STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MERCY MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-07-15
IRS object ID
202011979349303836
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-15T13:32:37-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14650 E 53RD STAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528073479ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420698295EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3193986107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 10TH ST SEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNATHAN VAN GENDERENPersonNm
Person TitleEXECUTIVE VP/CFOPersonTitleTxt
Phone3193986107PhoneNum
Signature2020-06-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENIFER L CHASEPreparerPersonNm
PTINP01306883PTIN
Phone5638884000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address173.20.82.182IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-06-09IPDt
IP Tm19:19:32IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9D8C4631151EF1E1BB3DDB3444689A82E6B5C400AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNATHAN VAN GENDERENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 10TH ST SEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$455,384,678GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1900FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO 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 Body28VotingMembersGoverningBodyCnt
Voting Members Independent25VotingMembersIndependentCnt
Total Employee2814TotalEmployeeCnt
Total Volunteers950TotalVolunteersCnt
Total Gross UBI$1,224,796TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$322,111NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,225,828PYContributionsGrantsAmt
CY Contributions Grants$2,824,748CYContributionsGrantsAmt
PY Program Service Revenue$328,772,367PYProgramServiceRevenueAmt
CY Program Service Revenue$337,080,026CYProgramServiceRevenueAmt
PY Investment Income$8,434,276PYInvestmentIncomeAmt
CY Investment Income$9,686,638CYInvestmentIncomeAmt
PY Other Revenue-$1,159,085PYOtherRevenueAmt
CY Other Revenue-$1,592,343CYOtherRevenueAmt
PY Total Revenue$341,273,386PYTotalRevenueAmt
CY Total Revenue$347,999,069CYTotalRevenueAmt
PY Grants And Similar Paid$14,829,040PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,888,315CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,104,967PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$165,025,921CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$164,565,783PYOtherExpensesAmt
CY Other Expenses$170,666,779CYOtherExpensesAmt
PY Total Expenses$334,499,790PYTotalExpensesAmt
CY Total Expenses$341,581,015CYTotalExpensesAmt
PY Revenues Less Expenses$6,773,596PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,418,054CYRevenuesLessExpensesAmt
Total Assets BOY$573,230,191TotalAssetsBOYAmt
Total Assets EOY$591,175,878TotalAssetsEOYAmt
Total Liabilities BOY$197,287,969TotalLiabilitiesBOYAmt
Total Liabilities EOY$219,631,338TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$375,942,222NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$371,544,540NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$268,559,646ExpenseAmt
Grant$5,888,315GrantAmt
Revenue$334,464,155RevenueAmt
DescTHE 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 ) - $20,160,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,144,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES - $4,770,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $12,090,000, PHYSICIAN EDUCATION - $978,000. 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 FREQUENTLY 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, RADIATION THERAPIST AND DOSIMETRIST, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL CANCER SUPPORT GROUPS. C. CONTRIBUTIONS OF APPROXIMATELY 176,000 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $2,348,000 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS.Desc
Total Program Service Expenses$268,559,646TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art ContributionYes (1)DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document158IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2814EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members28GoverningBodyVotingMembersCnt
Independent Voting Member25IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAY CRISTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3193986107PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 10TH STREET SEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN-PAUL BESONG
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
LYDIA BROWN
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
MICHELE BUSSE
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
BOB CATALDO
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
TIMOTHY L CHARLES
PRESIDENT & CEO40.00Yes (X)$911,772$0$69,551Yes (X)
JACK COSGROVE
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
CHRIS DEWOLF
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
BARRIE ERNST
