MHIC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MHIC (EIN 42-0680391)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-13
IRS object ID: 201721339349300722
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-13T09:09:58-05:00	ReturnTs
Tax Period End	2016-06-30	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 Ste 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	2015-07-01	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	Michael G Heinrich	PersonNm
Person Title	Executive VP of Finance & CFO	PersonTitleTxt
Phone	3193390300	PhoneNum
Signature	2017-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Chris Meskimen	PreparerPersonNm
PTIN	P01314196	PTIN
Phone	6123974000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Michael G Heinrich	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	$205,369,119	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	1450	TotalEmployeeCnt
Total Volunteers	398	TotalVolunteersCnt
Total Gross UBI	$3,766,576	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$23,036	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$658,002	PYContributionsGrantsAmt
CY Contributions Grants	$227,534	CYContributionsGrantsAmt
PY Program Service Revenue	$147,218,080	PYProgramServiceRevenueAmt
CY Program Service Revenue	$142,935,094	CYProgramServiceRevenueAmt
PY Investment Income	$5,994,848	PYInvestmentIncomeAmt
CY Investment Income	$6,764,009	CYInvestmentIncomeAmt
PY Other Revenue	$2,841,810	PYOtherRevenueAmt
CY Other Revenue	$2,514,713	CYOtherRevenueAmt
PY Total Revenue	$156,712,740	PYTotalRevenueAmt
CY Total Revenue	$152,441,350	CYTotalRevenueAmt
PY Grants And Similar Paid	$53,737	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$46,883	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$74,930,042	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$80,617,472	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$72,771,260	PYOtherExpensesAmt
CY Other Expenses	$73,580,312	CYOtherExpensesAmt
PY Total Expenses	$147,755,039	PYTotalExpensesAmt
CY Total Expenses	$154,244,667	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,957,701	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,803,317	CYRevenuesLessExpensesAmt
Total Assets BOY	$333,980,445	TotalAssetsBOYAmt
Total Assets EOY	$314,835,459	TotalAssetsEOYAmt
Total Liabilities BOY	$177,920,414	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$209,339,002	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$156,060,031	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$105,496,457	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Mercy Iowa City ("Mercy") heals and comforts the sick and works to improve the health of the community in the spirit of Jesus Christ and the Catholic tradition of the Sisters of Mercy.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$106,756,306	ExpenseAmt
Revenue	$143,787,753	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 care, cardiovascular care and the services of a cardiac cath lab, maternity unit and newborn nursery, surgical services, cancer care, orthopedic care, digestive care, telemetry monitored care, medical care, stroke care, behavioral health care, skilled nursing and hospice care.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$832,149	ExpenseAmt
Revenue	$225,470	RevenueAmt
