2026-05-14T10:11:44-05:00 2025-06-30 420714325 RSM US LLP 4650 EAST 53RD STREET DAVENPORT IA 528073479 990 2024-07-01 420698295 MERCY MEDICAL CENTER MERC 3193986105 701 10TH ST SE CEDAR RAPIDS IA 52403 JOE MALAS EXECUTIVE VP/CFO 3193986105 2026-05-11 1 0 JENIFER L CHASE P01306883 5638884000 2026-05-11 2024 2025-03-06 01:10:19Z JOE MALAS 701 10TH ST SE CEDAR RAPIDS IA 52403 603893867 0 0928 X WWW.MERCYCARE.ORG X 1900 IA TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 20 14 3288 636 1665018 622138 9401529 22849001 467204529 498214169 1395215 5591265 813913 -2151918 478815186 524502517 14218152 11690747 0 0 240387684 248947176 0 0 0 233618095 264517239 488223931 525155162 -9408745 -652645 728179406 755979447 233949157 250717166 494230249 505262281 X TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 0 0 422925576 11690747 495485606 MERCY MEDICAL CENTER (HOSPITAL) PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED. COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $53,450,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $2,571,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $5,240,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $12,900,000, PHYSICIAN EDUCATION - $(692,000). IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED-PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINAR ARE OFFERED ON A VARIETY OF TOPICS INCLUDING JOINT REPLACEMENT SURGERY, PRENATAL EDUCATION, DIABETES, MENTAL HEALTH DISORDERS, AND NUMEROUS OTHER MEDICAL CONDITIONS OF MEDICAL AND PSYCHOSOCIAL NATURE. SPECIALIZED CANCER SEMINARS ARE ALSO OFFERED. B. HOSPITAL MEETING FACILITIES WHICH ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY. M.S. SUPPORT GROUP, EASTERN IOWA ONCOLOGY NURSES SOCIETY, THE IOWA CANCER CONSORTIUM, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL OTHER GROUPS. C. CONTRIBUTIONS OF APPROXIMATELY 95,652 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,507,000 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS. 422925576 1 1 0 1 0 0 0 1 0 1 1 0 1 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 125 0 1 3288 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 14 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X JOSEF LINK 3193986248 701 10TH ST SE CEDAR RAPIDS IA 52403 TIMOTHY QUINN MD PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X X 728839 0 89248 RYAN HOLLENBECK MD MEMBER BOARD OF TRUSTEES 40.00 X 1276754 0 40376 JOHN-PAUL BESONG MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 LYDIA BROWN FORMER MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 MICHELE BUSSE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BOB CATALDO MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHRIS DEWOLF MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BARRIE ERNST MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 NANCY KASPAREK MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER SHARON KERRIGAN MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 BARB KNAPP MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER TERRY MALTBY FORMER MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHERYLE MITVALSKY CHAIRMAN 1.00 X X 0 0 0 DARREL MORF VICE CHAIRMAN/TREASURER 1.00 X X 0 0 0 RUE PATEL MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 FRED PILCHER MD MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 MARY QUASS MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 JOHN RIFE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 CHARLES ROHDE MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 AL RUFFALO MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 KYLE SKOGMAN MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 SISTER MAURITA SOUKUP SECRETARY 1.00 X X 0 0 0 ANN STROH MD FORMER MEMBER BOARD OF TRUSTEES 1.00 X 0 0 0 NATHAN VAN GENDEREN EXECUTIVE VICE PRESIDENT & CFO 40.00 X 506186 0 69541 NANCY HILL CHIEF TALENT OFFICER 40.00 X 336797 0 44320 JEFFREY CASH CHIEF INFORMATION OFFICER 40.00 X 325376 0 53785 MARY BROBST FORMER CHIEF NURSING OFFICER 40.00 X 280806 0 0 TONY MYERS MD CHIEF MEDICAL OFFICER 40.00 X 450576 0 50638 GREG DEWOLF CHIEF OPERATIONS OFFICER 40.00 X 370686 0 58283 AMANDEEP DHALIWAL MD PHYSICIAN 40.00 X 1539824 0 32025 BHAVYA AKHAURI MD PHYSICIAN 40.00 X 1268922 0 35981 CHONG C LEE MD PHYSICIAN 40.00 X 3310068 0 32727 VINCENT REID MD PHYSICIAN 40.00 X 1333962 0 41566 SACHIN GOYAL PHYSICIAN 40.00 X 1235174 0 7895 TIMOTHY L CHARLES FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 695379 0 0 13659349 0 556385 336 1 1 0 VAYA WORKFORCE SOLUTIONS LLC 5930 CORNERSTONE COURT W STE 300 SAN DIEGO CA 92121 HEALTHCARE PROFESSIONAL SERVICES 7799655 SOUND PHYSICIANS PO BOX 942936 LOS ANGELES CA 90074 HEALTHCARE PROFESSIONAL SERVICES 6621700 ONCOLOGY ASSOCIATES OF CEDAR RAPIDS 701 10TH STREET CEDAR RAPIDS IA 52403 HEALTHCARE PROFESSIONAL SERVICES 5236205 WEATHERBY LOCUMS INCICINE PO BOX 972633 DALLAS TX 75397 HEALTHCARE PROFESSIONAL SERVICES 3508169 LINN COUNTY EMERGENCY MEDICINE PO BOX 1216 CEDAR RAPIDS IA 52406 HEALTHCARE PROFESSIONAL SERVICES 3296930 70 22424904 424097 1687 22849001 PATIENT REVENUES 