MHIC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MHIC (EIN 42-0680391)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202121379349304092
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T16:33:08-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Suite 2800 | AddressLine1Txt |
| City | Minneapolis | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 554021538 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420680391 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Iowa City Iowa | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 3193390300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dawna Miller | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3193390300 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWNA M JANSONS | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dawna Miller | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $196,200,525 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mercyiowacity.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1873 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | To heal and comfort the sick and improve the health of the community in the spirit of Jesus Christ. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1540 | TotalEmployeeCnt |
| Total Volunteers | 239 | TotalVolunteersCnt |
| Total Gross UBI | $5,779,197 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,105,604 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $760,710 | PYContributionsGrantsAmt |
| CY Contributions Grants | $761,447 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $160,757,444 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $164,750,687 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,050,009 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,185,800 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,359,361 | PYOtherRevenueAmt |
| CY Other Revenue | $4,677,058 | CYOtherRevenueAmt |
| PY Total Revenue | $171,927,524 | PYTotalRevenueAmt |
| CY Total Revenue | $173,374,992 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $36,419 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $26,015 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,122,343 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $74,419,495 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $83,087,540 | PYOtherExpensesAmt |
| CY Other Expenses | $101,594,788 | CYOtherExpensesAmt |
| PY Total Expenses | $157,246,302 | PYTotalExpensesAmt |
| CY Total Expenses | $176,040,298 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,681,222 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,665,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $263,566,195 | TotalAssetsBOYAmt |
| Total Assets EOY | $259,707,250 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $170,390,276 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $200,346,271 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $93,175,919 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $59,360,979 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Mercy Iowa City ("Mercy") heals and comforts the sick and works to improve the health of the community in the spirit of Jesus Christ and the Catholic tradition of the Sisters of Mercy. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $116,594,231 | ExpenseAmt |
| Revenue | $168,348,305 | RevenueAmt |
| Desc | Hospital Services. In keeping with our mission of healing and comforting the sick, providing hospital medical services is at the heart of what we do. These services are provided in inpatient and outpatient settings, in situations that may be emergent, acute or chronic. Services include a 24 hour emergency unit, intensive and cardiovascular care. We also service a maternity unit and newborn nursery along with other surgical services, cardiac cath lab, cancer care, digestive care, telemetry monitored care, medical care, stroke care and behavioral and hospice care. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $315,842 | ExpenseAmt |
| Revenue | $218,854 | RevenueAmt |
| Desc | Education. The ongoing education of Mercy staff is critical in the fast changing field of health care and it necessary to meet regulations and certifications. Mercy hosts a number of professional continuing education classes each year, which is attended by it's own staff and staff from other institutions. Mercy provides a setting for students who are considering a career in health care including a class of insight to possible careers and preparation for CNA exam. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,352,668 | ExpenseAmt |
| Grant | $26,015 | GrantAmt |
| Desc | Community Benefit. Mercy's community benefits take many forms, beginning with the traditional charity care of ($1.0 million) and the unpaid cost of Medicaid ($6.2 million). Other examples include cash donations to community non-for-profits such as the Free Medical Clinic, leadership time and skills that further the work of the non-for-profits, first aid booth provided at public events including the Johnson Co Fair. These efforts are detailed in Mercy's community health benefit report. As a trusted, longtime member of the community, Mercy plays an important role not only in further community health but the general community good. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $124,262,741 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1540 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kimberley Rossiter | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3193393900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Tim Krumm | |||||||||
| Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Tom McLaughlin | |||||||||
| Vice Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Tom Clancy | |||||||||
| Secretary | 40.00 | 0.00 | Yes (X) | $143,440 | $0 | $0 | |||
| Bob Ritz | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Dave Vellinga | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Dr Chris Scott | |||||||||
