MHIC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MHIC (EIN 42-0680391)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-04
IRS object ID: 202041569349300629
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-04T10:51:55-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	50 South Sixth Street Suite 2800	AddressLine1Txt
City	Minneapolis	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	554021538	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420680391	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Iowa City Iowa	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3193390300	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Sean J Williams	PersonNm
Person Title	President/CEO	PersonTitleTxt
Phone	3193390300	PhoneNum
Signature	2020-06-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristina Rasmussen	PreparerPersonNm
PTIN	P00143920	PTIN
Phone	6123974000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	139.167.185.46	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-04	IPDt
IP Tm	02:20:35	IPTm
IP Timezone	US	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	4A2558486EEC6DB97E73B1E5FE2049900CCE7E47	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C51E840BC3CE956D5D1AE02461DE610D74F443FB	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Sean J Williams	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$313,212,819	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.mercyiowacity.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1873	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	To heal and comfort the sick and improve the health of the community in the spirit of Jesus Christ.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	1521	TotalEmployeeCnt
Total Volunteers	425	TotalVolunteersCnt
Total Gross UBI	$6,478,277	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$369,233	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$782,642	PYContributionsGrantsAmt
CY Contributions Grants	$760,710	CYContributionsGrantsAmt
PY Program Service Revenue	$161,265,562	PYProgramServiceRevenueAmt
CY Program Service Revenue	$160,757,444	CYProgramServiceRevenueAmt
PY Investment Income	$8,181,158	PYInvestmentIncomeAmt
CY Investment Income	$9,050,009	CYInvestmentIncomeAmt
PY Other Revenue	$1,715,069	PYOtherRevenueAmt
CY Other Revenue	$1,359,361	CYOtherRevenueAmt
PY Total Revenue	$171,944,431	PYTotalRevenueAmt
CY Total Revenue	$171,927,524	CYTotalRevenueAmt
PY Grants And Similar Paid	$33,145	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,419	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$72,203,837	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$74,122,343	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$77,295,701	PYOtherExpensesAmt
CY Other Expenses	$83,087,540	CYOtherExpensesAmt
PY Total Expenses	$149,532,683	PYTotalExpensesAmt
CY Total Expenses	$157,246,302	CYTotalExpensesAmt
PY Revenues Less Expenses	$22,411,748	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,681,222	CYRevenuesLessExpensesAmt
Total Assets BOY	$270,071,844	TotalAssetsBOYAmt
Total Assets EOY	$263,566,195	TotalAssetsEOYAmt
Total Liabilities BOY	$160,020,450	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$170,390,276	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$110,051,394	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$93,175,919	NetAssetsOrFundBalancesEOYAmt
Mission	Mercy Iowa City ("Mercy") heals and comforts the sick and works to improve the health of the community in the spirit of Jesus Christ and the Catholic tradition of the Sisters of Mercy.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$110,189,821	ExpenseAmt
Revenue	$160,785,596	RevenueAmt
Desc	Hospital Services. In keeping with our mission of healing and comforting the sick, providing hospital medical services is at the heart of what we do. These services are provided in inpatient and outpatient settings, in situations that may be emergent, acute or chronic. Services include a 24 hour emergency unit, intensive and cardiovascular care. We also service a maternity unit and newborn nursery along with other surgical services, cardiac cath lab, cancer care, digestive care, telemetry monitored care, medical care, stroke care and behavioral and hospice care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$334,164	ExpenseAmt
Revenue	$215,303	RevenueAmt
Desc	Education. The ongoing education of Mercy staff is critical in the fast changing field of health care and it necessary to meet regulations and certifications. Mercy hosts a number of professional continuing education classes each year, which is attended by it's own staff and staff from other institutions. Mercy provides a setting for students who are considering a career in health care including a class of insight to possible careers and preparation for CNA exam.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,512,517	ExpenseAmt
Grant	$36,419	GrantAmt
Desc	Community Benefit. Mercy's community benefits take many forms, beginning with the traditional charity care of ($777 thousand) and the unpaid cost of Medicaid ($5.3 million). Other examples include cash donations to community non-for-profits such as the Free Medical Clinic, leadership time and skills that further the work of the non-for-profits, first aid booth provided at public events including the Johnson Co Fair. These efforts are detailed in Mercy's community health benefit report. As a trusted, longtime member of the community, Mercy plays an important role not only in further community health but the general community good.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$113,036,502	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	63	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1521	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kimberley Rossiter	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3193393900	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Tim Krumm
Chair (Beg 10/18)	1.00	1.00	Yes (X)	$0	$0	$0
Mark Phillips End 1018
Chair	1.00	1.00	Yes (X)	$0	$0	$0
Tom McLaughlin
Vice Chair (Beg 10/18)	1.00	0.00	Yes (X)	$0	$0	$0
Tom Clancy
Secretary (Beg 7/18)	40.00	0.00	Yes (X)	$36,080	$0	$0
Scott Fisher End 1018
Secretary	1.00	1.00	Yes (X)	$0	$0	$0
Steven Anderson Beg 119
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
SR Helen Marie Burns
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Shari DeMaris Beg 119
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
Jack Dusenbery