621110 359383465 359383465 LABORATORY REVENUE 621500 138683132 137812740 870392 FAMILY COUNSELING REVENUE 624100 147572 147572 498214169 6239616 6239616 2651469 2696984 -45515 -45515 -45515 71357906 1892157 71435445 2462969 -77539 -570812 -648351 -648351 1753094 2795952 -1042858 -1042858 INVESTMENT PARTNERSHIP INCOME(LOS 561000 3041214 2246588 794626 MISCELLANEOUS REVENUE 621110 1025 1025 MRI JOINT VENTURE 621110 -4105784 -4105784 -1063545 524502517 495485606 1665018 4502892 X 11690747 11690747 3388236 2713474 674762 205895995 164892142 41003853 11069669 8865162 2204507 15172979 12151305 3021674 13420297 10747667 2672630 530719 425027 105692 31980 25611 6369 406558 325593 80965 71832309 57527021 14305288 1713400 1372179 341221 45728556 36621788 9106768 168080 134607 33473 6735075 5393796 1341279 270230 216414 53816 366324 293371 72953 7209403 5773662 1435741 23778433 19042997 4735436 1989336 1593163 396173 UNRELATED BUSINESS INCO 130649 130649 MEDICAL SUPPLIES 67417941 53991768 13426173 REPAIRS 18078548 14478235 3600313 CONTRACTED SERVICES 13072329 10468996 2603333 5057369 4050202 1007167 525155162 422925576 102229586 0 10427727 16505236 -698731 0 88547908 90990770 811116 1013479 10003254 11022193 9611679 10200196 648885026 418764739 223872625 230120287 238834936 259820778 146768892 136306508 728179406 755979447 102473420 102116288 108502609 130891712 22973128 17709166 233949157 250717166 X 415713907 423902171 78516342 81360110 494230249 505262281 728179406 755979447 X -652645 16156753 -4472076 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 31980 31980 0 PART II-B, LINE 1: THE FOLLOWING PERCENTAGES OF DUES PAID ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES: 15.90% TO THE IOWA HOSPITAL ASSOCIATION, 4.18% TO THE CATHOLIC HEALTH ASSOCIATION, 5.58% TO THE CEDAR RAPIDS METRO ECONOMIC ALLIANCE, 11.99% TO THE AMERICAN ACADEMY OF FAMILY PHYSICIANS, AND 1% TO AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES. X 0 73601219 908911 5971811 -884292 3459915 77906318 71036435 173970 3974012 -211346 1794544 73601219 81579640 65958 3287666 -129890 14026719 71036435 82365623 5693080 -2715364 716834 3046863 81579642 65433553 6112026 10511350 -812952 504258 82365623 0.51250 0.48750 0.00000 0 1 1 24852986 24852986 411129522 247321924 163807598 208886801 168633265 40253536 4015717 2809550 1206167 230120287 INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION 125026933 C INVESTMENT IN CEDAR RAPIDS PHO 2701000 C SLEEP LAB JOINT VENTURE 1188000 C INVESTMENT IN MR ASSOCIATES 477693 C INVESTMENT IN MEDICAL MALL 343008 C INVESTMENT IN UMCSC 300000 C INVESTMENT IN MERCY SENIOR HOUSING 4418890 C INVESTMENT IN US RENAL CARE 4180000 C INVESTMENT IN MERCY SURGERY CENTER -2329016 C 136306508 PENSION LIABILITY 3913002 SELF INSURANCE RESERVES 11671814 THIRD PARTY SETTLEMENTS 2124350 17709166 X PART III, LINE 1A: MERCY MEDICAL CENTER (HOSPITAL) HAS A SMALL COLLECTION OF ARTWORK. THE COLLECTION IS ON DISPLAY FOR PUBLIC VIEWING. THE HOSPITAL HAS ELECTED NOT TO CAPITALIZE THEIR COLLECTION AS PERMITTED BY STATEMENT OF FINANCIAL ACCOUNTING STANDARDS (SFAS) NO. 116, ACCOUNTING FOR CONTRIBUTIONS RECEIVED AND CONTRIBUTIONS MADE. THE HOSPITAL'S COLLECTIONS THAT HAVE BEEN DONATED ARE NOT RECOGNIZED AS ASSETS ON THE BALANCE SHEETS. NONE OF THE ARTWORK HAS BEEN SOLD TO RAISE FUNDS. PART V, LINE 4: MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC. (FOUNDATION), A TAX-EXEMPT RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE HALL-PERRINE CANCER CENTER AND CANCER CENTER PROGRAMS, HALL RADIATION CENTER, OLDORF HOSPICE HOUSE, HOSPICE OF MERCY PROGRAMS, HALLMAR, WATTS LIBRARY, CAREGIVERS CENTER, ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER, MERCY MEDICAL CENTER OPERATING AND CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTOR'S DISCRETION. PART X, LINE 2: MERCY MEDICAL CENTER (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, 2025 AND 2024, 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 98969648 0 0 0 0 0 0 98969648 0 98969648 1 0 1 1 1 0 1 1 X 1 X 1 X 1 1 0 1 1 54001887 35022085 18979802 0.03610 71010392 31398649 39611743 0.07540 125012279 66420734 58591545 0.11150 592020 592020 0.00110 144933 671165 0 0.00000 4049143 6534298 0 0.00000 526858 526858 0.00100 5312954 7205463 1118878 0.00210 130325233 73626197 59710423 0.11360 285643 285643 0.00050 79238 79238 0.00020 364881 364881 0.00070 1 8144338 183866918 238259674 -54392756 X 1 1 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 CEDAR RAPIDS PHYSICIANS-HOSP ORG LC (DBA PARAMOUNT HEALTH OPTIONS) PAYOR CONTRACTING 0.54000 0.00000 0.46000 4 PCI REGIONAL MED MALL LLC MEDICAL SERVICES 0.10000 0.00000 0.80000 5 MERCY SURGERY CENTER AMBULATORY SURGERY CENTER 0.60000 0.00000 0.40000 1 1 MERCY MEDICAL CENTER 701 10TH STREET SE CEDAR RAPIDS IA 52403 WWW.MERCYCARE.ORG 570036H X X X MERCY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V X 1 24 1 SEE PART V 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X HTTPS://WWW.MERCYCARE.ORG/FINANCIAL-ASSISTANCE-POLICY X HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.MERCYCARE.ORG/PATIENTS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 