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
TONY GOLOBIC
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
SISTER LUANN HANNASCH
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
NICHOLAS HODGMAN MD
MEMBER BOARD OF TRUSTEES40.00Yes (X)$905,231$0$21,877
NANCY KASPAREK
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
JAN KAZIMOUR
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
SISTER SHARON KERRIGAN
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
BARB KNAPP
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
SISTER TERRY MALTBY
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
CHERYLE MITVALSKY
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
DARREL MORF
VICE CHAIRMAN/TREASURER1.00Yes (X)$0$0$0Yes (X)
RUE PATEL
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
FRED PILCHER MD
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
MARY QUASS
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
JOHN RIFE
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
CHARLES ROHDE
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
AL RUFFALO
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
KYLE SKOGMAN
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
JOHN SMITH
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
SISTER MAURITA SOUKUP
SECRETARY1.00Yes (X)$0$0$0Yes (X)
SISTER RITA VALADE
FORMER MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
SISTER MARGARET WEIGEL
MEMBER BOARD OF TRUSTEES1.00Yes (X)$0$0$0
NATHAN VANGENDEREN
EXECUTIVE VP/CFO40.00$491,075$0$55,372Yes (X)
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIONS40.00$632,807$0$64,937Yes (X)
MARY BROBST
CHIEF NURSING OFFICER40.00$327,562$0$47,140Yes (X)
JEFFREY CASH
CHIEF INFORMATION OFFICER40.00$326,398$0$49,366Yes (X)
NANCY HILL-DAVIS
VP - HUMAN RESOURCES40.00$266,947$0$23,739Yes (X)
AMANDEEP DHALIWAL MD
PHYSICIAN40.00$870,477$0$8,389Yes (X)
SHANE A GAILUSHAS MD
PHYSICIAN40.00$706,623$0$21,877Yes (X)
RYAN D HOLLENBECK MD
PHYSICIAN40.00$831,665$0$30,925Yes (X)
CHONG C LEE MD
PHYSICIAN40.00$1,335,634$0$27,408Yes (X)
SHINY MATHEWKUTTY MD
PHYSICIAN40.00$699,379$0$16,176Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,305,570TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$436,757TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K132IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF IOWA HEALTH CARE
200 HAWKINS DRIVEIOWA CITYIA52242HEALTHCARE PROFESSIONAL SERVICES$4,832,610
ONCOLOGY ASSOCIATES OF CEDAR RAPIDS
701 10TH STREETCEDAR RAPIDSIA52403HEALTHCARE PROFESSIONAL SERVICES$3,709,795
SOUND PHYSICIANS
PO BOX 942936LOS ANGELESCA90074HEALTHCARE PROFESSIONAL SERVICES$3,252,999
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET 500OMAHANE68154HEALTHCARE PROFESSIONAL SERVICES$2,079,689
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397HEALTHCARE PROFESSIONAL SERVICES$1,842,082
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K51CntrctRcvdGreaterThan100KCnt
Related Organizations$2,527,822RelatedOrganizationsAmt
All Other Contributions$296,926AllOtherContributionsAmt
Noncash Contributions$5,493NoncashContributionsAmt
Total Contributions$2,824,748TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES900099$231,042,672$231,042,672
LABORATORY REVENUE621500$110,377,078$109,580,509$796,569
FAMILY COUNSELING REVENUE624100$280,409$280,409
LESS: PROVISION FOR BAD DEBT900099-$4,620,133-$4,620,133
FieldValueIRS element (for citing)
Total Program Service Revenue$337,080,026TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,918,255TotalRevenueColumnAmt
Exclusion$6,918,255ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,528,436RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,262,969RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$265,467RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$265,467TotalRevenueColumnAmt
Exclusion$265,467ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$104,762,244SecuritiesAmt
Other$55,305OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$102,047,280SecuritiesAmt
Other$1,886OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,714,964SecuritiesAmt
Other$53,419OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,768,383TotalRevenueColumnAmt
Exclusion$2,768,383ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,606,739GrossSalesOfInventoryAmt
Cost Of Goods Sold$3,073,474CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$466,735TotalRevenueColumnAmt
Exclusion-$466,735ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
INVESTMENT PARTNERSHIP INCOME(LOS561000$2,417,943$1,989,716$428,227
MISCELLANEOUS REVENUE900099$1,550$1,550
MRI JOINT VENTURE621110-$3,810,568-$3,810,568
FieldValueIRS element (for citing)
Other Revenue Total-$1,391,075OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$347,999,069TotalRevenueColumnAmt
Related Or Exempt Func Income$334,464,155RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,224,796UnrelatedBusinessRevenueAmt
Exclusion$9,485,370ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,888,315TotalAmt
