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MHIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MHIC (EIN 42-0680391)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-11
IRS object ID
201631329349301443
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-11T10:14:20-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 South Sixth Street Ste 2800AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554021538ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN420680391EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital Iowa City IowaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3193390300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael G HeinrichPersonNm
Person TitleExecutive VP of Finance & CFOPersonTitleTxt
Phone3193390300PhoneNum
Signature2016-05-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonChris MeskimenPreparerPersonNm
PTINP01314196PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMichael G HeinrichPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$189,376,716GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mercyiowacity.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1873FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTo heal and comfort the sick and improve the health of the community in the spirit of Jesus Christ.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1391TotalEmployeeCnt
Total Volunteers433TotalVolunteersCnt
Total Gross UBI$3,582,507TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$501,695NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$556,006PYContributionsGrantsAmt
CY Contributions Grants$658,002CYContributionsGrantsAmt
PY Program Service Revenue$141,590,917PYProgramServiceRevenueAmt
CY Program Service Revenue$147,218,080CYProgramServiceRevenueAmt
PY Investment Income$28,997,330PYInvestmentIncomeAmt
CY Investment Income$5,994,848CYInvestmentIncomeAmt
PY Other Revenue$4,167,177PYOtherRevenueAmt
CY Other Revenue$2,841,810CYOtherRevenueAmt
PY Total Revenue$175,311,430PYTotalRevenueAmt
CY Total Revenue$156,712,740CYTotalRevenueAmt
PY Grants And Similar Paid$71,237PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$53,737CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,169,111PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,930,042CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$68,828,870PYOtherExpensesAmt
CY Other Expenses$72,771,260CYOtherExpensesAmt
PY Total Expenses$144,069,218PYTotalExpensesAmt
CY Total Expenses$147,755,039CYTotalExpensesAmt
PY Revenues Less Expenses$31,242,212PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,957,701CYRevenuesLessExpensesAmt
Total Assets BOY$318,244,873TotalAssetsBOYAmt
Total Assets EOY$333,980,445TotalAssetsEOYAmt
Total Liabilities BOY$144,201,548TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,920,414TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$174,043,325NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$156,060,031NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMercy Iowa City ("Mercy") heals and comforts the sick and works to improve the health of the community in the spirit of Jesus Christ and the Catholic tradition of the Sisters of Mercy.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$102,017,081ExpenseAmt
Revenue$148,341,299RevenueAmt
DescHospital Services. In keeping with our mission of healing and comforting the sick, providing hospital medical services is at the heart of what we do. These services are provided in inpatient and outpatient settings in situations that may be emergent, acute, or chronic. Services include a 24-hour emergency unit, intensive care, cardiovascular care and the services of a cardiac cath lab, maternity unit and newborn nursery, surgical services, cancer care, orthopedic care, digestive care, telemetry monitored care, medical care, stroke care, behavioral health care, skilled nursing, and hospice care.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$799,576ExpenseAmt
Revenue$245,405RevenueAmt
DescEducation. The ongoing education of Mercy staff members is critical in the fast-changing field of health care and is necessary to meet regulation and certification. Mercy hosts a number of professional continuing education conferences each year, attended by its own staff as well as staff from other institutions. In addition, Mercy provides a setting for many students who are considering or pursuing health care careers. For high school students, a health careers class gives students insight into possible careers and options; it also prepares students for the certified nursing assistant exam. Mercy works with students from health education programs that include the University of Iowa, Kirkwood Community College, and other local colleges, offering such options as a paid summer nursing internship program, a lab student rotation opportunity, and job shadow opportunities. The support and education of future health care providers is critical not only for Mercy but for the entire community. Mercy also hosts free community education seminars for the public.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,836,946ExpenseAmt
Grant$53,737GrantAmt
DescCommunity Benefit. Mercy's community benefits take many forms, beginning with traditional charity care of $1.6 million, and the unpaid cost of Medicaid ($2.2 million). Other examples are varied; they include cash donations to community non-for-profits such as the Free Medical Clinic, free meeting space to valued community organizations, leadership time and skills that further the work of community non-for-profits, first aid booths provided at public events. These efforts are detailed in Mercy's community benefit report, prepared annually. As a trusted, longtime member of the community, Mercy plays an important role not only in furthering community health but the general community good.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$106,653,603TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document61IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1391EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kim RossiterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3193393900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Mark Phillips