MERCY MEDICAL CENTER PART V, SECTION B, LINE 5: THE 2024 LINN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED FROM JANUARY TO AUGUST 2024 TO IDENTIFY HEALTH NEEDS, ASSETS, AND PRIORITIES WITHIN THE COMMUNITY. THIS ASSESSMENT UTILIZED THE UPDATED MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) 2.0 FRAMEWORK, WHICH EMPHASIZES COLLABORATION, DATA-DRIVEN DECISION-MAKING, AND THE INCLUSION OF POPULATIONS AT GREATER RISK FOR POOR HEALTH OUTCOMES. THE FRAMEWORK INCLUDED THREE ASSESSMENTS: COMMUNITY CONTEXT, COMMUNITY PARTNERS, AND COMMUNITY STATUS. THE PROCESS ENSURED THAT DIVERSE VOICES ACROSS THE COMMUNITY WERE HEARD AND REPRESENTED. THE CHNA WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH AND GUIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. THE COMMUNITY PARTNER ASSESSMENT (CPA) FOCUSED ON THE IDENTIFICATION OF THE COLLECTIVE CAPACITY OF THE COLLABORATIVE TO ADDRESS HEALTH ISSUES IN THE COMMUNITY GIVEN CURRENT RESOURCES AND GAPS IN THOSE RESOURCES. THE SURVEY CONSISTED OF 24 QUESTIONS. ORGANIZATIONS PARTICIPATING IN THE COMMUNITY PARTNER ASSESSMENT INCLUDED A WIDE RANGE OF AGENCIES AND INSTITUTIONS ACROSS LINN COUNTY. THESE INCLUDED ABBEHEALTH, ADVOCATES FOR SOCIAL JUSTICE, AMANI COMMUNITY SERVICES, AREA SUBSTANCE ABUSE COUNCIL, CATHERINE MCAULEY CENTER, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CEDAR RAPIDS PUBLIC LIBRARY, CHILDREN OF PROMISE MENTORING PROGRAM, CITY OF CEDAR RAPIDS HOUSING SERVICES, CITY OF FAIRFAX, CITY OF MARION, CITY OF MOUNT VERNON, COE COLLEGE, CORRIDOR METROPOLITAN PLANNING ORGANIZATION, EASTERN IOWA HEALTH CENTER, FEED IOWA FIRST, FOUR OAKS FAMILY AND CHILDREN SERVICES, HIS HANDS FREE CLINIC, KIDS FIRST LAW CENTER, LINN COUNTY CHILD DEVELOPMENT CENTER, LINN COUNTY PUBLIC HEALTH, LINN COUNTY SUSTAINABILITY DEPARTMENT, MATTHEW 25, MERCY MEDICAL CENTER, MHDS EAST CENTRAL REGION LINN COUNTY OFFICE, NAMI LINN COUNTY, NEWBO CITY MARKET, SOUTHEAST LINN COMMUNITY CENTER, TANAGER, UNITED WAY OF EAST CENTRAL IOWA, UNITED WE MARCH FORWARD, UNITYPOINT HEALTH ST. LUKE'S HOSPITAL, WELLINGTON HEIGHTS COMMUNITY CHURCH, AND THE WELLNESS COALITION OF RURAL LINN COUNTY. COMMUNITY ENGAGEMENT METHODS USED DURING THE COMMUNITY CONTEXT ASSESSMENT (CONDUCTED MAY-JULY 2024) INCLUDED: FOCUS GROUPS, TOWN HALLS, COMMUNITY OUTREACH, PHOTOVOICE, AND TARGETED SURVEYS A TOTAL OF 835 COMMUNITY MEMBERS PARTICIPATED IN THESE EFFORTS, INCLUDING YOUTH, YOUNG LATINO FAMILIES, RURAL RESIDENTS, AND MEMBERS OF THE LGBTQ+ COMMUNITY. SURVEYS FOCUSED ON FOOD SECURITY AND COMMUNITY VIOLENCE. THIS INFORMATION WAS COLLECTED FROM RESIDENTS LIVING IN MOUNT VERNON AND FAIRFAX, CLIENTS OF HACAP, AT A FAIR HELD BY THE CLEVELAND AREA NEIGHBORHOOD ASSOCIATION, THE CR PRIDE FESTIVAL, AND STUDENTS PARTICIPATING IN TANAGER FREEDOM SCHOOL.THE COMMUNITY STATUS ASSESSMENT FOCUSES ON QUANTITATIVE HEALTH TRENDS OVER TIME AND REVIEWS HEALTH STATUS, BEHAVIORS, AND OUTCOMES, SOCIAL DETERMINANTS OF HEALTH AND SYSTEMS OF POWER, PRIVILEGE, AND OPPRESSION. INITIAL DATA COLLECTION AND ANALYSIS TOOK PLACE BETWEEN MARCH AND MAY OF 2024. IT WAS FINALIZED AFTER RECEIVING FEEDBACK IN JULY AND NOVEMBER 2024 FROM THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6A: LINN COUNTY PUBLIC HEALTH FACILITATED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND MERCY MEDICAL CENTER. BOTH HOSPITALS ARE IN CEDAR RAPIDS, IA. UNITYPOINT HEALTH ST. LUKE'S HOSPITAL ALSO IS AFFILIATED WITH JONES REGIONAL MEDICAL CENTER IN JONES COUNTY. MERCY MEDICAL CENTER PART V, SECTION B, LINE 6B: THE 2024 ITERATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS FACILITATED BY LINN COUNTY PUBLIC HEALTH, WITH OVERSIGHT PROVIDED BY THE TOGETHER! HEALTHY LINN STEERING COMMITTEE. COMMUNITY STAKEHOLDERS INCLUDED LINN COUNTY PUBLIC HEALTH, METH-WICK, COE COLLEGE, CEDAR RAPIDS CITY COUNCIL, IOWA STATE UNIVERSITY EXTENSION AND OUTREACH, CITY OF MARION, LINN COUNTY COMMUNITY SERVICES, COLLEGE COMMUNITY SCHOOL DISTRICT, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, MERCY MEDICAL CENTER, EASTERN IOWA HEALTH CENTER, UNITYPOINT HEALTH ST. LUKE'S, JONES REGIONAL MEDICAL CENTER, GREATER CEDAR RAPIDS COMMUNITY FOUNDATION, AND UNITED WAY OF EAST CENTRAL IOWA. WHILE THE PRIMARY SERVICE AREA FOR TOGETHER! HEALTHY LINN PARTNERS ARE LINN COUNTY, THE BROADER SERVICE AREA ACROSS PARTICIPATING ORGANIZATIONS INCLUDES BENTON, BREMER, BUCHANAN, CEDAR, DELAWARE, FAYETTE, IOWA, JOHNSON, JONES, WASHINGTON, CLINTON, JACKSON, DUBUQUE, AND TAMA COUNTIES. FOR THE PURPOSES OF THE CHNA, THE PRIMARY FOCUS IS ON LINN COUNTY, WITH THE WIDER HEALTHCARE SERVICE AREAS ACKNOWLEDGED. MERCY MEDICAL CENTER PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER (HOSPITAL) IS ACTIVELY ADDRESSING THE PRIORITIZED SIGNIFICANT NEEDS IDENTIFIED IN ITS 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), FOCUSING ON THREE PRIORITY AREAS: HEALTH CARE ACCESS, CHRONIC ILLNESS PREVENTION AND MANAGEMENT (WITH CANCER FOCUS), AND MENTAL HEALTH. TO IMPROVE HEALTH CARE ACCESS, THE HOSPITAL ASSISTS SELF-PAY AND UNDERINSURED PATIENTS WITH MEDICAID