MERCY MEDICAL CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period: 2014-07-01 to 2015-06-30
Filed: 2016-05-13
IRS object ID: 201621349349305712
Schema version: 2014v6.0
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-13T14:25:03-05:00	ReturnTs
Tax Period End	2015-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N HARRISON STREET SUITE 300	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	528011999	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420698295	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3193986107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NATHAN VAN GENDEREN	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	3193986107	PhoneNum
Signature	2016-05-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN J ROMANO	PreparerPersonNm
PTIN	P00227323	PTIN
Phone	5638884000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NATHAN VAN GENDEREN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$326,455,677	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1900	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	ActivityOrMissionDesc
Voting Members Governing Body	31	VotingMembersGoverningBodyCnt
Voting Members Independent	25	VotingMembersIndependentCnt
Total Employee	2777	TotalEmployeeCnt
Total Volunteers	903	TotalVolunteersCnt
Total Gross UBI	$679,305	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,924,084	PYContributionsGrantsAmt
CY Contributions Grants	$5,595,344	CYContributionsGrantsAmt
PY Program Service Revenue	$266,783,691	PYProgramServiceRevenueAmt
CY Program Service Revenue	$299,414,067	CYProgramServiceRevenueAmt
PY Investment Income	$3,505,571	PYInvestmentIncomeAmt
CY Investment Income	$3,382,518	CYInvestmentIncomeAmt
PY Other Revenue	-$973,157	PYOtherRevenueAmt
CY Other Revenue	$1,764,947	CYOtherRevenueAmt
PY Total Revenue	$275,240,189	PYTotalRevenueAmt
CY Total Revenue	$310,156,876	CYTotalRevenueAmt
PY Grants And Similar Paid	$5,021,357	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,087,776	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$127,511,930	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$129,188,189	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$143,299,110	PYOtherExpensesAmt
CY Other Expenses	$152,787,273	CYOtherExpensesAmt
PY Total Expenses	$275,832,397	PYTotalExpensesAmt
CY Total Expenses	$287,063,238	CYTotalExpensesAmt
PY Revenues Less Expenses	-$592,208	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$23,093,638	CYRevenuesLessExpensesAmt
Total Assets BOY	$543,266,322	TotalAssetsBOYAmt
Total Assets EOY	$559,469,597	TotalAssetsEOYAmt
Total Liabilities BOY	$205,979,268	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$228,530,377	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$337,287,054	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$330,939,220	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$220,441,208	ExpenseAmt
Grant	$5,087,776	GrantAmt
Revenue	$300,697,432	RevenueAmt
Desc	THE MEDICAL CENTER PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED (DOLLARS IN THOUSANDS):COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $22,820,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,730,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $2,214,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $3,840,000 PHYSICIAN EDUCATION - $954,000.IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. A HEALTH NEWS PUBLICATION, THE MERCY TOUCH, DISTRIBUTED TO 71,000 HOUSEHOLDS IN 2015 AT A TOTAL COST OF OVER $55,000. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS OFFERED ON TOPICS INCLUDING CHRONIC BACK AND NECK PAIN, PRENATAL EDUCATION, BREAST FEEDING, DIABETES, EATING DISORDERS, OSTEOPOROSIS, CROHNS/COLITIS, CARDIOVASCULAR DISEASE AND WELLNESS, SPECIALIZED CANCER SEMINARS FOR SOCIAL WORKERS, DENTAL HYGIENISTS, NURSES, DENTISTS, AND PHYSICIANS ARE ALSO FREQUENTLY OFFERED. C. HOSPITAL MEETING FACILITIES ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY, M.S. SUPPORT GROUP, AND ARC OF EAST CENTRAL IOWA. D. CONTRIBUTIONS OF 143,000 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,721,000 AND WAS GIVEN BACK THE COMMUNITY THROUGH LOWER COSTS.	Desc
Total Program Service Expenses	$220,441,208	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	Yes (1)	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	205	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2777	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	31	GoverningBodyVotingMembersCnt
Independent Voting Member	25	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KAY CRIST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3193986107	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (45 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MATT ANDERSON MD
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
GORDON BAUSTIAN MD
FORMER MEMBER BOARD OF TRUSTEESS	1.00	Yes (X)	$0	$0	$0
JOHN-PAUL BESONG
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
LYDIA BROWN
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
MICHELE BUSSE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
TIMOTHY L CHARLES
PRESIDENT & CEO	40.00	Yes (X)	$475,132	$0	$59,770	Yes (X)
JACK COSGROVE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHRIS DEWOLF
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BARRIE ERNST
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
TONY GOLOBIC
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER LUANN HANNASCH
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
NANCY KASPAREK
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JAN KAZIMOUR
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BARB KNAPP
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER TERRY MALTBY
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BRUCE MCGRATH
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHERYLE MITVALSKY
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
DARREL MORF
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
RUE PATEL
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
FRED PILCHER MD
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
MARY QUASS
CHAIRMAN	1.00	Yes (X)	$0	$0	$0	Yes (X)
TOM REED
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JOHN RIFE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHARLIE ROHDE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
AL RUFFALO
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
EMMETT SCHERRMAN
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
KYLE SKOGMAN
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JOHN SMITH
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER MAURITA SOUKUP
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER SHARI SUTHERLAND
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
BOB VERHILLE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER MARGARET WEIGEL
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIO	40.00		$430,553	$0	$63,563	Yes (X)
NATHAN VANGENDEREN
EXECUTIVE VP/CFO	40.00		$204,881	$0	$25,698	Yes (X)
MARY BROBST
CHIEF NURSING OFFICER	40.00		$214,831	$0	$30,251		Yes (X)
JEFFREY CASH
CHIEF INFORMATION OFFICER	40.00		$223,821	$0	$44,648		Yes (X)
DOUG JONTZ
VP - HUMAN RESOURCES	40.00		$194,339	$0	$39,062		Yes (X)
DR MARK VALLIERE
CHIEF MEDICAL OFFICER	40.00		$357,262	$0	$62,550		Yes (X)
SURAJ BOPANNA
PHYSICIAN	40.00		$379,288	$0	$30,863			Yes (X)
CAM CAMPBELL
PHYSICIAN	40.00		$727,925	$0	$29,537			Yes (X)
DAVID GLASSMAN
PHYSICIAN	40.00		$624,013	$0	$29,215			Yes (X)
NICHOLAS HODGMAN
PHYSICIAN	40.00		$788,663	$0	$32,514			Yes (X)
SUSAN SCHIMA
PHYSICIAN	40.00		$527,512	$0	$28,354			Yes (X)
PHILIP PETERSON
FORMER CHIEF FINANCIAL OFFICER	40.00		$326,904	$0	$9,826				Yes (X)
MICHAEL TRACTA
FORMER CHIEF OPERATING OFFICIER	40.00		$200,479	$0	$5,574				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,675,603	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$491,425	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	43	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
HMP OF LINN COUNTY PLC
PO BOX 645037	CINCINNATI	OH	45264	HEALTHCARE PROFESSIONAL SERVICES	$3,887,926
ONCOLOGY ASSOCIATES OF CEDAR RAPIDS
701 10TH STREET	CEDAR RAPIDS	IA	52403	HEALTHCARE PROFESSIONAL SERVICES	$2,590,008
WELAND CLINICAL LABORATORY
1911 1ST AVE SE	CEDAR RAPIDS	IA	52406	HEALTHCARE PROFESSIONAL SERVICES	$484,801
PRECYSE SOLUTIONS LLC
PO BOX 11407	BIRMINGHAM	AL	35246	HEALTHCARE PROFESSIONAL SERVICES	$275,156
RSM US LLP
5155 PAYSPHERE CIRCLE	CHICAGO	IL	60674	ACCOUNTING SERVICES	$237,526

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,424,922	RelatedOrganizationsAmt
All Other Contributions	$170,422	AllOtherContributionsAmt
Noncash Contributions	$1,290	NoncashContributionsAmt
Total Contributions	$5,595,344	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES	900099	$229,495,266	$229,495,266
LABORATORY REVENUE	621500	$78,373,497	$77,770,174	$603,323
FAMILY COUNSELING REVENUE	624100	$263,839	$263,839
LESS: PROVISION FOR BAD DEBT	900099	-$8,718,535	-$8,718,535

Field	Value	IRS element (for citing)
Total Program Service Revenue	$299,414,067	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,022,488	TotalRevenueColumnAmt
Exclusion	$5,022,488	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,059,696	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,921,672	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$138,024	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$138,024	TotalRevenueColumnAmt