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Tom Goedken End 1018
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
SR Patricia Murphy
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Bob Ritz
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
SR Rita Specht
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Dave Vellinga
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Mary Westbrook
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Madeline Windauer Beg 119
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Sean Williams
CEO & Administrator	40.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Douglas Davenport
Treasurer	40.00	2.00		$0	$0	$0	Yes (X)
Kimberley Rossiter
Assistant Treasurer	40.00	2.00		$154,167	$0	$28,851	Yes (X)
Casey Greene 1018 - 419
Vice President	40.00	0.00		$258,582	$0	$26,504	Yes (X)
Martin Izakovic Beg 419
Vice President	40.00	0.00		$390,146	$0	$44,923	Yes (X)
LeAnn Tatman End 1018
Vice President	40.00	0.00		$0	$0	$0	Yes (X)
Andrew Ashby
Physician	40.00	0.00		$667,308	$0	$38,862		Yes (X)
Yonas Getachew
Physician	40.00	0.00		$611,011	$0	$39,953		Yes (X)
Shoba Theivanayagam
Physician	40.00	0.00		$550,284	$0	$20,052		Yes (X)
Joseph Truszowski
Physician	40.00	0.00		$578,532	$0	$41,579		Yes (X)
Ankur Vyas
Physician	40.00	0.00		$575,396	$0	$36,311		Yes (X)
Ronald R Reed
Frmr President (CEO) & Administrator	0.00	0.00		$209,949	$0	$0			Yes (X)
Michael Heinrich
Former Officer	0.00	0.00		$378,759	$0	$1,256			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,410,214	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$278,291	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	117	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Mercy Health Network
PO Box 74008768	Chicago	IL	606748768	Management Services	$1,894,879
McComas-Lacina Construction
1310 Highland Ct	Iowa City	IA	52240	Construction Services	$1,656,400
Progressive Rehabilitation Associates LL
2751 Northgate Dr NE	Iowa City	IA	52240	Rehabilitation Services	$1,496,613
Allscripts Healthcare LLC
8700 W Bryn Mawr Avenue 700N	Chicago	IL	60631	IT Services	$1,482,765
Philips Healthcare
3000 Minuteman Road	Andover	MA	01810	Medical Equipment Supplier	$839,969

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	58	CntrctRcvdGreaterThan100KCnt
Related Organizations	$760,710	RelatedOrganizationsAmt
Total Contributions	$760,710	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue	621400	$86,175,280	$86,175,280
Medicare/Medicaid	621400	$61,792,685	$61,792,685
Lab Outreach	621511	$6,478,277		$6,478,277
ASC/DIC Income	900099	$3,653,811	$3,653,811

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,657,391	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,657,391	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$160,757,444	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,061,708	TotalRevenueColumnAmt
Exclusion	$3,061,708	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,814,815	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,538,612	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$276,203	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$276,203	TotalRevenueColumnAmt
Exclusion	$276,203	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$131,517,390	SecuritiesAmt
Other	$14,217,594	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$126,855,665	SecuritiesAmt
Other	$12,891,018	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,661,725	SecuritiesAmt
Other	$1,326,576	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,988,301	TotalRevenueColumnAmt
Exclusion	$5,988,301	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income	722210	$839,704	$839,704
Telephone	517000	$159,914		$159,914
Access	621400	$9,180		$9,180

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,360	TotalRevenueColumnAmt
Related Or Exempt Func Income	$74,360	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,083,158	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$171,927,524	TotalRevenueColumnAmt
Related Or Exempt Func Income	$154,522,621	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,478,277	UnrelatedBusinessRevenueAmt
Exclusion	$10,165,916	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$27,440	TotalAmt
Program Services	$27,440	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$8,979	TotalAmt
Program Services	$8,979	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$341,794	TotalAmt
Program Services	$86,025	ProgramServicesAmt
Management And General	$255,769	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$594,212	TotalAmt
Management And General	$594,212	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,218,858	TotalAmt
Program Services	$45,210,348	ProgramServicesAmt
Management And General	$13,008,510	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,884,850	TotalAmt
Program Services	$2,814,576	ProgramServicesAmt
Management And General	$1,070,274	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,032,368	TotalAmt
Program Services	$5,094,949	ProgramServicesAmt
Management And General	$1,937,419	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,050,261	TotalAmt
Program Services	$2,934,414	ProgramServicesAmt
Management And General	$1,115,847	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,636,328	TotalAmt
Management And General	$1,636,328	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$101,292	TotalAmt
Management And General	$101,292	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$184,576	TotalAmt
Management And General	$184,576	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$25,511	TotalAmt
Management And General	$25,511	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,262,795	TotalAmt
Program Services	$7,871,106	ProgramServicesAmt
Management And General	$2,391,689	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$628,936	TotalAmt
Program Services	$1,987	ProgramServicesAmt
Management And General	$626,949	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,338,428	TotalAmt
Program Services	$8,131,626	ProgramServicesAmt
Management And General	$5,206,802	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,402,278	TotalAmt
Program Services	$450,321	ProgramServicesAmt
Management And General	$5,951,957	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,973,220	TotalAmt
Program Services	$65,440	ProgramServicesAmt
Management And General	$2,907,780	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$222,483	TotalAmt
Program Services	$119,402	ProgramServicesAmt