AND MARKETPLACE ENROLLMENT, REFERS PATIENTS TO FINANCIAL ASSISTANCE PROGRAMS, AND EXPLORES OUTREACH OPPORTUNITIES FOR INSURANCE EDUCATION. THE HOSPITAL ALSO SUPPORTS LOCAL FREE CLINICS WITH LAB AND RADIOLOGY SERVICES, CONNECTS INDIVIDUALS TO PRIMARY CARE PROVIDERS THROUGH THE FIND A DOC INITIATIVE, AND EXPANDS SPECIALTY CARE IN RURAL AREAS. ADDITIONAL EFFORTS INCLUDE PROVIDING MEDICAL INTERPRETATION SERVICES FOR PATIENTS WITH LIMITED ENGLISH PROFICIENCY AND MAINTAINING A SCREENING AND REFERRAL PROCESS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH).IN THE AREA OF CHRONIC ILLNESS PREVENTION AND MANAGEMENT, THE HOSPITAL OFFERS COMMUNITY CANCER SCREENINGS FOR UNINSURED AND UNDERINSURED INDIVIDUALS, PROMOTES THE ESPECIALLY FOR YOU FUND TO REDUCE FINANCIAL BARRIERS, AND ANNUALLY UPDATES SCREENING GUIDELINES BASED ON CURRENT EVIDENCE. THE HEALTH SYSTEM MONITORS SCREENING RATES TO IDENTIFY GAPS AND CONDUCTS OUTREACH AND EDUCATION ON CANCER PREVENTION. THE HOSPITAL ALSO PROVIDES SKIN CANCER CHECKS THROUGH ITS BUSINESS HEALTH SOLUTIONS PROGRAM AND BUILDS RELATIONSHIPS WITH UNDERSERVED COMMUNITIES THROUGH INTENTIONAL ENGAGEMENT. HOLISTIC DISCHARGE PLANNING ENSURES PATIENTS ARE CONNECTED TO MEDICAL, BEHAVIORAL, AND SOCIAL SUPPORT, IMPROVING OUTCOMES AND REDUCING COMPLICATIONS.THE HOSPITAL'S MENTAL HEALTH STRATEGY INCLUDES OFFERING A FULL RANGE OF SERVICES, THERAPY, MEDICATION MANAGEMENT, AND PSYCHOLOGICAL TESTING BOTH IN-PERSON AND VIA TELEHEALTH. THERAPISTS ARE EMBEDDED IN MULTIPLE PRIMARY CARE CLINICS. THE HOSPITAL OFFERS SPECIALIZED MENTAL HEALTH THERAPY AND SUPPORT TO PATIENTS IN THE BIRTHPLACE & NICU AND HALL-PERRINE CANCER CENTER. THE HEALTH SYSTEM ALSO OFFERS EMPLOYEE ASSISTANCE PROGRAMS (EAP), SUPPORTS SCHOOL-BASED MENTAL HEALTH INITIATIVES, AND PROVIDES EMOTIONAL SUPPORT TO CAREGIVERS THROUGH THE COPE TEAM. MERCY PARTICIPATES IN COMMUNITY COLLABORATIONS, INCREASES EARLY SUICIDE INTERVENTION THROUGH INPATIENT SCREENING AND SAFETY PLANNING, AND OFFERS ONSITE SUPPORT AFTER TRAUMATIC EVENTS. BEHAVIORAL HEALTH EDUCATION EVENTS AND CLINICAL TRAINING OPPORTUNITIES FURTHER STRENGTHEN COMMUNITY MENTAL HEALTH CAPACITY. SUBSTANCE USE SERVICES INCLUDE SCREENING, EDUCATION, REFERRALS, AND INTENSIVE OUTPATIENT PROGRAMS FOR ADOLESCENTS AND ADULTS, WITH TRANSITION SUPPORT AFTER TREATMENT.BEYOND THE TOP THREE PRIORITIES, THE HOSPITAL IS ALSO ADDRESSING OTHER STRATEGIC ISSUES IDENTIFIED IN THE CHNA. WITH CHILDCARE ACCESS AND COST, THE HOSPITAL HAS PARTICIPATED IN REGIONAL ASSESSMENTS TO BETTER UNDERSTAND NEEDS, THOUGH IT CURRENTLY LACKS THE RESOURCES TO DIRECTLY INTERVENE. FOR FOOD SECURITY, THE HOSPITAL SCREENS PATIENTS FOR FOOD INSECURITY AND PARTNERS WITH HACAP TO PROVIDE SUPPORT. IT ALSO OPERATES CATHERINE'S CUPBOARD FOR EMPLOYEES AND VOLUNTEERS AND PROVIDES SPACE FOR METRO CATHOLIC OUTREACH'S FOOD PANTRY. REGARDING THE BUILT ENVIRONMENT, THE HOSPITAL ENSURES ADA COMPLIANCE IN ALL CONSTRUCTION PROJECTS, IMPROVES WAYFINDING SIGNAGE, MAINTAINS HEALING OUTDOOR SPACES, PROVIDES BIKE RACKS, AND SUPPORTS PUBLIC TRANSIT ACCESS. TO PROMOTE VIOLENCE PREVENTION AND SAFETY, THE HOSPITAL SCREENS PATIENTS FOR ABUSE AND TRAFFICKING, CONNECTS THEM TO APPROPRIATE RESOURCES, TRAINS STAFF IN SAFETY PROTOCOLS, AND HAS MADE PHYSICAL SAFETY IMPROVEMENTS ACROSS ITS CAMPUSES. MERCY MEDICAL CENTER PART V, SECTION B, LINE 13B: PATIENTS THAT EXCEED 400% OF FPL TABLE ARE ELIGIBLE FOR DISCOUNTS ON ALL BALANCES IN EXCESS OF 10% OF GROSS PERSONAL EARNINGS PER CALENDAR YEAR. SCHEDULE H, PART V, SECTION B, LINE 5, CONTINUED: FOR THE FULL COMMUNITY HEALTH ASSESSMENT REPORTS PREPARED BY LINN COUNTY PUBLIC HEALTH, PLEASE VISIT: HTTP://WWW.LINNCOUNTY.ORG/613/REPORTS-AND-PUBLICATIONS. MERCY MEDICAL CENTER DID NOT RECEIVE ANY WRITTEN COMMENTS ON THE HOSPITAL FACILITY'S MOST RECENTLY CONDUCTED CHNA OR IMPLEMENTATION STRATEGY. HOWEVER, ON THE CHNA AND IMPLEMENTATION STRATEGY WEBPAGE OF THE HOSPITAL WEBSITE, THERE IS A "QUESTIONS?" FORM THAT CAN BE FILLED OUT BY ANY INDIVIDUAL. THE SUBMITTED ONLINE FORM GOES TO THE HOSPITAL'S MARKETING DEPARTMENT AND WOULD BE FORWARDED TO THE HOSPITAL'S COMMUNITY BENEFIT OFFICE. ANY MAILED WRITTEN COMMENTS WOULD BE FORWARDED TO THE COMMUNITY BENEFIT OFFICE. SCHEDULE H, PART V, SECTION B, LINE 7A: HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A: HTTPS://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ PART I, LINE 3C: NOT APPLICABLE 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 2A OF PART VIII, STATEMENT OF REVENUE. PART II, COMMUNITY BUILDING ACTIVITIES: MERCY MEDICAL CENTER (HOSPITAL) ACTIVELY ENGAGES IN COMMUNITY BUILDING ACTIVITIES THAT PROMOTE THE HEALTH AND WELL-BEING OF THE POPULATIONS IT SERVES. THESE EFFORTS INCLUDE STAFF PARTICIPATION ON LOCAL COALITIONS, COMMITTEES, AND BOARDS SUCH AS THE AFRICAN AMERICAN MUSEUM OF IOWA AND BIG BROTHERS BIG SISTERS OF CEDAR RAPIDS, WHICH HELP FOSTER INCLUSIVE, CULTURALLY RESPONSIVE COMMUNITY ENGAGEMENT. THE HOSPITAL ALSO SUPPORTS NONPROFIT ORGANIZATIONS THROUGH BOTH CASH AND IN-KIND CONTRIBUTIONS, PARTICULARLY THOSE FOCUSED ON MENTORING, EDUCATION, AND AFTER-SCHOOL