COVENANT MEDICAL CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: COVENANT MEDICAL CENTER INC (EIN 42-1264647)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-05-16
IRS object ID: 202231369349307848
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-05-16T12:29:59-05:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421264647	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIMOTHY HUBER	InCareOfNm
Business Name Control	COVE	BusinessNameControlTxt
Phone	3192728000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Timothy Huber	PersonNm
Person Title	VP OF FINANCE	PersonTitleTxt
Phone	3192727300	PhoneNum
Signature	2022-05-16	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Timothy	PersonFirstNm
Person Last	Huber	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MERCYONE WATERLOO MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Jack Dusenbery	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$321,023,880	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercyone.org/northeastiowa	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1985	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	General inpatient and outpatient health care services.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	2615	TotalEmployeeCnt
Total Volunteers	74	TotalVolunteersCnt
Total Gross UBI	$2,030,373	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$478,864	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,858,817	PYContributionsGrantsAmt
CY Contributions Grants	$11,246,272	CYContributionsGrantsAmt
PY Program Service Revenue	$262,739,448	PYProgramServiceRevenueAmt
CY Program Service Revenue	$278,619,364	CYProgramServiceRevenueAmt
PY Investment Income	-$747,805	PYInvestmentIncomeAmt
CY Investment Income	$5,386,482	CYInvestmentIncomeAmt
PY Other Revenue	$28,867,524	PYOtherRevenueAmt
CY Other Revenue	$25,683,046	CYOtherRevenueAmt
PY Total Revenue	$309,717,984	PYTotalRevenueAmt
CY Total Revenue	$320,935,164	CYTotalRevenueAmt
PY Grants And Similar Paid	$77,966	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$155,861,456	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$167,692,416	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$142,383,925	PYOtherExpensesAmt
CY Other Expenses	$139,640,988	CYOtherExpensesAmt
PY Total Expenses	$298,323,347	PYTotalExpensesAmt
CY Total Expenses	$307,341,404	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,394,637	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,593,760	CYRevenuesLessExpensesAmt
Total Assets BOY	$239,485,789	TotalAssetsBOYAmt
Total Assets EOY	$267,916,696	TotalAssetsEOYAmt
Total Liabilities BOY	$76,410,057	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$95,241,083	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$163,075,732	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$172,675,613	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A MEMBER OF MERCY HEALTH NETWORK, OUR AFFILIATES STRIVE TO LIVE OUT THE HEALING MINISTRY OF THE JUDEO-CHRISTIAN TRADITION WHILE PROVIDING EXCEPTIONAL AND COMPASSIONATE HEALTHCARE SERVICES THAT PROMOTE THE DIGNITY AND WELL BEING OF THE PATIENTS AND COMMUNITIES WE SERVE. OUR VISION IS TO BE RECOGNIZED FOR SUPERIOR HEALTHCARE SERVICE, CLINICAL EXCELLENCE, AS THE HEALTHCARE EMPLOYER OF CHOICE, AND THE PREFERRED PARTNER OF PHYSICIANS.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$302,048,931	ExpenseAmt
Grant	$8,000	GrantAmt
Revenue	$300,526,227	RevenueAmt
Desc	MercyOne Northeast Iowa is a faith-based 511-bed, not-for-profit, comprehensive medical/surgical health care provider offering acute levels of medical care at Covenant Medical Center in Waterloo, Sartori Memorial Hospital in Cedar Falls, and Mercy Hospital in Oelwein. Its services in the region also include Covenant Clinic with more than 100 primary care and specialty providers; Covenant Foundation, Sartori Health Care Foundation and Mercy Hospital Foundation. Areas of excellence include cardiology, orthopedics, neurosurgery, maternity and NICU, cancer treatment, minimally invasive and Bariatric surgery. The Iowa operations have been part of a 140 year system of care sponsored by the Wheaton Franciscan Sisters, formerly incorporated in 1983. In 2016, the Wheaton Franciscan Sisters transferred their Iowa operations to Mercy Health Network, an Iowa-based health care system based out of Des Moines, Iowa. Mercy Health Network (MHN) is an integrated system of member hospitals and other health and patient care facilities united into one operating organization to improve the delivery of healthcare services to the people of Iowa and adjoining states. MHN's sponsors own and operate medical centers and other services in Clinton, Des Moines, Dubuque, Mason City, and Sioux City, and community hospitals in six other locations. In addition, MHN has 27 members who participate through contracts for management and other services. Mercy Health Network (MHN) was founded in 1998 under a joint operating agreement between two of the largest Catholic, not-for-profit health organizations in the United States: Catholic Health Initiatives, based in Englewood, Colorado, and Trinity Health, based in Livonia, Michigan. Covenant Medical Center in Waterloo, Iowa was founded in 1986 when Wheaton Franciscan Services consolidated St. Francis Hospital (founded in 1912) and Schoitz Medical Center (founded in 1904). Covenant Medical Center was located in two locations until 1991 when all acute care services were combined at one site. The other site was transformed into an assisted living center and adult services center. In 1995, Wheaton Franciscan Services' Iowa region was renamed Covenant Health System and included Covenant Medical Center in Waterloo, Covenant Foundation in Waterloo, Mercy Hospital in Oelwein, N. E. Iowa Real Estate Investments and Schoitz Health Resources. Sartori Memorial Hospital became a part of Covenant Health System in 1996 when the system entered a long-term lease agreement with the City of Cedar Falls. In 2006, Covenant Health System was renamed Wheaton Franciscan Healthcare-Iowa, to reflect its continued commitment to an integrated health care delivery system for residents of Northeast Iowa. Today MercyOne Northeast Iowa includes Covenant Medical Center (and its unincorporated division, Covenant Clinic) and Covenant Foundation in Waterloo, Mercy Hospital in Oelwein, Sartori Memorial Hospital and Sartori Health Care Foundation in Cedar Falls, and N. E. Iowa Real Estate Investments. MercyOne Northeast Iowa Entities: Hospitals Covenant Medical Center, Inc. Mercy Hospital of Franciscan Sisters, Inc. Sartori Memorial Hospital, Inc. Covenant Clinic, an unincorporated division of Covenant Medical Center, Inc. Patients have access to more than 100 primary and specialty care physicians, physician assistants, nurse practitioners, and other health care professionals located throughout Northeast Iowa in 24 locations. Regional Service Lines Covenant Cardiology Covenant Cancer Treatment Center Covenant Clinic Orthopedic Services Covenant Home Health Emergency Services Imaging/Radiology Services Iowa Spine and Brain Institute Midwest Institute of Advanced Laparoscopic Surgery Maternal Child Health Occupational Medicine and Wellness Covenant Retail Pharmacies Rehabilitation Services Philanthropic Foundations Covenant Foundation, Inc. Sartori Health Care Foundation, Inc. MERCYONE NORTHEAST