Management And General	$103,081	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,424,630	TotalAmt
Program Services	$1,818,222	ProgramServicesAmt
Management And General	$2,606,408	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,011,710	TotalAmt
Program Services	$9,326,261	ProgramServicesAmt
Management And General	$1,685,449	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$735,782	TotalAmt
Management And General	$735,782	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$14,156,698	$14,153,499	$3,199
Pharmacy Supplies	$5,431,386	$5,431,386
Bad Debt Expense	$5,136,571	$5,136,571
Food Expense	$1,190,218	$1,190,218

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,224,698	TotalAmt
Program Services	$3,163,732	ProgramServicesAmt
Management And General	$2,060,966	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$157,246,302	TotalAmt
Program Services	$113,036,502	ProgramServicesAmt
Management And General	$44,209,800	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$279,548	BOYAmt
EOY	$6,429,690	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,734,264	BOYAmt
EOY	$2,261,094	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$34,099,473	BOYAmt
EOY	$38,244,282	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,797,643	BOYAmt
EOY	$4,464,090	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,855,429	BOYAmt
EOY	$3,603,549	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$267,901,443	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$205,361,259	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,187,839	BOYAmt
EOY	$62,540,184	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$102,278,033	BOYAmt
EOY	$95,118,388	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	-$32,382,843	BOYAmt
EOY	-$46,432,551	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,781,554	BOYAmt
EOY	$97,337,469	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$270,071,844	BOYAmt
EOY	$263,566,195	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,695,170	BOYAmt
EOY	$26,112,074	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$73,912,806	BOYAmt
EOY	$71,626,482	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$287,691	BOYAmt
EOY	$132,892	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,124,783	BOYAmt
EOY	$72,518,828	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$160,020,450	BOYAmt
EOY	$170,390,276	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$110,051,394	BOYAmt
EOY	$93,175,919	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$110,051,394	BOYAmt
EOY	$93,175,919	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$270,071,844	BOYAmt
EOY	$263,566,195	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,681,222	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$2,765,951	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$28,790,746	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	Yes (1)	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$25,511	OtherActivitiesAmt
Total Lobbying Expenditures	$25,511	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Mercy Hospital, Iowa City, Iowa is a member of the Iowa Hospital Association (IHA) and America Hospital Association (AHA). A percentage of membership dues paid to IHA and AHA relate to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,286,002	BeginningYearBalanceAmt
Contributions	$14,493	ContributionsAmt
Investment Earnings Or Losses	$377,510	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$533,466	GrantsOrScholarshipsAmt
End Year Balance	$17,144,539	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,775,239	BeginningYearBalanceAmt
Contributions	$456,231	ContributionsAmt
Investment Earnings Or Losses	$744,957	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$690,425	GrantsOrScholarshipsAmt
End Year Balance	$17,286,002	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,365,728	BeginningYearBalanceAmt
Contributions	$123,098	ContributionsAmt
Investment Earnings Or Losses	$1,673,119	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$386,706	GrantsOrScholarshipsAmt
End Year Balance	$16,775,239	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,598,237	BeginningYearBalanceAmt
Contributions	$263,507	ContributionsAmt
Investment Earnings Or Losses	-$400,097	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$95,919	GrantsOrScholarshipsAmt
End Year Balance	$15,365,728	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,037,323	BeginningYearBalanceAmt
Contributions	$213,614	ContributionsAmt
Investment Earnings Or Losses	-$138,094	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$514,606	GrantsOrScholarshipsAmt
End Year Balance	$15,598,237	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.55800	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.15600	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.28600	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,171,595	OtherCostOrOtherBasisAmt
Book Value	$4,171,595	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,325,901	OtherCostOrOtherBasisAmt
Depreciation	$100,112,461	DepreciationAmt
Book Value	$39,213,440	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$122,797,564	OtherCostOrOtherBasisAmt
Depreciation	$104,646,891	DepreciationAmt
Book Value	$18,150,673	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,606,383	OtherCostOrOtherBasisAmt
Depreciation	$601,907	DepreciationAmt
Book Value	$1,004,476	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$62,540,184	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest-Foundation	$17,439,968
Due from Affiliates	$75,546,674
2011/2018 Bond Fund	$4,140,827
Non-Compete Agreement Value	$210,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$97,337,469	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Pension Benefit Liability	$70,715,338
Other Long-Term Liabilities	$135,900
Professional Liability Claims	$1,667,590

Field	Value	IRS element (for citing)
Total Liability	$72,518,828	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4:	FormAndLineReferenceDesc
Explanation	All Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$779,088	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$779,088	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,490,619	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,180,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,310,446	NetCommunityBenefitExpnsAmt