PROGRAMMING FOR YOUTHKEY FACTORS IN LONG-TERM HEALTH AND SOCIAL STABILITY. ADDITIONALLY, THE HOSPITAL PROVIDES JOB SHADOWING OPPORTUNITIES FOR HIGH SCHOOL AND UNDERGRADUATE STUDENTS INTERESTED IN HEALTH CARE CAREERS, HELPING TO BUILD A FUTURE WORKFORCE WHILE INSPIRING YOUTH TO PURSUE PATHS THAT CONTRIBUTE TO COMMUNITY HEALTH. PART III, LINE 2: MERCY MEDICAL CENTER (HOSPITAL) PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE NOT REPORTED AS REVENUE IN THE AUDITED FINANCIAL STATEMENTS. THEREFORE, NO BAD DEBT EXPENSE IS RECOGNIZED FOR UNCOLLECTED AMOUNTS ON PATIENT ACCOUNTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 3: NOT APPLICABLE PART III, LINE 4: PLEASE SEE THE PATIENT SERVICE REVENUE FOOTNOTE ON PAGE 11 OF THE ATTACHED AUDITED FINANCIALS REGARDING IMPLICIT PRICE CONCESSIONS. 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, THE VAST MAJORITY OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE OR MEDICAID. 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. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 24.82%. THIS PERCENTAGE INCREASES TO 70.19% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE. 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 COMPLETED SOCIAL DETERMINANTS OF HEALTH SCREENINGS ON PATIENTS, THE COMMUNITY FREE CLINICS, COMMUNITY COALITIONS, COMMUNITY-BASED ORGANIZATIONS, AND THE LOCAL PUBLIC HEALTH DEPARTMENTS TO MODIFY CURRENT ACTIVITIES AND CREATE INNOVATIVE 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 THIS INFORMATION, IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL. PART VI, LINE 3: EDUCATION: MERCY MEDICAL CENTER (HOSPITAL) POSTS SIGNAGE AND PROVIDES BROCHURES REGARDING FINANCIAL ASSISTANCE INFORMATION AT ALL POINTS OF ENTRY. THERE IS A NOTIFICATION ON THE BACK OF ALL STATEMENTS INDICATING THAT FINANCIAL ASSISTANCE IS AVAILABLE TO ASSIST QUALIFYING PATIENTS. TRAINING: MERCY MEDICAL CENTER HAS EDUCATED AND TRAINED STAFF MEMBERS AT ALL REGISTRATION LOCATIONS ABOUT OUR FINANCIAL ASSISTANCE POLICY AND LISTENING TO INDIVIDUALS THAT MAY NEED ASSISTANCE. OUR EMERGENCY DEPARTMENT STAFF IS TRAINED ON MEDICAID APPLICATIONS. THE HOSPITAL HAS HIRED PATIENT MATTERS TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. PATIENT MATTERS AND OUR FINANCIAL ADVOCATE TEAM KEEP IN COMMUNICATION TO ENSURE PATIENT NEEDS ARE MET. PART VI, LINE 4: MERCY MEDICAL CENTER (HOSPITAL) SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). THE MAJORITY OF THE HOSPITAL'S PATIENTS FOR BOTH INPATIENT AND OUTPATIENT SERVICES LIVE IN LINN COUNTY. THE COMMUNITY ADDITIONALLY INCLUDES THOSE COUNTIES ADJACENT TO LINN COUNTY AND WITHIN A REASONABLE DRIVING TIME TO THE HOSPITAL. THE TOTAL POPULATION OF LINN COUNTY IN 2024 WAS 231,792. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS WAS 528,491. THIS REGION INCLUDES A MIX OF URBAN, SUBURBAN, AND RURAL COMMUNITIES, WITH CEDAR RAPIDS SERVING AS THE URBAN CENTER.THE HOSPITAL'S COMBINED SERVICE AREA INCLUDES THE FOLLOWING DEMOGRAPHICS: - OF THE INDIVIDUALS IN THE SERVICE AREA, 89.60% IDENTIFY AS CAUCASIAN, 2.30% AS AFRICAN AMERICAN, 1.10% AS AMERICAN INDIAN OR ALASKAN NATIVE, 0.50% AS ASIAN, 3.50% AS TWO OR MORE RACES, AND 10.30% AS HISPANIC. - 7.6% OF PERSONS LIVING IN THE HOSPITAL'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER. - 94.40% ARE HIGH SCHOOL GRADUATES WHILE 73.10% HOLD A BACHELOR'S DEGREE OR HIGHER. - THE MEDIAN HOUSEHOLD INCOME IS $75,057. THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 10.10%. - 13.5% OF THE HOSPITAL'S PATIENTS USE MEDICAID. - THE NUMBER OF UNINSURED INDIVIDUALS UNDER AGE 65 IN IOWA IS 4.2%.FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN COUNTIES SERVED BY THE HOSPITAL, INCLUDING BENTON, BUCHANAN, CEDAR, DELAWARE, JONES, LINN AND TAMA. THESE DESIGNATIONS REFLECT LIMITED ACCESS TO PRIMARY CARE AND OTHER HEALTH SERVICES IN PARTS OF THE REGION. AS OF JULY 2025, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 4.4%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 3.3-4.8%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE, AND AGRICULTURE.IN ADDITION TO MERCY MEDICAL CENTER, SEVERAL OTHER HOSPITALS SERVE THE REGION. UNITYPOINT HEALTH ST. LUKE'S HOSPITAL IS ALSO LOCATED IN LINN COUNTY AND SHARES A SIMILAR GEOGRAPHIC SERVICE AREA. OTHER HOSPITALS INCLUDE THE UNIVERSITY OF IOWA HOSPITALS AND CLINICS AND MERCY IOWA CITY IN JOHNSON COUNTY, REGIONAL MEDICAL CENTER IN DELAWARE COUNTY, UNITYPOINT HEALTH JONES REGIONAL MEDICAL CENTER IN JONES COUNTY, AND VIRGINIA GAY HOSPITAL IN BENTON COUNTY. PART VI, LINE 5: MERCY MEDICAL CENTER'S (HOSPITAL) BOARD OF TRUSTEES IS COMPOSED OF 21 VOLUNTEER MEMBERS, THE MAJORITY OF WHOM RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THESE INDIVIDUALS ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE CEO OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF ALSO SERVE AS EX-OFFICIO, VOTING MEMBERS OF THE BOARD. IF THE PRESIDENT OF THE MEDICAL STAFF IS EMPLOYED BY THE HOSPITAL, THEY SERVE AS A NON-VOTING EX-OFFICIO MEMBER. THIS GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN ORGANIZATIONAL DECISION-MAKING. ADDITIONALLY, THREE