| Board Member(Beg 11/19) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Jack Dusenbery | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Madeline Windauer | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary Westbrook | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Shari DeMaris | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Helen Marie Burns | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Linda Bretchen | |||||||||
| Board Member (Beg 10/19) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Patricia Murphy | |||||||||
| Board Member (End 10/19) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR Rita Specht | |||||||||
| Board Member(End 10/19) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Steven Anderson | |||||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Sean Williams | |||||||||
| CEO & Administrator | 40.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Dawna Miller | |||||||||
| CFO (Beg 5/20) | 40.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Douglas Davenport | |||||||||
| CFO (End 2/20) | 40.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Kimberley Rossiter | |||||||||
| Assistant Treasurer | 40.00 | 2.00 | Yes (X) | $136,295 | $0 | $38,029 | |||
| Andrew Ashby | |||||||||
| Physician | 40.00 | 0.00 | $594,766 | $0 | $34,460 | Yes (X) | |||
| Benjamin Green | |||||||||
| Physician | 40.00 | 0.00 | $576,915 | $0 | $41,034 | Yes (X) | |||
| Joseph Truszowski | |||||||||
| Physician | 40.00 | 0.00 | $626,678 | $0 | $39,879 | Yes (X) | |||
| Luke Brunkhorst | |||||||||
| Physician | 40.00 | 0.00 | $589,353 | $0 | $32,527 | Yes (X) | |||
| Yonas Getachew | |||||||||
| Physician | 40.00 | 0.00 | $609,652 | $0 | $34,511 | Yes (X) | |||
| Michael Heinrich | |||||||||
| Former Officer | 0.00 | 0.00 | $226,705 | $0 | $1,005 | Yes (X) | |||
| Martin Izakovic | |||||||||
| Former Officer | 40.00 | 0.00 | $514,624 | $0 | $43,686 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,018,428 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $265,131 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 105 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MercyOne | |||||
| PO Box 74008768 | Chicago | IL | 606748768 | Management Services | $3,095,759 |
| Philips Healthcare | |||||
| PO Box 100355 | Atlanta | GA | 303840355 | Medical Equipment Supplier | $1,463,331 |
| Progressive Rehabilitation Associates LL | |||||
| 2751 Northgate Dr NE | Iowa City | IA | 52240 | Rehabilitation Services | $1,412,432 |
| Allscripts HealthCare | |||||
| 8700 W Bryn Mawr Avenue 700N | Chicago | IL | 60631 | IT Services | $1,217,551 |
| Mccomas-Lacina Construction | |||||
| 1310 Highland Ct | Iowa City | IA | 52240 | Construction Services | $1,061,318 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 57 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $761,447 | RelatedOrganizationsAmt |
| Total Contributions | $761,447 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Serv. Revenue | 621400 | $86,651,755 | $86,651,755 | |
| Medicare/Medicaid | 621400 | $65,852,768 | $65,852,768 | |
| Lab Outreach | 621511 | $5,779,197 | $5,779,197 | |
| ASC/DIC Income | 900099 | $4,207,962 | $4,207,962 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,259,005 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,259,005 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $164,750,687 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,734,972 | TotalRevenueColumnAmt |
| Exclusion | $1,734,972 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,404,576 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,296,689 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $107,887 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107,887 | TotalRevenueColumnAmt |
| Exclusion | $107,887 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,789,423 | SecuritiesAmt |
| Other | $190,249 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,460,205 | SecuritiesAmt |
| Other | $68,639 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,329,218 | SecuritiesAmt |
| Other | $121,610 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,450,828 | TotalRevenueColumnAmt |
| Exclusion | $1,450,828 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Cafeteria Income | 722210 | $752,699 | $752,699 | |
| Telephone | 517000 | $154,097 | $154,097 | |
| Access | 517000 | $4,071 | $4,071 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,658,304 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,658,304 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,569,171 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $173,374,992 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $162,787,962 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,779,197 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,046,386 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,950 | TotalAmt |
| Program Services | $21,950 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,065 | TotalAmt |
| Program Services | $4,065 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,672 | TotalAmt |
| Program Services | $211,600 | ProgramServicesAmt |
| Management And General | $202,072 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,256 | TotalAmt |
| Management And General | $214,256 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,108,024 | TotalAmt |
| Program Services | $43,548,264 | ProgramServicesAmt |
| Management And General | $16,559,760 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,936,607 | TotalAmt |
| Program Services | $2,127,572 | ProgramServicesAmt |
| Management And General | $809,035 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,623,715 | TotalAmt |
| Program Services | $4,798,882 | ProgramServicesAmt |
| Management And General | $1,824,833 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,123,221 | TotalAmt |
| Program Services | $2,987,274 | ProgramServicesAmt |
| Management And General | $1,135,947 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,074,710 | TotalAmt |
| Management And General | $2,074,710 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,728 | TotalAmt |
| Management And General | $200,728 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,493 | TotalAmt |
