MERCY MEDICAL CENTER: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL CENTER (EIN 42-0698295)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-13
- IRS object ID
- 202111339349305571
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-13T19:32:47-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4650 E 53RD ST | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 528073479 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420698295 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3193986107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH ST SE | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NATHAN VAN GENDEREN | PersonNm |
| Person Title | EXECUTIVE VP/CFO | PersonTitleTxt |
| Phone | 3193986107 | PhoneNum |
| Signature | 2021-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JENIFER L CHASE | PreparerPersonNm |
| PTIN | P01306883 | PTIN |
| Phone | 5638884000 | PhoneNum |
| Preparation | 2021-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NATHAN VAN GENDEREN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH ST SE | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $465,614,135 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1900 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 28 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 2841 | TotalEmployeeCnt |
| Total Volunteers | 900 | TotalVolunteersCnt |
| Total Gross UBI | $1,078,570 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $197,087 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,824,748 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,877,041 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $337,080,026 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $332,007,716 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,686,638 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,117,593 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,592,343 | PYOtherRevenueAmt |
| CY Other Revenue | -$762,486 | CYOtherRevenueAmt |
| PY Total Revenue | $347,999,069 | PYTotalRevenueAmt |
| CY Total Revenue | $356,239,864 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,888,315 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,021,845 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $165,025,921 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $167,346,048 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $170,666,779 | PYOtherExpensesAmt |
| CY Other Expenses | $175,180,874 | CYOtherExpensesAmt |
| PY Total Expenses | $341,581,015 | PYTotalExpensesAmt |
| CY Total Expenses | $351,548,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,418,054 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,691,097 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $591,175,878 | TotalAssetsBOYAmt |
| Total Assets EOY | $664,794,237 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $219,631,338 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $273,119,108 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $371,544,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $391,675,129 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $276,782,741 | ExpenseAmt |
| Grant | $9,021,845 | GrantAmt |
| Revenue | $330,265,776 | RevenueAmt |
| Desc | THE HOSPITAL PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED. COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $18,806,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $3,860,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $5,043,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $8,695,000, PHYSICIAN EDUCATION - $1,156,000. IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINAR ARE OFFERED ON A VARIETY OF TOPICS INCLUDING JOINT REPLACEMENT SURGERY, PRENATAL EDUCATION, DIABETES, MENTAL HEALTH DISORDERS, AND NUMEROUS OTHER MEDICAL CONDITIONS OF MEDICAL AND PSYCHOSOCIAL NATURE. SPECIALIZED CANCER SEMINARS ARE ALSO OFFERED. B. HOSPITAL MEETING FACILITIES WHICH ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY. M.S. SUPPORT GROUP, EASTERN IOWA ONCOLOGY NURSES SOCIETY, THE IOWA CANCER CONSORTIUM, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL OTHER GROUPS. C. CONTRIBUTIONS OF APPROXIMATELY 155,000 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $2,134,000 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS. | Desc |
| Total Program Service Expenses | $276,782,741 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | 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 | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (1) | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 153 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2841 | 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 | 28 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAY CRIST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3193986107 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH ST SE | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52403 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CHONG C LEE MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,271,171 | $0 | $33,138 | |||
| DARIN W SMITH | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $1,016,105 | $0 | $32,137 | |||
| RYAN D HOLLENBECK MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $938,061 | $0 | $34,562 | |||
| SHANE A GAILUSHAS MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $929,723 | $0 | $29,532 | |||
| AMANDEEP DHALIWAL MD | ||||||||
| PHYSICIAN | 40.00 | Yes (X) | $888,678 | $0 | $15,263 | |||
| TIMOTHY L CHARLES | ||||||||
| PRESIDENT & CEO | 40.00 | $718,822 | $0 | $71,792 | Yes (X) | Yes (X) | ||
| TIMOTHY QUINN MD | ||||||||
| CHIEF OF CLINICAL OPERATIONS | 40.00 | $510,188 | $0 | $64,841 | Yes (X) | |||
| NATHAN VANGENDEREN | ||||||||
| EXECUTIVE VP/CFO | 40.00 | $393,258 | $0 | $57,036 | Yes (X) | |||
| MARY BROBST | ||||||||
| CHIEF NURSING OFFICER | 40.00 | $273,976 | $0 | $49,104 | Yes (X) | |||
| JEFFREY CASH | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $269,167 | $0 | $50,300 | Yes (X) | |||
| NANCY HILL-DAVIS | ||||||||
| VP - HUMAN RESOURCES | 40.00 | $259,841 | $0 | $40,019 | Yes (X) | |||
| JOHN-PAUL BESONG | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| LYDIA BROWN | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MICHELE BUSSE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BOB CATALDO | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JACK COSGROVE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CHRIS DEWOLF | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BARRIE ERNST | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| TONY GOLOBIC | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SISTER LUANN HANNASCH | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| NANCY KASPAREK | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JAN KAZIMOUR | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SISTER SHARON KERRIGAN | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BARB KNAPP | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SISTER TERRY MALTBY | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CHERYLE MITVALSKY | ||||||||
| CHAIRMAN | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| DARREL MORF | ||||||||
| VICE CHAIRMAN/TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| RUE PATEL | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| FRED PILCHER MD | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MARY QUASS | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN RIFE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CHARLES ROHDE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| AL RUFFALO | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| BOB SCHMALL | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| KYLE SKOGMAN | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JOHN SMITH | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| SISTER MAURITA SOUKUP | ||||||||
| SECRETARY | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| SISTER MARGARET WEIGEL | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| CHRIS WALSH | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,468,990 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $477,724 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 147 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| UNIVERSITY OF IOWA HEALTH CARE | |||||
| 200 HAWKINS DRIVE | IOWA CITY | IA | 52242 | HEALTHCARE PROFESSIONAL SERVICES | $4,535,384 |
| TRIMEDX | |||||
| 5451 LAKEVIEW PKWY S DRIVE | INDIANAPOLIS | IN | 46268 | MAINTAIN AND REPAIR MEDICAL EQUPMENT | $3,852,393 |
| ONCOLOGY ASSOCIATES OF CEDAR RAPIDS | |||||
| 701 10TH STREET | CEDAR RAPIDS | IA | 52403 | HEALTHCARE PROFESSIONAL SERVICES | $3,517,364 |
| SOUND PHYSICIANS | |||||