Exclusion	$138,024	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,919,980	SecuritiesAmt
Other	$400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$11,413,324	SecuritiesAmt
Other	$147,026	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,493,344	SecuritiesAmt
Other	-$146,626	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,639,970	TotalRevenueColumnAmt
Exclusion	-$1,639,970	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,640,224	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,816,779	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$176,555	TotalRevenueColumnAmt
Exclusion	-$176,555	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INVESTMENT PARTNERSHIP INCOME(LOS	561000	$2,873,169	$2,797,187	$75,982
MRI MR ASSOCIATES	621110	$2,148,861	$2,148,861
MISCELLANEOUS REVENUE	900099	$631,847	$631,847

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,850,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$3,850,399	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,803,478	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$310,156,876	TotalRevenueColumnAmt
Related Or Exempt Func Income	$300,538,240	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$679,305	UnrelatedBusinessRevenueAmt
Exclusion	$3,343,987	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$5,087,776	TotalAmt
Program Services	$5,087,776	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,813,701	TotalAmt
Program Services	$1,385,180	ProgramServicesAmt
Management And General	$428,521	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,575,757	TotalAmt
Program Services	$76,812,819	ProgramServicesAmt
Management And General	$23,762,938	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,025,732	TotalAmt
Program Services	$4,602,038	ProgramServicesAmt
Management And General	$1,423,694	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,304,425	TotalAmt
Program Services	$10,924,732	ProgramServicesAmt
Management And General	$3,379,693	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,468,574	TotalAmt
Program Services	$4,940,250	ProgramServicesAmt
Management And General	$1,528,324	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$435	TotalAmt
Program Services	$332	ProgramServicesAmt
Management And General	$103	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$264,127	TotalAmt
Program Services	$201,722	ProgramServicesAmt
Management And General	$62,405	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$181,051	TotalAmt
Program Services	$138,274	ProgramServicesAmt
Management And General	$42,777	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$33,942	TotalAmt
Program Services	$25,923	ProgramServicesAmt
Management And General	$8,019	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$39,027	TotalAmt
Program Services	$29,806	ProgramServicesAmt
Management And General	$9,221	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,066,219	TotalAmt
Program Services	$8,451,614	ProgramServicesAmt
Management And General	$2,614,605	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,940,171	TotalAmt
Program Services	$1,481,769	ProgramServicesAmt
Management And General	$458,402	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,613,051	TotalAmt
Program Services	$52,401,911	ProgramServicesAmt
Management And General	$16,211,140	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,010,697	TotalAmt
Program Services	$9,936,672	ProgramServicesAmt
Management And General	$3,074,025	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$9,900	TotalAmt
Program Services	$7,561	ProgramServicesAmt
Management And General	$2,339	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,301,976	TotalAmt
Program Services	$2,521,821	ProgramServicesAmt
Management And General	$780,155	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$338,885	TotalAmt
Program Services	$258,817	ProgramServicesAmt
Management And General	$80,068	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$67,045	TotalAmt
Program Services	$51,204	ProgramServicesAmt
Management And General	$15,841	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,043,681	TotalAmt
Program Services	$3,088,284	ProgramServicesAmt
Management And General	$955,397	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,058,658	TotalAmt
Program Services	$18,374,342	ProgramServicesAmt
Management And General	$5,684,316	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,270,083	TotalAmt
Program Services	$1,733,733	ProgramServicesAmt
Management And General	$536,350	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES	$8,827,268	$6,741,658	$2,085,610
REPAIRS	$6,551,850	$5,003,851	$1,547,999
EQUIPMENT RENTAL & MAIN	$2,858,672	$2,183,256	$675,416
RESIDENCY EXPENSE	$1,598,795	$1,221,049	$377,746

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,711,740	TotalAmt
Program Services	$2,834,814	ProgramServicesAmt
Management And General	$876,926	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$287,063,238	TotalAmt
Program Services	$220,441,208	ProgramServicesAmt
Management And General	$66,622,030	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,575,209	BOYAmt
EOY	$5,893,594	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,510,928	BOYAmt
EOY	$36,664,784	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$36,756,061	BOYAmt
EOY	$38,713,580	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,407,991	BOYAmt
EOY	$992,636	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,909,990	BOYAmt
EOY	$6,424,912	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,675,872	BOYAmt
EOY	$3,076,532	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$431,009,632	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$242,060,822	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$201,409,266	BOYAmt
EOY	$188,948,810	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$86,573,183	BOYAmt
EOY	$82,385,937	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$121,366,149	BOYAmt
EOY	$125,915,840	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$67,081,673	BOYAmt
EOY	$70,452,972	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$543,266,322	BOYAmt
EOY	$559,469,597	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$29,734,675	BOYAmt
EOY	$34,932,362	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$119,112,363	BOYAmt
EOY	$117,905,661	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$57,132,230	BOYAmt
EOY	$75,692,354	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$205,979,268	BOYAmt
EOY	$228,530,377	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,517,762	BOYAmt
EOY	$287,195,799	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$13,692,779	BOYAmt
EOY	$18,301,549	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$25,076,513	BOYAmt
EOY	$25,441,872	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$337,287,054	BOYAmt
EOY	$330,939,220	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$543,266,322	BOYAmt
EOY	$559,469,597	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$23,093,638	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,986,129	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,455,343	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$33,942	OtherActivitiesAmt
Total Lobbying Expenditures	$33,942	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	21% OR $32,471 OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES AND 2.98% OR $1,471 OF MEMBERSHIP DUES TO THE CATHOLIC HEALTH ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,987,320	BeginningYearBalanceAmt
Contributions	$298,033	ContributionsAmt
Investment Earnings Or Losses	$285,414	InvestmentEarningsOrLossesAmt
Administrative Expenses	$397,399	AdministrativeExpensesAmt
End Year Balance	$35,173,368	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,934,062	BeginningYearBalanceAmt
Contributions	$53,555	ContributionsAmt
Investment Earnings Or Losses	$2,557,545	InvestmentEarningsOrLossesAmt
Administrative Expenses	$557,842	AdministrativeExpensesAmt
End Year Balance	$34,987,320	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$31,300,732	BeginningYearBalanceAmt
Contributions	$514,737	ContributionsAmt
Investment Earnings Or Losses	$1,667,102	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$548,509	GrantsOrScholarshipsAmt
End Year Balance	$32,934,062	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,795,537	BeginningYearBalanceAmt
Contributions	$1,481,261	ContributionsAmt
Investment Earnings Or Losses	$723,609	InvestmentEarningsOrLossesAmt
Other Expenditures	$135,675	OtherExpendituresAmt
Administrative Expenses	$564,000	AdministrativeExpensesAmt
End Year Balance	$31,300,732	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,886,845	BeginningYearBalanceAmt
Contributions	$151,882	ContributionsAmt
Investment Earnings Or Losses	$4,618,232	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,317,922	OtherExpendituresAmt
Administrative Expenses	$543,500	AdministrativeExpensesAmt
End Year Balance	$29,795,537	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.16180	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.72330	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.11490	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	$19,866,795	OtherCostOrOtherBasisAmt
Book Value	$19,866,795	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$267,920,311	OtherCostOrOtherBasisAmt
Depreciation	$152,346,406	DepreciationAmt
