General | $2,238,120 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,685,034 | TotalAmt |
| Program Services | $70,929 | ProgramServicesAmt |
| Management And General | $7,614,105 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,830,914 | TotalAmt |
| Program Services | $72,200 | ProgramServicesAmt |
| Management And General | $1,758,714 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,325 | TotalAmt |
| Program Services | $58,513 | ProgramServicesAmt |
| Management And General | $5,812 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,870,121 | TotalAmt |
| Program Services | $1,348,764 | ProgramServicesAmt |
| Management And General | $3,521,357 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,224,015 | TotalAmt |
| Program Services | $3,085,722 | ProgramServicesAmt |
| Management And General | $1,138,293 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,489,615 | TotalAmt |
| Management And General | $1,489,615 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $9,873,632 | $9,868,285 | $5,347 |
| Pharmacy Supplies | $6,878,882 | $6,878,882 | $0 |
| Medical Director Stipen | $825,955 | $254,833 | $571,122 |
| Food Expense | $560,185 | $560,185 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,426,202 | TotalAmt |
| Program Services | -$191,544 | ProgramServicesAmt |
| Management And General | $1,617,746 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,602,433 | TotalAmt |
| Program Services | $74,471,346 | ProgramServicesAmt |
| Management And General | $50,131,087 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,838,383 | BOYAmt |
| EOY | $30,953,791 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,269 | BOYAmt |
| EOY | $302,038 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,890,458 | BOYAmt |
| EOY | $3,217,069 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,992,970 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,164,673 | BOYAmt |
| EOY | $580,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,900,047 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,872,291 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,579,468 | BOYAmt |
| EOY | $27,756 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,032,514 | BOYAmt |
| EOY | $1,370,092 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$109,415,759 | BOYAmt |
| EOY | $7,500,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,879,101 | BOYAmt |
| EOY | $40,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,030,077 | BOYAmt |
| EOY | $43,990,746 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,200,486 | BOYAmt |
| EOY | $39,410,632 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,158,372 | BOYAmt |
| EOY | $43,219,829 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,736,338 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,558,265 | BOYAmt |
| EOY | $25,794,650 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,653,461 | BOYAmt |
| EOY | $108,425,111 | 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 | $23,376,616 | BOYAmt |
| EOY | -$64,434,365 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,376,616 | BOYAmt |
| EOY | -$64,434,365 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,030,077 | BOYAmt |
| EOY | $43,990,746 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$104,902,311 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $17,091,330 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $18,141,995 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $0 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $18,141,995 | OtherExpendituresAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,417,674 | BeginningYearBalanceAmt |
| Contributions | $16,570 | ContributionsAmt |
| Investment Earnings Or Losses | $1,759,209 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $51,458 | GrantsOrScholarshipsAmt |
| End Year Balance | $18,141,995 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,483,373 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,455,617 | DepreciationAmt |
| Book Value | $27,756 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,416,674 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,416,674 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $27,756 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Equity Investment in Joint Ventures | Desc |
| Book Value | $7,500,000 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $7,500,000 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Benefit Liability | $23,295,955 |
| Professional Liability Claims | $2,498,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,794,650 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | All restricted endowment funds were used for the benefit of Mercy Hospital, Iowa City. During the fiscal year ended June 30, 2024, the entirety of these funds were expended to support hospital operations following the organization's filing for bankruptcy in August 2023. | 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 | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,708,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,893,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,815,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,708,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,893,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,815,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,708,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,893,018 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,815,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,251,001 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,212,623 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,961,622 | 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 | 0.00400 | 0.00600 |
| 2 Corridor Radiology LLC | ||
| Outpatient Radiology Services | 0.00510 | 0.00490 |
| 3 Eastern Iowa Rehabilitation Hospital LLC | ||
