MERCY MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349309287
Schema version: 2017v2.3
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T16:32:12-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	420698295	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NATHAN VAN GENDEREN	PersonNm
Person Title	EXECUTIVE VP/CFO	PersonTitleTxt
Phone	3193986107	PhoneNum
Signature	2019-05-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	108.171.131.186	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-14	IPDt
IP Tm	16:28:04	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	CE3CED47DB4F0A9B1081F73FA9E2E0877120914F	AtSubmissionCreationDeviceId
At Submission Filing Device Id	4C1D0D315BE423A46ED40DD100972F4F7F99666A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2020-01-14 16:20:31Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$435,148,035	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCYCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1900	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	ActivityOrMissionDesc
Voting Members Governing Body	29	VotingMembersGoverningBodyCnt
Voting Members Independent	25	VotingMembersIndependentCnt
Total Employee	2895	TotalEmployeeCnt
Total Volunteers	1013	TotalVolunteersCnt
Total Gross UBI	$992,496	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$33,612	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,187,044	PYContributionsGrantsAmt
CY Contributions Grants	$5,225,828	CYContributionsGrantsAmt
PY Program Service Revenue	$317,511,077	PYProgramServiceRevenueAmt
CY Program Service Revenue	$328,772,367	CYProgramServiceRevenueAmt
PY Investment Income	$5,566,559	PYInvestmentIncomeAmt
CY Investment Income	$8,434,276	CYInvestmentIncomeAmt
PY Other Revenue	$2,262,456	PYOtherRevenueAmt
CY Other Revenue	-$1,159,085	CYOtherRevenueAmt
PY Total Revenue	$330,527,136	PYTotalRevenueAmt
CY Total Revenue	$341,273,386	CYTotalRevenueAmt
PY Grants And Similar Paid	$8,965,234	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$14,829,040	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,775,786	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$155,104,967	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$156,807,078	PYOtherExpensesAmt
CY Other Expenses	$164,565,783	CYOtherExpensesAmt
PY Total Expenses	$318,548,098	PYTotalExpensesAmt
CY Total Expenses	$334,499,790	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,979,038	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,773,596	CYRevenuesLessExpensesAmt
Total Assets BOY	$572,338,744	TotalAssetsBOYAmt
Total Assets EOY	$573,230,191	TotalAssetsEOYAmt
Total Liabilities BOY	$219,294,847	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$197,287,969	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$353,043,897	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$375,942,222	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$262,811,498	ExpenseAmt
Grant	$14,829,040	GrantAmt
Revenue	$326,980,220	RevenueAmt
Desc	THE 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 (DOLLARS IN THOUSANDS):COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $17,840,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,290,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $4,090,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $5,860,000 PHYSICIAN EDUCATION - $1,182,000.IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. A HEALTH NEWS PUBLICATION, THE MERCY TOUCH, DISTRIBUTED TO 57,000 HOUSEHOLDS IN 2018 AT A TOTAL COST OF OVER $23,000. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS 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 FREQUENTLY OFFERED. C. 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, RADIATION THERAPIST AND DOSIMETRIST, THE PARENT EDUCATION CONSORTIUM, ARC OF EAST CENTRAL IOWA, AND SEVERAL CANCER SUPPORT GROUPS. D. CONTRIBUTIONS OF APPROXIMATELY 150,000 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,959,000 AND WAS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS.	Desc
Total Program Service Expenses	$262,811,498	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	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	169	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2895	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	29	GoverningBodyVotingMembersCnt