Book Value	$115,573,905	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$140,378,176	OtherCostOrOtherBasisAmt
Depreciation	$87,436,751	DepreciationAmt
Book Value	$52,941,425	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,844,350	OtherCostOrOtherBasisAmt
Depreciation	$2,277,665	DepreciationAmt
Book Value	$566,685	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$188,948,810	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MONEY MARKET FUNDS	$5,281	F
COMMERCIAL PAPER & CASH	$31,995,828	F
MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS, & REAL ESTATE	$93,914,731	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$125,915,840	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION	$66,248,760	C
DEFERRED FINANCING COSTS	$896,710	C
INVESTMENT IN CEDAR RAPIDS PHO	$886,000	C
SLEEP LAB JOINT VENTURE	$1,218,000	C
INVESTMENT IN MR ASSOCIATES	$499,000	C
INVESTMENT IN MEDICAL MALL	$704,502	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$70,452,972	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP AGREEMENTS	$10,432,034
PENSION LIABILITY	$54,634,479
SELF INSURANCE RESERVES	$8,028,508
THIRD PARTY SETTLEMENTS	$764,000
PAYABLE TO MERCY CARE MGMT, INC.	$1,833,333

Field	Value	IRS element (for citing)
Total Liability	$75,692,354	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$279,465,531	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$6,986,129	NetUnrealizedGainsInvstAmt
Other Revenue	-$17,348,200	OtherRevenueAmt
Revenue Not Reported	-$24,334,329	RevenueNotReportedAmt
Revenue Subtotal	$303,799,860	RevenueSubtotalAmt
Other Revenues Not Included	$6,357,016	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$6,357,016	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$310,156,876	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$285,809,923	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,028,060	OtherExpensesIncludedAmt
Expenses Not Reported	$2,028,060	ExpensesNotReportedAmt
Expenses Subtotal	$283,781,863	ExpensesSubtotalAmt
Other Expenses Not Included	$3,281,375	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$3,281,375	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$287,063,238	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC., A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE HALL-PERRINE CANCER CENTER & CANCER PROGRAMS, HALL RADIATION CENTER, NEUROSCIENCES, HOSPICE OF MERCY, HOSPICE PROGRAM, FAMILY CAREGIVERS CENTER AT MERCY, HALL-PERRINE FAMILY RESOURCE CENTER, HALLMAR, WATTS LIBRARY, MERCY MEDICAL CENTER CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTOR'S DISCRETION.
PART X, LINE 2:	THE HOSPITAL IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2015 AND 2014, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990T FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -606,693. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN -17,558,163. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 3,316,656. GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES -2,500,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -1,881,434. LOSS ON SALE OF ASSETS -146,626. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT 36,629. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 2,640,970. EXPENSES INCLUDED WITH REVENUES IN REPORT 378,991. PURCHASE OF BUILDING FROM AFFILIATE (MERCYCARE MANAGEMENT, INC.) 4,877,313. CONTRIBUTION REVENUE NOT REPORTED FOR BOOKS 339,179. ADDITIONAL CONTRIBUTION REVENUE NOT INCLUDED FOR BOOKS 110,445. AUDIT REPORT ROUNDING/GROUPING ADJUSTMENT 1,549.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 1,881,434. LOSS ON SALE OF FIXED ASSETS 146,626.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 2,500,000. EXPENSES INCLUDED WITH REVENUES IN REPORT 378,991. ADDITIONAL CONTRIBUTION EXPENSE NOT INCLUDED FOR BOOKS 339,179. CONTRIBUTION REVENUE INCLUDED WITH EXPENSES 58,215. AUDIT REPORT ROUNDING/GROUPING ADJUSTMENT 4,990.

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	100.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	$4,371,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,371,735	NetCommunityBenefitExpnsAmt
Total Expense	0.01520	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,613,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,860,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,752,727	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,985,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,860,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,124,462	NetCommunityBenefitExpnsAmt
Total Expense	0.03520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$712,746	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$712,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,816,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$862,728	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$954,254	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,117,177	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,528,797	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,588,380	NetCommunityBenefitExpnsAmt
Total Expense	0.00900	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$179,358	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$179,358	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,826,263	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,391,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,434,738	NetCommunityBenefitExpnsAmt
Total Expense	0.01540	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,811,486	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$39,252,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,559,200	NetCommunityBenefitExpnsAmt
Total Expense	0.05060	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,062	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$334,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$334,408	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$473,271	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$473,271	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,622	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$814,954	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$814,954	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$8,718,535	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$99,342,864	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$122,159,219	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$22,816,355	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 (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 MR ASSOCIATES LLP
MRI SERVICES	0.33000	0.00000	0.33000
2 EASTERN IOWA SLEEP CENTER LLC
SLEEP STUDIES	0.33000	0.00000	0.33000
3 PARAMOUNT HEALTH OPTIONS
PAYOR CONTRACTING	0.40000	0.00000	0.60000
4 PCI REGIONAL MED MALL LLC
MEDICAL SERVICES	0.10000	0.00000	0.80000
5 PCI LENDER LLC
FINANCIAL SERVICES	0.07500	0.00000	0.85000

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCYCARE.ORG	WebsiteAddressTxt
State License	570036H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MERCYCARE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	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	100.000000000000	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
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP 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
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	0	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 5: LINN COUNTY PUBLIC HEALTH FACILITATED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THROUGH THE USE OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THIS PROCESS INCLUDED THE FOLLOWING: A COMMUNITY HEALTH STATUS ASSESSMENT (COLLECTION OF STATISTICAL DATA FROM MAJOR LEADING HEALTH INDICATORS); COMMUNITY THEMES AND STRENGTHS ASSESSMENT (FACILITATED DIALOGUES/FOCUS GROUPS THAT ARE CONDUCTED AMONG DIVERSE POPULATIONS); A LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT (AN EVENT THAT BRINGS TOGETHER COMMUNITY MEMBERS, AGENCIES, AND LEADERS TO IDENTIFY THE PUBLIC HEALTH SYSTEM'S STRENGTHS AND WEAKNESSES); AND A FORCE OF CHANGE ASSESSMENT (AN IMPORTANT BRAINSTORMING ACTIVITY THAT IDENTIFIED FORCES THAT HAVE THE POTENTIAL TO AFFECT HEALTH OUTCOMES). SPECIFICALLY, LINN COUNTY PUBLIC HEALTH CONDUCTED A TOTAL OF 12 COMMUNITY DIALOGUES WITH VARIOUS GROUPS, INCLUDING: MENTAL HEALTH SERVICES PLANNING COMMITTEE, WOMEN'S HEALTH NETWORK, FAMILY VIOLENCE PREVENTION COALITION, PARTNERSHIP FOR A DRUG FREE COMMUNITY, LAW ENFORCEMENT INTELLIGENCE NETWORK (HOUSED IN BENTON COUNTY), RESIDENTS IN TREATMENT AT THE HEART OF IOWA, SAFE KIDS COALITION, HEALTH LIVING COALITION/BLUE ZONES PROJECT SUBCOMMITTEES, SEXUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES, PROVIDERS WITH THE LINN COUNTY MEDICAL SOCIETY AND ENVIRONMENTAL PUBLIC HEALTH WORK GROUP. BENTON COUNTY PUBLIC HEALTH CONDUCTED TWO ADDITIONAL COMMUNITY DIALOGUES WITHIN BENTON COUNTY. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: BENTON COUNTY PUBLIC HEALTH/VIRGINIA GAY HOSPITAL, CEDAR COUNTY, COMMUNITY HEALTH FREE CLINIC, HACAP, HIS HANDS FREE MEDICAL CLINIC, JOHNSON COUNTY PUBLIC HEALTH, JONES REGIONAL MEDICAL CENTER, LINN COMMUNITY CARE, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND UNITED WAY OF EAST CENTRAL IOWA. MERCY MEDICAL CENTER VALIDATED THE IDENTIFIED NEEDS WITH MERCY'S PRIMARY CARE NETWORK OF PHYSICIANS AND THE HOSPITAL'S QUALITY STEERING COMMITTEE.