IOWA COMMUNITY IMPACT IN IOWA / 2021 Charity Care: $2,944,449. Charity Care is defined as free or discounted health services provided to those who cannot afford to pay and who meet all criteria for financial assistance. Charity care is based on costs, not charges, and does not include bad debt. Unreimbursed Cost of Public Programs: $14,988,562. Unreimbursed cost of public programs is defined as the shortfall experienced when payments received are below the cost of treating public beneficiaries through Medicaid and other local public programs. Community Health Improvement Services: $2,020,581. Community Health Improvement Services are defined as clinical and non-clinical services designed to improve community health, which are provided to the community for free or for fees that did not cover costs. Financial Contributions: $125,711. Financial contributions are defined as contributions, including cash, non-cash items such as food, furniture, equipment, supplies, and loaned staff for volunteer and charitable purposes, made to individuals, community groups, or nonprofit organizations for charitable purposes. Health Professions Education: $804,014. Health professions education is defined as direct costs incurred for accredited training and education programs for physicians, nurses, allied health professionals and technicians (does not include ongoing education for staff). Community Building Activities: $541. Community building activities are defined as programs that, while not directly related to health care, provide opportunities to address the root causes of health problems, such as poverty, homelessness, and environmental issues. Costs for these activities include cash and in-kind donations. Community Benefit Operations: $6,196. Community benefit operations are defined as costs associated with dedicated staff and community health needs and/or assets assessment, as well as other costs associated with community benefit strategy and operations. Subsidized Health Services: $3,664,874. Subsidized health services are defined as the negative margin for clinical services that are provided despite a financial loss because of an identified community need that would need to be met by the government or another not-for-profit if it was not offered. The financial losses are so significant that negative margins remain after removing the effects of charity care, bad debt, and Medicaid shortfalls. TOTAL BENEFIT TO THE COMMUNITY FOR IOWA 2021: $24,554,928.	Desc
Total Program Service Expenses	$302,048,931	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	39	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2615	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY HUBER	PersonNm
Phone	3192727607	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 WEST NINTH STREET	AddressLine1Txt
City	WATERLOO	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Richard Naylor MD
Physician Employee	40.0	0.0	Yes (X)	$1,290,763	$0	$49,646
Ahsan Maqsood MD
Physician Employee	40.0	0.0	Yes (X)	$1,175,131	$0	$52,778
Victor Mujica MD
Physician Employee	40.0	0.0	Yes (X)	$1,104,227	$0	$54,129
Gary Knudson
Physician Employee	40.0	0.0	Yes (X)	$1,094,248	$0	$45,438
Christopher Eagan
Physician Employee	40.0	0.0	Yes (X)	$991,550	$0	$52,152
Jack Dusenbery
Director; Pres.; Sec.; Treas.	40.0	1.0		$556,854	$0	$42,354	Yes (X)	Yes (X)
Luis Avila MD
Director; Physician Employee	40.0	1.0		$543,297	$0	$54,363	Yes (X)
Matthew Sojka
VP Medical Affairs	40.0	1.0		$385,976	$0	$39,280			Yes (X)
Brian Burnett MD
Director; Physician Employee	40.0	1.0		$343,139	$0	$54,283	Yes (X)
Jeffrey Halverson
VP Physician Networking	40.0	1.0		$261,901	$0	$49,840			Yes (X)
Timothy Huber
Asst Treas; VP Finance	40.0	1.0		$241,104	$0	$53,325		Yes (X)
Kelly Richards
CNO	40.0	1.0		$213,994	$0	$42,757			Yes (X)
Ryan Meyer
ADMIN DIRECTR; FORMER KEY EMPL	40.0	1.0		$156,193	$0	$32,465				Yes (X)
Nancy Schaefer
Asst. Secy; Exec. Asst.	40.0	1.0		$63,118	$0	$5,193		Yes (X)
David Deaver
Chair	1.0	1.0		$0	$0	$0	Yes (X)	Yes (X)
Noreen Hermansen
Director thru 12/20	1.0	1.0		$0	$0	$0	Yes (X)
Gregory Schmitz
Director	1.0	1.0		$0	$0	$0	Yes (X)
Paul Stapella
Director thru 12/20	1.0	1.0		$0	$0	$0	Yes (X)
Casey McLaughlin
Director	1.0	1.0		$0	$0	$0	Yes (X)
Shirley Dunlap
Director	1.0	1.0		$0	$0	$0	Yes (X)
Keyah Levy
Director thru 04/21	1.0	1.0		$0	$0	$0	Yes (X)
Bob Ritz
Director, Ex Offici, MHN Pres.	1.0	1.0		$0	$0	$0	Yes (X)
Alan Kruger
Director	1.0	1.0		$0	$0	$0	Yes (X)
James Lee
Director as of 06/21	1.0	1.0		$0	$0	$0	Yes (X)
Carol Tousley
Director	1.0	1.0		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,421,495	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$628,003	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	199	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Iowa Emergency Physicians LLP
PO Box 674579	DETROIT	MI	48267	Physician Services	$1,083,187
Weatherby Locums Inc
PO BOX 972633	DALLAS	TX	753972633	Physician Services	$919,256
Peters Construction Company
901 Black Hawk Road	WATERLOO	IA	50701	Construction	$1,221,361
Goldfish Locum Tenens
6865 Windcrest Dr Suite 300	PLANO	TX	75024	Physician Services	$998,446
T-Psychiatry
17310 Kilmahew Place	RICHMOND	TX	77407	Physician Services	$993,540

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	40	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$12,375	FederatedCampaignsAmt
Related Organizations	$1,543,409	RelatedOrganizationsAmt
Government Grants	$9,622,088	GovernmentGrantsAmt
All Other Contributions	$68,400	AllOtherContributionsAmt
Total Contributions	$11,246,272	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PROGRAM SERVICE REVENUE	622110	$44,447,007	$43,213,232	$1,233,775
MEDICARE/MEDICAID PAYMENTS	622110	$225,981,019	$225,981,019
RENT REVENUE	531120	$8,191,338	$8,191,338

Field	Value	IRS element (for citing)
Total Program Service Revenue	$278,619,364	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,386,482	TotalRevenueColumnAmt
Exclusion	$5,386,482	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$298,247	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$88,716	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$209,531	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$209,531	TotalRevenueColumnAmt
Exclusion	$209,531	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
340B REVENUE	622110	$12,818,795	$12,818,795
CAFETERIA	722514	$736,125		$736,125
PHARMACY REVENUE	446110	$10,229,110	$9,432,512		$796,598

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,689,485	TotalRevenueColumnAmt
Related Or Exempt Func Income	$889,331	RelatedOrExemptFuncIncomeAmt
Exclusion	$800,154	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$25,473,515	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$320,935,164	TotalRevenueColumnAmt
Related Or Exempt Func Income	$300,526,227	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,030,373	UnrelatedBusinessRevenueAmt
Exclusion	$7,132,292	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Program Services	$8,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,950,778	TotalAmt
Program Services	$995,082	ProgramServicesAmt
Management And General	$1,955,696	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$325,985	TotalAmt
Program Services	$137,326	ProgramServicesAmt
Management And General	$188,659	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,845,505	TotalAmt
Program Services	$133,618,497	ProgramServicesAmt