Chair1.001.00Yes (X)$0$0$0
Tim Krumm
Vice Chair1.001.00Yes (X)$0$0$0
Scott Fisher
Secretary1.000.00Yes (X)$0$0$0
Robert Beckman MD
Board Member1.001.00Yes (X)$0$0$0
SR Helen Marie Burns
Board Member1.000.00Yes (X)$0$0$0
Mark Danielson
Board Member1.001.00Yes (X)$0$0$0
Tom Goedken
Board Member1.000.00Yes (X)$0$0$0
Chuck McComas
Board Member1.000.00Yes (X)$0$0$0
Tom McLaughlin
Board Member1.000.00Yes (X)$0$0$0
SR Patricia Murphy
Board Member1.000.00Yes (X)$0$0$0
Mary Westbrook
Board Member1.000.00Yes (X)$0$0$0
SR Margaret Wright
Board Member1.000.00Yes (X)$0$0$0
Ronald R Reed
President (CEO) & Administrator40.002.00Yes (X)$580,440$0$71,609Yes (X)
Jean M Berge
Assistant Treasurer40.001.00$167,469$0$45,631Yes (X)
Michael G Heinrich
Treasurer40.002.00$365,363$0$55,576Yes (X)
Cindy Penney
Vice President40.000.00$225,945$0$34,143Yes (X)
Andrew R Ashby MD
Physician40.000.00$451,146$0$32,131Yes (X)
Anjana Aggarwal MD
Physician40.000.00$472,364$0$14,585Yes (X)
Joseph Truszkowski MD
Physician40.000.00$531,817$0$39,234Yes (X)
RJoe Ewing MD
Physician40.000.00$682,494$0$40,120Yes (X)
Thomas Shreves MD
Physician40.000.00$686,993$0$39,131Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,164,031TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$372,160TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K83IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Cross Medical Laboratories
2406 Towncrest DriveIowa CityIA52244Laboratory Services$368,150
Rohrbach Associates PC
325 E WashingtonIowa CityIA52244Engineering$233,824
Iowa City Heart Center PC
540 E Jefferson Street Suite 303Iowa CityIA52244Physician Office$202,330
Deloitte and Touche LLP
50 South 6th StreetMinneapolisMN55402Audit Services$196,773
Maquet Medical Systems
3615 Solutions CenterChicagoIL606773006Medical Equipment Supplier$141,885
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$658,002RelatedOrganizationsAmt
Total Contributions$658,002TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Serv. Revenue621400$81,019,236$81,019,236
Medicare/Medicaid621400$57,818,227$57,818,227
Lab Outreach621511$3,583,722$3,583,722
ASC Income900099$3,331,577$3,331,577
Program Relat. Revenue621400$800,411$800,411

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$664,907TotalRevenueColumnAmt
Related Or Exempt Func Income$664,907RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$147,218,080TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,982,163TotalRevenueColumnAmt
Exclusion$2,982,163ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,892,849RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,159,986RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$732,863RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$732,863TotalRevenueColumnAmt
Unrelated Business Revenue-$1,633UnrelatedBusinessRevenueAmt
Exclusion$734,496ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,421,659SecuritiesAmt
Other$95,016OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$30,258,388SecuritiesAmt
Other$245,602OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,163,271SecuritiesAmt
Other-$150,586OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,012,685TotalRevenueColumnAmt
Exclusion$3,012,685ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Meaningful Use900099$1,047,953$1,047,953
Cafeteria Income722210$730,755$730,755
Access621400$122,788$122,788

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,451TotalRevenueColumnAmt
Related Or Exempt Func Income$197,883RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$418UnrelatedBusinessRevenueAmt
Exclusion$9,150ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,108,947OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$156,712,740TotalRevenueColumnAmt
Related Or Exempt Func Income$145,002,982RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,582,507UnrelatedBusinessRevenueAmt
Exclusion$7,469,249ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$41,600TotalAmt
Program Services$41,600ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$12,137TotalAmt
Program Services$12,137ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,476,215TotalAmt
Program Services$771,137ProgramServicesAmt
Management And General$705,078ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$58,759,242TotalAmt
Program Services$43,893,454ProgramServicesAmt
Management And General$14,865,788ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,509,689TotalAmt
Program Services$2,602,434ProgramServicesAmt
Management And General$907,255ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,009,641TotalAmt
Program Services$5,197,649ProgramServicesAmt
Management And General$1,811,992ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,175,255TotalAmt
Program Services$3,095,952ProgramServicesAmt
Management And General$1,079,303ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$267,341TotalAmt
Management And General$267,341ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$194,532TotalAmt
Management And General$194,532ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$27,253TotalAmt
Management And General$27,253ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,949,400TotalAmt
Program Services$5,194,656ProgramServicesAmt
Management And General$1,754,744ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$630,120TotalAmt
Program Services$3,435ProgramServicesAmt
Management And General$626,685ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,724,996TotalAmt
Program Services$7,755,748ProgramServicesAmt