Desc	Education. The ongoing education of Mercy staff members is critical in the fast-changing field of health care and is necessary to meet regulation and certification. Mercy hosts a number of professional continuing education conferences each year, attended by its own staff along with staff from other institutions. In addition, Mercy provides a setting for many students who are considering or pursuing health care careers. For high school students, a health careers class gives students insight into possible careers and options; it also prepares students for the certified nursing assistant exam. Mercy works with students from health education programs that include the University of Iowa, Kirkwood Community College and other local colleges, offering such options as a paid summer nursing internship program, a lab student.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,003,411	ExpenseAmt
Grant	$46,883	GrantAmt
Desc	Community Benefit. Mercy's community benefits take many forms, beginning with traditional charity care of $1.4 million, and the unpaid cost of Medicaid ($3.5 million). Other examples are varied; they include cash donations to community for non-for-profits such as the Free Medical Clinic, free meeting space to valued community organizations, leadership time and skills that further the work of the community non-for-profits, first aid booths provided at public events. These efforts are detailed in Mercy's community benefit report, prepared annually. 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	$112,591,866	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	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	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	Yes (1)	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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1450	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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 (20 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
Mark Phillips
Chair	1.00	1.00	Yes (X)	$0	$0	$0
Tim Krumm
Vice Chair	1.00	1.00	Yes (X)	$0	$0	$0
Scott Fisher
Secretary	1.00	0.00	Yes (X)	$0	$0	$0
Robert Beckman MD
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
SR Helen Marie Burns
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Mark Danielson
Board Member	1.00	1.00	Yes (X)	$0	$0	$0
Tom Goedken
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Chuck McComas
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Tom McLaughlin
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
Mary Westbrook
Board Member	1.00	0.00	Yes (X)	$0	$0	$0
Ronald R Reed 715-316
President (CEO) & Administrator	40.00	2.00	Yes (X)	$621,101	$0	$57,306	Yes (X)
Michael G Heinrich
Treasurer	40.00	2.00	Yes (X)	$398,033	$0	$56,317	Yes (X)
Jean M Berge
Assistant Treasurer	40.00	1.00		$172,412	$0	$56,416	Yes (X)
Cindy Penney
Vice President	40.00	0.00		$246,798	$0	$36,152	Yes (X)
Anjana Aggarwal
Physician	40.00	0.00		$657,128	$0	$25,941		Yes (X)
Andrew R Ashby MD
Physician	40.00	0.00		$537,742	$0	$32,358		Yes (X)
Joe Ewing
Physician	40.00	0.00		$661,442	$0	$39,582		Yes (X)
Thomas Shreves
Physician	40.00	0.00		$665,956	$0	$38,518		Yes (X)
Joseph Truszkowski
Physician	40.00	0.00		$561,493	$0	$38,027		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,522,105	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$380,617	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	95	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Rohrback Associates PC
325 E Washington	Iowa City	IA	52244	Engineering	$467,296
Cross Medical Laboratories
2406 Towncrest Drive	Iowa City	IA	52244	Laboratory Services	$359,904
Deloitte and Touche LLP
50 South 6th Street	Minneapolis	MN	55402	Audit Services	$237,376
Healthcare Futures
300 Park Blvd Ste 200	Itasca	IL	60143	Consulting Services	$184,145
Phelan Tucker Mullen Walker Tucker &
321 E Market Street	Iowa City	IA	52244	Legal Services	$126,623