| Rehabilitation Services | 0.00510 | 0.00490 |
| 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 (5 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:As a result of the bankruptcy and cessation of operations effective January 31, 2024, Mercy Hospital, Iowa City, Iowa's website and all related documents, including the most recent Community Health Needs Assessment (CHNA), are no longer publicly available online. The CHNA was previously accessible at: https://www.mercyiowacity.org/upload/docs/About Mercy/2021 PRC CHNA Report - Mercy Iowa City.pdfCopies of the CHNA may be available upon request from the organization's records, subject to availability. |
| Mercy Hospital, Iowa City, Iowa | Part V, Seciton B, Line 10a:As a result of the bankruptcy and cessation of operations effective January 31, 2024, Mercy Hospital, Iowa City, Iowa's website and all related documents, including the most recent Implementation Strategy, are no longer publicly available online. The Implementation Strategy was previously accessible at:https://www.mercyiowacity.org/upload/docs/About Mercy/2021 CHNA Implementation Plan.pdfCopies of the Implementation Strategy may be available upon request from the organization's records, subject to availability. |
| Mercy Hospital, Iowa City, Iowa | Part V, Section B, Line 11:No actions were taken during the fiscal year ended June 30, 2024, to address the needs identified in the most recent Community Health Needs Assessment (CHNA). This is due to Mercy Hospital, Iowa City, Iowa's bankruptcy filing in August 2023 and the cessation of hospital operations effective January 31, 2024. In prior years, the hospital undertook various initiatives to address identified community health needs. However, no new actions were implemented in the current fiscal year as a result of the bankruptcy and closure. |
| Mercy Hospital, Iowa City, Iowa | Part V, Section B, Line 16:As a result of the bankruptcy and cessation of operations effective January 31, 2024, Mercy Hospital, Iowa City, Iowa's website and all related documents, including the Financial Assistance Policy, Financial Assistance Application Form, and Plain Language Summary, are no longer publicly available online. These documents were previously accessible at the following URLs:Financial Assistance Policy:https://www.mercyiowacity.org/upload/docs/Patients and Visitors/Financial Assistance Docs/MercyIC Financial Assistance Policy_2021.pdfFinancial Assistance Application Form:https://www.mercyiowacity.org/upload/docs/Patients and Visitors/Financial Assistance Docs/Financial Assistance App_2021.pdfPlain Language Summary:https://www.mercyiowacity.org/upload/docs/Patients and Visitors/Financial Assistance Docs/MercyIC Plain Language Summary_2021.pdfCopies of these documents may be available upon request from the organization's records, subject to availability. |
| 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 (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Mercy Hospital, Iowa City, Iowa also used asset level, medical indigency, insurance status, and underinsurance status as factors in determining eligibility for free and discounted care. |
| Part III, Line 2: | For the fiscal year ended January 31, 2024, the organization recorded a negative bad debt expense of $(1,430,512). This negative amount resulted from the reversal of previously established bad debt reserves upon cessation of operations on January 31, 2024. As a result, no bad debt expense is reported on Line 2 for the current year.Historically, the organization estimated bad debt expense by analyzing patient accounts receivable balances, applying historical collection rates, and considering current economic and operational factors. However, due to the cessation of operations and the resulting reserve true-up, no new bad debt expense was recognized for the fiscal year. |
| Part III, Line 3: | While in operation, Mercy Hospital, Iowa City, Iowa worked with those qualifying for charity care along every step of the process. Every effort was made to work with the patient to provide financial assistance when appropriate. While there were people who did not cooperate with Mercy Hospital, Iowa City, Iowa regarding payment plans, financial assistance or with those trying to get help from Government programs. For individuals that did not provide necessary information, it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital, Iowa City, Iowa was unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals did not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy. |
| Part III, Line 4: | Mercy Hospital, Iowa City, Iowa did not undergo an audit for the fiscal year ended June 30, 2024, as the entity filed for voluntary bankruptcy in August 2023. As part of the bankruptcy proceedings, the organization's assets were acquired by the University of Iowa, with the transaction finalized on June 24, 2024. Effective January 31, 2024, medical services previously provided by Mercy Hospital, Iowa City, Iowa are now provided by the University of Iowa and its affiliates, and Mercy Hospital, Iowa City, Iowa no longer exists as a hospital providing health care services.As a result, the footnote describing bad debt expense is based on the most recent audited financial statements, which were issued for the fiscal year ended June 30, 2022. Mercy Hospital, Iowa City, Iowa's audited financial statements include 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 reported in the CMS Provider Statistical Reimbursement System reports for fee-reimbursed services for the fiscal year ended June 30, 2024. Costs were calculated using the cost-to-charge ratio for the appropriate services, as reported in the submitted Medicare Cost Report (Form 2552-96) for the fiscal year ended June 30, 2024. These amounts reflect services provided through January 30, 2024, the date on which the organization ceased providing patient care. |