| Management And General | $153,493 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,273 | TotalAmt |
| Management And General | $25,273 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,928,524 | TotalAmt |
| Program Services | $11,861,856 | ProgramServicesAmt |
| Management And General | $6,066,668 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $539,175 | TotalAmt |
| Program Services | $4,744 | ProgramServicesAmt |
| Management And General | $534,431 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,421,637 | TotalAmt |
| Program Services | $8,152,588 | ProgramServicesAmt |
| Management And General | $5,269,049 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,726,412 | TotalAmt |
| Program Services | $281,688 | ProgramServicesAmt |
| Management And General | $6,444,724 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,674,271 | TotalAmt |
| Program Services | $90,713 | ProgramServicesAmt |
| Management And General | $2,583,558 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,099 | TotalAmt |
| Program Services | $95,954 | ProgramServicesAmt |
| Management And General | $81,145 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,354,908 | TotalAmt |
| Program Services | $1,751,547 | ProgramServicesAmt |
| Management And General | $2,603,361 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,030,126 | TotalAmt |
| Program Services | $8,470,824 | ProgramServicesAmt |
| Management And General | $1,559,302 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $789,821 | TotalAmt |
| Management And General | $789,821 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $15,495,272 | $15,371,948 | $123,324 |
| Pharmacy Supplies | $15,453,067 | $15,422,203 | $30,864 |
| Bad Debt Expense | $6,679,240 | $6,679,240 | |
| Food Expense | $1,229,336 | $1,229,336 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,641,696 | TotalAmt |
| Program Services | $1,150,493 | ProgramServicesAmt |
| Management And General | $2,491,203 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,040,298 | TotalAmt |
| Program Services | $124,262,741 | ProgramServicesAmt |
| Management And General | $51,777,557 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,429,690 | BOYAmt |
| EOY | $15,778,370 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,261,094 | BOYAmt |
| EOY | $3,626,742 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,244,282 | BOYAmt |
| EOY | $39,104,307 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,464,090 | BOYAmt |
| EOY | $4,628,137 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,603,549 | BOYAmt |
| EOY | $3,348,647 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $271,802,166 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $212,267,636 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,540,184 | BOYAmt |
| EOY | $59,534,530 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,118,388 | BOYAmt |
| EOY | $87,664,601 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$46,432,551 | BOYAmt |
| EOY | -$64,626,741 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,337,469 | BOYAmt |
| EOY | $110,648,657 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,566,195 | BOYAmt |
| EOY | $259,707,250 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,112,074 | BOYAmt |
| EOY | $48,076,253 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,626,482 | BOYAmt |
| EOY | $69,160,661 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,892 | BOYAmt |
| EOY | $24,522 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,518,828 | BOYAmt |
| EOY | $83,084,835 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,390,276 | BOYAmt |
| EOY | $200,346,271 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,175,919 | BOYAmt |
| EOY | $59,360,979 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,175,919 | BOYAmt |
| EOY | $59,360,979 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,566,195 | BOYAmt |
| EOY | $259,707,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,665,306 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$769,648 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$30,379,986 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | Yes (1) | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $25,273 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,273 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Mercy Hospital, Iowa City, Iowa is a member of the Iowa Hospital Association (IHA) and America Hospital Association (AHA). A percentage of membership dues paid to IHA and AHA relate to lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,144,539 | BeginningYearBalanceAmt |
| Contributions | $140,115 | ContributionsAmt |
| Investment Earnings Or Losses | -$233,781 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $593,487 | GrantsOrScholarshipsAmt |
| End Year Balance | $16,457,386 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,286,002 | BeginningYearBalanceAmt |
| Contributions | $14,493 | ContributionsAmt |
| Investment Earnings Or Losses | $377,510 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $533,466 | GrantsOrScholarshipsAmt |
| End Year Balance | $17,144,539 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,775,239 | BeginningYearBalanceAmt |
| Contributions | $456,231 | ContributionsAmt |
| Investment Earnings Or Losses | $744,957 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $690,425 | GrantsOrScholarshipsAmt |
| End Year Balance | $17,286,002 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,365,728 | BeginningYearBalanceAmt |
| Contributions | $123,098 | ContributionsAmt |
| Investment Earnings Or Losses | $1,673,119 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $386,706 | GrantsOrScholarshipsAmt |
| End Year Balance | $16,775,239 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,598,237 | BeginningYearBalanceAmt |
| Contributions | $263,507 | ContributionsAmt |
| Investment Earnings Or Losses | -$400,097 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $95,919 | GrantsOrScholarshipsAmt |