Total Expense	0.03490	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,269,707	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,180,173	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,089,534	NetCommunityBenefitExpnsAmt
Total Expense	0.04000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$399,894	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$399,894	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,122,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$811,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$311,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,250	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,577,753	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$811,274	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$766,479	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,847,460	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,991,447	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,856,013	NetCommunityBenefitExpnsAmt
Total Expense	0.04500	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,693	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$376,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$376,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$525	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$378,417	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$378,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$1,408,961	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$42,703,366	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$50,100,723	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$7,397,357	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Iowa City Ambulatory Surgery Center
Outpatient Surgery Center	0.51000	0.49000
2 Corridor Radiology
Outpatient Radiology Services	0.51000	0.49000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.mercyiowacity.org	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Lab Outreach	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Iowa City Iowa	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Page 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Page 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Part V, Page 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Mercy Hospital, Iowa City, Iowa	Part V, Section B, Line 5: The Hospital conducted two focus groups with participants from these organizations, representing broad and deep knowledge of community health needs:- 4 Cs Community Coordinated Child Care- City of Coralville- City of North Liberty- Clear Creek Amana Schools- Coralville Police Department- Iowa City Area Chamber of Commerce- Iowa City Area Development Group- Iowa City Community School District- Iowa City Free Medical and Dental Clinic- Iowa City Police Department- Johnson County Ambulance Service- Johnson County Public Health- Johnson County Social Services- Mercy Hospital Iowa City- Mercy Hospital Emergency Care Unit- Mercy Iowa City- Mercy IC and Mercy Services- Mercy Pediatric Clinic- National Alliance on Mental Illness Johnson County- Rural Health and Safety Clinic of Eastern Iowa- United Action for Youth- United Way- United Way of Johnson and Washington Counties
Mercy Hospital, Iowa City, Iowa	Part V, Section B, Line 7d: http://www.mercyiowacity.org/upload/docs/2018%20PRC%20CHNA%20Report%20-%20Mercy%20Iowa%20City.pdfPart V, Section B, line 10a, Implementation Strategy Website:http://www.mercyiowacity.org/upload/docs/About%20Mercy/2018CommunityHealthStrategy%20(1).pdf
Mercy Hospital, Iowa City, Iowa	Part V, Section B, Line 11: The 2018 CHNA summarized twelve areas of opportunity for Community Health Improvement. Mercy Hospital is addressing those needs as follows:Mental Health - Depression and Social Support:Mercy has budgeted an expansion in our outpatient psychiatric clinic from 3 advanced registered nurse practitioners and 1 therapist in 2018 to 4 practitioners and 2 therapists in 2020. We expect this to result in a proportional growth of patient visits and an improvement in timely response. Mercy will continue to offer inpatient and emergency room mental health services at our Johnson county hospital. We have employed 2 nurse navigators in 2018 that are in the process of developing high quality social support referral networks in recognition of the importance of social support services to patients after they return home after hospitalizations. We are also involved in planning meetings with Johnson County which is building an Access Center to provide rapid stabilization to patients experiencing substance abuse or mental health crisis.Nutrition, Physical Activity, Diabetes:We will continue to offer a 12 week program to the public taught by registered dieticians that focuses on behavioral modifications to achieve long-term lifestyle changes to improve overall health.Since 2018, we have employed a board certified physician in endocrinology, diabetes, and metabolism. His ability to effectively treat patients with metabolic disorders advances our ability to address the adult obesity health need. We have increased this department budget for the next fiscal year and expect it to treat 10% more patients than in the previous year.Substance Abuse - Binge Drinking:Our community is home to a major university and excessive drinking has long been an issue. Our Vice President of Population Health attends the Partnership for Alcohol Safety, a joint project of the University of Iowa and the City of Iowa City. Its mission is to identify and advocate for strategies that reduce high-risk drinking and related harms.Access to Primary Care Physicians:Mercy will continue to operate primary care clinics in each of our 5 primary care counties. This is the most direct way to address access, along with a financial aid policy that reduces the financial barriers for the uninsured. Mercy will also continue support of the Free Medical Clinic in Johnson county. This is an important health care access point for those with limited ability to pay.Cancer - Cancer Incidence:Mercy intends to more widely advertise the low dose lung cancer screening program that screens for at-risk patients, especially former heavy smokers. The existing program has resulted in the early identification and treatment of lung cancers, although many more eligible patients have not yet been screened.Heart Disease & Stroke Mortality Rates:Two additional cardiologists will begin treating patients in 2019 and should result in at least 25% increase in patient contacts with our cardiologists. Mercy is also certified as a primary stroke center