| PO BOX 942936 | LOS ANGELES | CA | 90074 | HEALTHCARE PROFESSIONAL SERVICES | $2,969,987 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | HEALTHCARE PROFESSIONAL SERVICES | $2,941,558 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 47 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,701,555 | RelatedOrganizationsAmt |
| Government Grants | $13,777,018 | GovernmentGrantsAmt |
| All Other Contributions | $398,468 | AllOtherContributionsAmt |
| Noncash Contributions | $960 | NoncashContributionsAmt |
| Total Contributions | $16,877,041 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT REVENUES | 900099 | $226,918,741 | $226,918,741 | |
| LABORATORY REVENUE | 621500 | $111,183,171 | $110,355,066 | $828,105 |
| FAMILY COUNSELING REVENUE | 624100 | $260,364 | $260,364 | |
| LESS: PROVISION FOR BAD DEBT | 900099 | -$6,354,560 | -$6,354,560 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $332,007,716 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,393,302 | TotalRevenueColumnAmt |
| Exclusion | $5,393,302 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,537,426 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,125,322 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $412,104 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $412,104 | TotalRevenueColumnAmt |
| Exclusion | $412,104 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $106,830,886 | SecuritiesAmt |
| Other | $276,279 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $104,023,563 | SecuritiesAmt |
| Other | $359,311 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,807,323 | SecuritiesAmt |
| Other | -$83,032 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,724,291 | TotalRevenueColumnAmt |
| Exclusion | $2,724,291 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,354,855 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,866,075 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$511,220 | TotalRevenueColumnAmt |
| Exclusion | -$511,220 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| INVESTMENT PARTNERSHIP INCOME(LOS | 561000 | $2,822,231 | $2,571,766 | $250,465 |
| MISCELLANEOUS REVENUE | 900099 | $1,279 | $1,279 | |
| MRI JOINT VENTURE | 621110 | -$3,486,880 | -$3,486,880 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$663,370 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $356,239,864 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $330,265,776 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,078,570 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,018,477 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,021,845 | TotalAmt |
| Program Services | $9,021,845 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,569,543 | TotalAmt |
| Program Services | $2,008,597 | ProgramServicesAmt |
| Management And General | $560,946 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,337,246 | TotalAmt |
| Program Services | $101,883,883 | ProgramServicesAmt |
| Management And General | $28,453,363 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,983,815 | TotalAmt |
| Program Services | $3,895,820 | ProgramServicesAmt |
| Management And General | $1,087,995 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,489,435 | TotalAmt |
| Program Services | $16,016,475 | ProgramServicesAmt |
| Management And General | $4,472,960 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,966,009 | TotalAmt |
| Program Services | $7,008,678 | ProgramServicesAmt |
| Management And General | $1,957,331 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,027 | TotalAmt |
| Program Services | $154,015 | ProgramServicesAmt |
| Management And General | $43,012 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,722 | TotalAmt |
| Program Services | $24,797 | ProgramServicesAmt |
| Management And General | $6,925 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,599 | TotalAmt |
| Program Services | $1,250 | ProgramServicesAmt |
| Management And General | $349 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,003,140 | TotalAmt |
| Program Services | $23,453,283 | ProgramServicesAmt |
| Management And General | $6,549,857 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,564,568 | TotalAmt |
| Program Services | $1,223,014 | ProgramServicesAmt |
| Management And General | $341,554 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,190,533 | TotalAmt |
| Program Services | $68,156,343 | ProgramServicesAmt |
| Management And General | $19,034,190 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,375 | TotalAmt |
| Program Services | $413,028 | ProgramServicesAmt |
| Management And General | $115,347 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,245,252 | TotalAmt |
| Program Services | $3,318,489 | ProgramServicesAmt |
| Management And General | $926,763 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,134 | TotalAmt |
| Program Services | $124,394 | ProgramServicesAmt |
| Management And General | $34,740 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,242 | TotalAmt |
| Program Services | $76,014 | ProgramServicesAmt |
| Management And General | $21,228 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,257,161 | TotalAmt |
| Program Services | $4,109,493 | ProgramServicesAmt |
| Management And General | $1,147,668 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,361,650 | TotalAmt |
| Program Services | $18,261,669 | ProgramServicesAmt |
| Management And General | $5,099,981 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,024,375 | TotalAmt |
| Program Services | $800,748 | ProgramServicesAmt |
| Management And General | $223,627 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UNRELATED BUSINESS INCO | $43,529 | $43,529 | |
| CONTRACTED SERVICES | $11,091,350 | $8,670,045 | $2,421,305 |
| RESIDENCY EXPENSE | $2,152,794 | $1,682,827 | $469,967 |
| TAXES & LICENSES | $2,121,966 | $1,658,729 | $463,237 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,109,457 | TotalAmt |
| Program Services | $4,775,776 | ProgramServicesAmt |
| Management And General | $1,333,681 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,548,767 | TotalAmt |
| Program Services | $276,782,741 | ProgramServicesAmt |
| Management And General | $74,766,026 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,103,421 | BOYAmt |
| EOY | $9,126,260 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,235,105 | BOYAmt |
| EOY | $41,768,035 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,891,124 | BOYAmt |
| EOY | $40,959,778 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792,679 | BOYAmt |
| EOY | $490,424 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,682,746 | BOYAmt |
| EOY | $8,104,873 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,336,801 | BOYAmt |
| EOY | $8,886,460 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $529,950,364 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $336,510,109 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,151,584 | BOYAmt |
| EOY | $193,440,255 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,005,511 | BOYAmt |
| EOY | $255,974,125 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,976,907 | BOYAmt |
| EOY | $106,044,027 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,175,878 | BOYAmt |
| EOY | $664,794,237 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,474,783 | BOYAmt |
| EOY | $89,847,921 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,511,718 | BOYAmt |
| EOY | $105,964,876 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,644,837 | BOYAmt |
| EOY | $77,306,311 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,631,338 | BOYAmt |
| EOY | $273,119,108 | 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 | $321,845,853 | BOYAmt |
| EOY | $340,726,606 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,698,687 | BOYAmt |
| EOY | $50,948,523 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,544,540 | BOYAmt |
| EOY | $391,675,129 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,175,878 | BOYAmt |
| EOY | $664,794,237 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,691,097 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,834,377 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $13,605,115 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $31,722 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,722 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE FOLLOWING PERCENTAGES OF DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES: 17.7% TO THE IOWA HOSPITAL ASSOCIATION, 3.55% TO THE CATHOLIC HEALTH ASSOCIATION, 4.87% TO THE CEDAR RAPIDS METRO ECONOMIC ALLIANCE, 15.23% TO THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, 22.98% TO THE AMERICAN SOCIETY FOR HEALTHCARE HUMAN RESOURCES ADMINISTRATION, 9% TO THE IOWA STATE BAR ASSOCIATION, AND 10% TO AMERICAN ORGANIZATION FOR NURSING LEADERSHIP. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | 0 | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $39,073,708 | BeginningYearBalanceAmt |