| End Year Balance | $15,365,728 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.57000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.16600 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.26400 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,165,665 | OtherCostOrOtherBasisAmt |
| Book Value | $4,165,665 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $141,179,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $104,278,978 | DepreciationAmt |
| Book Value | $36,900,929 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,605,947 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,380,950 | DepreciationAmt |
| Book Value | $18,224,997 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $850,647 | OtherCostOrOtherBasisAmt |
| Depreciation | $607,708 | DepreciationAmt |
| Book Value | $242,939 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $59,534,530 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest-Foundation | $16,711,030 |
| Due from Affiliates | $89,751,177 |
| 2011/2018 Bond Fund | $4,116,450 |
| Non-Compete Agreement Value | $70,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $110,648,657 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Benefit Liability | $81,476,937 |
| Other Long-Term Liabilities | $66,000 |
| Professional Liability Claims | $1,541,898 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $83,084,835 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | All Restricted Endowed Funds are used for the benefit of Mercy Hospital Iowa City - capital equipment, employee grants, scholarships, etc. |
| Part X, Line 2: | As a result of the implementation of ASC 740, "As of June 30 2020 and 2019, the company recorded no liabilities for unrecognized tax benefits. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,078,339 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,078,339 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,715,401 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,441,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,274,329 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,793,740 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,441,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,352,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $611,691 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $611,691 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $726 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,147,889 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $814,992 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $332,897 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,950 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $21,950 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,782,256 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $814,992 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $967,264 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,575,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,256,064 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,319,932 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04910 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,241 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,241 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $589,129 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $589,129 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $592,370 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $592,370 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00350 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,858,165 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $47,410,581 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $53,707,536 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,296,955 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 Iowa City Ambulatory Surgery Center LLC | ||
| Outpatient Surgery Center | 0.51000 | 0.49000 |
| 2 Corridor Radiology LLC | ||
| Outpatient Radiology Services | 0.51000 | 0.49000 |
| 3 Eastern Iowa Rehabilitation Hospital LLC | ||
| Rehabilitation Services | 0.51000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mercyiowacity.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Lab Outreach | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital Iowa City Iowa | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.mercyiowacity.org/community_health | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.mercyiowacity.org/community_health | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.mercyiowacity.org/patient-financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.mercyiowacity.org/patient-financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.mercyiowacity.org/patient-financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mercy Hospital, Iowa City, Iowa | Part V, Section B, Line 5: The Hospital conducted two focus groups with participants from these organizations, representing broad and deepknowledge of community health needs:- 4 Cs Community Coordinated Child Care- City of Coralville- City of North Liberty- Clear Creek Amana Schools- Coralville Police Department- Iowa City Area Chamber of Commerce- Iowa City Area Development Group- Iowa City Community School District- Iowa City Free Medical and Dental Clinic- Iowa City Police Department- Johnson County Ambulance Service- Johnson County Public Health- Johnson County Social Services- Mercy Hospital Iowa City- Mercy Hospital Emergency Care Unit- Mercy Iowa City- Mercy IC and Mercy Services- Mercy Pediatric Clinic- National Alliance on Mental Illness Johnson County- Rural Health and Safety Clinic of Eastern Iowa- United Action for Youth- United Way- United Way of Johnson and Washington Counties |