Management And General	$2,227,008	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,161,291	TotalAmt
Program Services	$6,061,033	ProgramServicesAmt
Management And General	$100,258	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,267,520	TotalAmt
Program Services	$14,035,356	ProgramServicesAmt
Management And General	$232,164	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,141,337	TotalAmt
Program Services	$8,044,495	ProgramServicesAmt
Management And General	$96,842	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$245,629	TotalAmt
Management And General	$245,629	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$20,689	TotalAmt
Program Services	$20,689	ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,918,352	TotalAmt
Program Services	$1,866,986	ProgramServicesAmt
Management And General	$51,366	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,588	TotalAmt
Program Services	$10,838	ProgramServicesAmt
Management And General	$750	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,029,959	TotalAmt
Program Services	$8,015,259	ProgramServicesAmt
Management And General	$14,700	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,561,638	TotalAmt
Program Services	$8,561,638	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$144,869	TotalAmt
Program Services	$142,688	ProgramServicesAmt
Management And General	$2,181	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$45,094	TotalAmt
Program Services	$45,054	ProgramServicesAmt
Management And General	$40	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,321,837	TotalAmt
Program Services	$10,321,837	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$282,096	TotalAmt
Program Services	$282,096	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$50,699,304	$50,699,276	$28
BAD DEBT EXPENSE	$5,575,502	$5,575,502
PARENT COMPANY ALLOCATION	$37,080,105	$37,062,105	$18,000
PURCHASED SERVICES	$13,629,145	$13,598,190	$30,955

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,075,181	TotalAmt
Program Services	$2,946,984	ProgramServicesAmt
Management And General	$128,197	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$307,341,404	TotalAmt
Program Services	$302,048,931	ProgramServicesAmt
Management And General	$5,292,473	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$69,759,936	BOYAmt
EOY	$89,816,415	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$31,611,836	BOYAmt
EOY	$28,765,394	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,500,962	BOYAmt
EOY	$2,273,767	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$53,958	BOYAmt
EOY	$56,046	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$164,446,692	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$52,976,052	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$114,152,127	BOYAmt
EOY	$111,470,640	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,406,970	BOYAmt
EOY	$35,534,434	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$239,485,789	BOYAmt
EOY	$267,916,696	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$56,363,078	BOYAmt
EOY	$54,482,951	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$4,357,976	BOYAmt
EOY	$13,825,522	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,689,003	BOYAmt
EOY	$26,932,610	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$76,410,057	BOYAmt
EOY	$95,241,083	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	$162,685,461	BOYAmt
EOY	$172,274,122	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$390,271	BOYAmt
EOY	$401,491	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$163,075,732	BOYAmt
EOY	$172,675,613	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$239,485,789	BOYAmt
EOY	$267,916,696	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,593,760	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$3,993,879	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$20,689	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$20,689	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C Disclosures	FormAndLineReferenceDesc
Explanation	Schedule C Part II-B Line 1F: MercyOne Waterloo Medical Center has made grants to other organizations for lobbying purposes. These grants have been in the form of membership dues paid to regional and national health care organizations, where the organizations have provided MercyOne Waterloo with an estimated percentage of dues payments which are used for lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,206,979	OtherCostOrOtherBasisAmt
Book Value	$6,206,979	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$91,902,249	OtherCostOrOtherBasisAmt
Depreciation	$19,077,963	DepreciationAmt
Book Value	$72,824,286	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,851,847	OtherCostOrOtherBasisAmt
Depreciation	$33,780,880	DepreciationAmt
Book Value	$32,070,967	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$485,617	OtherCostOrOtherBasisAmt
Depreciation	$117,209	DepreciationAmt
Book Value	$368,408	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$111,470,640	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$6,862,882
MISC ACCOUNTS RECEIVABLE	$9,762,878
457B PLAN ASSETS	$18,908,674

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$35,534,434	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYOR	$1,212,221
REINSURANCE RECOVERY	$6,811,715
457B PLAN LIABILITIES	$18,908,674

Field	Value	IRS element (for citing)
Total Liability	$26,932,610	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	IRS Form 990 Schedule D, Part X	FormAndLineReferenceDesc
Explanation	The Company follows the provisions of ASC Subtopic 740-10, Income Taxes - Overall. ASC Subtopic 740-10 clarifies the accounting for uncertainty in tax positions and also provides guidance on when the tax positions are recognized in an entity's financial statements and how the values of these positions are determined. As of June 30, 2021, the Company did not have a liability for unrecognized tax benefits.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,577,811	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,577,811	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,286,607	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,192,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,094,149	NetCommunityBenefitExpnsAmt
Total Expense	0.04670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,864,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,192,458	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,671,960	NetCommunityBenefitExpnsAmt
Total Expense	0.05520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,569,401	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,071	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,562,330	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,429,534	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,674,509	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$755,025	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,918,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,457,902	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,460,724	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,271	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$106,271	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,023,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,139,482	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,884,350	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$74,888,250	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,331,940	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,556,310	NetCommunityBenefitExpnsAmt