| Contributions | $30,700,765 | ContributionsAmt |
| Investment Earnings Or Losses | $1,650,324 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $112,498 | OtherExpendituresAmt |
| Administrative Expenses | $862,588 | AdministrativeExpensesAmt |
| End Year Balance | $70,449,711 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $38,709,974 | BeginningYearBalanceAmt |
| Contributions | $188,283 | ContributionsAmt |
| Investment Earnings Or Losses | $1,202,709 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$86,118 | OtherExpendituresAmt |
| Administrative Expenses | $1,113,376 | AdministrativeExpensesAmt |
| End Year Balance | $39,073,708 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $37,681,476 | BeginningYearBalanceAmt |
| Contributions | $129,753 | ContributionsAmt |
| Investment Earnings Or Losses | $1,402,741 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$77,440 | OtherExpendituresAmt |
| Administrative Expenses | $581,436 | AdministrativeExpensesAmt |
| End Year Balance | $38,709,974 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $36,037,066 | BeginningYearBalanceAmt |
| Contributions | $294,653 | ContributionsAmt |
| Investment Earnings Or Losses | $1,771,320 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$171,611 | OtherExpendituresAmt |
| Administrative Expenses | $593,174 | AdministrativeExpensesAmt |
| End Year Balance | $37,681,476 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $35,173,368 | BeginningYearBalanceAmt |
| Contributions | $1,481,758 | ContributionsAmt |
| Investment Earnings Or Losses | -$43,393 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $574,667 | AdministrativeExpensesAmt |
| End Year Balance | $36,037,066 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.52750 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.40230 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.07020 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,855,093 | OtherCostOrOtherBasisAmt |
| Book Value | $20,855,093 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,801,890 | OtherCostOrOtherBasisAmt |
| Depreciation | $199,902,781 | DepreciationAmt |
| Book Value | $113,899,109 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $191,992,110 | OtherCostOrOtherBasisAmt |
| Depreciation | $133,826,887 | DepreciationAmt |
| Book Value | $58,165,223 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,301,271 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,780,441 | DepreciationAmt |
| Book Value | $520,830 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $193,440,255 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION | $102,099,019 | C |
| INVESTMENT IN CEDAR RAPIDS PHO | $1,541,000 | C |
| SLEEP LAB JOINT VENTURE | $1,044,000 | C |
| INVESTMENT IN MR ASSOCIATES | $412,000 | C |
| INVESTMENT IN MEDICAL MALL | $343,008 | C |
| INVESTMENT IN UMCSC | $300,000 | C |
| INVESTMENT IN MERCY SENIOR HOUSING | $305,000 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $106,044,027 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTEREST RATE SWAP AGREEMENTS | $11,680,178 |
| PENSION LIABILITY | $54,408,648 |
| SELF INSURANCE RESERVES | $8,386,203 |
| THIRD PARTY SETTLEMENTS | $2,831,282 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $77,306,311 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $365,384,999 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,834,377 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $6,816,934 | OtherRevenueAmt |
| Revenue Not Reported | $8,651,311 | RevenueNotReportedAmt |
| Revenue Subtotal | $356,733,688 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$493,824 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$493,824 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $356,239,864 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $345,254,410 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,130,563 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,130,563 | ExpensesNotReportedAmt |
| Expenses Subtotal | $343,123,847 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $8,424,920 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $8,424,920 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $351,548,767 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 1A: | THE ORGANIZATION HAS A SMALL COLLECTION OF ARTWORK. THE COLLECTION IS ON DISPLAY FOR PUBLIC VIEWING. THE MEDICAL CENTER HAS ELECTED NOT TO CAPITALIZE THEIR COLLECTION AS PERMITTED BY STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 116, ACCOUNTING FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE MEDICAL CENTER'S COLLECTIONS THAT HAVE BEEN DONATED ARE NOT RECOGNIZED AS ASSETS ON THE BALANCE SHEETS. NONE OF THE ARTWORK HAS BEEN SOLD TO RAISE FUNDS. |
| PART V, LINE 4: | MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC., A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE HALL-PERRINE CANCER CENTER AND CANCER CENTER PROGRAMS, HALL RADIATION CENTER, OLDORF HOSPICE HOUSE, HOSPICE OF MERCY PROGRAMS, HALLMAR, WATTS LIBRARY, CAREGIVERS CENTER, ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER, MERCY MEDICAL CENTER OPERATING AND CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTOR'S DISCRETION. |
| PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2020 AND 2019, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990T FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -2,759,758. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN -12,912,440. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 30,689,132. GRANT TO MERCYARE SERVICE CORPORATION INCLUDED WITH REVENUES -8,200,000. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -2,130,563. LOSS ON SALE OF ASSETS -83,032. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 1,422,363. REVENUE INCLUDED WITH EXPENSES ON AUDIT REPORT 307,952. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT -11,504. NONCASH CONTRIBUTIONS NOT RECORDED FOR BOOKS 960. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 2,130,563. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 8,200,000. REVENUES INCLUDED WITH EXPENSES ON AUDIT REPORT 307,952. LOSS ON SALE OF FIXED ASSETS -83,032. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $44,673,483 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $44,673,483 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $44,673,483 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III ACCOUNTING METHOD: | FormAndLineReferenceDesc |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,854,728 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,577,325 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,277,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03210 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,313,099 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,394,400 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,918,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $84,167,827 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,971,725 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,196,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06320 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $557,575 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $557,575 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,435,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,278,910 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,156,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,820,626 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,949,360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $404,991 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $404,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,218,492 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,228,270 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,118,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $92,386,319 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $71,199,995 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,315,058 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06930 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $467,610 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $467,610 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,535 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,535 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $577,145 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $577,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,354,560 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $136,050,544 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $154,856,281 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,805,737 | 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 (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 MR ASSOCIATES LLP | |||