| Mercy Hospital, Iowa City, Iowa | Part V, Section B, Line 11: The 2018 CHNA summarized twelve areas of opportunity for Community Health Improvement. Mercy Hospital is addressingthose needs as follows:Mental Health - Depression and Social Support: Mercy continues to invest in outpatient psychiatric services. While traditional primary care visits fell throughout the COVID pandemic, the visit volume to our mental health clinic grew significantly. We accommodated the growth in demand by initiating telehealth capability at our mental health clinic. We employ four full time providers which includes one therapist. Our providers also staff the emergency room of our hospital in Johnson county where many patients present with mental health conditions. In addition, our affiliate MercyOne will be rolling out a new ambulatory social service this year that will dedicate a social worker to serve as the primary contact for patients with mental health or emotional needs. Their focus is to manage transitions in care following hospital discharges, emergency department use and post-acute stays where mental illness or substance abuse was a primary reason for the admission or visit. Nutrition, Physical Activity, Diabetes:We will continue to offer a 12 week program to the public taught byregistered dieticians that focuses on behavioral modifications to achievelong-term lifestyle changes to improve overall health.Since 2018, we have employed a board certified physician in endocrinology,diabetes, and metabolism. His ability to effectively treat patients withmetabolic disorders advances our ability to address the adult obesityhealth need. Substance Abuse - Binge Drinking:Our community is home to a major university and excessive drinking haslong been an issue. Our Vice President of Population Health attends thePartnership for Alcohol Safety, a joint project of the University of Iowaand the City of Iowa City. Its mission is to identify and advocate forstrategies that reduce high-risk drinking and related harms.Access to Primary Care Physicians:Mercy will continue to operate primary care clinics in each of our 5primary care counties. This is the most direct way to address access,along with a financial aid policy that reduces the financial barriers for the uninsured. Mercy will also continue support of the Free Medical Clinicin Johnson county. This is an important health care access point for thosewith limited ability to pay.Cancer - Cancer Incidence:Mercy intends to more widely advertise the low dose lung cancer screeningprogram that screens for at-risk patients, especially former heavysmokers. The existing program has resulted in the early identification andtreatment of lung cancers, although many more eligible patients have notyet been screened.Heart Disease & Stroke Mortality Rates:Two additional cardiologists will begin treating patients in 2019 andshould result in at least 25% increase in patient contacts with ourcardiologists. Mercy is also certified as a primary stroke center andintends to maintain that certification.Infant Health - Teen Births:Mercy has budgeted to maintain our Muscatine county clinic staffing levelsfor the next year. This should maintain patients ability to access healthcare resources directly from this clinic. Additionally, we partner withindependent OBGYN groups to assess the market needs in this county.Injury & Violence - Violent Crime Rate:We intend to take no action as reducing the crime rate is not within thescope of our health care delivery system.Oral Health - Regular Dental Care:We intend to take no action regular dental care is not within the scope ofour health care delivery system.Respiratory Disease - Chronic Lower Respiratory Disease:We have employed 2 nurse navigators in 2018, that are focused on reducinghospitalization readmissions and avoidable emergency room visits,especially from patients with chronic conditions. They contact patientsafter they return home after hospital encounters to ensure that patientshave follow-up visits with their normal primary care provider and thatthey understand and are following the medical advice prescribed for them.Sexually Transmitted Disease and Chlamydia Incidence:Mercy is continuing to monitor chlamydia incidence rates and has seenrecent high rates in the eastern portion of our service area. OurInfection Prevention Coordinator plans to provide staff education in theclinic and identify opportunities for community outreach. He will thentrack the incidence rates to see if those efforts have a significantimpact on reducing incidence.Tobacco Use:We continue to provide smoking cessation counseling to a high percentage(85%) of adult smokers who are seen in our clinics. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - Mercy Home Health Care | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Home Health and Private Duty Nursing | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Amounts in the table were derived using a cost accounting system that addresses all patient segments. A cost to charge ratio derived from completing IRS worksheet 2 was used to determine the amounts in Part I, Line 7a, 7b, 7c. and 7g. |
| Part I, Ln 7 Col(f): | Bad debt expense of $6,679,240 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. Mercy continues to partner with the 40-bed Mercy Inpatient Rehabilitation Hospital that employs approximately 100 health care professionals.Community Support:Mercy has provided support to the following community organizations in the form of financial support, promotional collaboration and/or colleague volunteer time:United Way of Johnson and Washington Counties Iowa City HospiceIowa City Free Medical ClinicNAMI (National Alliance for the Mentally Ill), American Cancer SocietyMercy partners with School-Based Health Clinics now located in four of the Iowa City Community School District's public schools. The Healthy Kids School-based Health Clinics are free Medical Clinics whose mission is to work collaboratively with area medical partners to provide accessible primary, mental health and specialty care to children from birth through high school graduation who experience barriers to accessing healthcare. Mercy plans to continue to provide staff and/or supplies for first aid booths at community festivals such as Arts Fest, Jazz Fest and Soul Fest as soon as COVID-19 restrictions lift. Mercy has participated in and sponsored these events for multiple years but due to the COVID-19 pandemic in FY20 events were canceled or deemed unsafe for participation. First Aid provided at the Johnson County Fair was also paused in 2020 due to