Total Expense	0.07480	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,504	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,504	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,575,502	BadDebtExpenseAmt
Reimbursed By Medicare	$46,584,806	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$51,496,167	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,911,361	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
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	Covenant Medical Center Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West Ninth Street	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50702	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.mercyone.org	WebsiteAddressTxt
State License	070137H (IA)	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Medical Center Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
Other	Yes (X)	OtherInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	mercyone.org - full url in narrative	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	mercyone.org - full url in narrative	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	mercyone.org - full url in narrat	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	mercyone.org - full url in narrative	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	mercyone.org - full url in n	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule H Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule H Part V Section B Line 3e: Covenant Medical Center included in its CHNA written report a prioritized list and description of the community's significant health needs, which were identified through the most recently conducted community health needs assessment. The following community health needs were deemed significant and were prioritized for tax year 2020 through a community-involved selection process: Social and Health Equity Healthy Behaviors Social and Economic Factors Clinical Care Schedule H Part V Section B Line 3j: Iowa's Community Health Needs Reports provide additional detailed information in response to many of the Schedule H questions on our Community Health Needs Assessments (CHNA) and Implementation Plans. These reports are accessible at www.mercyone.com under the About Us page or at this link: https://www.mercyone.org/northeastiowa/about-us/community-benefit/communit y-health-needs-assessment. The MercyOne team wrote a joint CHNA and an Implementation Plan for MercyOne Waterloo Medical Center and MercyOne Cedar Falls Medical Center (Black Hawk County); as well as one for MercyOne Oelwein Medical Center (Fayette County). All reports and plans were board approved and posted online June 30, 2019. This 2019 assessment covered the FY20-FY22 time frame, however because hospital and health department assessment deadlines did not align, an Amendment was completed July 1, 2020. This amendment included new data/information obtained through the Black Hawk County Health Departments for their Community Health Improvement Plan (CHIP) and included a Community Health Status Assessment; Forces of Change Assessment; Community Themes and Strengths Assessment; and a Local Public Health System Assessment - all leading to a CHIP Executive Summary and approved by the Black Hawk County Board of Health on April 29, 2020. Schedule H Part V Section B Line 5: The report - compiled in calendar year 2019 covered a three-year period (FY20-FY22) by MercyOne, representing both Waterloo Medical Center and Cedar Falls Medical Center, in partnership with Unity Point Health (representing Allen Hospital), the Black Hawk County Health Department and other community organizations - outlined findings throughout Black Hawk County and surrounding counties by all three hospitals and their network of clinics. At the time of the research project, representatives from the listed entities above included Amy Hetherton, Director of Marketing and Communications for MercyOne; Jim Waterbury, VP of Institutional Advancement for Unity Point Health - Allen; and Nafissa Cisse Egbuonye, PhD, MPH, Director of Public Health for the Black Hawk County Health Department, including other groups such as Peoples Clinic, Cedar Valley United Way, the University of Northern Iowa, Black Hawk County Gaming Commission and Success Link. The survey was developed collaboratively and was made available to the public online and in paper form. Publicity, websites, and emails invited the public to take the survey any time before March 30, 2019. Paper surveys were available at the hospitals and clinics, and other non-profit agencies, seeking client, business and non-profit leader input (list below). Information and promotion on how to access the link for the online survey was available to both internal and external audiences. The partners received more than 1,500 electronic and paper surveys with additional ongoing efforts through December 2019 to capture input from minority and immigrant groups to ensure a cross-section of residents provided input (see details within the Amendment). MercyOne updated its Community Health Needs Assessment website page to include a link to additional assessment data collected by the Black Hawk County Health Department in preparation of their Community Health Improvement Plan (CHIP) due to a later timeline. MercyOne has continued to collaborate with partners every year for ongoing data collection from various groups for use in the FY23-25 assessment period for use in its next CHNA (to be posted June 30, 2022). The 2019 Online CHNA Survey to Area Agencies/Organizations included outreach to the following: University of Northern Iowa UnityPoint Family Children Council Big Brothers Big Sisters Amerigroup Aspire Operation Threshold Quakerdale Bertch Cabinets Exceptional Persons Success Link United Healthcare Riverview Center Four Oaks Amani Community Services Pathways Peoples Community Health Clinic MercyOne YWCA YMCA Iowa State Extension Office Girl Scouts Jesse Cosby Center Waterloo/Cedar Falls Schools Mid-Iowa Therapy Clinic Salvation Army Black Hawk County Supervisors Volunteer Center of the Cedar Valley Four Oaks Iowa Courts House of Hope Lutheran Services in Iowa Department of Human Services Qwest Ethnic and Minorities of Burma Advocacy and Resource Center (EMBARC) Mayors - City of Evansdale, Waterloo and Cedar Falls Chamber of Commerce - Waterloo/Cedar Falls, Oelwein, etc. Iowa Workforce Development Iowa Legal Aid Waterloo Community Foundation Families First Counseling Center Cedar Valley United Way Sisters of St. Francis Cedar Valley Hospice Dubuque Archdiocese Black Hawk County Health Department Black Hawk County Sheriff's Office Waterloo Visitors Bureau Way Point Services Northeast Iowa Food Bank Salvation Army Life Connections Domestic/Sexual Assault Outreach Center Commission on Human Rights Veridian Credit Union Grout Museum Tri-County Child and Family Hawkeye Community College Community Foundation Eastside Ministerial Alliance Area Education Agency 7 Upper Iowa University Sing Me to Heaven The Job Foundation Veteran Affairs Silos and Smokestacks Otto Schoitz Foundation McElroy Trust Schedule H Part V Section B Line 6a: The CHNA was conducted in partnership