and intends to maintain that certification.Infant Health - Teen Births:Mercy has budgeted to maintain our Muscatine county clinic staffing levels for the next year. This should maintain patients ability to access health care resources directly from this clinic. Additionally, we partner with independent OBGYN groups to assess the market needs in this county.Injury & Violence - Violent Crime Rate:We intend to take no action as reducing the crime rate is not within the scope of our health care delivery system.Oral Health - Regular Dental Care:We intend to take no action regular dental care is not within the scope of our health care delivery system.Respiratory Disease - Chronic Lower Respiratory Disease:We have employed 2 nurse navigators in 2018, that are focused on reducing hospitalization readmissions and avoidable emergency room visits, especially from patients with chronic conditions. They contact patients after they return home after hospital encounters to ensure that patients have follow-up visits with their normal primary care provider and that they understand and are following the medical advice prescribed for them.Sexually Transmitted Disease and Chlamydia Incidence:Mercy is continuing to monitor chlamydia incidence rates and has seen recent high rates in the eastern portion of our service area. Our Infection Prevention Coordinator plans to provide staff education in the clinic and identify opportunities for community outreach. He will then track the incidence rates to see if those efforts have a significant impact on reducing incidence.Tobacco Use:We continue to provide smoking cessation counseling to a high percentage (85%) of adult smokers who are seen in our clinics.
Part V, line 16a, FAP website:	http://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/Financial%20Assistance%202019%20Updated%20Policy.pdf
Part V, line 16b, FAP Application website:	http://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/Exhibit%20A--Financial%20Assistance%20App%202019.pdf
Part V, line 16c, FAP Plain Language Summary website:	http://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/Exhibit%20B--Plain%20Language%20Summary%202019.pdf

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	1 - Mercy Home Health Care	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
Facility	Home Health and Private Duty Nursing	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Amounts in the table were derived using a cost accounting system that addresses all patient segments. A cost to charge ratio derived from completing IRS worksheet 2 was used to determine the amounts in Part I, Line 7a, 7b, 7c. and 7g.
Part I, Ln 7 Col(f):	Bad debt expense of $5,136,571 was subtracted for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).
Part II, Community Building Activities:	Economic Development:Mercy works with such groups as the Iowa City Area Chamber of Commerce and Iowa City Area Development Group to support the business community, welcome innovation to the area, and develop the workforce. It began construction of a new 40-bed Mercy Inpatient Rehabilitation Hospital that will employ approximately 100 health care professionals. Its anticipated completion is May, 2020.Community Support:Mercy has provided support to United Way of Johnson and Washington Counties for more than 30 years. Mercy also supports financially and with colleague time, community agencies such as Iowa City Hospice, Free Medical Clinic, NAMI (National Alliance for the Mentally Ill), American Cancer Society, School-Based Health Clinics now located in four of the Iowa City Community School Districts public schools (another opened at City High School in August), and so on. Mercy also provides staff to provide first aid at community festivals such as Arts Fest, Jazz Fest and Soul Fest, and at the Johnson County Fair. In FY2019, Mercy signed a Memorandum of Understanding with Rural Health and Safety of Eastern Iowa to partner in their efforts to increase health care outreach and reduce injury prevention in the agricultural areas that make up most of its service area. Physical and mental health screenings, injury prevention education and general health information activities are ongoing during the warm weather months in Johnson and five contiguous counties.Mercy continues to be a community leader in ensuring that fewer people experience food insecurity within Johnson County and the State of Iowa. Mercy contributes regularly to Table to Table, a local organization that collects wholesome, edible food from donors (grocery stores, restaurants, and Mercy Iowa City) and redirects it to food pantries and meal sites in the county. Mercy is also a lead organization for Thanksgiving in July, an annual summer food drive whose goal is to fill food pantries at a time of year when they have fewer donations and children are out of school, not receiving free and reduced breakfast and lunch. This program was started at Mercy Iowa City in 1995 and has grown to include many other sites in the State of Iowa including Des Moines, Dubuque and the Quad cities. Mercy has also held additional food drives during the year.Mercy's pastoral care department provides clothing to patients who are discharged with nothing to wear, often because what they had when they were admitted is no longer wearable (cut off in the Emergency Room, etc.) and there is no one to bring them anything. The chaplains also coordinate the Shoes That Fit program to meet clothing and footwear needs for children in area elementary schools who do not have appropriate attire, especially during the cold weather months when they need heavy coats and boots.Mercy's 24-hour "Mercy On Call" service provides medical triage and health information, can schedule provider appointments and refer callers to local supporting services.Environmental Improvements:Mercy has been a good neighbor by maintaining its buildings and landscaping at a high level. Mercy also pursues extensive recycling (including newspapers, office paper, magazines, plastics, batteries, cooking oil, construction materials and more) and programs that reduce energy consumption. Mercy is expanding its recycling program to make it easier for colleagues and visitors to participate throughout the hospital. Mercy has also sold four houses it owned adjacent to its campus to the Iowa City which rehabilitated them for single family use during the last several years.Leadership Development and Training of Community