Management And General$4,969,248ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,893,514TotalAmt
Program Services$642,692ProgramServicesAmt
Management And General$4,250,822ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,389,588TotalAmt
Program Services$74,250ProgramServicesAmt
Management And General$2,315,338ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$325,446TotalAmt
Program Services$213,864ProgramServicesAmt
Management And General$111,582ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,094,449TotalAmt
Program Services$2,279,003ProgramServicesAmt
Management And General$815,446ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,197,611TotalAmt
Program Services$10,113,965ProgramServicesAmt
Management And General$2,083,646ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,301,616TotalAmt
Management And General$1,301,616ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$15,581,000$15,575,759$5,241
Pharmacy Supplies$3,329,076$3,329,076
Bad Debt Expense$2,746,430$2,746,430
Food Expense$1,222,072$1,222,072

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,896,816TotalAmt
Program Services$1,888,290ProgramServicesAmt
Management And General$3,008,526ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$147,755,039TotalAmt
Program Services$106,653,603ProgramServicesAmt
Management And General$41,101,436ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,417,152BOYAmt
EOY$3,687,475EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,130,700BOYAmt
EOY$2,053,343EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,571,518BOYAmt
EOY$26,750,967EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$73,963BOYAmt
EOY$81,085EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,507,969BOYAmt
EOY$4,446,770EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,397,784BOYAmt
EOY$2,711,765EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$283,296,830LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$172,605,964LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$92,528,099BOYAmt
EOY$110,690,866EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$136,598,047BOYAmt
EOY$139,492,346EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$23,693,233BOYAmt
EOY$19,483,592EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$691,447EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,326,408BOYAmt
EOY$23,890,789EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$318,244,873BOYAmt
EOY$333,980,445EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,082,330BOYAmt
EOY$26,053,937EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,931,079BOYAmt
EOY$87,225,937EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$317,634BOYAmt
EOY$139,643EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,870,505BOYAmt
EOY$64,500,897EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$144,201,548BOYAmt
EOY$177,920,414EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$174,043,325BOYAmt
EOY$156,060,031EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$174,043,325BOYAmt
EOY$156,060,031EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$318,244,873BOYAmt
EOY$333,980,445EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,957,701ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,424,762NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$23,516,233OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or BroadcastYes (1)PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$27,253OtherActivitiesAmt
Total Lobbying Expenditures$27,253TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMercy Hospital, Iowa City, Iowa is a member of the Iowa Hospital Association (IHA) and American Hospital Association (AHA). A percentage of membership dues paid to IHA and AHA relate to lobbying activities.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,653,690BeginningYearBalanceAmt
Contributions$451,005ContributionsAmt
Investment Earnings Or Losses$2,031,685InvestmentEarningsOrLossesAmt
Grants Or Scholarships$184,488GrantsOrScholarshipsAmt
End Year Balance$12,951,892EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.56000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.17000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.27000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,234,386OtherCostOrOtherBasisAmt
Book Value$10,234,386BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$155,314,688OtherCostOrOtherBasisAmt
Depreciation$87,999,667DepreciationAmt
Book Value$67,315,021BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$636,656OtherCostOrOtherBasisAmt
Depreciation$580,820DepreciationAmt
Book Value$55,836BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,783,984OtherCostOrOtherBasisAmt
Depreciation$55,282,082DepreciationAmt
Book Value$17,501,902BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,327,116OtherCostOrOtherBasisAmt
Depreciation$28,743,395DepreciationAmt
Book Value$15,583,721BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$110,690,866TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Mercy Services Paid in Capital$1,541,821C
Investment in Mercy Services-$837,961C
Equity Investment in Joint Ventures$18,779,732C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$19,483,592TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest-Foundation$15,959,852
Due From Affiliates$6,472,326
Cash Value Life Insurance$239,833
Deferred Financing Cost Other Assets$438,760
Non-Compete Agreement Value$770,000
2008/2011 Bond Funds$10,018
FieldValueIRS element (for citing)
Total Book Value Other Assets$23,890,789TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Pension Benefit Liability$61,682,403
Fair Value of Interst Rate SWAP$2,584,494
Other Long-Term Liabilities$234,000
FieldValueIRS element (for citing)
Total Liability$64,500,897TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:All Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc.