| MRI SERVICES | 0.33000 | 0.00000 | 0.33000 |
| 2 EASTERN IOWA SLEEP CENTER LLC | |||
| SLEEP STUDIES | 0.33000 | 0.00000 | 0.33000 |
| 3 CEDAR RAPIDS PHYSICIANS-HOSP ORG LC (DBA PARAMOUNT HEALTH OPTIONS) | |||
| PAYOR CONTRACTING | 0.50000 | 0.00000 | 0.50000 |
| 4 PCI REGIONAL MED MALL LLC | |||
| MEDICAL SERVICES | 0.10000 | 0.00000 | 0.80000 |
| 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 MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH STREET SE | AddressLine1Txt |
| City | CEDAR RAPIDS | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYCARE.ORG | WebsiteAddressTxt |
| State License | 570036H | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V | 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| 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 | HTTPS://WWW.MERCYCARE.ORG/FINANCIAL-ASSISTANCE-POLICY | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ | 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 Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCY MEDICAL CENTER | PART V, SECTION B, LINE 5: THE 2018 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHA) AND COMMUNITY HEATH IMPROVEMENT PLAN (CHIP) WERE LED BY LINN COUNTY PUBLIC HEALTH AND CONDUCTED IN PARTNERSHIP WITH A MULTITUDE OF COMMUNITY PARTNERS, INCLUDING BOTH LINN COUNTY HOSPITALS, MERCY MEDICAL CENTER AND UNITYPOINT-ST. LUKE'S HOSPITAL, AND EASTERN IOWA HEALTH CENTER, LINN COUNTY'S FEDERALLY QUALIFIED HEALTH CENTER. THE ALIGNMENT OF THE CHA AND CHIP FOR ALL FOUR ENTITIES IN LINN COUNTY MINIMIZES DUPLICATION AND MAXIMIZES IMPACT, AS ALL AFOREMENTIONED ORGANIZATIONS ARE REQUIRED UNDER LAW OR BY FUNDERS TO ASSESS THE HEALTH OF THE COMMUNITY AND DEVELOP AN IMPLEMENTATION PLAN FOR MEETING IDENTIFIED NEEDS OF THE COMMUNITY. THE 2018 ITERATION OF THE CHA AND CHIP PROCESS ENGAGED 1,589 RESIDENTS AND 112 COMMUNITY PARTNERS FROM 53 ORGANIZATIONS. THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, ALLIANT ENERGY, AREA SUBSTANCE ABUSE COUNCIL, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, MOUNT MERCY UNIVERSITY, STATE OF IOWA SENATOR, THE GAZETTE, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH: ST. LUKE'S HOSPITAL AND JONES REGIONAL MEDICAL CENTER. IN ADDITION, THE SECONDARY SERVICE AREA PUBLIC HEALTH DEPARTMENTS WERE CONTACTED BY MERCY MEDICAL CENTER TO BETTER UNDERSTAND THEIR COUNTY NEEDS THROUGH UTILIZING THEIR MOST RECENT COMMUNITY HEALTH ASSESSMENT. THE TOGETHER! HEALTHY LINN COLLABORATIVE USES THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK TO GUIDE THE CHA AND CHIP PROCESS. THE MAPP FRAMEWORK IS A NATIONALLY RECOGNIZED FRAMEWORK FOR CONDUCTING COMMUNITY-WIDE STRATEGIC PLANNING TO IMPROVE COMMUNITY HEALTH. THE MAPP FRAMEWORK CONSISTS OF SIX PHASES, AND ALLOWS FOR THE COMMUNITY TO CONSIDER SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY AS IMPORTANT FACTORS WHICH INFLUENCE THE OVERALL HEALTH OF THE COMMUNITY. IN MARCH OF 2018, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE PARTICIPATED IN A VISIONING WORKSHOP AND EXPRESSED MUTUAL COMMITMENT TO A HEALTHY COMMUNITY WHERE, "THE LOCAL PUBLIC HEALTH SYSTEM IS COLLABORATIVE, ENGAGED IN THE COMMUNITY, RESPONSIVE TO COMMUNITY NEEDS, EASY TO NAVIGATE, FOCUSED ON PREVENTION, AND CREATES ACCESS FOR ALL. THE SYSTEM IS DESIGNED FOR A CULTURE OF HEALTH, AND PROMOTES AN ACTIVE, SAFE, EMPOWERED, RESILIENT, AND CONNECTED COMMUNITY THAT EMBRACES DIVERSITY AND EQUITY." THIS SHARED COMMUNITY VISION WAS CREATED TO GUIDE THE DEVELOPMENT OF THE CHA AND CHIP. THE COMMUNITY HEALTH ASSESSMENT CONSISTED OF FOUR UNIQUE ASSESSMENTS, EACH MEASURING DIFFERENT ASPECTS OF THE HEALTH OF LINN COUNTY AND EXISTING ASSETS AVAILABLE WITHIN THE COUNTY. THE FOUR ASSESSMENTS INCLUDE COMMUNITY THEMES AND STRENGTHS (CTSA), COMMUNITY HEALTH STATUS, FORCES OF CHANGE AND LOCAL PUBLIC HEALTH SYSTEM. EACH ASSESSMENT HAD A SPECIFIC TARGET POPULATION, OR STAKEHOLDER GROUP OF FOCUS AND WAS GUIDED BY DISTINCT METHODOLOGIES. TOGETHER, THESE ASSESSMENTS WILL BE UTILIZED TO INFORM THE IDENTIFICATION OF PRIORITY STRATEGIC ISSUES THE COMMUNITY WILL ADDRESS IN THE 2019-2021 CHIP. THE CTSA IS A QUALITATIVE ANALYSIS OF PERCEPTIONS, THOUGHTS AND OPINIONS COMMUNITY MEMBERS HAVE REGARDING HEALTH. OF PARTICULAR INTEREST WAS IDENTIFYING NEEDS OF THE COMMUNITY, PERCEIVED QUALITY OF LIFE AND ASSETS AVAILABLE THAT MAY BE USED TO IMPROVE COMMUNITY HEALTH. FOR THIS ASSESSMENT, THE TARGET AUDIENCE INCLUDED COMMUNITY MEMBERS WHO WORK, RESIDE, WORSHIP, GO TO SCHOOL, OR SEEK ENTERTAINMENT IN LINN COUNTY. TO OBTAIN HIGH QUALITY INFORMATION FROM THE COMMUNITY REGARDING THEIR NEEDS, BARRIERS AND HEALTH PERCEPTIONS, THE SUBCOMMITTEE UTILIZED MULTIPLE ASSESSMENT STRATEGIES. THE ASSESSMENT PROCESS WAS GUIDED BY A CTSA SUBCOMMITTEE WITH REPRESENTATION FROM MULTIPLE ENTITIES AND ORGANIZATIONS WITHIN THE LOCAL PUBLIC HEALTH SYSTEM (LPHS) AND WAS ASSOCIATED WITH THE LARGER TOGETHER! HEALTHY LINN STEERING COMMITTEE. TO BEGIN, THE SUBCOMMITTEE REVIEWED THE CURRENT DATA AVAILABLE AND IDENTIFIED GAPS IN DATA FROM SPECIFIC POPULATIONS AND INFORMATION STILL NEEDING TO BE OBTAINED. THE GAP ANALYSIS INFORMED THE NEED TO GAIN ADDITIONAL DATA FROM OLDER ADULTS, DISABLED/SPECIAL NEEDS, LGBTQ+, RURAL, YOUNG CHILDREN, PARENTS, LOW-INCOME, MIDDLE TO LOWER-MIDDLE INCOME, RECENT COLLEGE GRADUATES AND MINORITY POPULATIONS. ONCE IDENTIFIED, THE GROUP SELECTED METHODS AND STRATEGIES TO REACH THE AFOREMENTIONED POPULATIONS. METHODS SELECTED INCLUDED A STICKER BOARD WITH AN OPEN-ENDED QUESTION, COMMUNITY SURVEY, WINDSHIELD SURVEY AND FOCUS GROUPS. IN MID-JUNE 2018, MEMBERS OF THE MAPP CORE GROUP CONDUCTED TWO FOCUS GROUPS. THE POPULATIONS WERE SELECTED BASED ON THE GAPS IN INFORMATION FOR SPECIFIC POPULATIONS NOTED BY THE SUBCOMMITTEE AND DECISION TO OVERSAMPLE LOW-INCOME AND MINORITY POPULATIONS. POPULATIONS OF INTEREST INCLUDED RESIDENTS AT GENEVA TOWER LOCATED IN DOWNTOWN CEDAR RAPIDS AND THE LGBTQ+ COMMUNITY, WHICH WAS HELD AT LINN COUNTY PUBLIC HEALTH. IN ADDITION TO THE METHODS SELECTED BY THE SUBCOMMITTEE, LINN COUNTY PUBLIC HEALTH ALSO EXPLORED THE USE OF VOX POP AND A STREET STALL (ALSO KNOWN AS WAILING WALL). DATA OBTAINED THROUGH THIS COMPREHENSIVE COMMUNITY ASSESSMENT WERE SYNTHESIZED INTO A SINGLE REPORT AND BROKEN DOWN INTO LOGICAL CATEGORIES TO RELAY ASSESSMENT FINDINGS. THE COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) IS A QUANTITATIVE ANALYSIS WHICH ANSWERS THE QUESTIONS, "HOW HEALTHY ARE OUR RESIDENTS? AND "WHAT DOES THE HEALTH STATUS OF OUR COMMUNITY LOOK LIKE?" RESULTS OF THE CHSA PROVIDE AN UNDERSTANDING OF THE COMMUNITY'S HEALTH STATUS AND ENSURE THAT THE COMMUNITY'S PRIORITIES CONSIDER SPECIFIC HEALTH STATUS ISSUES, SUCH AS RATES OF INCREASING CHRONIC DISEASE AND SEXUALLY TRANSMITTED INFECTIONS. IN 2015, DURING THE PREVIOUS ITERATION OF THE CHA, AN INITIAL CHSA SUBCOMMITTEE PLANNED THE ASSESSMENT AND IDENTIFIED A LIST OF SPECIFIC INDICATORS AND SOURCES THAT MAY BE USED TO ACCESS THE DATA POINTS ASSOCIATED WITH THE ELEVEN CORE INDICATORS:-DEMOGRAPHIC CHARACTERISTICS-SOCIOECONOMIC CHARACTERISTICS-HEATH RESOURCE AVAILABILITY-QUALITY OF LIFE -BEHAVIORAL RISK FACTORS-ENVIRONMENTAL HEALTH INDICATORS-SOCIAL AND MENTAL HEALTH-MATERNAL AND CHILD HEALTH-DEATH, ILLNESS AND INJURY -COMMUNICABLE DISEASE -SENTINEL EVENTSDATA FROM THESE CATEGORIES WAS COMPILED AND PRESENTED AS A DASHBOARD, IDENTIFYING TRENDS, HEALTH INEQUITIES AND COMPARED LINN COUNTY RATES TO STATE AND NATIONAL RATES, WHEN APPLICABLE. IN THE 2018 CHSA, THE DASHBOARD CONCEPT WAS USED AGAIN, BUT A SUBCOMMITTEE DID NOT CONVENE TO INFORM THE DATA POINTS TO BE INCLUDED ON THE DASHBOARD, AS LINN COUNTY PUBLIC HEALTH HAD JUST COMPLETED THE 2017 HEALTH OF LINN COUNTY REPORT, A COMPREHENSIVE QUANTITATIVE ANALYSIS OF THE HEALTH OF LINN COUNTY. ON MAY 24, 2018 LINN COUNTY CONDUCTED THE FORCES OF CHANGE ASSESSMENT (FOCA) AT INDIAN CREEK NATURE CENTER IN CEDAR RAPIDS. MEMBERS FROM MULTIPLE SECTORS WITHIN LINN COUNTY'S LPHS WERE INVITED OR SELF-ELECTED TO PARTICIPATE IN THE ASSESSMENT. THE IDEAL PARTICIPANTS FOR THE FOCA ARE COMMUNITY LEADERS AND OFFICIALS WITH INSIGHT ON FACTORS, EVENTS AND TRENDS THAT MAY POTENTIALLY IMPACT THE HEALTH OF THE PUBLIC OR THE OPERATION OF THE LPHS. THIS ASSESSMENT FOCUSES ON ISSUES THAT ARE BROADER REACHING, SUCH AS FACTORS THAT IMPACT THE ENVIRONMENT IN WHICH THE LPHS OPERATES, STATE AND FEDERAL LEGISLATION, RAPID TECHNOLOGICAL ADVANCES, CHANGES IN THE ORGANIZATION OF HEALTH CARE SERVICES, OR FUNDING SHIFTS. METHODS SELECTED FOR THIS ASSESSMENT INCLUDED AN AFFINITY DIAGRAM, PRIORITIZATION ACTIVITY AND FORCE FIELD ANALYSIS.PARTICIPANTS WERE ASKED TO BRAINSTORM A LIST OF UNIQUE FORCES, TRENDS, OR EVENTS THAT MIGHT IMPACT THE HEALTH OF THE COMMUNITY. PARTICIPANTS THEN CREATED AN AFFINITY DIAGRAM WHICH RESULTED IN THIRTEEN SEPARATE IDEAS OR "CLUSTERS." EACH PARTICIPANT RECEIVED TEN STICKERS TO VOTE ON THE SPECIFIC FORCES THEY BELIEVED TO BE MOST CRITICAL TO THE HEALTH OF THE COMMUNITY AND WERE NOT ALLOWED TO VOTE FOR A FORCE MORE THAN ONCE. THE FACILITATORS TALLIED THE RESULTS AND TRANSFERRED THE FINAL CATEGORIES ONTO LARGE FLIP CHART PAPER IN PREPARATION FOR THE FORCE FIELD ANALYSIS, THE FINAL ACTIVITY OF THE FOCA. THE ANALYSIS AIMS TO IDENTIFY BOTH OPPORTUNITIES AND THREATS POSED BY EACH FORCE CATEGORY. THE TEN FORCES WERE WRITTEN ON FLIP CHART PAPER AND PLACED THROUGHOUT THE CONFERENCE ROOM WHERE EACH PARTICIPANT HAD FIVE MINUTES TO WRITE A LIST OF SPECIFIC OPPORTUNITIES OR THREATS ASSOCIATED WITH EACH FORCE CATEGORY. |