Members:Mercy lends support to the annual Community Leadership program of the Iowa City Area Chamber of Commerce, a nine-month leadership development program for 24 individuals who are increasing their professional and personal commitment to the community and typically sponsors a class member each year. It participates actively in the health care day of education. Mercy also supports an active Clinical Ladder program for nurses, offers Continuing Education Credit (CEU) courses and conferences open to medical professionals across the state on a regular basis, such as those tailored to Emergency care, Hospitalist care and Nursing care. Mercy also offers a location for CEU courses for the local Honoring Your Wishes initiative which encourages all adults to have Advance Directives that are current and reflect their wishes. The CEU courses train individuals to become certified counselors to help individuals with their Advance Directives, and to train certified counselors to assist with IPOST which is the Iowa version of the national POLST directive, a medical order for those with terminal conditions. Honoring Your Wishes is the program used at Mercy, and the hospital offers free assistance to anyone in its service area who needs it to complete their documents.Coalition Building:Mercy is involved in many ways with local citizens and groups that are working to afford all members of our community a good quality of life and to improve overall quality of life. Mercy is a co-sponsor of the Johnson County SAFE Kids Coalition whose mission is to prevent or reduce preventable injuries to children from birth to age 14. SAFE Kids promotes the correct use of child safety restraints in vehicles, bicycle helmets, and safety education to prevent falls, burns, poisoning and more. Mercy is also a lead partner of Safety Village, a two-week summer safety camp for children aged 5-7 held in a miniature village on the grounds of one of our local elementary schools. Each summer, 200 children participate in classes and safety education with local EMS, police, sheriffs and others.Mercy is also a lead partner in a new Health and Rural Safety of Eastern Iowa initiative which works to reduce preventable injuries in the agricultural community such as heavy equipment, large animal, pesticides and more. This partnership also seeks to increase health screenings and referrals to primary and specialty care for this population, that includes Anabaptist, and provide education to improve health. Some of this is accomplished through youth safety camps, FFA (Future Farmers of America) and 4-H programs, county fairs, community events and in cooperation with churches.
Part III, Line 2:	The amount of bad debt expense reported on line 2 was derived from taking actual bad debt write-offs and applying the cost to charge ratio of .3326 to that amount.
Part III, Line 3:	Mercy Hospital works with those qualifying for charity care along every step of the process. Every effort is made to work with the patient to provide financial assistance when appropriate. While there are people who do not cooperate with Mercy Hospital regarding payment plans, financial assistance or with those trying to get help from Government programs. For individuals not providing necessary information, it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital is unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals do not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy.
Part III, Line 4:	Mercy Hospital's Audited Financial Statements includes a footnote for the Provision of Uncollectible Accounts on page 11 of the Audited Financial Statements.
Part III, Line 8:	Total revenue was determined using charges per the CMS Provider Statistical Reimbursement System reports for Fee Reimbursed Services for the fiscal year ended 6/30/19. Costs calculated using the Cost to Charge Ratio for the appropriate services from the submitted Medicare Cost Report Form 2552-96 for the fiscal year ended 06/30/19.
Part III, Line 9b:	Mercy Hospital has two policies related to debt collection. The Financial Assistance Policy provides guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospitals. Patient may be given a financial assistance application at the time of service, be offered financial assistance during the normal collection process or learn of the option on the Hospital website. All patients with no insurance are offered financial assistance via billing statements & follow-up telephone calls. Any patient that is known to qualify for financial assistance is provided assistance. The payment plan policy enables those who qualify for patient financial assistance to establish payment plans of the remaining balance of their bill.
Part VI, Line 2:	The most recent community health needs assessment was conducted in December 2018. The organization engaged Professional Research Consultants to conduct the assessment. The community health survey is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the communities the organization serves. The survey instrument used for the assessment is based largely on the Centers for Disease Control (CDC), Behavioral Risk Factor Surveillance System (BRFS), as well as various other public health surveys and customized questions addressing gaps in indicator data, relative to nation health promotion and disease prevention objectives and other recognized health issues.
Part VI, Line 3:	Evaluation for Medicaid, disability, and other types of coverage is provided for uninsured patients for inpatient stays as well as high dollar outpatient services.
Part VI, Line 4:	Mercy Hospital is located in the community of Iowa City, Iowa, in Johnson County along the east central part of the state. The county's population in 2018 was approximately 147,000. Mercy Hospital services 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service areas includes: Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 340,200.Iowa City is home to the University of Iowa, which has an enrollment of approximately 32,000 for the 2017-2018 academic year. Johnson County is well-educated, of individuals 25 and older, 95.3 percent are high school graduates and 53 percent hold a bachelors degree or higher. The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness and manufacturing. According to the U.S. Census Bureau, 17.7 percent of the Johnson County population lived below the poverty line between 2017 and 2018, compared to 10.7 percent for the entire state.