BOARD SEATS ARE RESERVED FOR WOMEN RELIGIOUS, WHO HELP UPHOLD THE HOSPITAL'S CHARITABLE MISSION. CURRENTLY, THREE WOMEN RELIGIOUS SERVE ON THE BOARD.MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, EXTENDING PRIVILEGES TO ALL QUALIFIED PHYSICIANS. OPERATING INCOME SURPLUSES ARE USED TO FUND CAPITAL EXPENDITURES, WHICH ARE REVIEWED BY STAFF, MEDICAL STAFF, AND ADMINISTRATION TO ENSURE ALIGNMENT WITH STRATEGIC GOALS AND THE DELIVERY OF HIGH-QUALITY, COST-EFFECTIVE CARE. ANY EXCESS OPERATING FUNDS ARE RETAINED FOR FUTURE CAPITAL IMPROVEMENTS OR OPERATIONAL NEEDS.IN 2024, HOSPITAL TEAM MEMBERS SCREENED AND ASSISTED MORE THAN 1,100 INDIVIDUALS WITH MEDICAID OR MARKETPLACE INSURANCE ENROLLMENT. VOLUNTEERS WITH THE SENIOR HEALTH INSURANCE INFORMATION PROGRAM SERVED 1,674 CLIENTS, SAVING A TOTAL OF $1,457,591 IN PRESCRIPTION COSTS. THE HOSPITAL COLLABORATED WITH SEVERAL COMMUNITY ORGANIZATIONS, INCLUDING THE CATHERINE MCAULEY CENTER, CATHOLIC WORKER HOUSE, LINN COUNTY PUBLIC HEALTH, MISSION OF HOPE, AND WILLIS DADY HOMELESS SERVICES TO PROVIDE BREAST CANCER SCREENINGS TO WOMEN FACING BARRIERS TO CARE. AS A RESULT, SEVEN WOMEN RECEIVED MAMMOGRAMS.THE ESPECIALLY FOR YOU (EFY) RACE AGAINST BREAST CANCER SUPPORTS FREE MAMMOGRAMS AND BREAST-CARE AND GYNECOLOGICAL SERVICES FOR INDIVIDUALS IN NEED THROUGH THE ESPECIALLY FOR YOU FUND. IN 2024, THE FUND HELPED OVER 1,000 INDIVIDUALS ACCESS THOUSANDS OF SERVICES. THE HOSPITAL ALSO PROVIDED IN-KIND LAB AND RADIOLOGY SERVICES TO LOCAL FREE CLINICS AND STAFFED PROVIDERS AT THE COMMUNITY HEALTH FREE CLINIC (CHFC), WHERE 3,663 PATIENTS WERE SEEN BY A HOSPITAL PROVIDER BETWEEN JULY 2024 AND JUNE 2025.ACROSS MULTIPLE CARE SETTINGS, THE HOSPITAL SCREENS PATIENTS FOR NONMEDICAL NEEDS SUCH AS FOOD, TRANSPORTATION, HOUSING, AND SAFETY. WHEN NEEDS ARE IDENTIFIED, PATIENTS ARE CONNECTED TO COMMUNITY RESOURCES. THE HOSPITAL COLLABORATES WITH THE HERITAGE AREA AGENCY ON AGING TO SUPPORT SAFE AND SUCCESSFUL TRANSITIONS FROM HOSPITAL TO HOME.IN NOVEMBER 2024, THE HOSPITAL OPENED THE CAREGIVERS CENTER AT MERCY, A DEDICATED SPACE TO SUPPORT INDIVIDUALS INVOLVED IN PATIENT HEALING AND RECOVERY. SINCE OPENING, THE CENTER HAS ENGAGED WITH 235 CAREGIVERS. THE FAMILY CAREGIVERS CENTER OF MERCY CELEBRATED ITS 10TH ANNIVERSARY IN JUNE 2025, HAVING PROVIDED 16,247 ONE-ON-ONE CONTACTS WITH 2,676 CAREGIVERS FROM 106 TOWNS ACROSS IOWA AND 38 STATES. OF THESE CAREGIVERS, 62% CARE FOR SOMEONE WITH DEMENTIA. THIS YEAR, THE CENTER LAUNCHED AN ONLINE FAMILY CAREGIVERS COMMUNITY TO EXPAND ITS REACH. THE MERCY CENTER FOR MEMORY HEALTH ALSO INCREASED ITS PATIENT VOLUME, ASSESSING 926 NEW PATIENTS AND CONDUCTING 2,056 FOLLOW-UP VISITS.THE HOSPITAL, MOUNT MERCY UNIVERSITY, AND THE CATHERINE MCAULEY CENTER CONTINUED THEIR TRADITION OF COMMUNITY SERVICE THROUGH CIRCLE THE CITY WITH MERCY, A ONE-DAY EVENT DURING WHICH VOLUNTEERS ASSEMBLED 10,000 MEAL KITS AND 225 HYGIENE BAGS FOR INDIVIDUALS IN NEED.DURING MISSION WEEK, HOSPITAL STAFF DONATED SIX CARTS OF ESSENTIAL SUPPLIES TO ST. JOHN OF THE CROSS CATHOLIC WORKER HOUSE, FOUNDATION 2, AND WILLIS DADY HOMELESS SERVICES. DONATIONS INCLUDED HYGIENE PRODUCTS, CLEANING SUPPLIES, BEDDING, AND OTHER DAILY NECESSITIES. EACH MONTH, SIX HOSPITAL EMPLOYEES VOLUNTEER TO SERVE HOT MEALS TO THOSE FACING HUNGER THROUGH GREEN SQUARE MEALS.IN DECEMBER 2024, 29 HOSPITAL STAFF MEMBERS VOLUNTEERED FOR THE SALVATION ARMY KETTLE CAMPAIGN. IN APRIL 2025, 65 STAFF PARTNERED WITH HABITAT FOR HUMANITY TO HELP FRAME AND RAISE THE WALLS OF A NEW HOME FOR A LOCAL FAMILY. IN JANUARY 2025, THE HOSPITAL PARTNERED WITH OLIVET NEIGHBORHOOD MISSION AND EASTERN IOWA HEALTH CENTER TO HOST THE "HEAD, SHOULDERS, KNEES & TOES" DRIVE, COLLECTING FOUR LINEN CARTS OF WINTER GEAR FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. IN MAY 2025, 61 EMPLOYEES PARTICIPATED IN UNITED WAY OF EAST CENTRAL IOWA'S DAY OF CARING, COMPLETING COMMUNITY PROJECTS SUCH AS LANDSCAPING, CLEANING, LIGHT MAINTENANCE, PACKING PET FOOD, PLANTING TREES, AND ASSEMBLING FUNDRAISING MATERIALS.EACH YEAR, HOSPITAL CAREGIVERS CONTRIBUTE TO LOCAL ORGANIZATIONS THROUGH THE JOYFUL GIVING CAMPAIGN. IN 2025, EMPLOYEES DONATED $142,895.83 TO THE CATHERINE MCAULEY CENTER, HALL-PERRINE CANCER CENTER, MERCY HOSPICE, MERCY MEDICAL CENTER FOUNDATION, UNITED WAY OF EAST CENTRAL IOWA, AND VARIETY THE CHILDREN'S CHARITY.IN AUGUST 2024, HALL-PERRINE CANCER CENTER (HPCC) PROVIDED 117 BACKPACKS FILLED WITH SCHOOL SUPPLIES TO CHILDREN AFFECTED BY CANCER. IN DECEMBER, HPCC HOSTED HOLIDAY MAGIC, AN EVENT ATTENDED BY 225 PATIENTS AND FAMILY MEMBERS, FEATURING FOOD, FUN, AND A VISIT FROM SANTA. HPCC ALSO DISTRIBUTED OVER 70 COPING KITS WITH AGE-APPROPRIATE ITEMS TO HELP CHILDREN MANAGE STRESS AND DEVELOP COPING STRATEGIES. ITS MOBILE LIBRARY INCLUDES MORE THAN 350 BOOKS TO SUPPORT CHILDREN IMPACTED BY CANCER. BEFORE THE HOLIDAYS, HPCC DISTRIBUTED 425 PRE-MADE COOKIE KITS TO FAMILIES NAVIGATING CANCER TREATMENT.IN DECEMBER 2024, HOSPITAL STAFF MEMBERS RANG THE BELL FOR THE SALVATION ARMY KETTLE CAMPAIGN FOR TWO FULL DAYS HELPING TO RAISE