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$147,334	RelatedOrganizationsAmt
Government Grants	$3,400	GovernmentGrantsAmt
All Other Contributions	$76,800	AllOtherContributionsAmt
Total Contributions	$227,534	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue	621400	$76,560,600	$76,560,600
Medicare/Medicaid	621400	$57,400,871	$57,400,871
ASC/DIC Income	900099	$3,974,754	$3,974,754
Lab Outreach	621511	$3,788,577		$3,788,577
Program Relat. Revenue	621400	$897,214	$897,214

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$313,078	TotalRevenueColumnAmt
Related Or Exempt Func Income	$313,078	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$142,935,094	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,245,848	TotalRevenueColumnAmt
Exclusion	$2,245,848	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,675,904	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,028,235	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$647,669	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$647,669	TotalRevenueColumnAmt
Unrelated Business Revenue	-$22,274	UnrelatedBusinessRevenueAmt
Exclusion	$669,943	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$54,328,995	SecuritiesAmt
Other	$88,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$49,822,841	SecuritiesAmt
Other	$76,693	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,506,154	SecuritiesAmt
Other	$12,007	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,518,161	TotalRevenueColumnAmt
Exclusion	$4,518,161	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income	722210	$781,613	$781,613
Meaningful Use	900099	$712,949		$712,949
Access	621400	$198,239		$198,239