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 6A: LINN COUNTY PUBLIC HEALTH FACILITATED A CHNA FOR UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND MERCY MEDICAL CENTER. BOTH HOSPITALS ARE LOCATED IN CEDAR RAPIDS, IA.
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 6B: IN ADDITION TO LINN COUNTY PUBLIC HEALTH AND UNITY POINT HEALTH - ST. LUKES HOSPITAL, OTHER ORGANIZATIONS PARTICIPATING IN THE CHNA INCLUDED: BENTON PUBLIC HEALTH/VIRGINIA GAY HOSPITAL, CEDAR COUNTY, COMMUNITY HEALTH FEE CLINIC, HACAP, HIS HANDS FREE MEDICAL CLINIC, JOHNSON COUNTY PUBLIC HEALTH, UNITY POINT HEALTH - JONES REGIONAL MEDICAL CENTER, LINN COMMUNITY CARE (NOW EASTERN IOWA HEALTH CENTER) AND UNITED WAY OF EAST CENTRAL IOWA.
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA IN A VARIETY OF WAYS. THESE INCLUDE HEALTH PROMOTION PROGRAMS AND ACTIVITIES SUCH AS THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, COLLABORATION WITH COMMUNITY PARTNERS AT GENEVA TOWER TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS, PROVIDING COMMUNITY EDUCATION, PARTICIPATING IN THE COMMUNITY'S BLUE ZONES INITIATIVES, SUPPORTING COMMUNITY EVENTS BOTH WITH FINANCIAL AND IN-KIND CONTRIBUTIONS THAT ADDRESS AND SUPPORTS ENHANCING HEALTH INITIATIVES, FACILITATING SUPPORT GROUPS FOR A VARIETY OF DISEASE CONDITIONS THAT ARE OPEN TO AND FOR COMMUNITY MEMBERS, OFFERING A VARIETY OF SCREENINGS (I.E. SKIN CANCER, HEAD AND NECK CANCER, BLOOD PRESSURE), PROVIDING SMOKING CESSATION CLASSES, PARTICIPATING IN COMMUNITY WIDE COALITIONS TO ADDRESS A VARIETY OF HEALTH ISSUES, PROVIDING IN-KIND LAB AND RADIOLOGY SERVICES TO BOTH FREE CLINICS IN OUR COMMUNITY, UTILIZING OUR MOBILE MAMMOGRAPHY UNIT TO SERVE RURAL AND UNDERSERVED AREAS IN OUR AREA WITH MAMMOGRAM SCREENINGS, SUPPORTING THE ESPECIALLY FOR YOU FUND FOR UNINSURED AND UNDERINSURED PERSONS TO RECEIVE ACCESS TO HEALTH CARE SERVICES RELATING TO BREAST HEALTH, INCREASING THE NUMBER OF PRIMARY CARE PROVIDERS IN OUR AREA, IMPLEMENTING PROGRAMS TO PROVIDE ADDITIONAL CASE MANAGEMENT, COMPREHENSIVE AND COORDINATED CARE TO THOSE PATIENTS WHO HAVE MULTIPLE, COMPLEX PROBLEMS.SEXUAL HEALTH WAS IDENTIFIED AS A HIGH PRIORITY FOR LINN AND JOHNSON COUNTIES. TO ADDRESS THIS NEED, MERCY MEDICAL CENTER HAS SEXUAL ASSAULT NURSE EXAMINERS LOCATED IN THE ED AND THEY PARTICIPATE ON THE LINN COUNTY SEXUAL ASSAULT RESPONSE TEAM. MERCY WILL NOT BE FURTHER ADDRESSING THIS NEED BECAUSE THE LINN COUNTY PUBLIC HEALTH DEPARTMENT CURRENTLY OFFERS EXTENSIVE SERVICES IN THIS AREA. THESE SERVICES INCLUDE: COORDINATING THE SEXUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES COALITION (A MERCY PHYSICIAN SERVES ON THIS COALITION); OFFERING HIV TESTS AND FREE STD EXAMINATIONS AND TREATMENT; CONDUCTING STD PARTNER TRACKING FOLLOW-UP SERVICES; OFFERING FREE CONDOMS, DENTAL DAMS AND LUBRICANT; PROVIDING OFFSITE STD/HIV TESTING TO HIGH-RISK COMMUNITY AGENCIES AND EVENTS WITH HIGH-RISK POPULATIONS; AND MONITORING POPULATION HEALTH CHANGES THROUGH PUBLIC HEALTH SURVEILLANCE. VIOLENCE, INJURY PREVENTION, ENVIRONMENTAL HEALTH AND PRENATAL/EARLY CHILDHOOD HEALTH WERE OTHER KEY HEALTH PRIORITIES ANALYZED IN THE CHNA. HOWEVER, THEY WERE NOT IDENTIFIED AS HIGH PRIORITY AREAS DUE TO LIMITED DATA AND/OR THE LOWER INCIDENCE OR PREVALENCE RATES WHEN COMPARED TO STATE AND NATIONAL RATES. FOR THIS REASON, MERCY WILL NOT BE ADDRESSING THESE NEEDS BEYOND CURRENT PROGRAMMING.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	NOT APPLICABLE
PART I, LINE 7:	MERCY MEDICAL CENTER UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7.