FUNDS FOR THEIR MISSION FROM COMMUNITY MEMBERS. THE HOSPITAL 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. PART VI, LINE 7, REPORTS FILED WITH STATES IA 1 MERCY SERVICE CORPORATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 421199429 501(C)(3) 10000000 0 FOR USE IN CONTINUING OPERATIONS MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 510233180 501(C)(3) 550055 0 FOR USE IN CONTINUING OPERATIONS MISSION OF HOPE 1700 B AVE SE STE 101 CEDAR RAPIDS IA 52402 421514642 501(C)(3) 25500 0 GENERAL SUPPORT HACAP 1515 HAWKEYE DR HIAWATHA IA 52233 420898405 501(C)(3) 21600 0 GENERAL SUPPORT HORIZONS A FAMILY SERVICE ALLIANCE 819 5TH STREET SE PO BOX 667 CEDAR RAPIDS IA 52403 421135083 501(C)(3) 20000 0 GENERAL SUPPORT ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER 701 10TH ST SE CEDAR RAPIDS IA 52403 420698295 501(C)(3) 20000 0 GENERAL SUPPORT WAYPOINT 318 5TH STREET SE CEDAR RAPIDS IA 52401 420680307 501(C)(3) 20000 0 GENERAL SUPPORT LINN COUNTY ADVOCATE INC 315 3RD AVE SE SUITE 209 CEDAR RAPIDS IA 52401 421105340 501(C)(3) 20000 0 GENERAL SUPPORT IOWA LEGAL AID 317 7TH AVE SE 404 CEDAR RAPIDS IA 52401 421079227 501(C)(3) 20000 0 GENERAL SUPPORT LINN COUNTY PUBLIC HEALTH 501 13TH STREET NW CEDAR RAPIDS IA 52405 426004338 LINN COUNTY 15000 0 GENERAL SUPPORT CATHOLIC CHARITIES 1229 MT LORETTA AVE DUBUQUE IA 52003 420680493 501(C)(3) 15000 0 GENERAL SUPPORT HOPE COMMUNITY DEVELOMENT ASSOC 842 14TH STREET SE CEDAR RAPIDS IA 52403 272950701 501(C)(3) 15000 0 GENERAL SUPPORT COMMUNITY CRISIS SERVICES 1121 S GILBERT CT IOWA CITY IA 52240 420955992 501(C)(3) 12500 0 GENERAL SUPPORT THE SALVATION ARMY 1000 C AVE NW CEDAR RAPIDS IA 52405 362167910 501(C)(3) 12500 0 GENERAL SUPPORT JUNIOR ACHIEVEMENT 324 3RD STREET SE SUITE 200 CEDAR RAPIDS IA 52401 420919209 501(C)(3) 10325 0 GENERAL SUPPORT TANAGER PLACE (CAMP TANAGER) 2309 C ST SW CEDAR RAPIDS IA 52404 420688079 501(C)(3) 10000 0 GENERAL SUPPORT WELLINGTON HEIGHTS COMMUNITY CHURCH 1600 4TH AVE SE CEDAR RAPIDS IA 52403 844925970 501(C)(3) 10000 0 GENERAL SUPPORT 17 0 PART I, LINE 2: ALL CHECKS ARE ISSUED DIRECTLY TO EACH ORGANIZATION TO BE USED AT ITS DISCRETION. 1 X X X X 1 1 0 0 0 0 0 0 0 CHONG C LEE MD PHYSICIAN 1920213 0 1386291 0 3564 0 5879 0 26848 0 3342795 0 0 0 AMANDEEP DHALIWAL MD PHYSICIAN 758019 0 781019 0 786 0 8075 0 23950 0 1571849 0 0 0 VINCENT REID MD PHYSICIAN 588118 0 744974 0 870 0 7250 0 34316 0 1375528 0 0 0 RYAN HOLLENBECK MD MEMBER BOARD OF TRUSTEES 767739 0 508475 0 540 0 5929 0 34447 0 1317130 0 0 0 BHAVYA AKHAURI MD PHYSICIAN 852477 0 415998 0 447 0 1918 0 34063 0 1304903 0 0 0 SACHIN GOYAL PHYSICIAN 900267 0 334421 0 486 0 5791 0 2104 0 1243069 0 0 0 TIMOTHY QUINN MD PRESIDENT & CHIEF EXECUTIVE OFFICER 724632 0 0 0 4207 0 59585 0 29663 0 818087 0 0 0 TIMOTHY L CHARLES FORMER PRESIDENT & CHIEF EXECUTIVE O 0 0 0 0 695379 0 0 0 0 0 695379 0 0 0 NATHAN VAN GENDEREN EXECUTIVE VICE PRESIDENT & CFO 504718 0 0 0 1468 0 44664 0 24877 0 575727 0 0 0 TONY MYERS MD CHIEF MEDICAL OFFICER 444118 0 0 0 6458 0 39730 0 10908 0 501214 0 0 0 GREG DEWOLF CHIEF OPERATIONS OFFICER 368435 0 0 0 2251 0 29773 0 28510 0 428969 0 0 0 NANCY HILL CHIEF TALENT OFFICER 334755 0 0 0 2042 0 30587 0 13733 0 381117 0 0 0 JEFFREY CASH CHIEF INFORMATION OFFICER 319594 0 0 0 5782 0 30674 0 23111 0 379161 0 0 0 MARY BROBST FORMER CHIEF NURSING OFFICER 68948 0 0 0 211858 0 0 0 0 0 280806 0 0 0 PART I, LINE 4A: MERCY MEDICAL CENTER PAID MARY BROBST SEVERANCE PAYMENTS OF $211,858 IN 2024. THIS INFORMATION IS INCLUDED IN OTHER REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II. PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2024: JEFFREY CASH - $22,988, GREG DEWOLF - $26,322, NANCY HILL - $23,573, TIMOTHY QUINN M.D. - $51,335, TONY MYERS M.D. - $31,301, AND NATHAN VAN GENDEREN - $36,039. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION AND EARNINGS CREDITS MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2024. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. MERCY CARE MANAGEMENT INC SEE BELOW IN PART V 1241154 MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT. 0 FORM 990, SCHEDULE L, PART IV, COLUMN B TIMOTHY QUINN, M.D. IS AN OFFICER, AND BARRIE ERNST, RUE PATEL, FRED PILCHER, M.D. 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. FORM 990, PART VI, SECTION A, LINE 1A MERCY MEDICAL CENTER'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO TRANSACT ALL REGULAR BUSINESS OF THE GOVERNING BODY IN BETWEEN BOARD MEETINGS. FORM 990, PART VI, SECTION A, LINE 4 MERCY MEDICAL CENTER ADOPTED CHANGES TO ITS BYLAWS REGARDING THE NUMBER AND COMPOSITION OF ITS GOVERNING BODY'S VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL) IS MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE HOSPITAL'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE HOSPITAL'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE HOSPITAL'S BOARD AT ANY TIME FOR ANY REASON. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL), MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION, HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE HOSPITAL'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE HOSPITAL'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE HOSPITAL'S BOARD AT ANY TIME FOR ANY REASON. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER OF MERCY MEDICAL CENTER (HOSPITAL), MERCYCARE SERVICE CORPORATION, A TAX-EXEMPT RELATED ORGANIZATION 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 HOSPITAL; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL, AND MERGER OR CONSOLIDATION OF THE HOSPITAL WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE HOSPITAL; 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 HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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 MERCY MEDICAL CENTER 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. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS WITH A MERCY MEDICAL CENTER BOARD MEMBER: -UPON DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, THE BOARD MEMBER, THE CORPORATE OFFICER, OR THE CEO MAKING SUCH DISCLOSURE MAY BE ASKED TO LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE FINANCIAL INTEREST IS DISCUSSED AND VOTED UPON. -THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. -IN THE CASE OF DISCLOSURE BY A MEDICAL STAFF MEMBER, PHYSICIAN, EXECUTIVE STAFF MEMBER, DEPARTMENT DIRECTOR, SUPERVISOR, OR OTHER INDIVIDUAL, THE PRESIDENT/CEO OF ENTITY SHALL DETERMINE, BASED ON THE FACTS AND CIRCUMSTANCES DISCLOSED, IF A CONFLICT OF INTEREST EXISTS. -THE PRESIDENT/CEO OF ENTITY SHALL REPORT THE RESULTS OF ALL DETERMINATIONS, WITH REGARD TO CONFLICT OF INTEREST, TO THE CHAIR OF THE BOARD. PENALTIES FOR NON-COMPLIANCE: FAILURE TO COMPLY WITH THIS POLICY SHALL CONSTITUTE GROUNDS FOR REMOVAL FROM OFFICE AND, IN THE CASE OF MERCY MEDICAL CENTER KEY PERSONNEL, EMPLOYEES, OR OTHER AFFECTED PARTIES, TERMINATION OF EMPLOYMENT. RETENTION PERIOD: ALL CERTIFICATES AND DISCLOSURE SUMMARY DOCUMENTS OF CURRENT OR FORMER EMPLOYEES (AND RELATED CORRESPONDENCE) WILL BE RETAINED IN ACCORDANCE WITH MERCY'S RECORD RETENTION POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF MERCY MEDICAL CENTER'S TOP MANAGEMENT OFFICIAL IS SET BY THE MERCYCARE SERVICE CORPORATION'S HUMAN RESOURCES COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED AND DOCUMENTED ON MARCH 18, 2024. THIS PROCESS TAKES PLACE BIENNIALLY WITH THE NEXT REVIEW TO BE COMPLETED IN 2026. FORM 990, PART VI, SECTION C, LINE 19 MERCY MEDICAL CENTER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 57,527,021. MANAGEMENT AND GENERAL EXPENSES 14,305,288. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,832,309. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -3,278,225. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS 6,751,866. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -7,877,404. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY -68,313. FORM 990, PART XI, LINE 2C THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. MERCYCARE ACCOUNTABLE CARE ORGANIZATION LLC 701 10TH STREET SE CEDAR RAPIDS IA 52403 833158753 ACCOUNTABLE CARE ORGANIZATION IA 2870524 1165347 MERCY MEDICAL CENTER 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 12B, TYPE II MERCY MEDICAL CENTER 1 MERCYCARE SERVICE CORPORATION 701 10TH STREET SE CEDAR RAPIDS IA 52403 421199429 HEALTHCARE OVERSIGHT IA 501(C)(3) LINE 12B, TYPE II N/A 0 MERCY-PHS SENIOR HOUSING INC 701 10TH STREET SE CEDAR RAPIDS IA 52403 843118573 APPROPRIATE AND DEVELOP SENIOR HOUSING PROJECT IA 501(C)(3) LINE 10 MERCY MEDICAL CENTER 1 MR ASSOCIATES LLP 1956 1ST AVE NE CEDAR RAPIDS IA 52402 421260463 MEDICAL IMAGING IA MERCY MEDICAL CENTER RELATED 1685222 1698151 0 1 0.33330 CEDAR RAPIDS PHYSICIANS-HOSP ORG LC 1715 1ST AVE SE STE 200 CEDAR RAPIDS IA 52402 421445014 PHYSICIAN CREDENTIALING IA N/A RELATED 335097 3597001 0 186957 0 0.53780 EASTERN IOWA SLEEP CENTER 275 10TH ST SE STE 3330 CEDAR RAPIDS IA 52403 260310416 SLEEP STUDIES IA N/A RELATED 114795 397663 0 1 0.33330 USRC EASTERN IOWA LLC 5851 LEGACY CIRCLE STE 900 PLANO TX 75024 844628073 DIALYSIS TX N/A RELATED 205548 308147 0 210227 1 0.49000 MERCY SURGERY CENTER LLC 701 10TH STREET SE CEDAR RAPIDS IA 52403 841875159 OUTPATIENT SURGERY CENTER IA MERCY MEDICAL CENTER RELATED 1100765 4132050 0 1 0.60000 MERCY CARE MANAGEMENT INC PO BOX 786 CEDAR RAPIDS IA 52406 421198970 MEDICAL CLINICS IA N/A C 1 MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC) PO BOX 786 CEDAR RAPIDS IA 52406 421442443 MEDICAL SERVICES IA N/A C 1 MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC) PO BOX 786 CEDAR RAPIDS IA 52406 421442442 SUPPORT SERVICES IA N/A C 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 MERCY CARE MANAGEMENT INC A 1241154 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION A 1 FAIR MARKET VALUE MERCYCARE SERVICE CORPORATION B 10000000 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION B 550055 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION C 22130314 FAIR MARKET VALUE MERCYCARE SERVICE CORPORATION C 294590 FAIR MARKET VALUE MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION Q 1214344 FAIR MARKET VALUE