COVID-19, but Mercy has provided this free service for over 10 years and plans to continue as COVID-19 restrictions lift. Rural Health and Safety of Eastern Iowa Partnership providing free COVID-19 testing, rural health screenings, and farm safety campaigns in their efforts to increase health care outreach and reduce injury prevention in the agricultural areas that make up most of its service area. Physical and mental health screenings, injury prevention education and general health information activities are ongoing during the warm weather months in Johnson and five contiguous counties.Mercy continues to be a lead organization for Thanksgiving in July, an annual summer food drive whose goal is to fill food pantries at a time of year when they have fewer donations and children are out of school, not receiving free and reduced breakfast and lunch. This program was started at Mercy Iowa City in 1995 and has grown to include many other sites in the State of Iowa including Des Moines, Dubuque and the Quad Cities. Mercy's Pastoral Care Department provides clothing to patients who are discharged with nothing to wear, often because what they had when they were admitted is no longer wearable (cut off in the Emergency Room, etc.) and there is no one to bring them anything. Transportation is also provided via paid taxi for patients and/or their family members upon discharge as needed due to lack of transportation means. Mercy's 24-hour "Mercy On Call" service provides medical triage and health information, can schedule provider appointments, and refer callers to local supporting services.SHIIP (Senior Health Insurance Information Program) Volunteers help seniors and those on SSDI navigate through Medicare insurance enrollment with emphasis on the annual Medicare Open Enrollment Period. This is a very robust program for the Johnson Country area. Environmental Improvements:Mercy has been a good neighbor by maintaining its buildings and landscaping at a high level. Mercy also pursues extensive recycling (including newspapers, office paper, magazines, plastics, batteries, cooking oil, construction materials and more) and programs that reduce energy consumption.Leadership Development and Training of Community Members:Mercy lends support to the annual Community Leadership Program of the Iowa City Area Chamber of Commerce, a nine-month leadership development program for 24 individuals who are increasing their professional and personal commitment to the community and typically sponsors a class member each year. Mercy also supports an active Clinical Ladder program for nurses, offers Continuing Education Credit (CEU) courses and conferences open to medical professionals across the State on a regular basis, such as those tailored to Emergency Care, Hospitalist care and Nursing care. Mercy also offers a location for CEU courses for the local Honoring Your Wishes initiative which encourages all adults to have Advance Directives that are current and reflect their wishes. The CEU courses train individuals to become certified counselors to help individuals with their Advance Directives, and to train certified counselors to assist with IPOST which is the Iowa version of the national POLST directive, a medical order for those with terminal conditions. Honoring Your Wishes is the program used at Mercy, and the hospital offers free assistance to anyone in its service area who needs it to complete their documents.Coalition Building:Mercy is involved in many ways with local citizens and groups that are working to afford all members of our community a good quality of life and to improve overall quality of life. Mercy is a co-sponsor of the Johnson County SAFE Kids Coalition whose mission is to prevent or reduce preventable injuries to children from birth to age 14. SAFE Kids promotes the correct use of child safety restraints in vehicles, bicycle helmets, and safety education to prevent falls, burns, poisoning and more. Mercy has plans in place to continue its lead partner of Safety Village as done in FY19 into FY21. Safety Village was canceled in FY20 due to COVID-19. It is a two-week summer safety camp for children aged 5-7 held in a miniature village on the grounds of one of our local elementary schools. Each summer, 200 children participate in classes and safety education with local EMS, police, sheriffs, and others/ 2020 was on pause due to COVID-19, but plans remain to continue this partnership as soon as restrictions allow to safely open.Mercy is also a lead partner in Health and Rural Safety of Eastern Iowa initiative which works to reduce preventable injuries in the agricultural community such as heavy equipment, large animal, pesticides and more. This partnership also seeks to increase health screenings and referrals to primary and specialty care for this population, that includes Anabaptist, and provide education to improve health. |
| Part III, Line 2: | The amount of bad debt expense reported on line 2 was derived from taking actual bad debt write-offs and applying the cost to charge ratio of .2782 to that amount. |
| Part III, Line 3: | Mercy Hospital works with those qualifying for charity care along every step of the process. Every effort is made to work with the patient to provide financial assistance when appropriate. While there are people who do not cooperate with Mercy Hospital regarding payment plans, financial assistance or with those trying to get help from Government programs. For individuals not providing necessary information, it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital is unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals do not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy. |
| Part III, Line 4: | Mercy Hospital's Audited Financial Statements includes a footnote for the Provision of Uncollectible Accounts on page 11 of the Audited Financial Statements. |
| Part III, Line 8: | Total revenue was determined using charges per the CMS Provider Statistical Reimbursement System reports for Fee Reimbursed Services for the fiscal year ended 6/30/20. Costs calculated using the Cost to Charge Ratio for the appropriate services from the submitted Medicare Cost Report Form 2552-96 for the fiscal year ended 06/30/20. |