Part X, Line 2:As a result of the implementation of ASC 740, "As of June 30, 2015 and 2014, the Company recorded no liabilities for unrecognized tax benefits."

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,605,702TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,605,702NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,503,637TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,282,320DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,221,317NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,766DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,927NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,132,032TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,295,086DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,836,946NetCommunityBenefitExpnsAmt
Total Expense0.02650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$450,974TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,807DirectOffsettingRevenueAmt
Net Community Benefit Expns$434,167NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,209TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,209NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,715,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,760,813DirectOffsettingRevenueAmt
Net Community Benefit Expns$955,012NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,527TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$198,527NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,369,535TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,777,620DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,591,915NetCommunityBenefitExpnsAmt
Total Expense0.01100TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,501,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,072,706DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,428,861NetCommunityBenefitExpnsAmt
Total Expense0.03750TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,739TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,739NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,739TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,739NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$885,449BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$41,905,685ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$57,494,542CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$15,588,857MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Iowa City Ambulatory Surgery Center
Outpatient Surgery Center0.510000.49000
2 Corridor Radiology
Outpatient Radiology Services0.510000.49000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSkilled Nursing and Lab OutreachOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mercy Hospital Iowa City IowaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.mercyiowacity.org/community_healthOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.mercyiowacity.org/patient-financial-assistanceFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.mercyiowacity.org/patient-financial-assistanceFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 5: The hospital conducted two focus groups with participants from these organizations, representing broad and deep knowledge of community health needs:- Center on Aging, University of Iowa College of Public Health- United Way of Johnson County- Shelter House Homeless Shelter and Transition Services- Iowa City Area Development Group- Iowa City Community School District- Consultation of Religious Communities- Chamber of Commerce Secretary- Woofables Dog Biscuit Company- Iowa City Area Development Group- Johnson County Public Health Department- City of North Liberty- City of Iowa City- Consultation of Religious Communities- Iowa City Free Medical Clinics.
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 6a: As a non-for-profit and faith-based health care organization, Mercy Iowa City expresses its mission through a wide variety of activities. These activities include charity care, the unpaid cost of Medicaid, the unpaid cost of the State Children's Health Insurance Program (SCHIP), subsidized health services and community programs. These programs include varied activities, from providing medications and x-ray exams provided to Free Medical Clinic patients to resources that help high school and college students further their health care studies.
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 11: The 2012 CHNA summarized seven areas of opportunity for Community Health Improvement. Mercy Hospital is addressing those needs as follows:Access to Health Services:- Evaluate a mobile primary care clinic- Evaluate extended office hours in clinics- Use a more assertive approach to scheduling annual visitsAdvocate for Medicaid Expansion:- Expand access to Iowa Health and Wellness Plan participantsCancer:- Provide information to patients on colorectal and prostate cancerHeart Disease & Stroke:- Increase health survey and biometric screeningMental Health & Mental Disorders:- Increase awareness for NAMI and participate in the NAMI Walk fundraiser- Support United Way agencies focused on crisis intervention and mental healthNutrition, Physical Activity & Weight:- Support Blue Zones- Support community efforts to become a Blue Zone- Become a Blue Zone certified employerSubstance Abuse:- Support United Way agencies focused on helping individuals with substance abuse problems.