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$174,243	TotalRevenueColumnAmt
Related Or Exempt Func Income	$166,941	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$273	UnrelatedBusinessRevenueAmt
Exclusion	$7,029	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,867,044	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$152,441,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$140,224,646	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,766,576	UnrelatedBusinessRevenueAmt
Exclusion	$8,222,594	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$34,100	TotalAmt
Program Services	$34,100	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$12,783	TotalAmt
Program Services	$12,783	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,767,989	TotalAmt
Program Services	$943,852	ProgramServicesAmt
Management And General	$824,137	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$61,124,719	TotalAmt
Program Services	$45,630,395	ProgramServicesAmt
Management And General	$15,494,324	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,363,439	TotalAmt
Program Services	$3,885,812	ProgramServicesAmt
Management And General	$1,477,627	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,072,043	TotalAmt
Program Services	$5,848,195	ProgramServicesAmt
Management And General	$2,223,848	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,289,282	TotalAmt
Program Services	$3,107,585	ProgramServicesAmt
Management And General	$1,181,697	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$142,612	TotalAmt
Management And General	$142,612	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$154,542	TotalAmt
Management And General	$154,542	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$26,622	TotalAmt
Management And General	$26,622	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,986,284	TotalAmt
Program Services	$6,227,865	ProgramServicesAmt
Management And General	$2,758,419	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$452,679	TotalAmt
Program Services	$4,276	ProgramServicesAmt
Management And General	$448,403	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,133,668	TotalAmt
Program Services	$9,119,039	ProgramServicesAmt
Management And General	$5,014,629	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,791,609	TotalAmt
Program Services	$785,221	ProgramServicesAmt
Management And General	$4,006,388	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,516,896	TotalAmt
Program Services	$71,475	ProgramServicesAmt
Management And General	$2,445,421	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$292,692	TotalAmt
Program Services	$178,025	ProgramServicesAmt
Management And General	$114,667	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,054,706	TotalAmt
Program Services	$2,207,884	ProgramServicesAmt
Management And General	$846,822	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,545,374	TotalAmt
Program Services	$10,318,743	ProgramServicesAmt
Management And General	$2,226,631	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies	$15,679,495	$15,677,736	$1,759
Pharmacy Supplies	$3,482,947	$3,482,947
Bad Debt Expense	$1,656,392	$1,656,392
Food Expense	$1,299,639	$1,299,639

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,364,155	TotalAmt
Program Services	$2,099,902	ProgramServicesAmt
Management And General	$2,264,253	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$154,244,667	TotalAmt
Program Services	$112,591,866	ProgramServicesAmt
Management And General	$41,652,801	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,687,475	BOYAmt
EOY	$3,850,676	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,053,343	BOYAmt
EOY	$6,499,741	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,750,967	BOYAmt
EOY	$27,137,020	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$81,085	BOYAmt
EOY	$32,931	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,446,770	BOYAmt
EOY	$4,108,928	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,711,765	BOYAmt
EOY	$2,572,513	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$290,105,376	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$182,200,349	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$110,690,866	BOYAmt
EOY	$107,905,027	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$139,492,346	BOYAmt
EOY	$116,752,792	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$19,483,592	BOYAmt
EOY	$7,298,861	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$691,447	BOYAmt
EOY	$691,447	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$23,890,789	BOYAmt
EOY	$37,985,523	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$333,980,445	BOYAmt
EOY	$314,835,459	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,053,937	BOYAmt
EOY	$31,091,379	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,225,937	BOYAmt
EOY	$84,662,918	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$139,643	BOYAmt
EOY	$582,615	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,500,897	BOYAmt
EOY	$93,002,090	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$177,920,414	BOYAmt
EOY	$209,339,002	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,060,031	BOYAmt
EOY	$105,496,457	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,060,031	BOYAmt
EOY	$105,496,457	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$333,980,445	BOYAmt
EOY	$314,835,459	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,803,317	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,033,425	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$41,726,832	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)
Organization Belongs Afflt Grp	Yes (X)	OrganizationBelongsAffltGrpInd
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	$26,622	OtherActivitiesAmt
Total Lobbying Expenditures	$26,622	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 American 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,220,862	BeginningYearBalanceAmt
Contributions	$324,729	ContributionsAmt
Investment Earnings Or Losses	$1,990,532	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$498,800	GrantsOrScholarshipsAmt
End Year Balance	$16,037,323	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,544,119	BeginningYearBalanceAmt
Contributions	$779,016	ContributionsAmt
Investment Earnings Or Losses	$1,391,252	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$493,525	GrantsOrScholarshipsAmt
End Year Balance	$14,220,862	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,951,892	BeginningYearBalanceAmt
Contributions	$165,736	ContributionsAmt
Investment Earnings Or Losses	-$117,757	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$455,752	GrantsOrScholarshipsAmt
End Year Balance	$12,544,119	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.56000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.27000	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	$12,663,386	OtherCostOrOtherBasisAmt
Book Value	$12,663,386	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$156,166,340	OtherCostOrOtherBasisAmt
Depreciation	$93,258,406	DepreciationAmt
Book Value	$62,907,934	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$639,074	OtherCostOrOtherBasisAmt
Depreciation	$586,491	DepreciationAmt
Book Value	$52,583	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,068,093	OtherCostOrOtherBasisAmt
Depreciation	$85,670,577	DepreciationAmt
Book Value	$30,397,516	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,568,483	OtherCostOrOtherBasisAmt
Depreciation	$2,684,875	DepreciationAmt
Book Value	$1,883,608	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$107,905,027	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Beneficial Interest-Foundation	$15,769,464
Due from Affiliates	$20,953,890
Cash Value Life Insurance	$206,263
Deferred Financing Cost Other Assets	$415,833
Non-Compete Agreement Value	$630,000
2008/2011 Bond Fund	$10,073