Program Services$5,888,315ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,021,603TotalAmt
Program Services$3,146,630ProgramServicesAmt
Management And General$874,973ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$127,441,254TotalAmt
Program Services$99,714,078ProgramServicesAmt
Management And General$27,727,176ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,971,154TotalAmt
Program Services$3,107,157ProgramServicesAmt
Management And General$863,997ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,568,341TotalAmt
Program Services$16,093,322ProgramServicesAmt
Management And General$4,475,019ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,023,569TotalAmt
Program Services$7,060,327ProgramServicesAmt
Management And General$1,963,242ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$131,223TotalAmt
Program Services$102,673ProgramServicesAmt
Management And General$28,550ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$30,845TotalAmt
Program Services$24,134ProgramServicesAmt
Management And General$6,711ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,970TotalAmt
Program Services$3,106ProgramServicesAmt
Management And General$864ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,066,339TotalAmt
Program Services$21,177,562ProgramServicesAmt
Management And General$5,888,777ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,600,029TotalAmt
Program Services$1,251,913ProgramServicesAmt
Management And General$348,116ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$86,923,021TotalAmt
Program Services$68,011,328ProgramServicesAmt
Management And General$18,911,693ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$482,763TotalAmt
Program Services$377,729ProgramServicesAmt
Management And General$105,034ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,085,130TotalAmt
Program Services$3,196,335ProgramServicesAmt
Management And General$888,795ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$268,460TotalAmt
Program Services$210,052ProgramServicesAmt
Management And General$58,408ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$116,739TotalAmt
Program Services$91,340ProgramServicesAmt
Management And General$25,399ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,658,176TotalAmt
Program Services$3,644,705ProgramServicesAmt
Management And General$1,013,471ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,687,050TotalAmt
Program Services$18,533,499ProgramServicesAmt
Management And General$5,153,551ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$959,299TotalAmt
Program Services$750,586ProgramServicesAmt
Management And General$208,713ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
UNRELATED BUSINESS INCO$67,643$67,643
CONTRACTED SERVICES$11,063,723$8,656,608$2,407,115
REPAIRS$2,102,858$1,645,343$457,515
TAXES & LICENSES$1,948,768$1,524,778$423,990

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,470,743TotalAmt
Program Services$4,280,483ProgramServicesAmt
Management And General$1,190,260ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$341,581,015TotalAmt
Program Services$268,559,646ProgramServicesAmt
Management And General$73,021,369ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,797,559BOYAmt
EOY$13,103,421EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,070,974BOYAmt
EOY$6,235,105EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,496,407BOYAmt
EOY$39,891,124EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$617,655BOYAmt
EOY$792,679EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,837,655BOYAmt
EOY$7,682,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,844,737BOYAmt
EOY$8,336,801EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$498,485,519LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$312,333,935LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$184,088,189BOYAmt
EOY$186,151,584EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$251,859,574BOYAmt
EOY$254,005,511EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$82,033BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$74,535,408BOYAmt
EOY$74,976,907EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$573,230,191BOYAmt
EOY$591,175,878EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,543,949BOYAmt
EOY$53,474,783EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$105,469,496BOYAmt
EOY$104,511,718EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,274,524BOYAmt
EOY$61,644,837EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,287,969BOYAmt
EOY$219,631,338EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$326,727,077BOYAmt
EOY$321,845,853EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,768,488BOYAmt
EOY$22,052,009EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$27,446,657BOYAmt
EOY$27,646,678EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$375,942,222BOYAmt
EOY$371,544,540EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$573,230,191BOYAmt
EOY$591,175,878EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,418,054ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,015,767NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$13,831,503OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$30,845OtherActivitiesAmt