| Part III, Line 9b: | Mercy Hospital has two policies related to debt collection. The Financial Assistance Policy provides guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospitals. Patient may be given a financial assistance application at the time of service, be offered financial assistance during the normal collection process or learn of the option on the Hospital website. All patients with no insurance are offered financial assistance via billing statements & follow-up telephone calls. Any patient that is known to qualify for financial assistance is provided assistance. The payment plan policy enables those who qualify for patient financial assistance to establish payment plans of the remaining balance of their bill. |
| Part VI, Line 2: | The most recent community health needs assessment was conducted in December 2018. The organization engaged Professional Research Consultants to conduct the assessment. The community health survey is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the communities the organization serves. The survey instrument used for the assessment is based largely on the Centers for Disease Control (CDC), Behavioral Risk Factor Surveillance System (BRFS), as well as various other public health surveys and customized questions addressing gaps in indicator data, relative to nation health promotion and disease prevention objectives and other recognized health issues. |
| Part VI, Line 3: | Evaluation for Medicaid, disability, and other types of coverage is provided for uninsured patients for inpatient stays as well as high dollar outpatient services. |
| Part VI, Line 4: | Mercy Hospital is located in the community of Iowa City, Iowa, in Johnson County along the east central part of the state. The county's population in 2019 was approximately 151,000. Mercy Hospital services 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service areas includes: Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 340,200.Iowa City is home to the University of Iowa, which has an enrollment of approximately 33,000 for the 2018-2019 academic year. Johnson County is well-educated, of individuals 25 and older, 95.3 percent are high school graduates and 53 percent hold a bachelors degree or higher. The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness and manufacturing. According to the U.S. Census Bureau, 16.0 percent of the Johnson County population lived below the poverty line between 2018 and 2019, compared to 11.2 percent for the entire state. |
| Part VI, Line 5: | Mercy Iowa City is faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with the Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and Hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community preparedness issues; treating emergency patients according to EMTALA guidelines and service all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community. |
| Part VI, Line 7, Reports Filed With States | IA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Iowa City Area Development Group Inc | |||||||
| 136 S Dubuque Street | Iowa City | IA | 52240 | 421234837 | 501(c)(6) | $12,000 | General Support |
| St Patrick Catholic Church | |||||||
| 4330 St Patrick Drive | Iowa City | IA | 52240 | 420680275 | 501(c)(3) | $7,500 | General Support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | All organizations Mercy provides assistance to are local organizations. Therefore, Mercy is in frequent contact with the organizations and is generally aware of their use of Mercy's assistance. However, there is no formal mechanism in place to track specific uses of the assistance. Mercy Hospital offers a Temporary Assistance Program (TAP) for emergency financial needs that employees may have. This confidential program offers crisis assistance and health benefit assistance. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kimberley Rossiter | ||||||||||||||
| Assistant Treasurer | $132,010 | $0 | $0 | $0 | $4,285 | $0 | $8,637 | $0 | $29,392 | $0 | $174,324 | $0 | $0 | $0 |
| Andrew Ashby | ||||||||||||||
| Physician | $576,466 | $0 | $0 | $0 | $18,300 | $0 | $6,650 | $0 | $27,810 | $0 | $629,226 | $0 | $0 | $0 |
| Benjamin Green | ||||||||||||||
| Physician | $468,786 | $0 | $98,859 | $0 | $9,270 | $0 | $9,862 | $0 | $31,172 | $0 | $617,949 | $0 | $0 | $0 |
| Joseph Truszowski | ||||||||||||||
| Physician | $625,388 | $0 | $0 | $0 | $1,290 | $0 | $9,450 | $0 | $30,429 | $0 | $666,557 | $0 | $0 | $0 |
| Luke Brunkhorst | ||||||||||||||
| Physician | $476,159 | $0 | $112,724 | $0 | $470 | $0 | $5,848 | $0 | $26,679 | $0 | $621,880 | $0 | $0 | $0 |
| Yonas Getachew | ||||||||||||||
| Physician | $591,620 | $0 | $0 | $0 | $18,032 | $0 | $6,743 | $0 | $27,768 | $0 | $644,163 | $0 | $0 | $0 |
| Michael Heinrich | ||||||||||||||
| Former Officer | $0 | $0 | $0 | $0 | $226,705 | $0 | $0 | $0 | $1,005 | $0 | $227,710 | $0 | $0 | $0 |
| Martin Izakovic | ||||||||||||||
| Former Officer | $324,682 | $0 | $132,914 | $0 | $57,028 | $0 | $11,486 | $0 | $32,200 | $0 | $558,310 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Lines 4a-b | Part I, Line 4a - Michael Heinrich, former Treasurer/CFO separated from the organization in July 2017. He had a written severance agreement with Mercy Hospital that was to pay him his salary for a term of 24 months after separation. In calendar year 2019, he was paid $226,705. The last payment was made on 7/5/2019. Part I, Line 4b - Mercy Hospital 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. Supplemental non-qualified retirement plan payments were made during the year to the following listed person in Part VII: Martin Izakovic - $32,209 |
| Part I, Line 7 | Non-fixed payments were provided to administrators and physicians who met stated criteria that included meeting certain RVU (Relative Value Unit), productivity levels, specified CMS/JACHO performance core indicators and certain patient satisfaction and/or nursing satisfaction survey scores. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| City of Hills Iowa | ||||||||