| MERCY MEDICAL CENTER | PART V, SECTION B, LINE 6A: LINN COUNTY PUBLIC HEALTH FACILITATED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND MERCY MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN CEDAR RAPIDS, IA. |
| MERCY MEDICAL CENTER | PART V, SECTION B, LINE 6B: THIS PROCESS ALSO ENGAGED 1,589 RESIDENTS AND 112 COMMUNITY PARTNERS FROM 53 ORGANIZATIONS. IN ADDITION TO LINN COUNTY PUBLIC HEALTH AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE CONSISTS OF THE FOLLOWING PARTNERS: ABBEHEALTH, ALLIANT ENERGY, AREA SUBSTANCE ABUSE COUNCIL, BETHANY LUTHERAN CHURCH, CEDAR RAPIDS CITY COUNCIL, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CITY OF CEDAR RAPIDS, CITY OF MARION POLICE DEPARTMENT, EASTERN IOWA HEALTH CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, IOWA STATE UNIVERSITY EXTENSION & OUTREACH, KIRKWOOD COMMUNITY COLLEGE, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, MOUNT MERCY UNIVERSITY, STATE OF IOWA SENATOR, THE GAZETTE, UNITED WAY OF EAST CENTRAL IOWA, AND UNITYPOINT HEALTH: ST. LUKE'S HOSPITAL AND JONES REGIONAL MEDICAL CENTER. ADDITIONALLY, MERCY MEDICAL CENTER REQUESTED INPUT FROM THE PUBLIC HEALTH DEPARTMENTS OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES, AND TAMA COUNTIES IN REGARDS TO HEALTH PRIORITIES IN THEIR AREA. |
| MERCY MEDICAL CENTER | PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER IS ADDRESSING THE THREE PRIORITY SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA IN A VARIETY OF WAYS. MERCY IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF OBESITY BY PROVIDING NUTRITION EDUCATION AND COUNSELING THROUGH OUTPATIENT TREATMENT AND CLASSES, PROVIDING SPECIALIZED CARE FOR THE PREVENTION AND TREATMENT OF CHILDHOOD AND ADOLESCENT OBESITY THROUGH MERCY PEDIATRIC CLINIC, PROVIDING SURGICAL WEIGHT-LOSS OPTIONS TO HELP INDIVIDUALS ACHIEVE LIFELONG SUCCESS WITH WEIGHT CONTROL AND HEALTHY LIVING THROUGH MERCY'S BARIATRIC SURGERY CLINIC, PROVIDING NUTRITION INFORMATION TO MERCY'S PATIENTS, VISITORS, AND STAFF, AND CONTINUING THE PURCHASE OF LOCAL FOODS.MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF MENTAL HEALTH BY EXPLORING OPTIONS FOR MORE PSYCHIATRIC CONSULTATIVE ROLES WITHIN MERCYCARE CLINICS, PROVIDING AREA SCHOOL DISTRICTS WITH A MENTAL HEALTH URGENT CARE PROGRAM, INCREASING EARLY INTERVENTION SERVICES FOR SUICIDE THROUGH A SCREENING TOOL AND CREATION OF SAFETY PLAN/INTERVENTIONS AND PROVIDING WALK-IN ACCESS, SCREENING, ONGOING SUPPORT, AND TREATMENT AT SEDLACEK TREATMENT CENTER.MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT HEALTH NEED OF SAFETY BY ENHANCING MERCY'S ANTI-HUMAN TRAFFICKING EFFORTS, SUPPORTING EFFORTS OF LOCAL SCHOOLS AND COMMUNITY PARTNERS TO ADDRESS BULLYING AND VIOLENCE, COMPLETING A WORKPLACE VIOLENCE PREVENTION GAP ANALYSIS AND DEVELOPING AND EXECUTING AN ACTION PLAN, IMPLEMENTING PHYSICAL ENVIRONMENT SAFETY IMPROVEMENTS HOSPITAL-WIDE, OFFERING TRAINING RELATED TO SAFETY BOTH INTERNALLY AND EXTERNALLY TO MERCY MEDICAL CENTER. MERCY MEDICAL CENTER DESCRIBES IN ITS MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY HOW IT IS ADDRESSING OTHER NEEDS IDENTIFIED IN THE CHNA. THESE INCLUDE: ACCESS TO HEALTH CARE, ACCESS TO HEALTHY FOOD, ACCESS TO MENTAL HEALTH SERVICES, AFFORDABLE HOUSING, BUILT ENVIRONMENT, CHRONIC DISEASE, NATURAL ENVIRONMENT, SEXUAL HEALTH, SUBSTANCE USE, AND TRANSPORTATION. |
| MERCY MEDICAL CENTER | PART V, SECTION B, LINE 13B: PATIENTS THAT EXCEED 400% OF FPL TABLE ARE ELIGIBLE FOR DISCOUNTS ON ALL BALANCES IN EXCESS OF 10% OF GROSS PERSONAL EARNINGS PER CALENDAR YEAR. |
| SCHEDULE H, PART V, SECTION B, LINE 5, CONTINUED: | LINN COUNTY CONDUCTED THE LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) BETWEEN THE MONTHS OF MAY AND JULY OF 2015. MEMBERS FROM MULTIPLE SECTORS WITHIN LINN COUNTY'S LPHS WERE INVITED TO PARTICIPATE IN THE ASSESSMENT. ENTITIES WITHIN THE LPHS INCLUDE ALL ORGANIZATIONS WHO MAY IMPACT THE HEALTH OF THE COMMUNITY SUCH AS COMMUNITY CENTERS, EMPLOYERS, ELECTED OFFICIALS, TRANSIT, PUBLIC HEALTH AGENCY, HOME HEALTH, LABORATORIES, FAITH-BASED ORGANIZATIONS, NON-PROFITS, COMMUNITY HEALTH CLINICS, HOSPITALS, DOCTORS, NURSING HOMES, DRUG TREATMENT, MENTAL HEALTH, SCHOOLS, NEIGHBORHOOD ORGANIZATIONS, CORRECTIONS, LAW ENFORCEMENT, FIRE AND EMS. THE INTENT OF THE LPHSA IS TO ASSESS HOW ORGANIZATIONS WITHIN THE SYSTEM ARE DOING IN ADDRESSING THE TEN ESSENTIAL PUBLIC HEALTH SERVICES AND IS COMPLETED USING THE LOCAL INSTRUMENT OF THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS (NPHPS; CDC, 2015). THIS INSTRUMENT HELPS COMMUNITIES MEASURE NOT ONLY HOW THEY ARE DOING IN ADDRESSING THE OVERARCHING ESSENTIAL PUBLIC HEALTH SERVICES, BUT ALSO THE COMPETENCIES AND SUB-COMPETENCIES THAT FALL UNDER EACH SERVICE. THE LPHSA SUBCOMMITTEE DECIDED TO TAKE A TARGETED APPROACH IN GAINING FEEDBACK ON EACH OF THE ESSENTIAL PUBLIC HEALTH SERVICES BY SPLITTING PARTNERS WITHIN THE LPHS INTO FIVE WORKGROUPS EACH FOCUSING ON TWO OF THE ESSENTIAL PUBLIC HEALTH SERVICES. AN INITIAL SURVEY COVERING THE TARGETED PUBLIC HEALTH SERVICES WAS SENT TO THE MEMBERS OF THE WORKGROUPS IN JUNE OF 2015. THE WORKGROUPS WERE THEN CONVENED IN JULY OF 2015 TO ENGAGE IN FACILITATED DISCUSSIONS THAT COVERED THE COMPONENTS FALLING UNDER EACH OF THE TARGETED ESSENTIAL PUBLIC HEALTH SERVICES. FOLLOWING DISCUSSION, MEMBERS THEN RATED HOW WELL THE LPHS IS DOING IN ADDRESSING THE ESSENTIAL PUBLIC HEALTH SERVICES. ALL COMPONENTS WITH A "MINIMAL ACTIVITY OR "MODERATE ACTIVITY" RATING WERE HIGHLIGHTED IN A REPORT AS A NEEDED AREA OF IMPROVEMENT FOR THE LPHS TO ADDRESS MOVING FORWARD.IN AUGUST 2018, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE REVIEWED DATA FROM 13 POTENTIAL STRATEGIC ISSUE CATEGORIES AND PRIORITIZED THREE ISSUES WHICH MUST BE ADDRESSED IN ORDER TO ACHIEVE THE TOGETHER! HEALTHY LINN VISION. FROM OCTOBER 2018 THROUGH DECEMBER 2018, COMMUNITY PARTNERS REVIEWED ASSESSMENT DATA RELATED TO THE THREE PRIORITY ISSUES AND IDENTIFIED A GOAL AND STRATEGIES THROUGH SMALL AND LARGE GROUP DISCUSSION WITH MULTI-VOTING. MERCY MEDICAL CENTER DID NOT RECEIVE ANY WRITTEN COMMENTS ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA OR IMPLEMENTATION STRATEGY. HOWEVER, ON THE CHNA AND IMPLEMENTATION STRATEGY WEBPAGE OF THE MERCY WEBSITE, THERE IS A "CONTACT US" FORM THAT CAN BE FILLED OUT BY ANY INDIVIDUAL. THE SUBMITTED ONLINE FORM GOES TO MERCY'S MARKETING DEPARTMENT AND WOULD BE FORWARDED TO MERCY'S COMMUNITY BENEFIT OFFICE. ANY MAILED WRITTEN COMMENTS WOULD BE FORWARDED TO THE COMMUNITY BENEFIT OFFICE. |
| SCHEDULE H, PART V, SECTION B, LINE 7A: | HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
| SCHEDULE H, PART V, SECTION B, LINE 10A: | HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | DISCOUNTED CARE IS AVAILABLE TO ALL MERCY MEDICAL CENTER PATIENTS WHO DO NOT HAVE ACTIVE MEDICAL INSURANCE COVERAGE, NOT JUST THOSE WITHIN A FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT. IF PATIENTS STILL FIND THEMSELVES UNABLE TO PAY, THEY MAY APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE. |
| PART I, LINE 6A: | NOT APPLICABLE |
| PART I, LINE 7: | MERCY MEDICAL CENTER UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7. |
| PART I, LINE 7G: | NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. |
| PART I, LN 7 COL(F): | BAD DEBT EXPENSE WAS NOT INCLUDED IN THE DENOMINATOR BECAUSE IT WAS REPORTED ON LINE 2D OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 26.28%. THIS PERCENTAGE INCREASES TO 70.33% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MERCY MEDICAL CENTER PARTICIPATED IN SEVERAL COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES. SPECIFICALLY, MERCY PARTICIPATES IN ACTIVITIES TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. ADDRESSING SOCIAL DETERMINANTS OF HEALTH IS IMPORTANT FOR IMPROVING HEALTH AND REDUCING HEALTH DISPARITIES. THIS INCLUDED MERCY STAFF REPRESENTATION ON COALITIONS, COMMITTEES AND BOARDS SUCH AS BIG BROTHERS BIG SISTERS, BOYS & GIRLS CLUBS OF THE CORRIDOR, CATHERINE MCAULEY CENTER, AND THE UNITED WAY OF EAST CENTRAL IOWA. STAFF ALSO PARTICIPATED IN WORKFORCE DEVELOPMENT EXPERIENCES WITH LOCAL HIGH SCHOOL STUDENTS AND YOUNG ADULTS WITH BARRIERS TO ACCESSING EMPLOYMENT. MERCY MADE FINANCIAL CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS, THE MAJORITY TO THOSE ORGANIZATIONS THAT PROVIDE COMMUNITY SUPPORT THROUGH THEIR PROGRAMS. |