PART I, LINE 7G:	NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	BAD DEBT EXPENSE WAS NOT INCLUDED IN THE DENOMINATOR BECAUSE IT WAS REPORTED ON LINE 2E OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 18.75%. THIS PERCENTAGE INCREASES TO 61.30% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCY MEDICAL CENTER (MERCY) PARTICIPATED IN A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES. THIS WAS DONE THROUGH MERCY REPRESENTATION ON A NUMBER OF COALITIONS, COMMITTEES AND BOARDS. MERCY MADE FINANCIAL CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS, INCLUDING PHYSICAL IMPROVEMENTS AND COMMUNITY SUPPORT. MERCY PROVIDES REPRESENTATION ON THE FOLLOWING COMMUNITY-BUILDING COALITIONS, BOARDS, AND COMMITTEES: - AGING SERVICES BOARD - BIG BROTHERS BIG SISTERS - CATHERINE MCAULEY CENTER BOARD - CEDAR RAPIDS CHAMBER OF COMMERECE - COMMUNITY EMERGENCY RESPONSE TEAM - DAYBREAK ROTARY - DIVERSITY FOCUS BOARD - HACAP BOARD - MARION CHAMBER OF COMMERCE - MEET ME AT THE MARKET COMMITTE - SAFE KIDS LINN COUNTY COALITION - UNITED WAY TEAMS AND BOARD - WILLIS DADY EMERGENCY SHELTER - WOMEN'S LEADERSHIP INITIATIVE - YOUNG PARENTS NETWORK BOARD
PART III, LINE 2:	BAD DEBT RECORDED IS THE UNPAID AMOUNT OF THE PATIENT'S ACCOUNT; IT DOES NOT REFLECT GROSS ESTABLISHMENT CHARGES. FOR PATIENTS WITH INSURANCE COVERAGE, THIS IS THE RESULTING PATIENT LIABILITY AFTER INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES HAVE BEEN APPLIED TO THE ACCOUNT. FOR PATIENTS WITHOUT INSURANCE COVERAGE, A DISCOUNT PERCENTAGE BASED ON THE ORGANIZATION'S CURRENT POLICY IS APPLIED TO GROSS ESTABLISHED CHARGES BEFORE THE PATIENT IS BILLED. IF THEY DO NOT PAY THIS REMAINING AMOUNT AND DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THIS AMOUNT WOULD BE APPLIED TO BAD DEBT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAS BEEN WRITTEN OFF TO BAD DEBT ARE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS FROM INSURANCE OR SELF-PAY ACCOUNTS ARE WRITTEN OFF TO CONTRACTUAL ALLOWANCE ACCOUNTS.
PART III, LINE 3:	NOT APPLICABLE
PART III, LINE 4:	SEE PAGES 7 AND 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE.
PART III, LINE 8:	THE COSTS SHOWN FOR THE MEDICARE SHORTFALL ARE BASED ON TOTAL CHARGES OF ALL MEDICARE AND MEDICARE REPLACEMENT (PART C) PATIENTS. THE SHORTFALL IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES BY THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2, LESS PAYMENTS WE RECEIVED FOR THESE SERVICES.THE MEDICARE COST REPORT IS NOT AN APPROPRIATE SOURCE TO DETERMINE THE COSTS FOR THESE PATIENTS. MANY ITEMS, INCLUDING ALL OUTPATIENT SERVICES FOR PATIENTS WHO ARE COVERED BY A MEDICARE REPLACEMENT PLAN (PART C) AND MANY SERVICES SUCH AS LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHERS PAID ON A FEE FOR SERVICE BASIS, ARE NOT INCLUDED ON THE MEDICARE COST REPORT. IN ADDITION, HOSPICE, HOME HEALTH, AND DIALYSIS SERVICES, ALTHOUGH INCLUDED IN MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, 50% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE. ANOTHER 8% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICAID COVERAGE. NEITHER GOVERNMENT PROGRAM HAS HISTORICALLY REIMBURSED ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THESE PATIENT POPULATIONS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE. OF THE 76,735 MEDICARE PATIENTS DISCHARGED IN THE 2015 FISCAL YEAR, 16.9% OF THEM HAD MEDICAID SECONDARY COVERAGE. THIS DOES NOT REFLECT ANY OF THE PATIENTS WHOSE PRIMARY COVERAGE IS MEDICARE REPLACEMENT (PART C) POLICY. BASED ON INFORMATION FROM THE AMERICAN HOSPITAL ASSOCIATION, APPROXIMATELY 20% OF MEDICARE BENEFICIARIES ARE DUALLY-ELIGIBLE AND ACCOUNT FOR APPROXIMATELY 59% OF A HOSPITAL'S MEDICARE BAD DEBT.
PART III, LINE 9B:	MERCY MEDICAL CENTER UNDERSTANDS PATIENTS MAY NOT HAVE THE ABILITY TO PAY FOR SERVICES NOR RECOGNIZE THE OPPORTUNITY THEY MAY HAVE TO RECEIVE FINANCIAL ASSISTANCE. TO AID IN THIS PROCESS, MERCY MEDICAL CENTER HAS IMPLEMENTED A PRESUMPTIVE CHARITY ELIGIBILITY PROGRAM (PCEP). PATIENTS WHO QUALIFY FOR THIS PROGRAM DO NOT COMPLETE PAPERWORK. MERCY MEDICAL CENTER UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS FROM THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE: - MERCY MEDICAL CENTER WILL PROVIDE THE SAME INFORMATION CONCERNING SERVICES AND CHARGES TO ALL PATIENTS. - MERCY MEDICAL CENTER WILL NOT KNOWINGLY SEND A PATIENT'S BILL TO A COLLECTION AGENCY BEFORE INITIAL FINANCIAL ELIGIBILITY ASSISTANCE DETERMINATION HAS BEEN MADE. - MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT.
PART VI, LINE 2:	MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM HOSPITAL CHARITY CARE CASES, COMMUNITY FREE CLINICS, UNITED WAY AND COUNTY HEALTH RANKING REPORTS TO MODIFY CURRENT ACTIVITIES AND CREATE NEW PROGRAMS TO ADDRESS HEALTH NEEDS. ADDITIONALLY, MERCY MEDICAL CENTER RECEIVES REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS FOR FINANCIAL AND IN-KIND SUPPORT TO ADDRESS COMMUNITY NEEDS FOR WHICH THEY PROVIDE PROGRAMS AND SERVICES. MERCY MEDICAL CENTER UTILIZES ALL OF THIS INFORMATION, IN ADDITION TO THE CHNA TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL EACH YEAR.
PART VI, LINE 3:	MERCY MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT FOR ALL THOSE WE SERVE, PARTICULARLY THE POOR AND UNDERSERVED; CARING FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE AND COMMUNICATING INFORMATION ABOUT FINANCIAL ASSISTANCE IN A CLEAR AND CONSISTENT MANNER.MERCY MEDICAL CENTER INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE IN THE FOLLOWING WAYS. MERCY MEDICAL CENTER'S BILLING AND COLLECTION POLICIES ALONG WITH THE LIST OF ALL FINANCIAL RESOURCES ARE PROVIDED IN BROCHURES, ARE INCLUDED IN PATIENT REGISTRATION PACKETS, INCLUDED IN HOSPITAL BILLING STATEMENTS AND POSTED IN KEY PUBLIC AREAS.PATIENTS ARE EDUCATED ABOUT THEIR RESPONSIBILITIES, THE POTENTIAL FINANCIAL OBLIGATION THEY MAY INCUR, THEIR OBLIGATIONS FOR COMPLETING ELIGIBILITY DOCUMENTATIONS AND THE HOSPITAL'S BILLING AND COLLECTION POLICIES. PATIENTS ARE REFERRED TO AND/OR PROVIDED WITH ASSISTANCE TO COMPLETE MEDICAID, STATE INSURANCE EXCHANGE PRODUCTS OR OTHER LOCAL FUNDING APPLICATIONS. MERCY MEDICAL CENTER PROVIDES THESE SERVICES UTILIZING INTERPRETER SERVICES IF NECESSARY.