| Part III, Line 9b: | Mercy Hospital, Iowa City, Iowa had two policies related to debt collection. The Financial Assistance Policy provided guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospitals. A Patient may have been provided with a financial assistance application at the time of service, been offered financial assistance during the normal collection process or learned of the option on the Hospital website. All patients with no insurance were offered financial assistance via billing statements & follow-up telephone calls. Any patient that was known to qualify for financial assistance was provided assistance. The payment plan policy enabled those who qualified 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 was deemed to not have insurance coverage (self-pay) or was under-insured, a referral was made to Mercy's third-party vendor to screen the patient for Medicaid eligibility. They can also assist with marketplace products and social security applications. If they are not eligible for Medicaid/Emergency Medicaid, our third-party eligibility vendor notifies the patient of the financial counselors and places a referral to the financial counselor to assist the patient. In order to be eligible for financial assistance the patients must complete the Medicaid, Medicare, and/or insurance exchange review process. The level of assistance is based on where the patient falls on the federal poverty level. The financial counselors provide/assist the patient with completion of the financial aid application and noting the account according to the outcome. |
| Part VI, Line 4: | Mercy Hospital, Iowa City, Iowa is located in the community of Iowa City, Iowa, in Johnson County along the east central part of the state. The county's population in 2022 was approximately 156,420. Mercy Hospital, Iowa City, Iowa served 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service areas include: Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 340,200. Iowa City is home to the University of Iowa, which has an enrollment of approximately 31,317 for the 2022-2023 academic year. Johnson County is well-educated, of individuals 25 and older, 95.3 percent are high school graduates and 54 percent hold a bachelors degree or higher. The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness and manufacturing. According to the U.S. Census Bureau, 14.7 percent of the Johnson County population lived below the poverty line between 2017 and 2021, compared to 11.1 percent for the entire state. |
| Part VI, Line 5: | Mercy Hospital, Iowa City, Iowa is a faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy Hospital, Iowa City, Iowa does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with the Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and Hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community preparedness issues; treating emergency patients according to EMTALA guidelines and service all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community. |
| Part VI, Line 7, Reports Filed With 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 | Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust | 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) |
|---|---|---|
| Recipient EIN | 426591803 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $30,000 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | General Support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization maintains records to substantiate the amount of grants or assistance provided, For the fiscal year ended June 30, 2024, the only grant awarded was to a related 501(c)(3) entity. | 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 | Yes (1) | 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 (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michael Hoffman | ||||||||||||||
| Physician | $521,350 | $0 | $38,511 | $0 | $12,769 | $0 | $10,193 | $0 | $35,364 | $0 | $618,187 | $0 | $0 | $0 |
| Ali Mohammed | ||||||||||||||
| Physician | $466,730 | $0 | $16,626 | $0 | $138 | $0 | $6,600 | $0 | $16,646 | $0 | $506,740 | $0 | $0 | $0 |
| Luke Brunkhorst | ||||||||||||||
| Physician | $455,929 | $0 | $1,000 | $0 | $444 | $0 | $5,625 | $0 | $30,788 | $0 | $493,786 | $0 | $0 | $0 |
| Spas Kotev | ||||||||||||||
| Physician | $444,641 | $0 | $16,625 | $0 | $12,745 | $0 | $1,535 | $0 | $17,426 | $0 | $492,972 | $0 | $0 | $0 |
| Katherine Ignacio | ||||||||||||||
| Physician | $429,760 | $0 | $29,700 | $0 | $4,546 | $0 | $10,396 | $0 | $18,310 | $0 | $492,712 | $0 | $0 | $0 |
| Tom Clancy | ||||||||||||||
| CEO & Adminnistrator | $315,704 | $0 | $0 | $0 | $0 | $0 | $5,317 | $0 | $0 | $0 | $321,021 | $0 | $0 | $0 |
| Kim Volk | ||||||||||||||
| VP - Nursing | $246,608 | $0 | $0 | $0 | $271 | $0 | $10,494 | $0 | $23,847 | $0 | $281,220 | $0 | $0 | $0 |
| Dawna Miller | ||||||||||||||
| Former Officer (End 7/22) | $0 | $0 | $0 | $0 | $122,216 | $0 | $0 | $0 | $0 | $0 | $122,216 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | Dawna Miller, former Chief Financial Officer received severance payments amounting to $122,216 in calendar year 2023 as part of her employment contract. |
| Part I, Line 7 | 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. |
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 | 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 | $20,679,237 | $40,501,771 | $2,131,594 | $34,320,000 | 2018 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $22,695,000 | $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 | 0 | 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 (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: City of Hills Iowa Date the Rebate Computation was Performed: 11/30/2021 |
| 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 6, Column B: | Such amounts were appropriately yield restricted. |