with MercyOne Waterloo Medical Center, MercyOne Cedar Falls Medical Center, and UnityPoint-Allen Hospital. Schedule H Part V Section B Line 6b: The CHNA was conducted in partnership with People's Community Health Clinic, Black Hawk County Health Department, Cedar Valley United Way, Black Hawk County Gaming Commission, University of Northern Iowa, and Success Link. Schedule H Part V Section B Line 7a: https://www.mercyone.org/northeastiowa/about-us/community-benefit/communit y-health-needs-assessment Schedule H Part V Section B Line 10a: https://www.mercyone.org/northeastiowa/about-us/community-benefit/communit y-health-needs-assessment Schedule H Part V Section B Line 11: Using the CHNA completed in June 2019, the hospital developed, adopted, and worked on executing the final year of a three-year Implementation Strategy to address priority community health needs. The following summarizes how the hospitals addressed priority health needs in the community in FY 20-22 (July 1, 2019 - June 30, 2022): MercyOne was focused on impacting health issues identified within the community health needs assessment in alignment with the health department's Community Health Improvement Plan (CHIP). These include Social and Health Equity; Health Behaviors; Social and Economic factors; and Clinical Care. Social and Health Equity . We continue to participate in Black Hawk County Health Department's Community Health Improvement Plan (CHIP) including ongoing assessments of which we financially supported; participation in formulating the CHIP for board of health approval, and leadership of the Healthy Behaviors Team . Participation in the Core Team planning Mental Health and Trauma . Participation in the Systems Thinking planning team through Leveraging workshops over the past several years . Annual, ongoing FREE MAMMOGRAPHY program for the poor/underserved in conjunction with the Black Hawk County Health Department's Care for Yourself Program, the MercyOne Waterloo Foundation and Check the Girls. Health Behaviors . In 2020, we co-led the leadership of the Healthy Behaviors Team to support the Black Hawk County CHIP. In 2021, a staff member of the Northeast Iowa Food Bank took over leadership; however, MercyOne maintains committee participation . MercyOne Community Health Coordinator served on the Advisory Board for the Rooted Carrot Food Coop in Cedar Falls to assist in developing and opening the coop in 2022; however due to COVID-19 and city approval of operations has delayed it's opening until 2023-2024. . Continued partnership with the UNI Local Food Program to continue to offer the free Fruit Vegetable Voucher Program (FVVP) in its pediatric office so families could meet with a dietician and access vouchers to redeem at local farmers' markets; expanded to Waterloo Schools. . Ongoing financial support of the Northeast Iowa Food Bank including food drives/donations Social and Economic Issues . Continuation of the Care-A-Van service providing free transportation to/from appointments for the underserved/uninsured in Black Hawk County . Ongoing contributions to cover rides home for patients in need when Care-A-Van not operational. Clinical Care . Due to COVID-19, we expanded telehealth services throughout our eigh	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MercyOne Kimball Outpatient Physical & O
2101 KIMBALL AVENUE	WATERLOO	IA	50702	Outpatient physical and occupa
MercyOne Waterloo HematologyOncology
200 EAST RIDGEWAY AVENUE SUITE 400	WATERLOO	IA	50702	OUTPATIENT HEMATOLOGY AND ONCOLOGY SERVICES
MercyOne Waterloo Sleep Lab
2710 ST FRANCIS DRIVE SUITE 409	WATERLOO	IA	50702	OUTPATIENT SLEEP DISORDER DIAGNOSTICS
MercyOne Waterloo Neurosurgery
2710 ST FRANCIS DRIVE SUITE 110	WATERLOO	IA	50702	OP NEURO SURGERY OP PAIN MANAGEMENT OP X-RAY SERVICES
MercyOne Waterloo Neurology
2710 ST FRANCIS DRIVE SUITE 201	WATERLOO	IA	50702	OUTPATIENT CLINIC- NEUROLOGY SERVICES
MercyOne Waterloo Urgent Care
2710 ST FRANCIS DRIVE SUITE 111	WATERLOO	IA	50702	OUTPATIENT CLINIC
MercyOne Waterloo Family Medicine
2710 ST FRANCIS DRIVE SUITE 210	WATERLOO	IA	50702	OP FAMILY PRACTICE, GYNECOLOGY, PODIATRY, LABORATORY SERVICES
MercyOne Waterloo Orthopedics Care
2710 ST FRANCIS DRIVE SUITE 319	WATERLOO	IA	50702	OUTPATIENT CLINIC- ORTHOPEDIC SERVICES
MercyOne Waterloo Heart Care
2710 ST FRANCIS DRIVE SUITE 320	WATERLOO	IA	50702	OUTPATIENT CLINIC- CARDIOLOGY SERVICES
MercyOne Waterloo Pulmonary Care
2710 ST FRANCIS DRIVE SUITE 402	WATERLOO	IA	50702	OUTPATIENT CLINIC- PULMONOLOGY SERVICES
MercyOne Waterloo General Surgery
2710 ST FRANCIS DRIVE SUITE 410	WATERLOO	IA	50702	OP GENERAL SURGERY, WOUND CARE, VASCULAR SURGERY SERVICES
MercyOne Waterloo ENTAllergy Care
2710 ST FRANCIS DRIVE SUITE 411	WATERLOO	IA	50702	OUTPATIENT CLINIC - EAR, NOSE & THROAT AND ALLERGY SERVICES
MercyOne Waterloo Pediatrics Care
2710 ST FRANCIS DRIVE SUITE 510A	WATERLOO	IA	50702	OP NEPHROLOGY, PODIATRY, AND PEDIATRIC SERVICES
MercyOne Waterloo OBGYN
432 KING DRIVE	WATERLOO	IA	50702	OUTPATIENT MAMMOGRAPHY IMAGING SERVICES
MercyOne Waterloo Behavioral Health Care
2750 ST FRANCIS DRIVE	WATERLOO	IA	50702	OUTPATIENT CLINIC - PSYCHIATRY SERVICES
MercyOne Cedar Falls Behavioral Health C
2802 ORCHARD DRIVE	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC- PSYCHIATRY SERVICES
MercyOne Bluebell Road
226 BLUEBELL ROAD SUITE CC	CEDAR FALLS	IA	50613	OP FAMILY PRACTICE, PSYCHIATRY, PODIATRY, GYNECOLOGY SERVICES
MercyOne Bluebell Road Ste OPT
226 BLUEBELL ROAD SUITE OPT	CEDAR FALLS	IA	50613	OP PHYSICAL THERAPY, OCCUPATIONAL HEALTH, RADIOLOGY SERVICES
MercyOne Waterloo Physical Medicine & Re
3421 WEST NINTH STREET SUITE 100	WATERLOO	IA	50702	OUTPATIENT CLINIC- PHYSIATRY SERVICES
MercyOne Kimball Family Medicine Ste 400
2055 KIMBALL AVE SUITE 400	WATERLOO	IA	50702	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Cedar Falls Family Medicine Ste
516 SOUTH DIVISION STREET SUITE 10	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Cedar Falls General Surgery
516 SOUTH DIVISION STREET SUITE 10	CEDAR FALLS	IA	50613	OUTPATIENT PHYSICIAN CLINIC - BARIATRICS SERVICES
MercyOne Cedar Falls Orthopedics Care
516 SOUTH DIVISION STREET SUITE 12	CEDAR FALLS	IA	50613	OUTPATIENT CLINIC - ORTHOPEDIC SERVICES
MercyOne Cedar Falls Specialists
516 SOUTH DIVISION STREET SUITE 13	CEDAR FALLS	IA	50613	OP CLINIC - ENT, ALLERGY, CARDIOLOGY, PAIN MANAGEMENT SERVICES
MercyOne Dysart Family Medicine
501 CLARK STREET	DYSART	IA	52224	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Evansdale Family Medicine
3562 LAFAYETTE ROAD	EVANSDALE	IA	50707	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Fairbank Family Medicine
105 SOUTH WALNUT STREET	FAIRBANK	IA	50629	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Gladbrook Family Medicine
309 SECOND STREET	GLADBROOK	IA	50635	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Jesup Family Medicine
1094 220TH STREET	JESUP	IA	50648	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne La Porte City Family Medicine
601 HIGHWAY 218 NORTH	LAPORTE CITY	IA	50651	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Oelwein Family Medicine
129 8th AVENUE SE	OELWEIN	IA	50662	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Reinbeck Family Medicine
501 MAIN STREET	REINBECK	IA	50669	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Traer Family Medicine
200 WALNUT STREET	TRAER	IA	50675	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Tripoli Familiy Medicine