Independent Voting Member	25	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	3193986107	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN-PAUL BESONG
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
LYDIA BROWN
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
MICHELE BUSSE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BOB CATALDO
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
TIMOTHY L CHARLES
PRESIDENT & CEO	40.00	Yes (X)	$877,062	$0	$80,450	Yes (X)
JACK COSGROVE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHRIS DEWOLF
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
STAN EILERS MD
FORMER MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BARRIE ERNST
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$1,063	$0	$0
TONY GOLOBIC
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER LUANN HANNASCH
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
NICHOLAS HODGMAN MD
MEMBER BOARD OF TRUSTEES	40.00	Yes (X)	$786,889	$0	$34,880
NANCY KASPAREK
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JAN KAZIMOUR
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER SHARON KERRIGAN
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
BARB KNAPP
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER TERRY MALTBY
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHERYLE MITVALSKY
CHAIRMAN	1.00	Yes (X)	$0	$0	$0	Yes (X)
DARREL MORF
VICE CHAIRMAN/TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
RUE PATEL
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
FRED PILCHER MD
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
MARY QUASS
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
TOM REED
FORMER MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JOHN RIFE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
CHARLES ROHDE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
AL RUFFALO
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
EMMETT SCHERRMAN
FORMER TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
KYLE SKOGMAN
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
JOHN SMITH
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER MAURITA SOUKUP
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
SISTER RITA VALADE
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
SISTER MARGARET WEIGEL
MEMBER BOARD OF TRUSTEES	1.00	Yes (X)	$0	$0	$0
NATHAN VANGENDEREN
EXECUTIVE VP/CFO	40.00		$458,028	$0	$60,670	Yes (X)
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIONS	40.00		$603,048	$0	$68,661	Yes (X)
MARY BROBST
CHIEF NURSING OFFICER	40.00		$319,441	$0	$53,050		Yes (X)
JEFFREY CASH
CHIEF INFORMATION OFFICER	40.00		$314,233	$0	$54,750		Yes (X)
NANCY HILL-DAVIS
VP - HUMAN RESOURCES	40.00		$231,779	$0	$20,264		Yes (X)
AARON BENSON MD
PHYSICIAN	40.00		$773,461	$0	$34,034			Yes (X)
AMANDEEP DHALIWAL MD
PHYSICIAN	40.00		$880,860	$0	$24,079			Yes (X)
SHANE GAILUSHAS MD
PHYSICIAN	40.00		$872,318	$0	$34,880			Yes (X)
DAVID GLASSMAN MD
PHYSICIAN	40.00		$669,604	$0	$31,343			Yes (X)
RYAN HOLLENBECK MD
PHYSICIAN	40.00		$840,799	$0	$41,974			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,628,585	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$539,035	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	114	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
UNIVERSITY OF IOWA HEALTH CARE
200 HAWKINS DRIVE	IOWA CITY	IA	52242	HEALTHCARE PROFESSIONAL SERVICES	$4,020,253
SOUND PHYSICIANS
PO BOX 942936	LOS ANGELES	CA	90074	HEALTHCARE PROFESSIONAL SERVICES	$3,478,473
ONCOLOGY ASSOCIATES OF CEDAR RAPIDS
701 10TH STREET	CEDAR RAPIDS	IA	52403	HEALTHCARE PROFESSIONAL SERVICES	$3,327,599
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA STREET 500	OMAHA	NE	68154	HEALTHCARE PROFESSIONAL SERVICES	$2,160,484
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	HEALTHCARE PROFESSIONAL SERVICES	$2,147,579

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,001,012	RelatedOrganizationsAmt
All Other Contributions	$224,816	AllOtherContributionsAmt
Total Contributions	$5,225,828	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUES	900099	$224,157,993	$224,157,993
LABORATORY REVENUE	621500	$111,177,194	$110,450,320	$726,874
FAMILY COUNSELING REVENUE	624100	$291,865	$291,865
LESS: PROVISION FOR BAD DEBT	900099	-$6,854,685	-$6,854,685

Field	Value	IRS element (for citing)
Total Program Service Revenue	$328,772,367	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,514,812	TotalRevenueColumnAmt