Mercy Hospital, Iowa City, IowaPart V, Section B, Line 22d: Mercy Hospital determines on an individual basis based on the patient's ability to pay for the maximum amounts that can be charged to FAP-Eligible individuals for emergency and other medically necessary care. Patients, who fall under the 200% Federal Poverty Guidelines, are eligible for free care. Mercy Hospital uses the following factors to determine the amount to charge FAP-eligible patients for individuals who earn more than 200% of the FPG: Income level, Asset level, medical indigency, insurance status, uninsured discount, Medicaid/Medicare. In addition to the financial assistance policy, all uninsured patients are eligible for discounts ranging from 30-10% based on timeliness of payment.
Part V, Section B, Line 16Financial Assistance Policy Website Availability
Mercy Hospital, Iowa City, Iowa Part V, Section B, line 16b website:http://www.mercyiowacity.org/patient-financial-assistance
Mercy Hospital, Iowa City, Iowa Part V, Section B, line 16c website:http://www.mercyiowacity.org/patient-financial-assistance
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Home Health CareBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
FacilityHome Health & Private Duty NursingFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:Amounts in the table were derived using a cost accounting system that addresses all patient segments. A cost to charge ratio derived from completing IRS worksheet 2 was used to determine the amounts in Part I, Line 7a, 7b, 7c, and 7g.
Part I, Ln 7 Col(f):Bad debt expense of $2,746,430 was subtracted for purposes of calculating the percentage in Schedule H, Part I, Line 7, column (f).
Part II, Community Building Activities:Economic development:Mercy works with such groups as the Iowa City Area Chamber of Commerce and Iowa City Area Development Group to support the business community, welcome innovation to the area, and develop the workforce. Community support:Mercy has provided extensive support for more than 20 years to United Way of Johnson County. Mercy holds its own United Way campaign with employees each autumn (typically raising more than $100,000 each year) and provides much staff time and support to the local United Way organization. Mercy is also a location for SHIIP (Senior Health Insurance Information Program) counseling with trained volunteers who provide the service.Mercy has been a community leader in helping others achieve food parity and regularly directs excess food to Table to Table, a local organization that collects wholesome, edible food from donors and redirects it to local shelters and agencies to serve the hungry, homeless and at-risk population.Environmental improvements:Mercy has been a good neighbor for its closest neighbors by maintaining its buildings and landscaping at a high level. Mercy also pursues extensive recycling (including newspapers, magazines, office paper, plastics, batteries, cooking oil, construction materials, and more) and programs that reduce energy consumption. Mercy regularly holds silent auctions open to employees to sell equipment that is no longer needed, rather than sending it into the trash stream. Mercy has a Sustainability Committee to further and standardize these efforts.Leadership development and training for community members:Mercy lends support to the Iowa City Area Chamber of Commerce annual Community Leadership Program. In this nine-month program, 24 members of the civic community receive an in-depth look at the workings of local government, public works, education system, health care, arts community, and more. This program gives participants a better understanding and appreciation of the entire community and develops fellowship among members from diverse backgrounds and settings.Coalition building:Mercy is involved in many ways with local citizens and groups that are working to afford all members of our community a good quality of life and to improve the overall quality of life. Beginning in January 2014, Mercy provided the use of a small building on its campus to the Iowa City Blue Zones project group. Their four staff members from Blue Zones Project/Wellmark worked in Iowa City for 18 months to advance community health initiatives.Mercy is a cosponsor of and provides leadership for the 23-year-old Johnson County Safe Kids Coalition, a grass-roots effort to reduce unintentional injuries to children from birth to age 14. Since its inception, the coalition has been active in promoting bike helmet use, bike safety, and safety education events.Mercy is also involved with the local effort Honoring Your Wishes, whose mission is to promote and sustain a community-wide advanced care planning process. The effort that resulted in Honoring Your Wishes began in December 2010 and Mercy has been involved since the beginning. Community health improvement advocacy:Healthy Kids Community Care is a school-based clinic that provides health care to children who have no other access to it. Mercy made large cash donations over a period of five years to help launch this initiative and provided key leadership as the program developed. Mercy has also provided financial support to the Free Medical Clinic, which saw more than 1,900 unique patients in almost 5,500 clinic visits in FY2015. Those who seek care of the Free Medical Clinic typically have no other access to health care services. As noted under "Coalition Building," Mercy is also closely involved with the Blue Zones Project in Iowa City.