602 7TH AVENUE SW	TRIPOLI	IA	50676	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Waverly Family Medicine
217 20TH STREET NW	WAVERLY	IA	50677	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Arlington Family Medicine
751 Main Street	Arlington	IA	50606	OUTPATIENT CLINIC - FAMILY PRACTICE SERVICES
MercyOne Waterloo Home Health Care
2101 Kimball Ave Suite 140	Waterloo	IA	50702	Home Health Care
MercyOne Waterloo Pain Management
2710 Saint Francis Drive Suite 419	Waterloo	IA	50702	Outpatient Clinic - Pain Management
MercyOne Waterloo Internal Medicine
2710 Saint Francis Drive Suite 300	Waterloo	IA	50702	Outpatient Clinic - Internal Medicine Services
MercyOne Cedar Falls Family Medicine Sui
516 S Division St Ste 100	Cedar Falls	IA	50613	Outpatient Clinic- Family Prac
MercyOne Cedar Falls Heart Care
515 College Street Suite 2000	Cedar Falls	IA	50613	Outpatient Clinic - Cardiology Services
MercyOne Kimball Family Medicine Ste 330
2055 Kimball Avenue Suite 330	Waterloo	IA	50702	Outpatient Clinic
MercyOne Traer Physicial Therapy
549 2nd Street	Traer	IA	50675	Physical Therapy Services
MercyOne Parkersburg Family Medicine
1306 Highway 57 Unit A	Cedar Falls	IA	50665	Outpatient Clinic - Family Practice Services
MercyOne Waterloo Urology Care
3410 Kimball Avenue	Waterloo	IA	50702	Outpatient Clinic - Urological Services
MercyOne Oelwein Urgent Care & Occupatio
201 8th Ave SE Ste 411	Oelwein	IA	506622447	OUTPATIENT CLINIC OCCUPATIONAL HEALTH
MercyOne Independence Family Medicine
2004 Enterprise Ct	Independence	IA	50644	Outpatient Clinic Family Practice
MercyOne Allison Family Medicine
502 Locust St	Allison	IA	50602	Outpatient Clinic Family Practice Services
MercyOne Waterloo Podiatry Care
2710 Saint Francis Dr Ste 510B	Waterloo	IA	50702	Outpatient Clinic- Podiatry Se
MercyOne Waterloo Gastroenterology Care
2710 St Francis Dr Ste 104	Waterloo	IA	50702	Outpatient Clinic- Gastroenter
MercyOne Cedar Falls Weight Loss Center
515 College St Ste 2800	Cedar Falls	IA	50613	Outpatient Clinic- Bariatrics
MercyOne Waterloo Home Medical Equipment
441 San Marnan Dr	Waterloo	IA	50702	Home Health Care
MercyOne La Porte City Pharmacy
601 Highway 218 N	LaPorte City	IA	50651	Pharmacy
MercyOne Jesup Pharmacy
1094 220th Street	Jesup	IA	50648	Pharmacy
MercyOne Waterloo Pharmacy
2710 St Francis Dr Ste 101	Waterloo	IA	50702	Pharmacy
MercyOne Grand Crossing
220 Franklin Street	Waterloo	IA	50703	Outpatient Clinic Family Practice Services
MercyOne Waterloo Radiation Oncology
200 EAST RIDGEWAY AVENUE SUITE CTC	WATERLOO	IA	50702	OUTPATIENT CANCER TREATMENT
MercyOne Waverly Physical Therapy
211 20th St NW	Waverly	IA	50677	Physical Therapy Services
MercyOne Evansdale Physical Therapy
110 S Evans Rd Ste 110	Evansdale	IA	50707	Physical Therapy Services

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Pt VI Supplemental Information	FormAndLineReferenceDesc
Explanation	Schedule H Part 1 Line 6a: MercyOne Northeast Iowa strives to post a one-page Community Benefit Report summarizing the totals for the region. These reports can be accessed on the website under Commitment to Community at this link: https://www.mercyone.org/northeastiowa/about-us/community-benefit/commitme nt-to-community Schedule H Part 1 Line 7: Community Benefit amounts are reported using total actual costs per the hospital's managerial accounting system in use, which includes all patient segments including inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, Medicare HMO, uninsured, and self-pay patients. Medicare is reported using the most recently filed cost report at the time the Annual Report and related community benefit information is published. Amounts are summarized using a software application recommended by the Catholic Health Association in conjunction with the Iowa Hospital Association, because it can provide the information in a format suitable for Schedule H presentation. After the data is entered by the Site Finance Directors, its accuracy is verified by employees who are trained in community benefit reporting, and then approved by the Chief Financial Officer and the President/CEO of the Iowa organization. After amounts are verified and approved, community benefit amounts become finalized. Finally, the information is compiled with the assistance of CBISA software for presentation in IRS Forms 990 Schedule H and Statement of Program Service Accomplishments Part III. The Iowa hospital facilities are not required to report community benefit information to the State of Iowa but do make the information readily available on certain websites and report the information to the Iowa Hospital Association. Schedule H Part 1 Line 7 Column f: Iowa Hospitals follow guidelines established by the Catholic Health Association and the Iowa Hospital Association, who recommend that bad debt expense not be included in community benefit amounts. As a result of this applied methodology, a total amount of $5,575,502 has not been included in the denominator of the calculation that determines the percentages reported on Schedule H Line 7 Column f. In addition to the community benefit described above, MercyOne Northeast Iowa also provides care to Medicare and Medicare HMO patients that is not fully reimbursed by the government. According to the most recently filed Medicare cost report, we provided $26,328,958 in unreimbursed Medicare services. We are not including the gap in Medicare reimbursement in accordance with the Catholic Health Association Community Benefit Guidelines. If we included the Medicare shortfall, our total would be $51,198,680. Schedule H Part 1 Line 7g: In the Iowa region, clinic operations are included as a department of the hospital, MercyOne medical centers (Waterloo, Cedar Falls and Oelwein), DBA Covenant Medical Center, Inc. Clinic operations for the MercyOne clinics in the northeast Iowa regions are included only in the community benefit reporting of charity care, government sponsored health care, and Medicare shortfall. Therefore, costs related to physician clinics are not included in subsidized health services reported on Schedule H Part I Line 7g. Schedule H Part III Section A Lines 1-3: In determining bad debt amounts, the Iowa organizations use a two-level scoring process as follows: First, for any patient account that is categorized as having no insurance, when the amount becomes 60 days overdue or greater, the patient's account is reviewed for financial assistance qualification. If the patient is found to qualify for financial assistance, the necessary steps are taken to apply, and the needed adjustments are made to treat as charity care and not as bad debt. A similar scoring process is completed for those patients who do have insurance, but after 120 days or greater, still have not paid the patient responsibility portion. Again, these patient accounts are reviewed for financial assistance, and if they qualify, similar steps are taken to remove from bad debt. As a result of these scoring procedures, Iowa's position is therefore that none of the patients resulting in uncollectible accounts would have qualified as charity care patients as this determination is made at the time of admission, or later with the timing of the scoring procedures mentioned above. Bad debt is therefore only determined for each organization at the time the amount due is truly determined to be uncollectible, after financial assistance has been determined, and after many months of collection efforts. Additionally, the organization followed guidelines established by the Catholic Health Association and the Iowa Hospital Association, who recommends that no bad debt amounts be included in community benefit amounts. For these reasons, Part III Section A Line 3 is reported at zero. Schedule H Part III Section A Line 4: Covenant Medical Center, Inc. is included in the consolidated financial statements of MercyOne Northeast Iowa, Inc. The following is the text of the footnote from the financial statements which addresses the allowance for doubtful accounts. This footnote can be found on page 14 of the attached consolidated financial statements. The Company estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured and underinsured based on historical experience and current market conditions, using the portfolio approach. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the payor of the patient's ability to pay are recorded as bad debt expense in other expenses in the statement of operations and changes in net assets. Schedule H Part III Section B Line 6-8: Schedule H Part III Section B Line 6 reports allowable costs of care as taken from the most recently filed Medicare cost report available at the time of publishing the Community Benefit Report. The Medicare cost report calculates its allowable total costs based on applicable Medicare regulations. Medicare and Medicaid costs are determined using individual cost center cost-to-charge ratios. This cost to charge ratio is determined using all payer cost and all payer charges. The cost to charge ratio is applied to the actual Medicare and Medicaid charges to determine the Medicare and Medicaid cost. This organization has adopted the cost and charge practices as recommended by the Catholic Health Association and the Iowa Hospital Association, and therefore, does not count any Medicare shortfall numbers in its annual reporting of Community Benefit amounts. Schedule H Part III Section C Line 9b: Iowa organizations follow a policy that outlines all collection practices for patients who are known to qualify for government programs and for our charity care program. We make every attempt to assist the patient in enrolling in government insurance plans or our own charity care program allowing for free or discounted care. If the patient does not qualify for any type of aid or charity care, declines to establish a reasonable payment plan or pay the liability, the patient will be moved into a bad debt status, and the account is sent to a collection agency. This does not occur before the patient has received several notices and a final written warning. Please also see Schedule H Part III Section A Lines 1-4 narrative response. Schedule H Part V Section A and Section C: Affiliates of the Iowa region have defined and reported hospital facilities to include only those bricks and mortar buildings that actually have inpatient beds, in addition to meeting all other criteria under Iowa state law required for hospital licensing. Although there may be other facilities within our system built to hospital specifications, performing hospital-based billing, and conforming to other hospital standards under state law, until there is further guidance from the IRS, these facilities have been reported in Section C, due to their lack of having state certified inpatient beds. Schedule H Part VI Line 2: Iowa assesses the needs of the communities it serves by reviewing admission and discharge data, analyzing information from the community health departments and other community leaders, and by aligning our services with the Healthy People 2030 and other current year initiatives. The Iowa hospital organizations complete a Community Health Needs Assessment and Implementation Plan every three years. Please reference Schedule H Part V Section B Lines 1-12 for additional information. Schedule H Part VI Line 3: Iowa provides its patients with several opportunities to gain knowledge and awareness of its Community Care	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Covenant Foundation Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3421 West 9th St	AddressLine1Txt
City	Waterloo	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	507025499	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	421295784	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$8,000	CashGrantAmt
Purpose Of Grant	General support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I Disclosures	FormAndLineReferenceDesc
Explanation	Schedule I Part I Line 2: Donations made by Covenant Medical Center, Inc. to charitable organizations are made in furtherance of the recipient organization's exempt purpose. Donations are included in community benefits in Schedule H if the contribution has been formally restricted to a community benefit activity that meets the criteria to be reported on Schedule H.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt
Luis Avila MD
Director; Physician Employee	$539,964	$2,100	$1,233	$17,100	$37,263	$597,660	$0
Jack Dusenbery
Director; Pres.; Sec.; Treas.	$537,053	$0	$19,801	$17,100	$25,254	$599,208	$0
Christopher Eagan
Physician Employee	$987,178	$1,650	$2,722	$17,100	$35,052	$1,043,702	$0
Jeffrey Halverson
VP Physician Networking	$244,115	$0	$17,786	$19,416	$30,424	$311,741	$0
Ahsan Maqsood MD
Physician Employee	$1,169,961	$1,575	$3,595	$17,100	$35,678	$1,227,909	$0
Ryan Meyer
ADMIN DIRECTR; FORMER KEY EMPL	$153,737	$0	$2,456	$7,334	$25,131	$188,658	$0
Richard Naylor MD
Physician Employee	$1,281,906	$1,275	$7,582	$17,100	$32,546	$1,340,409	$0
Timothy Huber
Asst Treas; VP Finance	$235,288	$0	$5,816	$19,097	$34,228	$294,429	$0
Matthew Sojka
VP Medical Affairs	$383,254	$0	$2,722	$12,825	$26,455	$425,256	$0
Victor Mujica MD
Physician Employee	$1,094,850	$1,050	$8,327	$21,375	$32,754	$1,158,356	$0
Brian Burnett MD
Director; Physician Employee	$335,725	$6,667	$747	$21,375	$32,908	$397,422	$0
Gary Knudson
Physician Employee	$1,087,584	$1,575	$5,089	$21,375	$24,063	$1,139,686	$0
Kelly Richards
CNO	$209,485	$0	$4,509	$16,735	$26,022	$256,751	$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Tatum Bedard
Tammy Bedard Daughter	$16,497	Employment	false
Denise Huber
Spouse of Tim Huber	$48,822	Employment	false
Cassandra Kennedy
Kerri Wilson Step Daughter	$72,007	Employment	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule O Disclosures	FormAndLineReferenceDesc