Total Lobbying Expenditures$30,845TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
Explanation18.1% OR $28,180 OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, 3.52% OR $1,971 OF MEMBERSHIP DUES TO THE CATHOLIC HEALTH ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, AND 5.55% OR $694 OF MEMBERSHIP DUES TO THE CEDAR RAPIDS METRO ALLIANCE IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$38,709,974BeginningYearBalanceAmt
Contributions$188,283ContributionsAmt
Investment Earnings Or Losses$1,202,709InvestmentEarningsOrLossesAmt
Other Expenditures-$86,118OtherExpendituresAmt
Administrative Expenses$1,113,376AdministrativeExpensesAmt
End Year Balance$39,073,708EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,681,476BeginningYearBalanceAmt
Contributions$129,753ContributionsAmt
Investment Earnings Or Losses$1,402,741InvestmentEarningsOrLossesAmt
Other Expenditures-$77,440OtherExpendituresAmt
Administrative Expenses$581,436AdministrativeExpensesAmt
End Year Balance$38,709,974EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$36,037,066BeginningYearBalanceAmt
Contributions$294,653ContributionsAmt
Investment Earnings Or Losses$1,771,320InvestmentEarningsOrLossesAmt
Other Expenditures-$171,611OtherExpendituresAmt
Administrative Expenses$593,174AdministrativeExpensesAmt
End Year Balance$37,681,476EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,173,368BeginningYearBalanceAmt
Contributions$1,481,758ContributionsAmt
Investment Earnings Or Losses-$43,393InvestmentEarningsOrLossesAmt
Administrative Expenses$574,667AdministrativeExpensesAmt
End Year Balance$36,037,066EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$34,987,320BeginningYearBalanceAmt
Contributions$298,033ContributionsAmt
Investment Earnings Or Losses$285,414InvestmentEarningsOrLossesAmt
Administrative Expenses$397,399AdministrativeExpensesAmt
End Year Balance$35,173,368EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.16620BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.70530PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12850TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,543,864OtherCostOrOtherBasisAmt
Book Value$20,543,864BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$301,752,922OtherCostOrOtherBasisAmt
Depreciation$188,250,638DepreciationAmt
Book Value$113,502,284BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,887,462OtherCostOrOtherBasisAmt
Depreciation$121,420,330DepreciationAmt
Book Value$51,467,132BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,301,271OtherCostOrOtherBasisAmt
Depreciation$2,662,967DepreciationAmt
Book Value$638,304BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$186,151,584TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION$71,409,899C
INVESTMENT IN CEDAR RAPIDS PHO$1,321,000C
SLEEP LAB JOINT VENTURE$1,145,000C
INVESTMENT IN MR ASSOCIATES$458,000C
INVESTMENT IN MEDICAL MALL$343,008C
INVESTMENT IN UMCSC$300,000C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$74,976,907TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
INTEREST RATE SWAP AGREEMENTS$8,920,420
PENSION LIABILITY$41,929,323
SELF INSURANCE RESERVES$8,757,413
THIRD PARTY SETTLEMENTS$2,037,681
FieldValueIRS element (for citing)
Total Liability$61,644,837TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$334,124,599TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,015,767NetUnrealizedGainsInvstAmt
Other Revenue-$18,616,865OtherRevenueAmt
Revenue Not Reported-$15,601,098RevenueNotReportedAmt
Revenue Subtotal$349,725,697RevenueSubtotalAmt
Other Revenues Not Included-$1,726,628OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$1,726,628RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$347,999,069TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$338,522,281TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,203,328OtherExpensesIncludedAmt
Expenses Not Reported$2,203,328ExpensesNotReportedAmt
Expenses Subtotal$336,318,953ExpensesSubtotalAmt
Other Expenses Not Included$5,262,062OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,262,062ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$341,581,015TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 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, 2019 AND 2018, 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 -2,275,414. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN -11,995,943. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 819,492. GRANT TO MERCYARE SERVICE CORPORATION INCLUDED WITH REVENUES -5,165,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -2,203,328. LOSS ON SALE OF ASSETS 53,419. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 383,422. REVENUE INCLUDED WITH EXPENSES ON AUDIT REPORT 43,643. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT -28,352. CONTRIBUTION REVENUE NOT RECORDED ON BOOKS 24,568.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 2,203,328.