PART VI, LINE 4:	MERCY MEDICAL CENTER SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT CONTIGUOUS COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). 17.8% OF MERCY'S INPATIENT DISCHARGES AND OUTPATIENT VISITS COME FROM THE SECONDARY SERVICE AREA.THE TOTAL POPULATION OF LINN COUNTY IN 2012 IS 215,295. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS IS 488,735. THE PROJECTED 10-YEAR POPULATION GROWTH FOR THE PSA IS 1% AND THE SSA, 1%, ANNUALLY. - 13.4% OF PERSONS LIVING IN MERCY'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER. - 93.3% ARE HIGH SCHOOL GRADUATES, WHILE 32.3% HOLD A BACHELOR'S DEGREE OR HIGHER. - THE MEDIAN HOUSEHOLD INCOME IS $53,722. - THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 11.7%, AS COMPARED TO 11.9% FOR ALL OF IOWA. - THE IOWAN UNINSURED RATE WAS 11% BEFORE THE EXPANDED ACA COVERAGE BECOME AVAILABLE. THE UNINSURED RATE IN LINN COUNTY WAS 9%. THE EIGHT CONTIGUOUS UNINSURED RATES RANGED FROM 8 TO 14%. WHILE PRIVATE AGENCIES HAVE RELEASED ESTIMATES BASED ON SURVEYS, CONCRETE NUMBERS REFLECTING THE IMPACT OF THE ACA ARE NOT CURRENTLY AVAILABLE. - THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.42.DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS: - 49.7% MALE, 50.3% FEMALE - 91.5% CAUCASIAN - 3.5% AFRICAN AMERICAN - 0.5% NATIVE AMERICAN - 2.6% ASIAN/PACIFIC - 1.9% TWO OR MORE RACES - 3.3% HISPANICAS OF AUGUST 2015, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 4.9%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 3.8 TO 5.2%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE, INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE.UNITY POINT HEALTH - ST. LUKE'S HOSPITAL IS LOCATED IN LINN COUNTY AND SERVES THE SAME GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY HOSPITAL ARE LOCATED IN JOHNSON COUNTY AND VIRGINA GAY HOSPITAL IS LOCATED IN BENTON COUNTY.
PART VI, LINE 5:	MERCY MEDICAL CENTER CONTRIBUTES TO THE HEALTH OF THE COMMUNITIES IT SERVES IN A NUMBER OF WAYS. MERCY PROVIDES REPRESENTATION ON SEVERAL COMMUNITY BOARDS, COALITIONS AND COMMITTEES ADDRESSING HEALTH NEEDS. EXAMPLES INCLUDE: - THE ARC OF EAST CENTRAL IOWA BOARD - ALZHEIMER'S ASSOCIATION BOARD - BLUE ZONES PROJECT COMMITTEES - COMMUNITY HEALTH FREE CLINIC BOARD - GEMS OF HOPE BOARD - PARTNERSHIP FOR A DRUG-FREE COMMUNITY COALITIION - SEXUAL ASSAULT RESPONSE TEAM OF LINN COUNTYMERCY HONORED THE LIFETIME ACCOMPLISHMENTS OF SR. MARY LAWRENCE HALLAGAN WITH A NON-PROFIT COMMUNITY CENTER THAT OPENED SEPT. 6, 2011 TO PROVIDE SPACE AND DIRECT CLIENT SERVICES TO NONPROFIT ORGANIZATIONS AT 420 6TH STREET, CEDAR RAPIDS. TENANTS INCLUDE: GEMS OF HOPE; KIDS FIRST LAW CENTER; YOUNG PARENTS NETWORK AND BOYS & GIRLS CLUB; CATHOLIC CHARITIES; AND METRO CATHOLIC OUTREACH. THESE AGENCIES SHARE MERCY'S VISION TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. TOGETHER, WE MAKE A DIFFERENCE IN THE LIVES OF MANY. MERCY LEASES THE SPACE FOR $1 PER YEAR, PLUS THE COST OF MONTHLY UTILITIES.MERCY SUPPORTS THE CEDAR RAPIDS MEDICAL SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT - THE MEDICAL QUARTER REGIONAL MEDICAL DISTRICT (MEDQUARTER) - TO ENHANCE OUR COMMUNITY'S NATIONALLY RECOGNIZED REPUTATION FOR HIGH-QUALITY, LOW-COST CARE WITH A CONCENTRATED AREA OF MEDICAL SERVICES THAT ARE EASILY ACCESSIBLE.MERCY MEDICAL CENTER PARTNERS WITH UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL TO SUPPORT A FAMILY PRACTICE RESIDENCY PROGRAM. A COMMUNITY-BASED PROGRAM UNDERSCORES A COMMITMENT TO THE CONCEPT OF THE PATIENT-CENTERED MEDICAL HOME. THE MEDICAL HOME IS A COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, ONE WHICH ALLOWS RESIDENTS TO CARE FOR THE NEEDS OF BOTH RURAL AND URBAN UNDERSERVED POPULATIONS. MERCY MEDICAL CENTER HAS COMMITTED A FULL-TIME EQUIVALENT TO THE ROLE OF MANAGER, COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES. IN ADDITION, MERCY ADMINISTRATION BUDGETS 2 HOURS PER FULL-TIME EQUIVALENT THAT IS USED TO SUPPORT COMMUNITY BENEFIT VOLUNTEER ACTIVITIES AND PRECEPTING. IN THE PAST YEAR, MERCY MEDICAL CENTER EMPLOYEES ACCRUED 20,986 COMMUNITY BENEFIT HOURS, OR 7.62 HOURS PER FULL-TIME EMPLOYEE. THE HOSPITAL ALSO HAS A SUPPORTIVE COMMITTEE STRUCTURE THAT WORKS WITH THE MANAGER OF COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES IN DEVELOPING THE COMMUNITY BENEFIT PLAN AND EVALUATING THE IMPACT OF PROGRAMS AND ACTIVITIES ESTABLISHED TO MEET GAPS IN CARE WITHIN THE PRIMARY AND SECONDARY SERVICE AREAS. THE COMMITTEES REFERENCED ABOVE ARE THE HOSPITAL COMMUNITY BENEFIT COMMITTEE, CONSISTING OF SEVERAL HOSPITAL AND CLINIC REPRESENTATIVES, AND THE HOSPITAL BOARD COMMITTEE FOR COMMUNITY BENEFIT. THE MANAGER OF COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES REPORTS TO THE VICE PRESIDENT OF MISSION INTEGRATION, WHO REPORTS TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO).MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.MERCY MEDICAL CENTER'S BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PSA. THE BOARD CONSISTS OF 30 MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN DECISION-MAKING FOR THE ORGANIZATION. IN ADDITION, FIVE SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION.MERCY MEDICAL CENTER UTILIZES OPERATING INCOME SURPLUSES TO FUND CAPITAL EXPENDITURES. THE PROPOSED CAPITAL ITEMS ARE REVIEWED BY STAFF, MEDICAL STAFF AND ADMINISTRATION TO ENSURE ITEMS WILL PROVIDE ONGOING HIGH QUALITY, LOW COST CARE TO PATIENTS AND ALIGN WITH THE STRATEGIC INITIATIVES OF THE FACILITY. ANY ECESS OPERATING FUNDS ARE RETAINED BY THE ORGANIZATION FOR FUTURE CAPITAL IMPROVEMENTS OR OPERATING FUNDS AS NEEDED.