Exclusion	$6,514,812	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,565,534	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,476,144	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$89,390	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,390	TotalRevenueColumnAmt
Exclusion	$89,390	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$90,321,635	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$88,364,805	SecuritiesAmt
Other	$37,366	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,956,830	SecuritiesAmt
Other	-$37,366	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,919,464	TotalRevenueColumnAmt
Exclusion	$1,919,464	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$2,547,510	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$2,996,334	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$448,824	TotalRevenueColumnAmt
Exclusion	-$448,824	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INVESTMENT PARTNERSHIP INCOME(LOS	561000	$2,550,013	$2,284,391	$265,622
MISCELLANEOUS REVENUE	900099	$1,628	$1,628
MRI JOINT VENTURE	621110	-$3,351,292	-$3,351,292

Field	Value	IRS element (for citing)
Other Revenue Total	-$799,651	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$341,273,386	TotalRevenueColumnAmt
Related Or Exempt Func Income	$326,980,220	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$992,496	UnrelatedBusinessRevenueAmt
Exclusion	$8,074,842	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$14,829,040	TotalAmt
Program Services	$14,829,040	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,148,982	TotalAmt
Program Services	$1,667,058	ProgramServicesAmt
Management And General	$481,924	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$124,177,247	TotalAmt
Program Services	$96,329,673	ProgramServicesAmt
Management And General	$27,847,574	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,605,818	TotalAmt
Program Services	$3,572,933	ProgramServicesAmt
Management And General	$1,032,885	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,605,597	TotalAmt
Program Services	$12,105,938	ProgramServicesAmt
Management And General	$3,499,659	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,567,323	TotalAmt
Program Services	$6,646,044	ProgramServicesAmt
Management And General	$1,921,279	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$285,991	TotalAmt
Program Services	$221,856	ProgramServicesAmt
Management And General	$64,135	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$38,539	TotalAmt
Program Services	$29,896	ProgramServicesAmt
Management And General	$8,643	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$10,576	TotalAmt
Program Services	$8,204	ProgramServicesAmt
Management And General	$2,372	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,555,242	TotalAmt
Program Services	$18,272,822	ProgramServicesAmt
Management And General	$5,282,420	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,610,740	TotalAmt
Program Services	$1,249,521	ProgramServicesAmt
Management And General	$361,219	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,667,204	TotalAmt
Program Services	$62,577,047	ProgramServicesAmt
Management And General	$18,090,157	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$710,768	TotalAmt
Program Services	$551,374	ProgramServicesAmt
Management And General	$159,394	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$2,124	TotalAmt
Program Services	$1,648	ProgramServicesAmt
Management And General	$476	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,881,547	TotalAmt
Program Services	$3,011,084	ProgramServicesAmt
Management And General	$870,463	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$364,217	TotalAmt
Program Services	$282,539	ProgramServicesAmt
Management And General	$81,678	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$114,298	TotalAmt
Program Services	$88,666	ProgramServicesAmt
Management And General	$25,632	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,755,289	TotalAmt
Program Services	$3,688,884	ProgramServicesAmt
Management And General	$1,066,405	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,274,395	TotalAmt
Program Services	$18,830,700	ProgramServicesAmt
Management And General	$5,443,695	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$902,732	TotalAmt
Program Services	$700,288	ProgramServicesAmt
Management And General	$202,444	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES	$12,684,483	$9,839,903	$2,844,580