| PART III, LINE 2: | THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE IN THE AUDITED FINANCIAL STATEMENTS. THEREFORE, NO BAD DEBT EXPENSE IS RECOGNIZED FOR UNCOLLECTED AMOUNTS ON PATIENT ACCOUNTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 3: | NOT APPLICABLE |
| PART III, LINE 4: | SEE PAGE 15 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE. |
| PART III, LINE 8: | THE COSTS SHOWN FOR THE MEDICARE SHORTFALL ARE BASED ON TOTAL CHARGES OF ALL MEDICARE AND MEDICARE REPLACEMENT (PART C) PATIENTS. THE SHORTFALL IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES BY THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2, LESS PAYMENTS WE RECEIVED FOR THESE SERVICES.THE MEDICARE COST REPORT IS NOT AN APPROPRIATE SOURCE TO DETERMINE THE COSTS FOR THESE PATIENTS. MANY ITEMS, INCLUDING ALL OUTPATIENT SERVICES FOR PATIENTS WHO ARE COVERED BY A MEDICARE REPLACEMENT PLAN (PART C) AND MANY SERVICES SUCH AS LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHERS PAID ON A FEE FOR SERVICE BASIS, ARE NOT INCLUDED ON THE MEDICARE COST REPORT. IN ADDITION, HOSPICE, HOME HEALTH, AND DIALYSIS SERVICES, ALTHOUGH INCLUDED IN MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, THE VAST MAJORITY OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE OR MEDICAID. NEITHER GOVERNMENT PROGRAM HAS HISTORICALLY REIMBURSED ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THESE PATIENT POPULATIONS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE. |
| PART III, LINE 9B: | MERCY MEDICAL CENTER UNDERSTANDS PATIENTS MAY NOT HAVE THE ABILITY TO PAY FOR SERVICES NOR RECOGNIZE THE OPPORTUNITY THEY MAY HAVE TO RECEIVE FINANCIAL ASSISTANCE. TO AID IN THIS PROCESS, MERCY MEDICAL CENTER HAS IMPLEMENTED A PRESUMPTIVE CHARITY ELIGIBILITY PROGRAM (PCEP). PATIENTS WHO QUALIFY FOR THIS PROGRAM DO NOT COMPLETE PAPERWORK. MERCY MEDICAL CENTER UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS FROM THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE: - MERCY MEDICAL CENTER WILL PROVIDE THE SAME INFORMATION CONCERNING SERVICES AND CHARGES TO ALL PATIENTS. - MERCY MEDICAL CENTER WILL NOT KNOWINGLY SEND A PATIENT'S BILL TO A COLLECTION AGENCY BEFORE INITIAL FINANCIAL ELIGIBILITY ASSISTANCE DETERMINATION HAS BEEN MADE. - MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT. |
| PART VI, LINE 2: | MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM HOSPITAL FINANCIAL ASSISTANCE CASES, COMMUNITY FREE CLINICS, UNITED WAY OF EAST CENTRAL IOWA AND THE LOCAL PUBLIC HEALTH DEPARTMENT REPORTS TO MODIFY CURRENT ACTIVITIES AND CREATE NEW PROGRAMS TO ADDRESS HEALTH NEEDS. ADDITIONALLY, MERCY MEDICAL CENTER RECEIVES REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS FOR FINANCIAL AND IN-KIND SUPPORT TO ADDRESS COMMUNITY NEEDS FOR WHICH THEY PROVIDE PROGRAMS AND SERVICES. MERCY MEDICAL CENTER UTILIZES ALL THIS INFORMATION, IN ADDITION TO THE CHNA TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL. |
| PART VI, LINE 3: | MERCY MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT FOR ALL THOSE WE SERVE, PARTICULARLY THE POOR AND UNDERSERVED; CARING FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; ASSISTING PATIENTS WHO CANNOT PAY FOR PART OF ALL OF THE CARE THEY RECEIVE AND COMMUNICATING INFORMATION ABOUT FINANCIAL ASSISTANCE IN A CLEAR AND CONSISTENT MANNER. MERCY MEDICAL CENTER INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE IN THE FOLLOWING WAYS. MERCY MEDICAL CENTER'S BILLING AND COLLECTIONS POLICIES ALONG WITH THE LIST OF ALL FINANCIAL RESOURCES ARE PROVIDED IN BROCHURES, INCLUDED IN HOSPITAL BILLING STATEMENTS AND POSTED IN KEY PUBLIC AREAS. PATIENTS ARE EDUCATED ABOUT THEIR RESPONSIBILITIES, THE POTENTIAL FINANCIAL OBLIGATION THEY MAY INCUR, THEIR OBLIGATIONS FOR COMPLETING ELIGIBILITY DOCUMENTATIONS AND THE HOSPITAL'S BILLING AND COLLECTION POLICIES. PATIENTS ARE REFERRED TO AND/OR PROVIDED WITH ASSISTANCE TO COMPLETE MEDICAID, STATE INSURANCE EXCHANGE PRODUCTS OR OTHER LOCAL FUNDING APPLICATIONS. MERCY MERCY CENTER PROVIDES THESE SERVICES UTILIZING INTERPRETER SERVICES IF NECESSARY. |
| PART VI, LINE 4: | MERCY MEDICAL CENTER SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). THE MAJORITY OF MERCY'S PATIENTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES LIVE IN LINN COUNTY. THE COMMUNITY ADDITIONALLY INCLUDES THOSE COUNTIES ADJACENT TO LINN COUNTY AND WITHIN A REASONABLE DRIVING TIME TO THE HOSPITAL. THE TOTAL POPULATION OF LINN COUNTY IN 2018 WAS 225,909. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS WAS 513,495. THE PROJECTED 10 YEAR POPULATION GROWTH FOR THE PSA IS 2% AND THE SSA, 1%, ANNUALLY. DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS: 50.1% MALE, 49.9% FEMALE 93.4% CAUCASIAN 2.3% AFRICAN AMERICAN 1.2% NATIVE AMERICAN 1.4% ASIAN/PACIFIC 1.5% TWO OR MORE RACES 3.5% HISPANIC 18.0% OF PERSONS LIVING IN MERCY'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER 93.0% ARE HIGH SCHOOL GRADUATES WHILE 24.4% HOLD A BACHELOR'S DEGREE OR HIGHER THE MEDIAN HOUSEHOLD INCOME IS $60,194 THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 9.28% AS COMPARED TO 11.8% FOR ALL OF IOWA 13% OF MERCY'S PATIENTS USE MEDICAID AND THE NUMBER OF UNINSURED INDIVIDUALS UNDER AGE 65 IN IOWA IS 5.5%% ACCORDING TO THE US CENSUS BUREAUS THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.43 FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JONES, LINN AND TAMA COUNTIES (HTTPS://DATAWAREHOUSE.HRSA.GOV/TOOLS/ANALYZERS/MUAFIND.ASPX)AS OF OCTOBER 2019, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 2.5%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 1.5-2.2%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL IS LOCATED IN LINN COUNTY AND SERVES A SIMILAR GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY IOWA CITY ARE LOCATED IN JOHNSON COUNTY, REGIONAL MEDICAL CENTER IS LOCATED IN DELAWARE COUNTY, UNITYPOINT HEALTH - JONES REGIONAL MEDICAL CENTER IS LOCATED IN JONES COUNTY, AND VIRGINIA GAY HOSPITAL IS LOCATED IN BENTON COUNTY. |
| PART VI, LINE 5: | MERCY MEDICAL CENTER'S BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PRIMARY SERVICE AREA. THE BOARD CONSISTS OF 27 MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE CEO OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF ADDITIONALLY SERVE AS EX-OFFICIO, VOTING MEMBERS. THE GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN DECISION-MAKING FOR THE ORGANIZATION. IN ADDITION, THREE SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. THERE ARE CURRENTLY FIVE WOMEN RELIGIOUS SERVING ON THE BOARD. MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.MERCY MEDICAL CENTER UTILIZES OPERATING INCOME SURPLUSES TO FUND CAPITAL EXPENDITURES. THE PROPOSED CAPITAL ITEMS ARE REVIEWED BY STAFF, MEDICAL STAFF AND ADMINISTRATION TO ENSURE ITEMS WILL PROVIDE ONGOING HIGH QUALITY, LOW COST CARE TO PATIENTS AND ALIGN WITH THE STRATEGIC INITIATIVES FOR THE FACILITY. ANY EXCESS OPERATING FUNDS RETAINED BY THE ORGANIZATION ARE USED FOR FUTURE CAPITAL IMPROVEMENTS OR OPERATING FUNDS AS NEEDED. FOLLOWING IN THE FOOTSTEPS OF THE SISTERS OF MERCY, MERCY MEDICAL CENTER IS COMMITTED TO ADDRESSING THE NEEDS THAT IMPACT THE HEALTH OF POOR AND VULNERABLE INDIVIDUALS IN OUR COMMUNITY. THROUGHOUT THE COVID-19 PANDEMIC, MERCY HAS PROVIDED SUPPORT AND LEADERSHIP TO THE COMMUNITY. MERCY LED THE WAY IN WORKING WITH MORE THAN TWO DOZEN LONG-TERM CARE (LTC) FACILITIES IN OUR AREA AS EACH FORMULATED A PLAN AND CARRIED OUT THEIR RESPONSE TO COVID-19. THAT SUPPORT INCLUDED SUPPLYING THE LTC FACILITIES WITH THE TECHNOLOGY THEY REQUIRED FOR THE EXPANSION OF TELEHEALTH VISITS WITHIN THEIR WALLS, THE DISTRIBUTION OF CLOTH MASKS, GOWNS AND PPE ALONG WITH APPROPRIATE EDUCATION ON CARE AND USE, INFECTION CONTROL AUDITS, GUIDANCE ON SCREENINGS, STAFFING SUPPORT, AND MORE. MERCY DEDICATED RESPIRATORY CLINICS TO ISOLATE POTENTIAL COVID-19 POSITIVE PATIENTS FROM THE GENERAL PATIENT POPULATION. MERCY HELD WEEKLY UPDATES WITH THE PROVIDER COMMUNITY REGARDING COVID-19. DURING THESE MEETINGS, INFORMATION WAS PROVIDED ON THE STATUS OF OUTBREAK, UPDATES FROM LINN COUNTY PUBLIC HEALTH AND IOWA DEPARTMENT OF PUBLIC HEALTH, SAFETY PRECAUTIONS BEING TAKEN AT THE HOSPITAL AND CLINICS, MULTI-LINGUAL RESOURCES FOR PATIENTS, AND UPDATES TO PROCESSES. MERCY KEPT THE COMMUNITY INFORMED AND EDUCATED THROUGHOUT THE COVID-19 PANDEMIC. WORKING CLOSELY WITH OTHER LOCAL