Explanation	IRS Form 990 Part I Line 6: Covenant Medical Center, Inc. received donated services through volunteers assisting in a variety of areas which include the information desk, escorts, medical runner, nursing units, ambulatory surgery, Cancer Treatment Center, rehabilitation therapies, and volunteer transportation services. Part V Line 1a and Part VII Section B Line 1-2: MercyOne Northeast Iowa streamlined their reporting of IRS Forms 1099-MISC so that most 1099-MISC are now reported using the FEIN number of the parent organization or of a related organization. The actual expense continues to be either paid by, or transferred to, the individual entity, which is normally a subsidiary or related organization to the organization(s) issuing the 1099. For this reason, the reader may notice on some 990's that there are top 5 independent contractors reported, but no 1099s are reported. Likewise on the 990's of the organization(s) reporting number of 1099's, there may be a disproportionate share of 1099's reported as compared with the actual expenses and top 5 independent contractors reported. IRS Form 990 Part VI Section A Lines 6-7b: Covenant Medical Center, Inc. has one member which holds several reserved powers over Covenant Medical Center, Inc. These reserved powers include, but are not limited to, the election of members of the governing body and election of officers, approval of certain financial expenditures in accordance with policy, and approval of budgets and strategic plans; these approvals are based on recommendations from the governing body. IRS Form 990 Part VI Section B Lines 11a and 11b: Affiliates of MercyOne Northeast Iowa during the fiscal year ending June 30, 2021 used a multiple-level review process on all IRS Forms 990 to ensure accurate and timely filing for all organizations. Under the direction of the Chief Financial Officer, the Accounting Department prepares Forms 990 and any applicable 990-T and associated state filings. When complete, the return is first reviewed by a Senior-Level (or higher) associate in the Finance Department, who focuses on the income statement and balance sheet items, and schedules where transactions of this type might be reported. If discrepancies are found, the item will be corrected prior to the next step in the review process. Once cleared through Finance, the return is provided to the Tax Department of the MercyOne Northeast Iowa sponsor organization, where the Tax Director concentrates primarily on consistency of reporting between all returns, accuracy of tax related information, and explanation and understanding of any outliers. Again, any problems or questions are investigated and corrected. Depending on the level of complexity of the year in question, as well as the individual issues specific to that filing, certain returns may be selected for outside review by a public accounting firm. This decision will vary from year to year based on many factors, and sometimes outside review is not utilized at all. Also, certain schedules, such as Schedule H or Schedule J may be reviewed by committees, such as the Community Benefit Team or the Compensation Committee in selected years. The board has asked for formal presentations on various 990 topics over the years. This decision will vary from year to year, again based on many factors. Once all levels of review have been completed, a designated finance and accounting employee will schedule an appointment with the signer of the 990. The signer, Vice President-Finance and CFO, will perform an additional, normally high level review prior to signing the return. Once signed, the return is cleared to provide to members of the Board of Directors, who at a later date but prior to efiling, are provided access to all 990's throughout their assigned region. IRS Form 990 Part VI Section B Lines 12a - 12c: Covenant Medical Center, Inc. has adopted a Conflict of Interest policy which applies to all "interested persons" of Covenant Medical Center, Inc. including directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of Covenant Medical Center, Inc. and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to internal legal counsel and the integrity and compliance officer, from which legal counsel prepares a report for the board chair and CEO. A summary of potential conflicts is reviewed with the board of directors of Covenant Medical Center, Inc. (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to Covenant Medical Center, Inc. of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of Covenant Medical Center, Inc. (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of Covenant Medical Center, Inc. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request. IRS Form 990 Part VI Section B Line 15a: In establishing CEO compensation, Covenant Medical Center, Inc. follows a process which includes the following: use of an independent compensation consultant and compensation study, use of a written employment contract, and review and approval by the Mercy Health Network board of directors. This process is performed annually. IRS Form 990 Part VI Section B Line 15b: In establishing other officer and key employee compensation, Covenant Medical Center, Inc. follows a process which includes the following: use of an independent compensation consultant and compensation study, use of a written employment contract, and review and approval by the CEO, authorized to act on behalf of the board with respect to certain compensation matters. This process is performed annually. IRS Form 990 Part VI Section C Line 19: Affiliates of Mercy Health Network, during the fiscal year ending June 30, 2021, made available, upon request, certain documents including our financial statements, conflict of interest policy, and governing documents that support our tax exempt status, including, but not limited to, articles of incorporation and bylaws. IRS Form 990 Part VII Column B: Affiliates of Mercy Health Network, during the fiscal year ending June 30, 2021 operated as a controlled group of related healthcare organizations. As such, many employees who are at the Director level or above, or who are Officers and/or Directors of organizations where MHN has common boards and other overlaps in committee representations, spend significant time devoted to tasks not only for the filing organization, but also for related organizations. While there is no official time study tracking that is done, it is estimated that for each employee, tasks devoted to related organizations could approximate up to 80% or more of total hours. IRS Form 990 Part XI Line 9: Certain related organizations utilize receivable/payable accounts throughout the year. These intercompany balances were settled through the equity account at the end of the fiscal year to bring the receivable/payable balances to zero. For the fiscal year ended June 30, 2021, this resulted in a decrease in net assets or fund balances of $3,993,879.	ExplanationTxt

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
WF Healthcare - Iowa Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421177001	HOLDING CO	IA	501(c)(3)	12 - III-FI	MHN	Yes (true)
Covenant Foundation Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421295784	FOUNDATION	IA	501(c)(3)	10	COV MED CTR	Yes (true)
Mercy Hospital of Fran Sisters Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421178403	HOSPITAL	IA	501(c)(3)	3	WFH-IOWA	Yes (true)
NE Iowa Real Estate Invsts
3421 WEST NINTH STREET	WATERLOO	IA	50702	421207432	HOLDING CO	IA	501(c)(2)	N/A	WFH-IOWA	Yes (true)
Sartori Health Care Foundation Inc
3421 WEST NINTH STREET	WATERLOO	IA	50702	421240996	FOUNDATION	IA	501(c)(3)	12 - I	SARTORI HOSP	Yes (true)
Sartori Memorial Hospital Inc
515 COLLEGE STREET	CEDAR FALLS	IA	50613	420758901	HOSPITAL	IA	501(c)(3)	3	WFH-IOWA	Yes (true)
Mercy Health Network
1111 6th Avenue	Des Moines	IA	50314	421478417	PARENT	DE	501(C)(3)	12 - III-FI	NA	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Covenant Foundation Inc
C	$1,543,409	Book Value
Mercy Hospital of Franciscan Sisters Inc
O	$240,286	Book Value
Sartori Memorial Hospital Inc
O	$920,613	Book Value
Wheaton Franciscan Healthcare - Iowa Inc
M	$37,070,209	Book Value
Northeast Iowa Real Estate Investments Ltd
K	$116,766	Book Value