REPAIRS	$2,606,684	$2,022,118	$584,566
TAXES & LICENSES	$2,020,375	$1,567,292	$453,083
RESIDENCY EXPENSE	$1,917,960	$1,487,845	$430,115

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,162,619	TotalAmt
Program Services	$3,229,125	ProgramServicesAmt
Management And General	$933,494	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$334,499,790	TotalAmt
Program Services	$262,811,498	ProgramServicesAmt
Management And General	$71,688,292	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,439,633	BOYAmt
EOY	$3,797,559	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,934,190	BOYAmt
EOY	$3,070,974	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$37,273,154	BOYAmt
EOY	$43,496,407	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$590,282	BOYAmt
EOY	$617,655	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,965,518	BOYAmt
EOY	$7,837,655	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,035,032	BOYAmt
EOY	$3,844,737	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$476,734,976	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$292,646,787	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$186,317,995	BOYAmt
EOY	$184,088,189	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$245,490,573	BOYAmt
EOY	$251,859,574	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,753	BOYAmt
EOY	$82,033	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$73,278,614	BOYAmt
EOY	$74,535,408	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$572,338,744	BOYAmt
EOY	$573,230,191	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,749,625	BOYAmt
EOY	$37,543,949	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$105,063,711	BOYAmt
EOY	$105,469,496	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$70,481,511	BOYAmt
EOY	$54,274,524	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$219,294,847	BOYAmt
EOY	$197,287,969	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$305,792,196	BOYAmt
EOY	$326,727,077	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,075,465	BOYAmt
EOY	$21,768,488	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,176,236	BOYAmt
EOY	$27,446,657	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$353,043,897	BOYAmt
EOY	$375,942,222	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$572,338,744	BOYAmt
EOY	$573,230,191	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,773,596	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,015,546	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$14,109,183	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$38,539	OtherActivitiesAmt
Total Lobbying Expenditures	$38,539	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	23.6% OR $36,322 OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES AND 3.93% OR $2,217 OF MEMBERSHIP DUES TO THE CATHOLIC HEALTH ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$37,681,476	BeginningYearBalanceAmt
Contributions	$129,753	ContributionsAmt
Investment Earnings Or Losses	$1,402,741	InvestmentEarningsOrLossesAmt
Other Expenditures	-$77,440	OtherExpendituresAmt
Administrative Expenses	$581,436	AdministrativeExpensesAmt
End Year Balance	$38,709,974	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,037,066	BeginningYearBalanceAmt
Contributions	$294,653	ContributionsAmt
Investment Earnings Or Losses	$1,771,320	InvestmentEarningsOrLossesAmt
Other Expenditures	-$171,611	OtherExpendituresAmt
Administrative Expenses	$593,174	AdministrativeExpensesAmt
End Year Balance	$37,681,476	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,173,368	BeginningYearBalanceAmt
Contributions	$1,481,758	ContributionsAmt
Investment Earnings Or Losses	-$43,393	InvestmentEarningsOrLossesAmt
Administrative Expenses	$574,667	AdministrativeExpensesAmt
End Year Balance	$36,037,066	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.16610	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.12490	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	$20,225,604	OtherCostOrOtherBasisAmt
Book Value	$20,225,604	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$290,617,728	OtherCostOrOtherBasisAmt
Depreciation	$179,259,687	DepreciationAmt
Book Value	$111,358,041	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$162,887,208	OtherCostOrOtherBasisAmt
Depreciation	$110,822,369	DepreciationAmt
Book Value	$52,064,839	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,004,436	OtherCostOrOtherBasisAmt