PART XII, LINE 4B - OTHER ADJUSTMENTS:GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 5,165,000. REVENUES INCLUDED WITH EXPENSES ON AUDIT REPORT 43,643. LOSS ON SALE OF FIXED ASSETS 53,419.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConductedTxt
Region Total Expenditures$2,402,633RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$2,402,633SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$2,402,633TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,087,126TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$29,711,940DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,375,186NetCommunityBenefitExpnsAmt
Total Expense0.02740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,579,254TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,495,051DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,084,203NetCommunityBenefitExpnsAmt
Total Expense0.03830TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,666,380TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,206,991DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,459,389NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$260,852TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$260,852NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,997,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$982,217DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,015,088NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,808,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,671,689DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$521,676TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$521,676NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,588,050TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,653,906DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,797,616NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$90,254,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$68,860,897DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,257,005NetCommunityBenefitExpnsAmt
Total Expense0.07100TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,319TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,319NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$439,711TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$439,711NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,442TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$118,442NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$565,472TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$565,472NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,620,133BadDebtExpenseAmt
Reimbursed By Medicare$134,133,586ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$154,295,603CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$20,162,017MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MR ASSOCIATES LLP
MRI SERVICES0.330000.000000.33000
2 EASTERN IOWA SLEEP CENTER LLC
SLEEP STUDIES0.330000.000000.33000
3 PARAMOUNT HEALTH OPTIONS
PAYOR CONTRACTING0.400000.000000.60000
4 PCI REGIONAL MED MALL LLC
MEDICAL SERVICES0.100000.000000.80000
5 PCI LENDER LLC
FINANCIAL SERVICES0.075000.000000.85000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 10TH STREET SEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.MERCYCARE.ORGWebsiteAddressTxt
State License570036HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART VOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART VStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.MERCYCARE.ORG/FINANCIAL-ASSISTANCE-POLICYFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/5043/FINANCIAL-ASSISTANCE-APPLICFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/7416/PLAIN-LANGUAGE-FINANCIAL-ASFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MERCY MEDICAL CENTERPART 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 CENTERPART 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 CENTERPART 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 CENTERPART V, SECTION B, LINE 11: MERCY MEDICAL CENTER IS ADDRESSING THE THREE PRIORITY SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT (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 LINN-MAR AND PRAIRIE SCHOOL DISTRICTS WITH A MENTAL HEALTH URGENT CARE PROGRAM, PARTICIPATING IN THE DEVELOPMENT OF THE LINN COUNTY MENTAL HEALTH ACCESS CENTER, INCREASING EARLY INTERVENTION SERVICES FOR SUICIDE THROUGH NEWLY IMPLEMENTED 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.
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/APP/FILES/PUBLIC/9502/CHNA-2018.PDF
SCHEDULE H, PART V, SECTION B, LINE 10A:HTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/9866/2018-CHNA-IMPLEMENTATION-STRATEGY.PDF

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 26.42%. THIS PERCENTAGE INCREASES TO 71.59% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:MERCY MEDICAL CENTER (MERCY) PARTICIPATED IN A NUMBER OF 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 A NUMBER OF COALITIONS, COMMITTEES AND BOARDS SUCH AS BIG BROTHERS BIG SISTERS, THE CATHERINE MCAULEY CENTER, AND THE UNITED WAY OF EAST CENTRAL IOWA. ANNUALLY, MERCY STAFF PARTICIPATE IN THE UNITED WAY DAY OF CARING WHICH IS A DAY OF COMMUNITY SERVICE PARTNERING LOCAL BUSINESSES WITH NONPROFITS. STAFF ALSO PARTICIPATED IN WORKFORCE DEVELOPMENT EXPERIENCES WITH LOCAL HIGH SCHOOL STUDENTS. 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 8 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, 48% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE. ANOTHER 14% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICAID COVERAGE. 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 OF THIS INFORMATION, IN ADDITION TO THE CHNA TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL.