Part III, Line 2The amount of bad debt expense reported on line 2 was derived from taking actual bad debt write-offs and applying the cost to charge ratio of .3224 to that amount.
Part III, Line 3Mercy Hospital works with those qualifying for charity care along every step of the process. Every effort is made to work with the patient to provide financial assistance when appropriate. While there are people who do not cooperate with Mercy Hospital regarding payment plans, financial assistance or with those trying to get help from government programs. For individuals not providing necessary information it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital is unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals do not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy.
Part III, Line 4:Mercy Hospital's Audited Financial Statements includes a footnote for the Provision of Uncollectible Accounts on page 12 and 13 of the Audited Financial Statements.
Part III, Line 8:Mercy Hospital does not include Medicare shortfalls as part of its community benefit. Total revenue was determined using charges per the CMS Provider Statistical Reimbursement System reports for Fee Reimbursed Services for the fiscal year ended 6/30/15. Costs calculated using the Cost to Charge Ratio for the appropriate services from the submitted Medicare Cost Report form 2552-96 for the fiscal year ended 6/30/15.
Part III, Line 9b:Mercy Hospital has two policies related to debt collection. The Financial Assistance Policy provides guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospital. Patients may be given a financial assistance application at the time of service, be offered financial assistance during the normal collection process or learn of the option on the Hospital website. All patients with no insurance are offered financial assistance via billing statements & follow up telephone calls. Any patient that is known to qualify for financial assistance is provided assistance. The payment plan policy enables those who qualify for partial financial assistance to establish payment plans of the remaining balance of their bill.
Part VI, Line 2:The most recent community health needs assessment was conducted in Fall 2012. The organization engaged Professional Research Consultants to conduct the assessment. The community health survey is a systematic, data-driven approach to determining the health status, behaviors and needs of residents in the communities the organization serves. The survey instrument used for the assessment is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to national health promotion and disease prevention objectives and other recognized health issues.
Part VI, Line 3:Evaluation for Medicaid, disability, and other types of coverage is provided for uninsured patients for inpatient stays as well as high dollar outpatient services. The evaluation is conducted during the children called hawk-i. Information about hawk-i is provided at registration points.
Part VI, Line 4:Mercy Hospital is located in the community of Iowa City, Iowa, in Johnson County in the east central part of the state. The county's population in 2014 was approximately 139,000. From 2000 to 2008 Johnson County experienced strong population growth of 15.4 percent, compared to 2.6 percent for the entire state. Mercy Hospital serves 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service area includes Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 330,000.Iowa City is home to the University of Iowa, which has an enrollment of approximately 31,000 for the 2015-2016 academic year. Johnson County is well-educated; of individuals 25 and older, 95.3 percent are high school graduates and 50.6 percent hold a bachelor's degree or higher.The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness, and manufacturing.According to the U.S. Census Bureau, 17.6 percent of the Johnson County population lived below the poverty line between 2008 and 2012, compared to 12.2 percent for the entire state.
Part VI, Line 5:Mercy Iowa City is a faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with The Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community prepardness issues; treating emergency patients according to EMTALA guidelines and serving all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community.
Part VI, Line 7, Reports Filed With StatesIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Heart Association-Midwest Affiliate
PO Box 4002902Des MoinesIA503402902135613797501(c)(3)$7,500Iowa City Events Sponsor
Iowa City Free Medical Clinic
2440 Towncrest DriveIowa CityIA52240420960955501(c)(3)$13,000General Support
Iowa City Area Development Group
316 East CourtIowa CityIA52240421234837501(c)(6)$12,000General Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTemporary Assistance ProgramGrantTypeTxt
Recipient20RecipientCnt
Cash Grant$12,137CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ronald R Reed
President (CEO) & Administrator$442,400$0$72,725$0$65,315$0$31,607$0$40,002$0$652,049$0$39,791$0
Jean M Berge
Assistant Treasurer$158,546$0$4,177$0$4,746$0$29,169$0$16,462$0$213,100$0$0$0
Michael G Heinrich
Treasurer$299,666$0$49,896$0$15,801$0$15,812$0$39,764$0$420,939$0$14,345$0
Cindy Penney
Vice President$179,057$0$30,661$0$16,227$0$11,404$0$22,739$0$260,088$0$11,805$0
Andrew R Ashby MD
Physician$450,856$0$0$0$290$0$0$0$32,131$0$483,277$0$0$0
Anjana Aggarwal MD
Physician$412,226$0$60,000$0$138$0$0$0$14,585$0$486,949$0$0$0
Joseph Truszkowski MD
Physician$511,213$0$19,894$0$710$0$0$0$39,234$0$571,051$0$0$0
RJoe Ewing MD
Physician$654,943$0$25,834$0$1,717$0$0$0$40,120$0$722,614$0$0$0
Thomas Shreves MD
Physician$650,691$0$24,449$0$11,853$0$0$0$39,131$0$726,124$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aHealth club membership dues were paid for Mercy's CEO, Ronald Reed in the amount of $890.40 and were included as taxable income on his W-2.