Depreciation	$2,564,731	DepreciationAmt
Book Value	$439,705	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$184,088,189	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION	$70,590,406	C
INVESTMENT IN CEDAR RAPIDS PHO	$1,230,000	C
SLEEP LAB JOINT VENTURE	$1,137,000	C
INVESTMENT IN MR ASSOCIATES	$461,000	C
INVESTMENT IN MEDICAL MALL	$817,002	C
INVESTMENT IN UMCSC	$300,000	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$74,535,408	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP AGREEMENTS	$6,645,006
PENSION LIABILITY	$37,210,743
SELF INSURANCE RESERVES	$9,182,780
THIRD PARTY SETTLEMENTS	$1,235,995

Field	Value	IRS element (for citing)
Total Liability	$54,274,524	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$347,806,238	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,015,546	NetUnrealizedGainsInvstAmt
Other Revenue	$2,871,145	OtherRevenueAmt
Revenue Not Reported	$4,886,691	RevenueNotReportedAmt
Revenue Subtotal	$342,919,547	RevenueSubtotalAmt
Other Revenues Not Included	-$1,646,161	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$1,646,161	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$341,273,386	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$324,907,913	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,158,969	OtherExpensesIncludedAmt
Expenses Not Reported	$2,158,969	ExpensesNotReportedAmt
Expenses Subtotal	$322,748,944	ExpensesSubtotalAmt
Other Expenses Not Included	$11,750,846	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,750,846	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$334,499,790	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC., A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE HALL-PERRINE CANCER CENTER AND CANCER CENTER PROGRAMS, HALL RADIATION CENTER, OLDORF HOSPICE HOUSE, HOSPICE OF MERCY PROGRAMS, HALLMAR, WATTS LIBRARY, 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:	THE HOSPITAL IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBI). UBI IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2018 AND 2017, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990T FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 2,941,530. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN 9,993,824. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 1,666,791. GRANT TO MERCYARE SERVICE CORPORATION INCLUDED WITH REVENUES -11,731,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -2,121,603. LOSS ON SALE OF ASSETS -37,366. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT 12,800. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 480,162. CONTRIBUTION REVENUE INCLUDED WITH EXPENSES ON AUDIT REPORT 19,846.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 2,121,603. LOSS ON SALE OF FIXED ASSETS 37,366.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 11,731,000. EXPENSES INCLUDED WITH REVENUES ON AUDIT REPORT 19,846.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConductedTxt
Region Total Expenditures	$1,284,331	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$1,284,331	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$1,284,331	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,583,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,410,539	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,173,166	NetCommunityBenefitExpnsAmt
Total Expense	0.02140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,291,369	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,446,706	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,844,663	NetCommunityBenefitExpnsAmt
Total Expense	0.02940	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,875,074	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$59,857,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,017,829	NetCommunityBenefitExpnsAmt
Total Expense	0.05080	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$318,237	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$318,237	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,106,701	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$745,906	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,360,795	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,732,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,488,754	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$457,357	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$457,357	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,614,712	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,234,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,136,389	NetCommunityBenefitExpnsAmt