HEALTHCARE PROVIDERS AND LINN COUNTY PUBLIC HEALTH, MERCY HAS INITIATED SEVERAL EDUCATIONAL CAMPAIGNS TO PROMOTE SOCIAL DISTANCING, MASKING, HAND HYGIENE, AND OTHER MEASURES TO PREVENT THE SPREAD OF THE VIRUS. THE USE OF TELEHEALTH TECHNOLOGY GREATLY EXPANDED DURING THE PANDEMIC AND ALLOWED PATIENTS TO CONTINUE TO ACCESS NEEDED CARE AND SERVICES. MERCY PROVIDED DONATIONS TO AREA HOMELESS SHELTERS AND OTHER VULNERABLE GROUPS TO ENSURE THEIR HEALTH AND SAFETY DURING THE PANDEMIC. MERCY MEDICAL CENTER PROVIDES REPRESENTATION ON COMMUNITY BOARDS, COALITIONS AND COMMITTEES ADDRESSING HEALTH NEEDS. EXAMPLES INCLUDE:-THE ARC OF EAST CENTRAL IOWA BOARD-COMMUNITY HEALTH FREE CLINIC BOARD-HAWKEYE AREA COMMUNITY ACTION PROGRAM-HERITAGE AREA AGENCY ON AGING-WAYPOINT SERVICES MERCY EMPLOYEES HAVE PARTICIPATED IN THE TRAINING OF HEALTH CARE PROFESSIONS STUDENTS, PROVIDING HEALTH EDUCATION TO THE COMMUNITY, OFFERING SUPPORT OF HEALTH PREVENTION AND PROMOTION ACTIVITIES, THROUGH SCREENINGS AND SUPPORT GROUPS, SUPPORTING STROKE CAMP FOR STROKE SURVIVORS AND THEIR CAREGIVERS AND PROVIDING STAFF, MEDICATION AND SUPPLIES FOR A DIABETES CAMP FOR CHILDREN WITH DIABETES, PROVIDING IN-KIND PRINTING TO MULTIPLE NONPROFITS, DONATING AUTOMATIC EXTERNAL DEFIBRILLATORS TO LOCAL CHURCHES, SCHOOLS, AND NONPROFITS, AND COORDINATING ACTIVITIES TO SUPPORT LOCAL NONPROFITS. MERCY LAUNCHED AN EARLY-RECOVERY-AFTER-SURGERY PROGRAM TO DECREASE THE USE OF PRESCRIPTION OPIOIDS LINKED TO LONGER HOSPITAL RECOVERY TIMES AND COLLABORATES WITH A COMMUNITY TASKFORCE TO ADDRESS. TO INCREASE ACCESS TO MEDICAL CARE IN RURAL IOWA, CANCER, HEART, SURGERY AND UROLOGY SPECIALISTS ALSO TRAVEL TO CLINICS OUTSIDE CEDAR RAPIDS TO CREATE EASIER ACCESS FOR PATIENTS IN MANCHESTER, VINTON, ANAMOSA AND TAMA. THE FAMILY CAREGIVERS CENTER OF MERCY OPENED ITS DOORS IN DECEMBER 2015 AS IOWA'S FIRST COMPREHENSIVE CENTER FOR FAMILY CAREGIVERS. THE OVERALL GOAL OF THE CENTER IS TO REDUCE THE STRESS OF THE FAMILY CAREGIVER AND KEEP THEM HEALTHIER BY PROVIDING EMOTIONAL SUPPORTING AND CONNECTING THEM TO RESOURCES. MERCY PROVIDES IN-KIND LAB, RADIOLOGY, AND PROVIDER SERVICES TO THE COMMUNITY'S FREE CLINICS. MERCY WORKS WITH THE CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT TO OFFER ELECTRONIC HEALTH RECORDS AT METRO CARE CONNECTION SCHOOL-BASED HEALTH CENTERS. SR. MARY LAWRENCE HALLAGAN COMMUNITY CENTER PROVIDES SIX NON-PROFITS WITH SPACE FOR THEIR SERVICES. TENANTS INCLUDE: GEMS OF HOPE; KIDS FIRST LAW CENTER; YOUNG PARENTS NETWORK AND BOYS & GIRLS CLUB; CATHOLIC CHARITIES; AND METRO CATHOLIC OUTREACH. THESE AGENCIES SHARE MERCY'S VISION TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. TOGETHER, WE MAKE A DIFFERENCE IN THE LIVES OF MANY. MERCY LEASES THE SPACE FOR $1 PER YEAR, PLUS THE COST OF MONTHLY UTILITIES.MERCY SUPPORTS THE CEDAR RAPIDS MEDICAL SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT THE MEDICAL QUARTER REGIONAL MEDICAL DISTRICT (MEDQUARTER) TO ENHANCE OUR COMMUNITY'S NATIONALLY RECOGNIZED REPUTATION FOR HIGH-QUALITY, LOW-COST CARE WITH A CONCENTRATED AREA OF MEDICAL SERVICES THAT ARE EASILY ACCESSIBLE. MERCY MEDICAL CENTER PARTNERS WITH UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL TO SUPPORT A FAMILY PRACTICE RESIDENCY PROGRAM. A COMMUNITY-BASED PROGRAM UNDERSCORES A COMMITMENT TO THE CONCEPT OF THE PATIENT-CENTERED MEDICAL HOME. THE MEDICAL HOME IS A COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, ONE WHICH ALLOWS RESIDENTS TO CARE FOR THE NEEDS OF BOTH RURAL AND URBAN UNDERSERVED POPULATIONS. MERCY MEDICAL CENTER HAS COMMITTED A FULL-TIME EQUIVALENT TO THE ROLE OF DIRECTOR OF COMMUNITY BENEFIT AND PATIENT RELATIONS. DIRECTOR OF COMMUNITY BENEFIT AND PATIENT RELATIONS REPORTS TO THE VICE PRESIDENT OF MISSION INTEGRATION, WHO REPORTS TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO). |
| 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 (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCYCARE SERVICE CORPORATION | |||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 421199429 | 501(C)(3) | $8,200,000 | FOR USE IN CONTINUING OPERATIONS | ||||
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | |||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 510233180 | 501(C)(3) | $216,288 | FOR USE IN CONTINUING OPERATIONS | ||||
| LINN COUNTY PUBLIC HEALTH | |||||||||||
| 501 13TH STREET NW | CEDAR RAPIDS | IA | 52405 | 426004338 | LINN COUNTY | $17,500 | GENERAL SUPPORT | ||||
| CATHERINE MCAULEY CENTER | |||||||||||
| 1220 5TH AVENUE SE | CEDAR RAPIDS | IA | 52403 | 421342872 | 501(C)(3) | $15,000 | GENERAL SUPPORT | ||||
| UNITED WAY OF EAST CENTRAL IOWA | |||||||||||
| 317 7TH AVENUE SE SUITE 401 | CEDAR RAPIDS | IA | 52401 | 420861239 | 501(C)(3) | $13,975 | GENERAL SUPPORT | $134 | FMV | IN KIND DONATIONS | |
| HORIZONS A FAMILY SERVICE ALLIANCE | |||||||||||
| 819 5TH STREET SE PO BOX 667 | CEDAR RAPIDS | IA | 52046 | 421135083 | 501(C)(3) | $12,000 | GENERAL SUPPORT | ||||
| FOUR OAKS | |||||||||||
| 5400 KIRKWOOD BOULEVARD SW | CEDAR RAPIDS | IA | 52404 | 420998726 | 501(C)(3) | $10,000 | GENERAL SUPPORT | ||||
| ORCHESTRA IOWA | |||||||||||
| 119 THIRD AVENUE SE | CEDAR RAPIDS | IA | 52401 | 420772544 | 501(C)(3) | $10,000 | GENERAL SUPPORT | ||||
| WAYPOINT | |||||||||||
| 318 5TH STREET SE | CEDAR RAPIDS | IA | 52401 | 420680307 | 501(C)(3) | $6,450 | GENERAL SUPPORT | $8,413 | FMV | IN KIND DONATIONS | |
| MAKE-A-WISH IOWA | |||||||||||
| 3009 100TH STREET | URBANDALE | IA | 50322 | 421310530 | 501(C)(3) | $5,700 | GENERAL SUPPORT | ||||
| JUVENILE DIABETES RESEARCH FOUNDATION (JDRF) | |||||||||||
| 1026 A AVENUE NE SUITE 113 PO BOX | CEDAR RAPIDS | IA | 52402 | 231907729 | 501(C)(3) | $5,500 | GENERAL SUPPORT | 3026 | |||
| JUNIOR ACHIEVEMENT | |||||||||||
| 324 3RD STREET SE SUITE 200 | CEDAR RAPIDS | IA | 52401 | 420919209 | 501(C)(3) | $5,000 | GENERAL SUPPORT | ||||
| GEMS OF HOPE INC | |||||||||||
| 420 6TH STREET SE SUITE 140 | CEDAR RAPIDS | IA | 52401 | 203155610 | 501(C)(3) | $5,000 | GENERAL SUPPORT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | 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 | ALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHONG C LEE MD | ||||||||||||||
| PHYSICIAN | $1,222,433 | $0 | $0 | $0 | $48,738 | $0 | $7,000 | $0 | $26,138 | $0 | $1,304,309 | $0 | $0 | $0 |
| DARIN W SMITH | ||||||||||||||
| PHYSICIAN | $995,571 | $0 | $0 | $0 | $20,534 | $0 | $7,000 | $0 | $25,137 | $0 | $1,048,242 | $0 | $0 | $0 |
| RYAN D HOLLENBECK MD | ||||||||||||||
| PHYSICIAN | $602,888 | $0 | $0 | $0 | $335,173 | $0 | $4,908 | $0 | $29,654 | $0 | $972,623 | $0 | $0 | $0 |
| SHANE A GAILUSHAS MD | ||||||||||||||
| PHYSICIAN | $493,430 | $0 | $0 | $0 | $436,293 | $0 | $7,000 | $0 | $22,532 | $0 | $959,255 | $0 | $0 | $0 |
| AMANDEEP DHALIWAL MD | ||||||||||||||
| PHYSICIAN | $586,232 | $0 | $0 | $0 | $302,446 | $0 | $7,000 | $0 | $8,263 | $0 | $903,941 | $0 | $0 | $0 |
| TIMOTHY L CHARLES | ||||||||||||||
| PRESIDENT & CEO | $702,064 | $0 | $0 | $0 | $16,758 | $0 | $55,677 | $0 | $16,115 | $0 | $790,614 | $0 | $0 | $0 |
| TIMOTHY QUINN MD | ||||||||||||||
| CHIEF OF CLINICAL OPERATIONS | $501,321 | $0 | $0 | $0 | $8,867 | $0 | $42,396 | $0 | $22,445 | $0 | $575,029 | $0 | $0 | $0 |
| NATHAN VANGENDEREN | ||||||||||||||
| EXECUTIVE VP/CFO | $385,067 | $0 | $0 | $0 | $8,191 | $0 | $34,280 | $0 | $22,756 | $0 | $450,294 | $0 | $0 | $0 |
| MARY BROBST | ||||||||||||||
| CHIEF NURSING OFFICER | $263,861 | $0 | $0 | $0 | $10,115 | $0 | $25,599 | $0 | $23,505 | $0 | $323,080 | $0 | $0 | $0 |
| JEFFREY CASH | ||||||||||||||
| CHIEF INFORMATION OFFICER | $257,544 | $0 | $0 | $0 | $11,623 | $0 | $24,768 | $0 | $25,532 | $0 | $319,467 | $0 | $0 | $0 |
| NANCY HILL-DAVIS | ||||||||||||||
| VP - HUMAN RESOURCES | $251,614 | $0 | $0 | $0 | $8,227 | $0 | $22,478 | $0 | $17,541 | $0 | $299,860 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TRAVEL FOR COMPANIONS: LIMITED TRAVEL FOR COMPANIONS IS PAID BY THE ORGANIZATION ON BEHALF OF ONE OF THE ORGANIZATION'S OFFICERS. THIS AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION AS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II. |
| PART I, LINE 4B | THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2019: MARY BROBST - $18,862, JEFFERY CASH - $18,137, TIMOTHY L CHARLES - $48,677, NANCY HILL-DAVIS - $16,047, TIMOTHY QUINN M.D. - $35,396, AND NATHAN VAN GENDEREN - $27,280. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2019. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CITY OF CEDAR RAPIDS IOWA | ||||||||
| A | 426004336 | 150543AA4 | 2003-04-10 | $30,000,000 | REIMBURSE HOSPITAL FOR COSTS OF ACQUIRING AND CONSTRUCTING FACILITIES | 0 | 0 | 0 |
| CITY OF CEDAR RAPIDS IOWA | ||||||||
| B | 426004336 | 150543AB2 | 2005-11-17 | $58,405,000 | ADVANCE REFUND OF 1999 BONDS | 0 | 0 | 0 |