PART VI, LINE 4:MERCY MEDICAL CENTER (MERCY) 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% FEMALE93.4% CAUCASIAN2.3% AFRICAN AMERICAN1.2% NATIVE AMERICAN1.4% ASIAN/PACIFIC1.5% TWO OR MORE RACES3.5% HISPANIC18.0% 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 $60,194THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 9.28% AS COMPARED TO 11.8% FOR ALL OF IOWA THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.43FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN BENTON, BUCHANAN, DELAWARE, IOWA, JONES, LINN AND TAMA COUNTIES 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.MERCY MEDICAL CENTER CONTRIBUTES TO THE HEALTH OF THE COMMUNITIES IT SERVES IN A NUMBER OF WAYS. MERCY PROVIDES REPRESENTATION ON SEVERAL COMMUNITY BOARDS, COALITIONS AND COMMITTEES ADDRESSING HEALTH NEEDS. EXAMPLES INCLUDE:-THE ARC OF EAST CENTRAL IOWA BOARD-COMMUNITY HEALTH FREE CLINIC BOARD-LINN COUNTY MENTAL HEALTH ACCESS CENTER PLANNING COMMITTEE-MY CARE COMMUNITY, WHICH CONSISTS OF SOCIAL SERVICE, PUBLIC HEALTH, AND HEALTHCARE PROVIDERS IN LINN COUNTY -GEMS OF HOPE BOARD-HAWKEYE AREA COMMUNITY ACTION PROGRAM-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. MERCYCARE HEALTH PARTNERS CLINIC CREATES AFFORDABLE, ACCESSIBLE CARE FOR PEOPLE WITH COMPLEX MEDICAL ISSUES WHO FACE BARRIERS TO ACHIEVING THEIR HEALTH GOALS. TO INCREASE ACCESS TO MEDICAL CARE IN RURAL IOWA, MERCYCARE TAMA AND MERCYCARE MONTICELLO OFFER PRIMARY CARE SERVICES. 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 AND RADIOLOGY SERVICES FOR THE CITY'S TWO FREE CLINICS. MERCY WORKS WITH THE CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT TO OFFER ELECTRONIC HEALTH RECORDS AT METRO CARE CONNECTION SCHOOL-BASED HEALTH CENTERS. MERCY HONORED THE LIFETIME ACCOMPLISHMENTS OF SR. MARY LAWRENCE HALLAGAN WITH A NON-PROFIT COMMUNITY CENTER THAT OPENED SEPT. 6, 2011 TO PROVIDE SPACE AND DIRECT CLIENT SERVICES TO NONPROFIT ORGANIZATIONS AT 420 6TH STREET, CEDAR RAPIDS. 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. IN ADDITION, MERCY ADMINISTRATION BUDGETS 2 HOURS PER FULL-TIME EQUIVALENT THAT IS USED TO SUPPORT COMMUNITY BENEFIT ACTIVITIES AND PRECEPTING HEALTH PROFESSIONS STUDENTS. THE 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 STATESIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescAddress Line2USAddress/AddressLine2Txt
MERCYCARE SERVICE CORPORATION
701 10TH STREET SECEDAR RAPIDSIA52403421199429501(C)(3)$5,165,000FOR USE IN CONTINUING OPERATIONS
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
701 10TH STREET SECEDAR RAPIDSIA52403510233180501(C)(3)$255,108FOR USE IN CONTINUING OPERATIONS AND CONTRIBUTION FOR ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER
FOUR OAKS FAMILY AND CHILDREN SERVICES
5400 KIRKWOOD BLVD SWCEDAR RAPIDSIA52404420998726501(C)(3)$35,000GENERAL SUPPORT
ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER
701 10TH STREET SECEDAR RAPIDSIA52403421199429501(C)(3)$40,000GENERAL SUPPORT