Part VI, Line 5:	Mercy Iowa City is faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with the Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and Hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community preparedness issues; treating emergency patients according to EMTALA guidelines and service all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community.
Part VI, Line 7, Reports Filed With States	IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Iowa City Area Development Group Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	136 S Dubuque Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52240	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	421234837	RecipientEIN
IRC Section	501(c)(6)	IRCSectionDesc
Cash Grant	$12,000	CashGrantAmt
Purpose Of Grant	General Support	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Temporary Assistance Program	GrantTypeTxt
Recipient	15	RecipientCnt
Cash Grant	$8,979	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	All organizations Mercy provides assistance to are local organizations. Therefore, Mercy is in frequent contact with the organizations and is generally aware of their use of Mercy's assistance. However, there is no formal mechanism in place to track specific uses of the assistance. Mercy Hospital offers a Temporary Assistance Program (TAP) for emergency financial needs that employees may have. This confidential program offers crisis assistance and health benefit assistance.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kimberley Rossiter
Assistant Treasurer	$118,360	$0	$31,732	$0	$4,075	$0	$0	$0	$28,851	$0	$183,018	$0	$0	$0
Casey Greene 1018 - 419
Vice President	$207,610	$0	$50,003	$0	$969	$0	$0	$0	$26,504	$0	$285,086	$0	$0	$0
Martin Izakovic Beg 419
Vice President	$352,729	$0	$21,644	$0	$15,773	$0	$7,626	$0	$37,297	$0	$435,069	$0	$0	$0
Andrew Ashby
Physician	$550,229	$0	$79,345	$0	$37,734	$0	$0	$0	$38,862	$0	$706,170	$0	$0	$0
Yonas Getachew
Physician	$590,715	$0	$0	$0	$20,296	$0	$0	$0	$39,953	$0	$650,964	$0	$0	$0
Shoba Theivanayagam
Physician	$550,014	$0	$0	$0	$270	$0	$0	$0	$20,052	$0	$570,336	$0	$0	$0
Joseph Truszowski
Physician	$577,242	$0	$0	$0	$1,290	$0	$0	$0	$41,579	$0	$620,111	$0	$0	$0
Ankur Vyas
Physician	$433,627	$0	$141,322	$0	$447	$0	$0	$0	$36,311	$0	$611,707	$0	$0	$0
Ronald R Reed
Frmr President (CEO) & Administrator	$209,949	$0	$0	$0	$0	$0	$0	$0	$0	$0	$209,949	$0	$63,743	$0
Michael Heinrich
Former Officer	$378,759	$0	$0	$0	$0	$0	$0	$0	$1,256	$0	$380,015	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Lines 4a-b

Ronald R. Reed, former CEO retired from the organization in early 2016. He had a written severance agreement with Mercy Hospital that was to pay him his salary for a term of 24 months after separation. In calendar year 2018, he was paid $146,206. Michael Heinrich, former Treasurer/CFO separated from the organization in July 2017. He had a written severance agreement with Mercy Hospital that was to pay him his salary for a term of 24 months after separation. In calendar year 2018, he was paid $378,759. Part I, Line 4b: Mercy established an IRC Section 457(f) plan as a way of retaining executive, officers and select groups of highly compensated employees with supplemental retirement benefits. The following individuals participated in and received payments from the plan. - Ronald R. Reed - $63,743

Part I, Line 7

Non-fixed payments were provided to administrators and physicians who met stated criteria that included meeting certain RVU (Relative Value Unit), productivity levels, specified CMS/JACHO performance core indicators and certain patient satisfaction and/or nursing satisfaction survey scores.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
City of Hills Iowa
A	420920947	000000000	2018-05-10	$40,501,771	Refund Bonds issued 04/29/08	0	0	0
City of Hills Iowa
B	420920947	431669AW0	2011-11-30	$44,742,571	Build and Equip Facility; Refund Bonds issued 7/16/1998	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt
A	$515,000	$40,501,771	$4,057,022	$2,131,594	$34,320,000	2018	Yes (1)	0	Yes (1)	Yes (1)
B	$11,880,000	$44,743,882		$20,002,570	$24,151,438	2012	Yes (1)	0	Yes (1)	Yes (1)	$589,874

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	Yes (1)	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	0	0	0	0	0	Yes (1)
B	0	0	0	Yes (1)	0	0	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part II, Line 3:	Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Schedule K, Part IV, Line 2c, Column B:	Rebate calculation was performed 5/21/14.