Total Expense	0.00650	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,489,786	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,091,905	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,154,218	NetCommunityBenefitExpnsAmt
Total Expense	0.05730	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$317	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$389,221	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$389,221	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,518	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,518	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$497,056	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$497,056	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,854,685	BadDebtExpenseAmt
Reimbursed By Medicare	$127,440,864	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$145,276,761	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$17,835,897	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.MERCYCARE.ORG/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASS	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	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/7469/FINANCIAL-ASSISTANCE-POLICY	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/5043/FINANCIAL-ASSISTANCE-APPLIC	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.MERCYCARE.ORG/APP/FILES/PUBLIC/7416/PLAIN-LANGUAGE-FINANCIAL-AS	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
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 (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 5: LINN COUNTY PUBLIC HEALTH (LCPH) FACILITATED THE CHNA PROCESS. IN JANUARY 2015, THE TOGETHER! HEALTHY LINN STEERING COMMITTEE WAS FORMED BY LCPH TO CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN THAT TARGETS THE PRIORITY HEALTH CONCERNS FOR THOSE WHO LIVE, WORK, WORSHIP, OR ATTEND SCHOOL IN LINN COUNTY. THIS COMMITTEE IS COMPOSED OF VARIOUS ORGANIZATIONS AND GROUPS WHO SERVE THE LINN COUNTY AREA; SEVERAL OF THE ORGANIZATIONS SERVE THE CONTIGUOUS COUNTY AREA AS WELL. IN ADDITION, THE SECONDARY SERVICE AREA PUBLIC HEALTH DEPARTMENTS WERE CONTACTED BY MERCY MEDICAL CENTER TO BETTER UNDERSTAND THEIR COUNTY NEEDS THROUGH UTILIZING THEIR COUNTY'S COMMUNITY HEALTH ASSESSMENT. THE COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN WERE GUIDED BY THE STRATEGIC PLANNING PROCESS MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP). IT CONSISTED OF FOUR UNIQUE ASSESSMENTS, EACH EVALUATING DIFFERENT ASPECTS OF THE HEALTH CONDITION OF LINN COUNTY RESIDENTS AND EXISTING ASSETS AVAILABLE IN LINN COUNTY. THE FOUR ASSESSMENTS INCLUDE COMMUNITY THEMES AND STRENGTHS, COMMUNITY HEALTH STATUS, FORCES OF CHANGE, AND LOCAL PUBLIC HEALTH SYSTEMS. EACH OF THE ASSESSMENTS HAD A SPECIFIC TARGET POPULATION OR STAKEHOLDER GROUP OF FOCUS AND WAS GUIDED BY DIFFERING METHODOLOGIES. ALL FOUR ASSESSMENTS WERE GUIDED BY THE WORK OF AN ASSESSMENT-SPECIFIC SUBCOMMITTEE. ALL ASSESSMENTS WERE COMPLETED BY OCTOBER 2015. COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA): THE CTSA IS A QUALITATIVE ANALYSIS OF THE PERCEPTIONS, THOUGHTS AND OPINIONS COMMUNITY MEMBERS HAVE REGARDING HEALTH. OF PARTICULAR INTEREST WAS IDENTIFYING THE NEEDS OF THE COMMUNITY, PERCEIVED QUALITY OF LIFE, AND THE ASSETS AVAILABLE THAT MAY BE USED TO IMPROVE COMMUNITY HEALTH. THE SUBCOMMITTEE REVIEWED CURRENT DATA AND IDENTIFIED GAPS IN DATA FROM SPECIFIC POPULATIONS. THEY ALSO IDENTIFIED INFORMATION NEEDED. GAP ANALYSIS INFORMED THE NEED TO TARGET OLDER ADULT, DISABLED, LGBT, RURAL, AND MINORITY POPULATIONS AND THOSE WITH LANGUAGE BARRIERS. ONCE IDENTIFIED, THE GROUP SELECTED METHODS AND STRATEGIES TO REACH THE AFOREMENTIONED POPULATIONS. METHODS SELECTED INCLUDED A STICKER BOARD WHICH WAS AVAILABLE AT VARIOUS COMMUNITY EVENTS AND LOCATIONS, AN ELECTRONIC COMMUNITY SURVEY WHICH YIELDED 404 RESPONDENTS, AND FOCUS GROUPS SITES WHICH INCLUDED THE HEART OF IOWA, OAKHILL JACKSON NEIGHBORHOOD ASSOCIATION, CATHERINE MCAULEY CENTER, AND GENEVA TOWER. COMMUNITY HEALTH STATUS ASSESSMENT (CHSA): THE CHSA WAS A QUANTITATIVE ASSESSMENT OF HOW HEALTHY LINN COUNTY IS AS A WHOLE AND IDENTIFIES POTENTIAL AREAS OF CONCERN. DATA