| A | 420920947 | 000000000 | 2018-05-10 | $40,501,771 | Refund Bonds issued 04/29/08 | 0 | 0 | 0 |
| City of Hills Iowa | ||||||||
| B | 420920947 | 431669AW0 | 2011-11-30 | $44,742,571 | Build and Equip Facility; Refund Bonds issued 7/16/1998 | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,235,000 | $40,501,771 | $4,050,177 | $2,131,594 | $34,320,000 | 2018 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $13,870,000 | $44,743,882 | $20,002,570 | $24,151,438 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | $589,874 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part II, Line 3: | Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. |
| Schedule K, Part IV, Line 2c, Column B: | Rebate calculation was performed 5/21/14. |
| Schedule K, Part IV, Line 6, Column B: | Such amounts were appropriately yield restricted. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | Sister Helen Marie Burns, board member; Sister Patricia Murphy, board member; Sister Rita Specht, board member; and Sister Linda Bretchen, Board Member are members of the Sister of Mercy of the Americas West Midwest Community, Inc. Sean Williams and Kimberley Rossiter have a business relationship as both simultaneously serve together on the Mercy Services Iowa City, Iowa board. |
| Form 990, Part VI, Section A, line 6 | Mercy's sole member is the Sisters of Mercy of the Americas West Midwest Community, Inc. |
| Form 990, Part VI, Section A, line 7b | Mercy's sole member, Sisters of Mercy of the Americas West Midwest Community, Inc., maintains a number of "reserved powers" including but not limited to approval of annual budgets, approval of amendments to the articles of incorporation and bylaws, approval of real property transactions and approval of long term borrowing. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared and reviewed by Mercy Hospital management and is also reviewed by Deloitte Tax LLP. In addition, a board resolution was established that provides that each board member be (i) provided a copy of the Form 990 as it is intended to be filed, and (ii) given a reasonable opportunity before filing to provide to the Audit Committee any comments, corrections, concerns or other inputs on the proposed Form. The Audit Committee's review process shall be intended to 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 12c | A conflict of interest statement is signed at the beginning of Board members term and on an annual basis there after. Any abstention from a vote is recorded in Board minutes. After the fiscal year end a "look back" questionnaire is distributed to all Board members to disclose any conflicts of interest that may have taken place in the previous year. |
| Form 990, Part VI, Section B, line 15 | Compensation for all executives and other key employees is determined based on national or regional market data for comparable positions at comparatively sized hospitals. The Executive Committee of the Board of Directors uses this market-based information to set the President and CEO's compensation. In turn, the CEO uses this same information to set compensation for officers and key employees, which is also approved by the board. |
| Form 990, Part VI, Section C, line 19 | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part IX, line 11g | Outside Services: Program service expenses 11,861,856. Management and general expenses 6,066,668. Total expenses 17,928,524. |
| Form 990, Part XI, line 9: | Change in Unrecognized Pension Actuarial Gain -10,022,277. Change in Beneficial Interest in Foundation -662,526. Change in Beneficial Interest of Services -18,675,654. Transfer to Self Insured Trust -1,019,529. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mercy Hospital Foundation | |||||||||||
| 500 East Market Street | Iowa City | IA | 52245 | 237040506 | Foundation/Fundraising | IA | 501(c)(3) | 12-I | Mercy Hospital | Yes (1) | |
| Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust | |||||||||||
| 500 East Market Street | Iowa City | IA | 52245 | 426591803 | Self Insurance | IA | 501(c)(3) | 12-I | Mercy Hospital | Yes (1) | |
| Sisters of Mercy of the Americas West Midwest Community Inc | |||||||||||
| 7262 Mercy Road | Omaha | NE | 68124 | 262400800 | Religious Order | NE | 501(c)(3) | 0 | N/A | ||
| Mercy Hospital Guild | |||||||||||
| 500 East Market Street | Iowa City | IA | 52245 | 426099912 | Fundraising | IA | 501(c)(3) | 12-III-FI | 0 | N/A | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Iowa City Ambulatory Surgical Center LLC | |||||||||||||
| 2963 Northgate Drive | Iowa City | IA | 52245 | 208503424 | Outpatient Surgery | IA | Mercy Hospital | Related | $3,675,398 | $3,840,945 | 0 | Yes (1) | 0.51000 |
| Corridor Radiology LLC | |||||||||||||
| 2769 Heartland Drive Suite 307 | Coralville | IA | 52241 | 430635070 | Radiology Services | IA | Mercy Hospital | Related | $540,460 | $2,060,260 | 0 | 0 | 0.51000 |
| Eastern Iowa Rehabilitation Hospital LLC | |||||||||||||
| 680 S 4th Street | Louisville | KY | 40202 | 831589139 | Inpatient Rehabilitation Care | IA | Mercy Hospital | Related | $123 | $3,049,973 | 0 | 0 | 0.51000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Services Iowa City Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 East Market Street | AddressLine1Txt |
| City | Iowa City | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421241044 | EIN |
| Primary Activities | Medical Clinic Services | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mercy Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$16,761,666 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $6,839,310 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Mercy Hospital Foundation | ||
| C | $761,447 | Cost |
| Mercy Services Iowa City Inc | ||
| A | $925,227 | Cost |
| Mercy Services Iowa City Inc | ||
| R | $2,275,000 | Cost |
| Mercy Hospital Iowa City Iowa Self Insurance Plan and Trust | ||
| R | $475,000 | Cost |
| Eastern Iowa Rehabilitation Hospital LLC | ||
| B | $3,130,000 | Cost |
| Mercy Services Iowa City Inc | ||
| Q | $248,749 | Cost |
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