Part I, Line 4bMercy established an IRC Section 457(f) plan as a way of retaining executives, officers and select groups of highly compensated employees with supplemental retirement benefits. The following individuals participated in and received payments from the plan. - Ronald Reed - $39,791 - Cindy Penney - $11,805 - Michael Heinrich - $14,345
Part I, Line 7Non-fixed payments were provided to administrators and physicians who met stated criteria that included meeting certain RVU (Relative Value Unit) productivity levels, specified CMS/JCAHO performance core indicators and certain patient satisfaction and/or nursing satisfaction survey scores.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Hills Iowa
A420920947431669AA82008-04-29$39,235,000Refund Bonds issued 10/19/2005000
City of Hills Iowa
B420920947431669AW02011-11-30$44,742,571Build and Equip Facility; Refund Bonds issued 7/16/1998000
Iowa Finance Authority
C5216998862010-12-22$9,375,000Construct Medical Office Building000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtOther Spent ProceedsOtherSpentProceedsAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$3,180,000$39,325,000$278,380$96,759$38,859,861Yes (1)0Yes (1)Yes (1)
B$4,675,000$44,744,001$589,874$24,151,438Yes (1)00Yes (1)$19,972,014$30,675
C$803,102$9,375,00000Yes (1)Yes (1)$9,375,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00Yes (1)000.000000.000000.0000000Yes (1)
B00Yes (1)000.000000.000000.0000000Yes (1)
CYes (1)Yes (1)Yes (1)000.000000.00000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndBusiness Name Line2HedgeProviderName/BusinessNameLine2Txt
Piper Jaffray
A00Yes (1)0Yes (1)Yes (1)27.0000000000000000Yes (1)
(no name)
B0Yes (1)00000Yes (1)Yes (1)
Bankers Trust
C00Yes (1)0Yes (1)Yes (1)10.0000000000000000Yes (1)Company

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3:Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings.
Schedule K, Part III, Lines 4 and 7, Column C:A substantial portion of the proceeds of the bonds was used for private activity purposes. These bonds are Midwest Disaster Area Bonds, which are exempt facility bonds under IRC section 142 as provided by section 702 of the Heartland Disaster Tax Relief Act of 2008. Such bonds, while expected to have up to 100% private business use and to meet the private security or payment test, are qualified bonds by statute.
Schedule K, Part IV, Line 6, Column B:Such amounts were appropriately yield restricted.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Michael G Heinrich
OfficerSplit Dollar Life Insurance PolicyYes (X)$26,194$26,194000
Ronald R Reed
OfficerSplit Dollar Life Insurance PolicyYes (X)$52,696$52,696000
Cindy L Penney
OfficerSplit Dollar Life Insuarnce PolicyYes (X)$2,195$2,195000
FieldValueIRS element (for citing)
Total Balance Due$81,085TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Sister Helen Marie Burns, board member; Sister Patricia Murphy, board member; and Sister Margaret Wright, board member; are all members of the Sisters of Mercy of the Americas West Midwest Community.
Form 990, Part VI, Section A, line 6Mercy's sole member is the Sisters of Mercy of the Americas West Midwest Community, Inc.
Form 990, Part VI, Section A, line 7bMercy's sole member, Sisters of Mercy of the Americas West Midwest Community, Inc., maintains a number of "reserved powers" including but not limited to approval of annual budgets, approval of amendments to the articles of incorporation and bylaws, approval of real property transactions and approval of long term borrowing.