Schedule K, Part IV, Line 6, Column B:	Such amounts were appropriately yield restricted.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 2	Sister Helen Marie Burns, board member; and Sister Patricia Murphy, board member; are both members of the Sister of Mercy of the Americas West Midwest Community.
Form 990, Part VI, Section A, line 6	Mercy's sole member is the Sisters of Mercy of the Americas West Midwest Community, Inc.
Form 990, Part VI, Section A, line 7b	Mercy's sole member, Sisters of Mercy of the Americas West Midwest Community, Inc., maintains a number of "reserved powers" including but not limited to approval of annual budgets, approval of amendments to the articles of incorporation and bylaws, approval of real property transactions and approval of long term borrowing.
Form 990, Part VI, Section B, line 11b	The Form 990 is prepared and reviewed by Mercy Hospital management and is also reviewed by Deloitte Tax LLP. In addition, a board resolution was established that provides that each board member be (i) provided a copy of the Form 990 as it is intended to be filed, and (ii) given a reasonable opportunity before filing to provide to the Audit Committee any comments, corrections, concerns or other inputs on the proposed Form. The Audit Committee's review process shall be intended to reasonable verify that the Form 990 has been fully and accurately completed, including but not limited to, all inquiries therein relating to corporate governance. After completing its review, the Audit Committee, on the Board's behalf, shall have the authority to authorize the filing of the annual Form 990.
Form 990, Part VI, Section B, line 12c	A conflict of interest statement is signed at the beginning of Board members term and on an annual basis there after. Any abstention from a vote is recorded in Board minutes. After the fiscal year end a "look back" questionnaire is distributed to all Board members to disclose any conflicts of interest that may have taken place in the previous year. Form 990, Part VI, Section B, Line 13: Per IRS guidance, because the board had not formally adopted the whistleblower policy as of 6/30/19, the organization has answered "No" to this question, Mercy Hospital has an Executive Leadership Team (ELT) which is made up of Vice Presidents and the CEO that has been delegated by the board of directors to manage and approve policies. The ELT has approved the whistleblower policy.
Form 990, Part VI, Section B, line 15	Compensation for all executives and other key employees is determined based on national or regional market data for comparable positions at comparatively sized hospitals. The Executive Committee of the Board of Directors uses this market-based information to set the President and CEO's compensation. In turn, the CEO uses this same information to set compensation for officers and key employees, which is also approved by the board.
Form 990, Part VI, Section C, line 19	Mercy's governing documents and conflict of interest policy are not available to the public.
Form 990, Part XI, line 9:	Change in Unrecognized Pension Actuarial Gain -10,929,635. Change in Beneficial Interest in Foundation -119,039. Change in Beneficial Interest of Services -17,662,072. Transfer to Self Insured Trust -80,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Mercy Foundation
500 East Market Street	Iowa City	IA	52245	237040506	Foundation/Fundraising	IA	501(c)(3)	12-I	Mercy Hospital	Yes (1)
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
500 East Market Street	Iowa City	IA	52245	426591803	Self Insurance	IA	501(c)(3)	12-I	Mercy Hospital	Yes (1)
Sisters of Mercy of the Americas West Midwest Community Inc
7262 Mercy Road	Omaha	NE	68124	262400800	Religious Order	NE	501(c)(3)			0	N/A
Mercy Hospital Guild
500 East Market Street	Iowa City	IA	52245	426099912	Fundraising	IA	501(c)(3)	12-III-FI		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
Iowa City Ambulatory Surgical Center LLC
2963 Northgate Drive	Iowa City	IA	52245	208503424	Outpatient Surgery	IA	Mercy Hospital	Related	$3,651,250	$3,840,945	0	Yes (1)	0.51000
Corridor Radiology LLC
2769 Heartland Drive Suite 307	Coralville	IA	52241	430635070	Radiology Services	IA	Mercy Hospital	Related	$540,067	$2,060,260	0	0	0.51000
Eastern Iowa Rehabilitation Hospital LLC
680 S 4th Street	Louisville	KY	40202	831589139	Inpatient Rehabilitation Care	IA	Mercy Hospital	Related		$3,049,973	0	0	0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Services Iowa City Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 East Market Street	AddressLine1Txt
City	Iowa City	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52245	ZIPCd

Field	Value	IRS element (for citing)
EIN	421241044	EIN
Primary Activities	Medical Clinic Services	PrimaryActivitiesTxt
Legal Domicile State	IA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C	EntityTypeTxt
Share Of Total Income	-$18,085,439	ShareOfTotalIncomeAmt
Share Of EOY Assets	$10,106,816	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mercy Foundation
C	$760,710	Cost
Mercy Services Iowa City
Q	$59,070	Cost
Mercy Services Iowa City
A	$1,402,181	Cost
Mercy Services Iowa City
R	$3,500,000	Cost
Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust
R	$80,000	Cost
Eastern Iowa Rehabilitation Hospital LLC
B	$3,130,000	Cost
Mercy Services Iowa City
S	$325,000	Cost