| IOWA FINANCE AUTHORITY | ||||||||
| C | 521699886 | 4624466EQ | 2012-12-13 | $45,604,359 | REIMBURSE HOSPITAL FOR CAPITAL | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $30,000,000 | $1,288,620 | $28,711,380 | 2003 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $58,405,000 | $1,552,500 | 2005 | 0 | Yes (1) | Yes (1) | Yes (1) | $56,852,500 | |
| C | $45,604,359 | $604,359 | $45,000,000 | 2013 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | 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 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||||
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 29.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| UBS AG | ||||||||||||
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | Yes (1) | 24.000000000000 | 0 | 0 | 0 | 0 | Yes (1) |
| (no name) | ||||||||||||
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | |||
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CITY OF CEDAR RAPIDS, IOWA DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2008 ISSUER NAME: CITY OF CEDAR RAPIDS, IOWA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2009 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CARE MANAGEMENT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE BELOW IN PART V | RelationshipDescriptionTxt |
| Transaction | $1,779,774 | TransactionAmt |
| Transaction | MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART IV, COLUMN B | FormAndLineReferenceDesc |
| Explanation | TIMOTHY L. CHARLES IS AN OFFICER, AND KYLE SKOGMAN IS A MEMBER OF THE BOARD OF TRUSTEES OF MERCY MEDICAL CENTER AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, ALL THE AFOREMENTIONED INDIVIDUALS WERE OFFICERS OR MEMBERS OF THE BOARD OF DIRECTORS OF MERCY CARE MANAGEMENT, INC. | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $960 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | MERCY MEDICAL CENTER IS REPORTING THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF MERCY MEDICAL CENTER IS MERCYCARE SERVICE CORPORATION, AN IOWA NONPROFIT CORPORATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS: 1. AMEND, REPEAL, OR RESTATE THE ARTICLES OF INCORPORATION; 2. ANY MATTER DIRECTLY RELATED TO THE RELIGIOUS PRINCIPLES AND MORAL PHILOSOPHY OF THE SISTERS OF MERCY; 3. ADOPT OR CHANGE THE PHILOSOPHY AND MISSION OF THE CORPORATION; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, AND MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE CORPORATION; 6. ADOPTION OR AMENDMENT TO LONG-TERM STRATEGIC PLANS; 7. ADOPTION OR AMENDMENT TO ANNUAL CAPITAL OR OPERATING BUDGETS; AND 8. APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING THE FORM. THE COMMITTEE IS PROVIDED WITH GENERAL BACKGROUND INFORMATION REGARDING THE FORM 990, AND THE FORM ITSELF (INCLUDING ATTACHMENTS) IS REVIEWED. UPON REQUEST, THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE AND MANAGEMENT ARE AVAILABLE TO ANSWER QUESTIONS FROM THE TRUSTEES ON THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AS WELL AS EACH EMPLOYEE TO DISCLOSE ANY INTEREST IN, OBLIGATION OR DUTY TO, OR ACTIVITY FOR ANY CONCERN IN WHICH A DIRECTOR, OFFICER, KEY EMPLOYEE, OR EMPLOYEE OR THEIR FAMILY MEMBER MAY BE INVOLVED THAT: MIGHT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR MIGHT HAVE THE APPEARANCE OF ADVERSELY AFFECTING THE DIRECTOR'S, OFFICER'S, KEY EMPLOYEE'S, OR EMPLOYEE'S JUDGMENT OR ACTIONS IN PERFORMING HIS/HER DUTIES TOWARDS MERCY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES SHALL FILE AN INITIAL CONFLICT OF INTEREST REPORT UPON HIRE AND SHALL BE REQUIRED TO FILE AN UPDATED REPORT IMMEDIATELY IF ANY CHANGES OCCUR WHICH RESULT IN A CONFLICT OF INTEREST OR FINANCIAL INTEREST. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES (SUPERVISOR AND ABOVE), PHYSICIANS, AND ANY EMPLOYEE IN A POSITION TO INFLUENCE A PURCHASE DECISION SHALL RE-SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WITH ANY NECESSARY CHANGES, EACH YEAR AND IMMEDIATELY IF ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. ALL BOARD MEMBERS SHALL SUBMIT IN WRITING A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. THE STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR AND AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS WITH A MERCY MEDICAL CENTER BOARD MEMBER: -UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, THE CORPORATE OFFICER, OR THE CEO MAKING SUCH DISCLOSURE MAY BE ASKED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. -THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. -IN THE CASE OF DISCLOSURE BY A MEDICAL STAFF MEMBER, PHYSICIAN, EXECUTIVE STAFF MEMBER, DEPARTMENT DIRECTOR, SUPERVISOR, OR OTHER INDIVIDUAL, THE PRESIDENT/CEO OF ENTITY SHALL DETERMINE, BASED ON THE FACTS AND CIRCUMSTANCES DISCLOSED, IF A CONFLICT OF INTEREST EXISTS. -THE PRESIDENT/CEO OF ENTITY SHALL REPORT THE RESULTS OF ALL DETERMINATIONS, WITH REGARD TO CONFLICT OF INTEREST, TO THE CHAIR OF THE BOARD. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF MERCY MEDICAL CENTER KEY PERSONNEL, EMPLOYEES, OR OTHER AFFECTED PARTIES, TERMINATION OF EMPLOYMENT. RETENTION PERIOD: ALL CERTIFICATES AND DISCLOSURE SUMMARY DOCUMENTS OF CURRENT OR FORMER EMPLOYEES (AND RELATED CORRESPONDENCE) WILL BE RETAINED IN ACCORDANCE WITH MERCY'S RECORD RETENTION POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE MERCYCARE SERVICE CORPORATION'S HUMAN RESOURCES COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED AND DOCUMENTED ON FEBRUARY 12, 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -1,422,363. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -12,912,440. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -2,759,758. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP 11,504. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 30,689,132. CONTRIBUTION REVENUE NOT RECORDED FOR BOOKS -960. |
| FORM 990, PART XI, LINE 2C | THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MERCYCARE ACCOUNTABLE CARE ORGANIZATION LLC | |||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 833158753 | ACCOUNTABLE CARE ORGANIZATION | IA | $190 | $111,379 | MERCY MEDICAL CENTER |
| MERCY AMBULATORY SURGICAL CENTER | |||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 841875159 | OUTPATIENT SURGERY CENTER | IA | -$466,945 | $426,872 | MERCY MEDICAL CENTER |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC | |||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 510233180 | FUNDRAISING FOR MERCY MEDICAL CENTER | IA | 501(C)(3) | LINE 12B, TYPE II | MERCY MEDICAL CENTER | Yes (1) | |
| MERCYCARE SERVICE CORPORATION | |||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 421199429 | HEALTHCARE OVERSIGHT | IA | 501(C)(3) | LINE 12B, TYPE II | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 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 | Direct Controlling NADirectControllingNACd | UBI Code VUBICodeVAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR ASSOCIATES LLP | |||||||||||||||
| 1455 SHERMAN ROAD | HIAWATHA | IA | 52233 | 421260463 | MEDICAL IMAGING | IA | MERCY MEDICAL CENTER | RELATED | $1,299,437 | $1,907,601 | 0 | Yes (1) | 0.33330 | ||
| EASTERN IOWA SLEEP CENTER | |||||||||||||||
| 600 7TH STREET | CEDAR RAPIDS | IA | 52401 | 260310416 | SLEEP STUDIES | IA | RELATED | $214,110 | $1,239,952 | 0 | Yes (1) | 0.33330 | N/A | ||
| MERCY-PHS SENIOR HOUSING INC | |||||||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 843118573 | APPROPRIATE AND DEVELOP SENIOR HOUSING PROJECT | IA | MERCY MEDICAL CENER | RELATED | 0 | Yes (1) | 0.50000 | ||||
| CEDAR RAPIDS PHYSICIANS-HOSP ORG LC | |||||||||||||||
| 722 5TH AVENUE SE | CEDAR RAPIDS | IA | 42401 | 421445014 | PHYSICIAN CREDENTIALING | IA | RELATED | $278,018 | $2,200,352 | 0 | 0 | 0.50000 | N/A | $174,679 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MERCY CARE MANAGEMENT INC | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421198970 | MEDICAL CLINICS | IA | N/A | C | 0 |
| MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC) | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421442443 | MEDICAL SERVICES | IA | N/A | C | 0 |
| MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC) | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421442442 | SUPPORT SERVICES | IA | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCY CARE MANAGEMENT INC | ||
| A | $1,779,774 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| A | $1 | FAIR MARKET VALUE |
| MERCYCARE SERVICE CORPORATION | ||
| B | $8,200,000 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| B | $316,869 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| C | $2,485,267 | FAIR MARKET VALUE |
| MERCYCARE SERVICE CORPORATION | ||
| C | $216,288 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| Q | $621,525 | FAIR MARKET VALUE |