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$37,985,523	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Pension Benefit Liability	$87,917,199
Fair Value of Interest Rate SWAP	$3,407,071
Other Long-Term Liabilities	$919,596
Professional Liability Claims	$758,224

Field	Value	IRS element (for citing)
Total Liability	$93,002,090	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	All Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc.
Part X, Line 2:	As a result of the implementation of ASC 740, "As of June 30, 2016 and 2015, the Company recorded no liabilities for unrecognized tax benefits."

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
Percent200	Yes (X)	Percent200Ind
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	$1,473,290	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,473,290	NetCommunityBenefitExpnsAmt
Total Expense	0.00970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,444,022	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,942,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,501,854	NetCommunityBenefitExpnsAmt
Total Expense	0.02290	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,633	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,267	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,957,945	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,954,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,003,411	NetCommunityBenefitExpnsAmt
Total Expense	0.03280	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$291,938	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,255	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$290,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,165	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,996,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,403,263	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$593,222	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,097	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,422,685	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,404,518	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,018,167	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,380,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,359,052	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,021,578	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,843	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,843	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,869	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,869	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$549,425	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$41,256,312	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$55,041,609	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,785,297	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)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Skilled Nursing and 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
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	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	www.mercyiowacity.org/Default.aspx?id=262&sid=1&CWFriendlyUrl=true	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.mercyiowacity.org/Default.aspx?id=262&sid=1&CWFriendlyUrl=true	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	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	www.mercyiowacity.org/Default.aspx?id=133&sid=1&CWFriendlyUrl=true	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.mercyiowacity.org/patient-financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.mercyiowacity.org/patient-financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 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:- 4Cs Community Coordinated Child Care- City of North Liberty- Community Foundation of Johnson County- Iowa City Area Chamber of Commerce- Iowa City Area Development Group- Iowa City Free Medical Clinic- Johnson County Ambulance- Johnson County Public Health Department- Johnson County Senior Center- Johnson County Sheriff's Office- Mercy Clinics- Mercy Pediatric Clinic- Mercy Physician Hospital Organization- Oaknoll Adult Retirement Community- St. Patrick's Catholic Church- United Way of Johnson and Washington Counties
Mercy Hospital, Iowa City, Iowa	Part V, Section B, Line 11: The 2015 CHNA summarized twelve areas of opportunity for Community Health Improvement. Mercy Hospital is addressing those needs as follows:Access to Primary Care Physicians:Mercy will continue to operate a primary care clinic in Cedar county. Mercy will also continue to support the Free Medical Clinic in the adjacent Johnson county. This is an important health care access point for those with limited ability to pay. Mercy has a long tradition of having staff members volunteer their time and Mercy will continue to request their services.Cancer - Cancer Incidence:Mercy has a cancer committee that strives to deliver patient centered care as measured in the cancer program standards of 2016. With the assistance of that committee, Mercy intends to develop a lung cancer screening program that will promote and administer screenings for at-risk patients.Environmental Health - Particulates:We intend to take no action as controlling the particulate counts are not within the scope of our health care delivery system.General Health - Self Reported:We will continue to support the Blue Zone activities as a certified Blue Zones employer.Heart Disease & Stroke Mortality Rates:Mercy is certified as a primary stroke center and will strive to maintain that certification. In addition, Mercy has recently hired a cardiologist that will add to our capacity to treat patients with heart disease.Injury & Violence - Violent Crime RateWe intend to take no action as reducing the crime rate is not within the scope of our health care delivery system.Maternal, Infant, & Child Health - Preterm and Teen Births: Two indicators were identified in two counties: teen births and pre-term births. Mercy intends to increase the number of family practice providers practicing in a clinic located in one of these affected counties. This should elevate patients' ability to access health care resources directly or through the referral sources the patient will be directed to from this clinic.Mental Health - Depression and Social Support:Mercy will maintain and possibly expand an outpatient psychiatric clinic available to patients regardless of their insurance. In addition, Mercy will continue to offer inpatient mental health services at our Johnson county hospital.Nutrition, Physical Activity & Weight - Adult Obesity and Limited Food Access:Mercy will develop a non-surgical weight loss program open to the public and run by dieticians employed by Mercy.Sexually Transmitted Disease:Mercy will develop a program aimed at decreasing the incidence of sexually transmitted infections in and around Johnson county.Social Determinants - Single Parent Households, High Housing Costs, On-Time High School Graduation:We intend to take no action as we have no meaningful control of these factors within our health care delivery system.Substance Abuse - Binge DrinkingWe intend to take no action as we have no meaningful control of these factors within our health care delivery system.
Mercy Hospital, Iowa City, Iowa	Part V, Section B, Line 22d: Mercy Hospital determines on an individual basis basis based on the patient's ability to pay for the maximum amounts that can be charged to FAP-Eligible individuals for emergency and other medically necessary care. Patients, who fall under the 200% Federal Poverty Guidelines, are eligible for free care. Mercy Hospital uses the following factors to determine the amount to charge FAP-Eligible patients for individuals who earn more than 200% of the FPG: Income level, Asset level, medical indigency, insurance status, uninsured discount, Medicaid/Medicare. In addition to the financial assistance policy, all uninsured patients are eligible for discounts ranging from 30-10% based on timeliness of payment.