AMERICAN HEART ASSOCIATION INC
1035 N CENTER POINT RD SUITE BHIAWATHAIA52233135613797501(C)(3)$36,000GENERAL SUPPORT
UNITED WAY OF EAST CENTRAL IOWA
317 7TH AVENUE SE STE 401CEDAR RAPIDSIA52401420861239501(C)(3)$13,975GENERAL SUPPORT$1,454FAIR MARKET VALUEIN KIND DONATIONS
JUVENILE DIABETES FOUNDATION (JDRF)
1026 A AVENUE NE SUITE 113 PO BOXCEDAR RAPIDSIA52402231907729501(C)(3)$10,000GENERAL SUPPORT3026
ORCHESTRA IOWA INC
119 THIRD AVENUE SECEDAR RAPIDSIA52401420772544501(C)(3)$10,000GENERAL SUPPORT
GEMS OF HOPE INC
420 6TH STREET SECEDAR RAPIDSIA52401203155610501(C)(3)$7,500GENERAL SUPPORT
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION
317 7TH AVENUE SE STE 402CEDAR RAPIDSIA52401133039601501(C)(3)$7,500GENERAL SUPPORT
ZACH JOHNSON FOUNDATION
PO BOX 2336CEDAR RAPIDSIA52406272683100501(C)(3)$6,500GENERAL SUPPORT
WAYPOINT
318 5TH STREET SECEDAR RAPIDSIA52401420680307501(C)(3)$5,000GENERAL SUPPORT
CHAINS INTERRUPTED
PO BOX 583CEDAR RAPIDSIA52406814426353501(C)(3)$6,000GENERAL SUPPORT
LINN COUNTY MEDICAL SOCIETY
813 1ST AVE SECEDAR RAPIDSIA52402237410746501(C)(6)$5,000GENERAL SUPPORT
UNIVERSITY OF IOWA
105 JESSUP HALLIOWA CITYIA52242426004813STATE OF IOWA$5,200GREAT IOWA NURSES PROGRAM
HAWKEYE AREA COMMUNITY ACTION PROGRAM INC
1515 HAWKEYE DRIVEHIAWATHAIA52233420898405501(C)(3)$5,000GENERAL SUPPORT
NFC CEDAR RAPIDS LLC
1110 OLD MARION RD SUITE ACEDAR RAPIDSIA52402824992170501(C)(3)$10,000GENERAL SUPPORT
LINN COUNTY PUBLIC HEALTH
510 13TH ST NWCEDAR RAPIDSIA52405426004338501(C)(3)$32,820GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org17Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIMOTHY L CHARLES
PRESIDENT & CEO$673,822$0$221,192$0$16,758$0$54,279$0$15,272$0$981,323$0$0$0
NICHOLAS HODGMAN MD
MEMBER BOARD OF TRUSTEES$622,792$0$281,359$0$1,080$0$0$0$21,877$0$927,108$0$0$0
NATHAN VANGENDEREN
EXECUTIVE VP/CFO$372,724$0$110,576$0$7,775$0$33,269$0$22,103$0$546,447$0$0$0
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIONS$486,603$0$137,337$0$8,867$0$41,345$0$23,592$0$697,744$0$0$0
MARY BROBST
CHIEF NURSING OFFICER$257,777$0$59,748$0$10,037$0$25,244$0$21,896$0$374,702$0$0$0
JEFFREY CASH
CHIEF INFORMATION OFFICER$250,946$0$65,545$0$9,907$0$24,537$0$24,829$0$375,764$0$0$0
NANCY HILL-DAVIS
VP - HUMAN RESOURCES$220,843$0$39,332$0$6,772$0$6,642$0$17,097$0$290,686$0$0$0
AMANDEEP DHALIWAL MD
PHYSICIAN$590,492$0$279,499$0$486$0$0$0$8,389$0$878,866$0$0$0
SHANE A GAILUSHAS MD
PHYSICIAN$495,661$0$196,507$0$14,455$0$0$0$21,877$0$728,500$0$0$0
RYAN D HOLLENBECK MD
PHYSICIAN$573,593$0$257,586$0$486$0$0$0$30,925$0$862,590$0$0$0
CHONG C LEE MD
PHYSICIAN$1,319,108$0$0$0$16,526$0$0$0$27,408$0$1,363,042$0$0$0
SHINY MATHEWKUTTY MD
PHYSICIAN$538,420$0$140,065$0$20,894$0$0$0$16,176$0$715,555$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2018: MARY BROBST - $18,369, JEFFERY CASH - $17,662, TIMOTHY L CHARLES - $47,404, TIMOTHY QUINN M.D. - $34,470, AND NATHAN VAN GENDEREN - $26,394. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2018.