| Schedule K, Part IV, Line 2c, Column A: | The organization is in bankruptcy; no rebate calculation has been performed. |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | Class IV Inventory and Class V Assets | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2024-01-31 | DistributionDt |
| Fair Market Value Of Asset | $46,527,479 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | Outstanding Offers | MethodOfFMVDeterminationTxt |
| EIN | 426004813 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | University of Iowa | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 E Market Street | AddressLine1Txt |
| City | Iowa city | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | Gov't Entity | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | Yes (1) | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II, Line 2e: | FormAndLineReferenceDesc |
| Explanation | Explanation of Involvement: Kim Volk was the Chief Nursing Officer of Mercy Hospital and became an employee of the University of Iowa. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | Mercy Hospital, Iowa City, Iowa filed for voluntary bankruptcy in August 2023. As part of the bankruptcy proceedings, the organization's assets were acquired by the University of Iowa, with the transaction finalized on June 24, 2024. As a result, effective January 31, 2024, Mercy Hospital ceased providing healthcare services to the community. The organization remains in existence solely to manage the winding down of operations, including the collection of receivables and settlement of outstanding obligations. No program services or healthcare operations have been conducted by the organization since January 31, 2024. |
| Form 990, Part VI, Section A, line 2 | Sister Helen Marie Burns, board member; Sister Rita Specht, board member; and Sister Linda Bechen, Board Member are members of the Sisters of Mercy of the Americas West Midwest Community, Inc. |
| Form 990, Part VI, Section A, line 3 | MercyOne, Martinville Dunn, and ToneyKorf Partners provided certain management oversight and personnel services pursuant to a strategic management agreement. Mike Trachta, Former Officer (ending 03/23) of Mercy Hospital, Iowa City, Iowa, is not an employee of the hospital, but rather an employee of MercyOne, a management company. For his role as a Former Officer of Mercy Hospital Iowa City, Mike Trachta was compensated $135,980 by MercyOne. Jeffrey Rooney, Former Officer (ending 04/23) of Mercy Hospital, Iowa City, Iowa is not an employee of the hospital but rather an employee of Martinville Dunn, a management company. For his role as a Former Officer of Mercy Hospital Iowa City, Jeffrey Rooney was compensated $201,871 by Martinville Dunn. Jim Porter, Treasurer of Mercy Hospital, Iowa City, Iowa, is not an employee of the hospital, but rather an employee of ToneyKorf Partners, a management company. For his role as treasurer of Mercy Hospital Iowa City, Jim Porter was compensated by ToneyKorf Partners. Mark Toney, Chief Restructuring Officer of Mercy Hospital, Iowa City, Iowa, is not an employee of the hospital, but rather an employee of ToneyKorf Partners, a management company. For his role as Chief Restructuring Officer of Mercy Hospital Iowa City, Mark Toney was compensated by ToneyKorf Partners. |
| 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 was reviewed by Mercy Hospital, Iowa City, Iowa's former controller and an outside independent accounting and tax firm prior to submission to the IRS. The Form 990 was not reviewed by the organization's board of directors before submission, as the organization is no longer operating and has emerged from bankruptcy. |
| 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 is determined based on national or regional market data for comparable positions at comparatively sized hospitals. The current President/CEO is provided under a management agreement with ToneyKorf Partners. |
| 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 12,966,241. Management and general expenses 17,139,268. Fundraising expenses 0. Total expenses 30,105,509. |
| Form 990, Part XI, line 9: | Transfer of net liabilities from Mercy Hospital SIT -1,072,757. Transfer of net assets from Mercy Hospital Foundation 18,164,087. |
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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | N/A | 0 | |
| Mercy Foundation | |||||||||||
| 500 East Market Street | Iowa City | IA | 52245 | 237040506 | Foundation/Fundraising | IA | 501(c)(3) | 12A, I | Yes (1) | Mercy Hospital | |
| Mercy Hospital Guild | |||||||||||
| 500 East Market Street | Iowa City | IA | 52245 | 426099912 | Fundraising | IA | 501(c)(3) | 12C, III-FI | N/A | 0 | |
| 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 | Yes (1) | Mercy Hospital | |
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 | $2,430,986 | $1,470,374 | 0 | Yes (1) | 0.40000 |
| Corridor Radiology LLC | |||||||||||||
| 2769 Heartland Drive Suite 307 | Coralville | IA | 52241 | 460635070 | Radiology Services | IA | Mercy Hospital | Related | $207,808 | -$27,604 | 0 | 0 | 0.51000 |
| Eastern Iowa Rehabilitation Hospital LLC | |||||||||||||
| 680 S 4th Street | Louisville | KY | 40202 | 831589139 | Inpatient Rehabilitation Care | IA | Mercy Hospital | Related | -$2,853,800 | 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 | Health Care | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $19,710,652 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $2,148,292 | 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 | 0 | 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | 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 Services Iowa City Inc | ||
| A | $412,427 | Cost |
| Mercy Services Iowa City Inc | ||
| R | $300,000 | Cost |
| Mercy Services Iowa City Inc | ||
| O | $4,298,623 | Cost |
| Mercy Services Iowa City Inc | ||
| Q | $2,948,299 | Cost |
| Mercy Hospital Foundation | ||
| R | $18,164,087 | Book Value |
| Mercy Hospital Iowa City Self Insurance Plan and Trust | ||
| R | -$1,072,757 | Book Value |