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 $1,656,392 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. Community Support:Mercy has provided extensive support for more than 20 years to United Way of Johnson County. Mercy holds its own United Way campaign with employees every fall (typically raising more than $100,000 each year) and provides much staff time and support to the local United Way organization.Mercy is also a location for SHIIP (Senior Health Insurance Information Program) counseling with trained volunteers who provide the service.Mercy has been a community leader in helping others achieve food parity and regularly directs extra food to Table to Table, a local organization that collects wholesome, edible food from donors and redirects it to local shelters and agencies to serve the hungry, homeless and at-risk population.Environmental Improvements:Mercy has been a good neighbor for its closest neighbors by maintaining its buildings and landscaping at a high level. Mercy also pursues extensive recycling (including newspapers, magazines, office paper, plastics, batteries, cooking oil, construction materials, and more) and programs that reduce energy consumption. Mercy regularly holds silent auctions open to employees to sell equipment that is no longer needed, rather than sending it into the trash stream. Mercy has a Sustainability Committee to further standardize these efforts.Leadership Development and Training for Community Members:Mercy lends support to the Iowa City Area Chamber of Commerce annual Community Leadership Program. In this nine-month program, 24 members of the civic community receive an in-depth look at the workings of local government, public works, education system, health care, arts community, and more. This program gives participants a better understanding and appreciation of the entire community and develops fellowship among members from diverse backgrounds and settings.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 the overall quality of life. Mercy is a co-sponsor of and provides leadership for the 23-year-old Johnson County Safe Kids Coalition, a grass-roots effort to reduce unintentional injuries to children from birth to age 14. Since its inception, the coalition has been active in promoting bike helmet use, bike safety, and safety education. Mercy is also involved with the local effort Honoring Your Wishes, whose mission is to promote and sustain a community-wide advanced care planning process. The effort that resulted in Honoring Your Wishes began in December 2010 and Mercy has been involved since the beginning.
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 .3317 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 12 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 6/30/16. 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 06/30/16.
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 Hospital. 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 2015. 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 2015 was approximately 144,000. 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 338,000.Iowa City is home to the University of Iowa, which has an enrollment of approximately 33,000 for the 2016-2017 academic year. Johnson County is well-educated, of individuals 25 and older, 94.8 percent are high school graduates and 51.3 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, 18.3 percent of the Johnson County population lived below the poverty line between 2011 and 2015, compared to 12.2 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 (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
Iowa City Area Development Group
316 East Court	Iowa City	IA	52240	421234837	501(c)(6)	$12,000	$0	General Support
Iowa City Free Medical Clinic
2440 Towncrest Drive	Iowa City	IA	52240	420960955	501(c)(3)	$10,000	$0	General Support

Field	Value	IRS element (for citing)
Total501c3 Org	1	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	23	RecipientCnt
Cash Grant	$12,783	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt

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)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Ronald R Reed 715-316
President (CEO) & Administrator	$453,854	$0	$103,360	$0	$63,887	$0	$15,212	$0	$42,094	$0	$678,407	$0	$38,580	$0
Michael G Heinrich
Treasurer	$309,736	$0	$71,597	$0	$16,700	$0	$16,445	$0	$39,872	$0	$454,350	$0	$15,061	$0
Jean M Berge
Assistant Treasurer	$158,150	$0	$10,301	$0	$3,961	$0	$39,939	$0	$16,477	$0	$228,828	$0	$0	$0
Cindy Penney
Vice President	$184,230	$0	$44,103	$0	$18,465	$0	$11,859	$0	$24,293	$0	$282,950	$0	$12,336	$0
Anjana Aggarwal
Physician	$596,758	$0	$60,000	$0	$370	$0	$0	$0	$25,941	$0	$683,069	$0	$0	$0
Andrew R Ashby MD
Physician	$537,452	$0	$0	$0	$290	$0	$0	$0	$32,358	$0	$570,100	$0	$0	$0
Joe Ewing
Physician	$654,710	$0	$5,015	$0	$1,717	$0	$0	$0	$39,582	$0	$701,024	$0	$0	$0
Thomas Shreves
Physician	$650,490	$0	$3,613	$0	$11,853	$0	$0	$0	$38,518	$0	$704,474	$0	$0	$0
Joseph Truszkowski
Physician	$556,820	$0	$3,963	$0	$710	$0	$0	$0	$38,027	$0	$599,520	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Health club membership dues were paid for Mercy's CEO, Ronald Reed in the amount of $890.40 and were included as taxable income on his W-2.
Part I, Line 4b	Mercy established an IRC Section 457(f) plan as a way of retaining executives, officers and select groups of highly compensated employees with supplemental retirement benefits. The following individuals participated in and received payments from the plan. - Ronald Reed - $38,580 - Cindy Penney - $12,336 - Michael Heinrich - $15,061
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 (3 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	431669AA8	2008-04-29	$39,235,000	Refund Bonds issued 10/19/2005	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
Iowa Finance Authority
C	521699886		2010-12-22	$9,375,000	Construct Medical Office Building	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$3,730,000	$39,325,000	$278,380	$96,759	$38,859,861	2008	Yes (1)	Yes (1)	Yes (1)
B	$6,365,000	$44,744,068	$589,874		$24,151,438	2012	Yes (1)	0	Yes (1)	$20,002,692	$64
C	$1,033,458	$9,375,000				2011	0	Yes (1)	Yes (1)	$9,375,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	Yes (1)	0.00000	0	Yes (1)
B	0	0	Yes (1)	0.00000	0	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)		Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Business Name Line2HedgeProviderName/BusinessNameLine2Txt
Piper Jaffray
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	27.000000000000	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0				0	Yes (1)	Yes (1)
Bankers Trust
C	0	0	Yes (1)	0	Yes (1)	Yes (1)	10.000000000000	0	0	0	0	Yes (1)	Company