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 (26 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(C)(3)	$2,500,000	FOR USE IN CONTINUING OPERATIONS
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	501(C)(3)	$851,332	FOR USE IN CONTINUING OPERATIONS
AMERICAN CANCER SOCIETY INC
4080 1ST AVENUE NE SUITE 101	CEDAR RAPIDS	IA	52402	131788491	501(C)(3)	$40,000	GENERAL SUPPORT
CEDAR RAPIDS SYMPHONY ORCHESTRA ASSOCIATION INC
119 3RD AVENUE SE	CEDAR RAPIDS	IA	52401	420772544	501(C)(3)	$10,000	GENERAL SUPPORT
UNITED WAY OF EAST CENTRAL IOWA
317 7TH AVENUE SE STE 401	CEDAR RAPIDS	IA	52401	420861239	501(C)(3)	$14,270	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION INC
317 7TH AVENUE SE SUITE 202B	CEDAR RAPIDS	IA	52401	131623888	501(C)(3)	$10,000	GENERAL SUPPORT
DIVERSITY FOCUS
222 SECOND STREET SE	CEDAR RAPIDS	IA	52401	203420207	501(C)(3)	$10,000	GENERAL SUPPORT
JUNIOR ACHIEVEMENT OF EASTERN IOWA
324 3RD STREET SE STE 200	CEDAR RAPIDS	IA	52401	420919209	501(C)(3)	$14,000	GENERAL SUPPORT
GEMS OF HOPE INC
420 6TH STREET SE	CEDAR RAPIDS	IA	52401	203155610	501(C)(3)	$10,000	GENERAL SUPPORT
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION
317 7TH AVENUE SE STE 402	CEDAR RAPIDS	IA	52401	133039601	501(C)(3)	$7,500	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION INC
1035 N CENTER POINT RD SUITE B	HIAWATHA	IA	52233	135613797	501(C)(3)	$6,500	GENERAL SUPPORT
ZACH JOHNSON FOUNDATION
PO BOX 2336	CEDAR RAPIDS	IA	52406	272683100	501(C)(3)	$6,750	GENERAL SUPPORT
FOUR OAKS FAMILY AND CHILDREN SERVICES
5400 KIRKWOOD BLVD SW	CEDAR RAPIDS	IA	52404	420998726	501(C)(3)	$25,000	GENERAL SUPPORT
AFFORDABLE HOUSING NETWORK
3000 J STREET SW	CEDAR RAPIDS	IA	52404	208640691	501(C)(3)	$25,000	GENERAL SUPPORT
GREATER CEDAR RAPIDS COMMUNITY
324 3RD STREET SE	CEDAR RAPIDS	IA	52401	426053860	501(C)(3)	$10,000	CONTRIBUTION TO THE ARC OF EAST CENTRAL IOWA ENDOWMENT FUND
CATHERINE MCAULEY CENTER
866 4TH AVENUE SE	CEDAR RAPIDS	IA	52403	421342872	501(C)(3)	$5,000	GENERAL SUPPORT
ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(C)(3)	$20,000	GENERAL SUPPORT
IOWA HEALTHCARE COLLABORATIVE
100 EAST GRAND SUITE 360	DES MOINES	IA	50309	203869767	501(C)(3)	$20,000	GENERAL SUPPORT
IOWA WOMENS LEADERSHIP CONFERENCE
200 FIRST STREET SE SUITE 2100	CEDAR RAPIDS	IA	52401	452932668	501(C)(3)	$5,000	GENERAL SUPPORT
JUVENILE DIABETES FOUNDATION (JDRF)
1026 A AVENUE NE SUITE 113 PO BOX	CEDAR RAPIDS	IA	52402	231907729	501(C)(3)	$10,600	GENERAL SUPPORT	3026
LEUKEMIA & LYMPHOMA SOCIETY
2700 WESTOWN PKWY SUITE 260	DES MOINES	IA	50266	135644916	501(C)(3)	$5,000	GENERAL SUPPORT
MARCH OF DIMES (WALK AMERICA)
425 2ND STREET SE SUITE 605	CEDAR RAPIDS	IA	52401	131846366	501(C)(3)	$5,000	GENERAL SUPPORT
MIA-USA FUNDRAISING INC
2039 NORTH GEYER ROAD	ST LOUIS	MO	63131	461959457	501(C)(3)	$5,000	GENERAL SUPPORT
NEWBO CITY MARKET
1100 3RD STREET SE	CEDAR RAPIDS	IA	52401	270600597	501(C)(3)	$10,000	GENERAL SUPPORT
STATE UNIVERSITY OF IOWA FOUNDATION
ONE WEST PARK RD PO BOX 4550	IOWA CITY	IA	52244	420796760	501(C)(3)	$6,080	GENERAL SUPPORT
WAYPOINT SERVICES FOR WOMEN CHILDREN AND FAMILIES
318 5TH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(C)(3)	$5,000	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	26	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
TIMOTHY L CHARLES
PRESIDENT & CEO	$428,136	$0	$0	$0	$46,996	$0	$44,410	$0	$15,360	$0	$534,902	$0	$0	$0
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIO	$427,362	$0	$0	$0	$3,191	$0	$44,370	$0	$19,193	$0	$494,116	$0	$0	$0
NATHAN VANGENDEREN
EXECUTIVE VP/CFO	$195,404	$0	$0	$0	$9,477	$0	$13,831	$0	$11,867	$0	$230,579	$0	$0	$0
MARY BROBST
CHIEF NURSING OFFICER	$206,588	$0	$0	$0	$8,243	$0	$14,646	$0	$15,605	$0	$245,082	$0	$0	$0
JEFFREY CASH
CHIEF INFORMATION OFFICER	$207,931	$0	$0	$0	$15,890	$0	$27,416	$0	$17,232	$0	$268,469	$0	$0	$0
DOUG JONTZ
VP - HUMAN RESOURCES	$185,120	$0	$0	$0	$9,219	$0	$23,936	$0	$15,126	$0	$233,401	$0	$0	$0
DR MARK VALLIERE
CHIEF MEDICAL OFFICER	$343,333	$0	$0	$0	$13,929	$0	$38,432	$0	$24,118	$0	$419,812	$0	$0	$0
SURAJ BOPANNA
PHYSICIAN	$363,551	$0	$0	$0	$15,737	$0	$14,300	$0	$16,563	$0	$410,151	$0	$0	$0
CAM CAMPBELL
PHYSICIAN	$511,646	$0	$136,442	$0	$79,837	$0	$14,300	$0	$15,237	$0	$757,462	$0	$0	$0
DAVID GLASSMAN
PHYSICIAN	$515,017	$0	$96,142	$0	$12,854	$0	$14,300	$0	$14,915	$0	$653,228	$0	$0	$0
NICHOLAS HODGMAN
PHYSICIAN	$532,940	$0	$185,942	$0	$69,781	$0	$14,300	$0	$18,214	$0	$821,177	$0	$0	$0
SUSAN SCHIMA
PHYSICIAN	$448,718	$0	$61,265	$0	$17,529	$0	$14,300	$0	$14,054	$0	$555,866	$0	$0	$0
PHILIP PETERSON
FORMER CHIEF FINANCIAL OFFICER	$271,348	$0	$0	$0	$55,556	$0	$0	$0	$9,826	$0	$336,730	$0	$20,253	$0
MICHAEL TRACTA
FORMER CHIEF OPERATING OFFICIER	$0	$0	$0	$0	$200,479	$0	$0	$0	$5,574	$0	$206,053	$0	$42,641	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

TRAVEL FOR COMPANIONS: LIMITED TRAVEL FOR COMPANIONS IS PAID BY THE ORGANIZATION ON BEHALF OF TOP MANAGEMENT. IN TAX YEAR 2014, TIMOTHY L. CHARLES (AN OFFICER AND TRUSTEE), TIMOTHY QUINN (OFFICER), AND NATHAN VANGENDEREN (OFFICER) REPORTED IN PART VII, RECEIVED THIS BENEFIT. THIS AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION AS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II.