PART I, LINE 7BONUS PAYMENTS ARE MADE ANNUALLY BASED ON NUMEROUS CRITERIA SUCH AS THE ORGANIZATION'S CASH FLOW BUDGET, OPERATING MARGIN, QUALITY RESULTS, AS WELL AS PERSONAL METRICS AND GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CITY OF CEDAR RAPIDS IOWA
A426004336150543AA42003-04-10$30,000,000REIMBURSE HOSPITAL FOR COSTS OF ACQUIRING AND CONSTRUCTING FACILITIES000
CITY OF CEDAR RAPIDS IOWA
B426004336150543AB22005-11-17$58,405,000ADVANCE REFUND OF 1999 BONDS000
IOWA FINANCE AUTHORITY
C5216998864624466EQ2012-12-13$45,604,359REIMBURSE HOSPITAL FOR CAPITAL000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndOther Spent ProceedsOtherSpentProceedsAmt
A$5,550,000$30,000,000$1,288,620$28,711,380200300Yes (1)Yes (1)
B$20,430,000$58,405,000$1,552,50020050Yes (1)Yes (1)Yes (1)$56,852,500
C$6,115,000$45,604,359$604,359$45,000,000201300Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C0Yes (1)000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS AG
A000Yes (1)Yes (1)Yes (1)29.0000000000000000Yes (1)
UBS AG
B000Yes (1)Yes (1)Yes (1)24.0000000000000000Yes (1)
(no name)
C0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER 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: 04/01/2009ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY CARE MANAGEMENT INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionSEE BELOW IN PART VRelationshipDescriptionTxt
Transaction$1,723,730TransactionAmt
TransactionMERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IV, COLUMN BFormAndLineReferenceDesc
ExplanationTIMOTHY 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

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$5,493NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationMERCY MEDICAL CENTER IS REPORTING THE NUMBER OF CONTRIBUTIONS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AAS 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 7BAS 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 11BTHE 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 12CTHE 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.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE MERCYCARE SERVICE CORPORATION'S COMPENSATION COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED AND DOCUMENTED ON MARCH 29, 2018.
FORM 990, PART VI, SECTION C, LINE 19THE 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) -383,422. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -11,995,943. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -2,275,414. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP 28,352. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 819,492. CONTRIBUTION REVENUE NOT RECORDED FOR BOOKS -24,568.
FORM 990, PART XI, LINE 2CTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCYCARE ACCOUNTABLE CARE ORGANIZATION LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1701 10TH STREET SEAddressLine1Txt
CityCEDAR RAPIDSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd
FieldValueIRS element (for citing)
EIN833158753EIN
Primary ActivitiesACCOUNTABLE CARE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd
Total Income-$542TotalIncomeAmt
End Of Year Assets$111,271EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MERCY MEDICAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC
701 10TH STREET SECEDAR RAPIDSIA52403510233180FUNDRAISING FOR MERCY MEDICAL CENTERIA501(C)(3)LINE 12B, TYPE IIMERCY MEDICAL CENTERYes (1)
MERCYCARE SERVICE CORPORATION
701 10TH STREET SECEDAR RAPIDSIA52403421199429HEALTHCARE OVERSIGHTIA501(C)(3)LINE 12B, TYPE II0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
MR ASSOCIATES LLP
1455 SHERMAN ROADHIAWATHAIA52233421260463MEDICAL IMAGINGIAMERCY MEDICAL CENTERRELATED$1,469,085$2,368,3900Yes (1)0.33330
UNIVERSITY OF IOWA AFFILIATED HEALTH PROVIDERS LC
200 HAWKINS DRIVEIOWA CITYIA52242421432272ACCOUNTABLE CARE ORGANIZATIONIAN/A
EASTERN IOWA SLEEP CENTER
600 7TH STREETCEDAR RAPIDSIA52401260310416SLEEP STUDIESIARELATED$243,207$1,242,3290Yes (1)0.33330

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MERCY CARE MANAGEMENT INC
PO BOX 786CEDAR RAPIDSIA52406421198970MEDICAL CLINICSIAN/AC0
MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786CEDAR RAPIDSIA52406421442443MEDICAL SERVICESIAN/AC0
MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786CEDAR RAPIDSIA52406421442442SUPPORT SERVICESIAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY CARE MANAGEMENT INC
A$1,723,730FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
A$1FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
B$5,165,000FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
B$255,108FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C$2,187,146FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
C$365,244FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
Q$722,686FAIR MARKET VALUE