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	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 III, Lines 4 and 7, Column C:	A substantial portion of the proceeds of the bonds was used for private activity purposes. These bonds are Midwest Disaster Area Bonds, which are exempt facility bonds under IRC section 142 as provided by section 702 of the Heartland Disaster Tax Relief Act of 2008. Such bonds, while expected to have up to 100% private business use and to meet the private security or payment test, are qualified bonds by statute.
Schedule K, Part IV, Line 6, Column B:	Such amounts were appropriately yield restricted.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
Michael G Heinrich
Officer	Split Dollar Life Insurance	Yes (X)	$28,791	$28,791	0	0	0
Cindy L Penney
Officer	Split Dollar Life Insurance	Yes (X)	$4,140	$4,140	0	0	0

Field	Value	IRS element (for citing)
Total Balance Due	$32,931	TotalBalanceDueAmt

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; Sister Patricia Murphy, board member; and Sister Margaret Wright, board member; are all members of the Sisters 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 11	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 input 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 6/30/16, the organization has answered "No" to this question. Mercy has an Administrative team "A Team" 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 A Team has approved the whistleblowers 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 Loss -25,251,417. Change in Beneficial Interest in Foundation -190,388. Change in Beneficial Interest of Services -16,316,502. Adjustment to Professional Liability 31,475.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	UDM LLC	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	271456513	EIN
Primary Activities	Health Clinics Building	PrimaryActivitiesTxt
Legal Domicile State	IA	LegalDomicileStateCd
Total Income	-$237,411	TotalIncomeAmt
End Of Year Assets	$14,736,051	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

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)	11-I	Mercy Hospital	Yes (1)
Mercy Hospital Iowa City Iowa Self Insurance Plan & Trust
500 East Market Street	Iowa City	IA	52245	426591803	Self Insurance	IA	501(c)(3)	11-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)	11-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
Cancer Care of Iowa City LLC
613 East Bloomington Suite 100	Iowa City	IA	52245	421460774	Oncology Services	IA	Mercy Hospital	Related	-$85,261	$144,298	0	0	0.53320
Iowa City Ambulatory Surgical Center LLC
2963 Northgate Drive	Iowa City	IA	52245	208503424	Outpatient Surgery	IA	Mercy Hospital	Related	$3,915,674	$5,185,765	0	Yes (1)	0.51000
Corridor Radiology LLC
2769 Heartland Drive Suite 307	Coralville	IA	52241	430635070	Radiology Services	IA	Mercy Hospital	Related	-$110,190	$2,107,175	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	-$16,269,881	ShareOfTotalIncomeAmt
Share Of EOY Assets	$11,297,559	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	0	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 (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cancer Care of Iowa City
A	$124,472	Cost
Mercy Services Iowa City
A	$1,487,703	Cost
Mercy Foundation
C	$147,334	Cost
Mercy Services Iowa City
Q	$4,290,945	Cost
Mercy Services Iowa City
R	$4,000,000	Cost
Mercy Services Iowa City
S	$200,000	Cost