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE OR CHANGE OF CONTROL PAYMENT FROM THE ORGANIZATION IN 2014: MICHAEL TRACHTA - $157,422. THE DOLLAR AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2014: MARY BROBST - $14,646, JEFFREY CASH - $14,787, TIMOTHY L. CHARLES - $30,110, DOUG JONTZ - $13,089, DR. MARK VALLIERE - $24,132, AND NATHAN VANGENDEREN - $13,831. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2014. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2014: PHILIP PETERSON - $20,253, AND MICHAEL TRACHTA - $42,641. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR DISTRIBUTION FROM THE PLAN IN 2014.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF CEDAR RAPIDS IOWA
A	426004336	150543AA4	2003-04-10	$30,000,000	REIMBURSE HOSPITAL FOR COSTS OF ACQUIRING AND CONSTRUCTING FACILITIES	0	0	0
CITY OF CEDAR RAPIDS IOWA
B	426004336	150543AB2	2005-11-17	$58,405,000	ADVANCE REFUND OF 1999 BONDS	0	0	0
IOWA FINANCE AUTHORITY
C	521699886	4624466EQ	2012-12-13	$45,604,359	REIMBURSE HOSPITAL FOR CAPITAL	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$4,100,000	$30,000,000	$1,288,620	$28,711,380	2003	0	Yes (1)	Yes (1)
B	$13,020,000	$58,405,000	$1,552,500		2005	Yes (1)	Yes (1)	Yes (1)	$56,852,500
C	$1,435,000	$41,195,000	$604,359	$40,590,641	2013	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)
B	0	Yes (1)
C	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
UBS AG
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	29.000000000000	0	0	0	0	Yes (1)
UBS AG
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	24.000000000000	0	0	0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: CITY OF CEDAR RAPIDS, IOWA DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2008 ISSUER NAME: CITY OF CEDAR RAPIDS, IOWA DATE THE REBATE COMPUTATION WAS PERFORMED: 04/01/2009	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
MERCY CARE MANAGEMENT INC
SEE BELOW IN PART V	$880,060	MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT.	0
MERCY CARE MANAGEMENT INC
SEE BELOW IN PART V	$10,000,000	MERCY MEDICAL CENTER PURCHASED LAND AND BUILDINGS FROM MERCY CARE MANAGEMENT, INC.	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV, COLUMN B	FormAndLineReferenceDesc
Explanation	EMMETT SCHERRMAN AND TIMOTHY L. CHARLES ARE OFFICERS AND JAN KAZIMOUR, BRUCE MCGRATH, BOB VERHILLE AND KYLE SKOGMAN ARE MEMBERS OF THE BOARD OF TRUSTEES OF MERCY MEDICAL CENTER AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, ALL THE AFOREMENTIONED INDIVIDUALS WERE OFFICERS OR MEMBERS OF THE BOARD OF DIRECTORS OF MERCY CARE MANAGEMENT, INC.	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$400	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF MERCY MEDICAL CENTER IS MERCYCARE SERVICE CORPORATION, AN IOWA NONPROFIT CORPORATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS: 1. AMEND, REPEAL, OR RESTATE THE ARTICLES OF INCORPORATION; 2. ANY MATTER DIRECTLY RELATED TO THE RELIGIOUS PRINCIPLES AND MORAL PHILOSOPHY OF THE SISTERS OF MERCY; 3. ADOPT OR CHANGE THE PHILOSOPHY AND MISSION OF THE CORPORATION; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, AND MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE CORPORATION; 6. ADOPTION OR AMENDMENT TO LONG-TERM STRATEGIC PLANS; 7. ADOPTION OR AMENDMENT TO ANNUAL CAPITAL OR OPERATING BUDGETS; AND 8. APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING THE FORM. THE COMMITTEE IS PROVIDED WITH GENERAL BACKGROUND INFORMATION REGARDING THE FORM 990, AND THE FORM ITSELF (INCLUDING ATTACHMENTS) IS REVIEWED. UPON REQUEST, THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE AND MANAGEMENT ARE AVAILABLE TO ANSWER QUESTIONS FROM THE TRUSTEES ON THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AS WELL AS EACH EMPLOYEE TO DISCLOSE ANY INTEREST IN, OBLIGATION OR DUTY TO, OR ACTIVITY FOR ANY CONCERN IN WHICH A DIRECTOR, OFFICER, KEY EMPLOYEE, OR EMPLOYEE OR THEIR FAMILY MEMBER MAY BE INVOLVED THAT: MIGHT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR MIGHT HAVE THE APPEARANCE OF ADVERSELY AFFECTING THE DIRECTOR'S, OFFICER'S, KEY EMPLOYEE'S, OR EMPLOYEE'S JUDGMENT OR ACTIONS IN PERFORMING HIS/HER DUTIES TOWARDS MERCY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES SHALL FILE AN INITIAL CONFLICT OF INTEREST REPORT UPON HIRE AND SHALL BE REQUIRED TO FILE AN UPDATED REPORT IMMEDIATELY IF ANY CHANGES OCCUR WHICH RESULT IN A CONFLICT OF INTEREST OR FINANCIAL INTEREST. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES (SUPERVISOR AND ABOVE), PHYSICIANS, AND ANY EMPLOYEE IN A POSITION TO INFLUENCE A PURCHASE DECISION SHALL RE-SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WITH ANY NECESSARY CHANGES, EACH YEAR AND IMMEDIATELY IF ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. ALL BOARD MEMBERS SHALL SUBMIT IN WRITING A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. THE STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR AND AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE COMPENSATION COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED ON APRIL 15, 2015.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -17,558,163. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 3,316,656. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -606,693. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -2,640,970. BUILDING FROM MERCY CARE MANAGEMENT -4,877,313. CONTRIBUTION NOT RECORDED FOR BOOK PURPOSES -52,230. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -36,630.
FORM 990, PART XI, LINE 2C	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	FUNDRAISING FOR MERCY MEDICAL CENTER	IA	501(C)(3)	LINE 11B, II	MERCY MEDICAL CENTER	Yes (1)
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	HEALTHCARE OVERSIGHT	IA	501(C)(3)	LINE 11B, II		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	Direct Controlling NADirectControllingNACd
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	MEDICAL IMAGING	IA	MERCY MEDICAL CENTER	RELATED	$2,149,168	$778,865	0	Yes (1)	0.33330
UNIVERSITY OF IOWA AFFILIATED HEALTH PROVIDERS LC
200 HAWKINS DRIVE	IOWA CITY	IA	52242	421432272	ACCOUNTABLE CARE ORGANIZATION	IA								N/A
EASTERN IOWA SLEEP CENTER
600 7TH STREET	CEDAR RAPIDS	IA	52401	260310416	SLEEP STUDIES	IA		RELATED	$350,735	$1,218,237	0	Yes (1)	0.33330

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
MERCY CARE MANAGEMENT INC
PO BOX 786	CEDAR RAPIDS	IA	52406	421198970	MEDICAL CLINICS	IA	N/A	C	0
MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442443	MEDICAL SERVICES	IA	N/A	C	0
MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442442	SUPPORT SERVICES	IA	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY CARE MANAGEMENT INC
A	$880,060	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
A	$1	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
B	$2,500,000	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
B	$851,332	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C	$3,348,074	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
C	$2,076,848	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
Q	$577,672	FAIR MARKET VALUE
MERCY CARE MANAGEMENT INC
H	$10,000,000	FAIR MARKET VALUE
MERCY CARE MANAGEMENT INC
O	$1,755,766	FAIR MARKET VALUE