Form 990, Part VI, Section B, line 11The Form 990 is prepared and reviewed by Mercy Hospital management and is also reviewed by Deloitte Tax LLP. In addition, a board resolution was established that provides that each board member be (i) provided a copy of the Form 990 as it is intended to be filed, and (ii) given a reasonable opportunity before filing to provide to the Audit Committee any comments, corrections, concerns or other input on the proposed Form. The Audit Committee's review process shall be intended to reasonably verify that the Form 990 has been fully and accurately completed, including but not limited to, all inquiries therein relating to corporate governance. After completing its review, the Audit Committee, on the Board's behalf, shall have the authority to authorize the filing of the annual Form 990.
Form 990, Part VI, Section B, line 12cA conflict of interest statement is signed at the beginning of Board members term and on an annual basis there after. Any abstention from a vote is recorded in Board minutes. After the fiscal year end a "look back" questionnaire is distributed to all Board members to disclose any conflicts of interest that may have taken place in the previous year. Form 990, Part VI, Section B, Line 13: Per IRS guidance, because the board had not formally adopted the whistleblower policy as of 6/30/15, the organization has answered "No" to this question. Mercy has an Administrative team "A Team" which is made up of Vice Presidents and the CEO that has been delegated by the board of directors to manage and approve policies. The A Team has approved the whistleblowers policy.
Form 990, Part VI, Section B, line 15Compensation for all executives and other key employees is determined based on national or regional market data for comparable positions at comparatively sized hospitals. The Executive Committee of the Board of Directors uses this market-based information to set the President and CEO's compensation. In turn, the CEO uses the same information to set compensation for officers and key employees, which is also approved by the board.
Form 990, Part VI, Section C, line 19Mercy's governing documents and conflict of interest policy are not available to the public.
Form 990, Part XI, line 9:Change in Unrecognized Pension Actuarial Loss -13,641,730. Change in Beneficial Interest in Foundation -496,894. Change in Beneficial Interest in Services -9,377,609.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1UDM LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
EIN271456513EIN
Primary ActivitiesHealth Clinics BuildingPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd
Total Income$63,471TotalIncomeAmt
End Of Year Assets$14,964,804EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Mercy Foundation
500 East Market StreetIowa CityIA52245237040506Foundation/FundraisingIA501(c)(3)11-IMercy HospitalYes (1)
Mercy Hospital Iowa City Iowa Self Insurance Plan & Trust
500 East Market StreetIowa CityIA52245426591803Self InsuranceIA501(c)(3)11-IMercy HospitalYes (1)
Sisters of Mercy of the Americas West Midwest Community Inc
7262 Mercy RoadOmahaNE68124262400800Religious OrderNE501(c)(3)0N/A
Mercy Hospital Guild
500 East Market StreetIowa CityIA52245426099912FundraisingIA501(c)(3)11-III-FI0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Cancer Care of Iowa City LLC
613 East Bloomington Suite 100Iowa CityIA52245421460774Oncology ServicesIAMercy HospitalRelated-$235,658$230,140000.53360
Iowa City Ambulatory Surgical Center LLC
2963 Northgate DriveIowa CityIA52245208503424Outpatient SurgeryIAMercy HospitalRelated$3,733,589$5,301,0340Yes (1)0.51000
Corridor Radiology LLC
2769 Heartland Drive Suite 307CoralvilleIA52241460635070Radiology ServicesIAMercy HospitalRelated-$317,759$2,405,719000.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Mercy Services Iowa City IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 East Market StreetAddressLine1Txt
CityIowa CityCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52245ZIPCd
FieldValueIRS element (for citing)
EIN421241044EIN
Primary ActivitiesMedical Clinic ServicesPrimaryActivitiesTxt
Legal Domicile StateIALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mercy HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$9,330,404ShareOfTotalIncomeAmt
Share Of EOY Assets$8,711,604ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Cancer Care of Iowa City
A$124,472Cost
Mercy Foundation
C$658,002Cost
Mercy Services Iowa City
Q$3,449,047Cost
Mercy Services Iowa City
R$5,000,000Cost
Mercy Foundation
Q$259,995Cost