TO ADDRESS EACH OF THE SELECTED INDICATORS WERE GATHERED FROM MULTIPLE SOURCES. SOURCES INCLUDED PARTNERS SUCH AS MERCY MEDICAL CENTER, LINN COUNTY PUBLIC HEALTH, CEDAR RAPIDS SCHOOL DISTRICT, AND THE LINN COUNTY CONTINUUM OF CARE PLANNING AND POLICY COMMITTEE. IN ADDITION, DATA WAS OBTAINED FROM THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), IOWA DEPARTMENT OF PUBLIC HEALTH, IOWA YOUTH SURVEY, FEEDING AMERICA, U.S. CENSUS BUREAU, COUNTY HEALTH RANKINGS, NATIONAL SURVEY ON DRUG USE AND HEALTH, IOWA PUBLIC HEALTH TRACKING PORTAL, UNIFORM CRIME REPORTING STATISTICS, IOWA DEPARTMENT OF HUMAN SERVICES, CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC), AND THE SURVEILLANCE EPIDEMIOLOGY AND END RESULTS (SEER) PROGRAM. FORCES OF CHANGE (FOC): LINN COUNTY CONDUCTED THE FORCES OF CHANGE ASSESSMENT. MEMBERS FROM MULTIPLE SECTORS WITHIN LINN COUNTY'S LOCAL PUBLIC HEALTH SYSTEM WERE INVITED OR SELF-ELECTED TO PARTICIPATE IN THE ASSESSMENT. THESE PARTICIPANTS INCLUDED COMMUNITY LEADERS AND OFFICIALS WITH INSIGHT ON FACTORS, EVENTS, AND TRENDS THAT MAY POTENTIALLY IMPACT THE HEALTH OF THE PUBLIC OR THE OPERATION OF THE LOCAL PUBLIC HEALTH SYSTEM. LOCAL PUBLIC HEALTH SYSTEM (LPHS):THE INTENT OF THE LPHS WAS TO ASSESS HOW ORGANIZATIONS WITHIN THE SYSTEM ARE DOING IN ADDRESSING THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. ENTITIES WITHIN THE LOCAL PUBLIC HEALTH SYSTEM INCLUDE ALL ORGANIZATIONS WHO MAY IMPACT THE HEALTH OF THE COMMUNITY SUCH AS COMMUNITY CENTERS, LAW ENFORCEMENT, FIRE, ELECTED OFFICIALS, PUBLIC HEALTH AGENCY, TRANSIT, HOME HEALTH, LABORATORIES, FAITH-BASED ORGANIZATIONS, NONPROFITS, COMMUNITY HEALTH CLINICS, HOSPITALS, DOCTORS, EMPLOYERS, CORRECTIONS, NURSING HOMES, DRUG TREATMENT, MENTAL HEALTH, SCHOOLS, NEIGHBORHOOD ORGANIZATIONS, AND EMS. THIS ASSESSMENT WAS COMPLETED USING THE LOCAL INSTRUMENT OF THE NATIONAL PUBLIC HEALTH PERFORMANCE STANDARDS (NPHPS; CDC, 2015). PARTNERS WITHIN THE LOCAL PUBLIC HEALTH SYSTEM WERE SPLIT INTO FIVE GROUPS, EACHFOCUSING ON TWO OF THE ESSENTIAL PUBLIC HEALTH SERVICES.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 MERCY WEBSITE, THERE IS A "CONTACT US" FORM THAT CAN BE FILLED OUT BY ANY INDIVIDUAL. THE SUBMITTED ONLINE FORM GOES TO MERCY'S MARKETING DEPARTMENT AND THAT DEPARTMENT FORWARDS TO MERCY'S COMMUNITY BENEFIT OFFICE. ADDITIONALLY, ANY MAILED WRITTEN COMMENTS WOULD BE FORWARDED ON TO THE COMMUNITY BENEFIT OFFICE.
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 LOCATED IN CEDAR RAPIDS, IA.
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 6B: IN ADDITION TO LINN COUNTY PUBLIC HEALTH AND UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL, OTHER ORGANIZATIONS PARTICIPATING IN THE STEERING COMMITTEE FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED: ABBE CENTER FOR COMMUNITY MENTAL HEALTH, AREA SUBSTANCE ABUSE COUNCIL, BLUE ZONES PROJECT, CEDAR RAPIDS COMMUNITY SCHOOL DISTRICT, CEDAR VALLEY FRIENDS OF THE FAMILY, CORRIDOR METROPOLITAN PLANNING ORGANIZATION, CITY OF CEDAR RAPIDS, CITY OF MARION, EASTERN IOWA HEALTH CENTER, FOUR OAKS, HAWKEYE AREA COMMUNITY ACTION PROGRAM, HERITAGE AREA AGENCY ON AGING, HIS HANDS FREE MEDICAL CLINIC, HORIZONS: A FAMILY SERVICE ALLIANCE, THE GAZETTE, IOWA DEPARTMENT OF PUBLIC HEALTH, LINN COUNTY COMMUNITY SERVICES, LINN COUNTY BOARD OF HEALTH, LINN COUNTY BOARD OF SUPERVISORS, LINN COUNTY PLANNING & DEVELOPMENT, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, MOUNT MERCY UNIVERSITY, PLANNED PARENTHOOD, SHUTTLEWORTH & INGERSOLL, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL & JONES REGIONAL MEDICAL CENTER, UNITED WAY OF EAST CENTRAL IOWA, AND WAYPOINT. ADDITIONALLY, MERCY MEDICAL CENTER REQUESTED INPUT FROM THE PUBLIC HEALTH DEPARTMENTS OF BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES, AND TAMA COUNTIES IN REGARDS TO HEALTH PRIORITIES IN THEIR AREA.
MERCY MEDICAL CENTER	PART V, SECTION B, LINE 11: MERCY MEDICAL CENTER IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA IN A VARIETY OF WAYS. SOME OF THESE INITIATIVES INCLUDE: RECRUITING PRIMARY CARE PROVIDERS FOR THE MERCY SERVICE AREA, OPENING MERCYCARE HEALTH PARTNERS CLINIC WHICH PROVIDES ADDITIONAL, COMPREHENSIVE AND COORDINATED CARE TO PATIENTS WITH MULTIPLE OR COMPLEX MEDICAL ISSUES, EXPLORING OPTIONS FOR MORE PSYCHIATRIC CONSULTATIVE ROLES WITHIN OTHER MERCYCARE CLINICS, RECRUITING PSYCHIATRISTS AND BEHAVIORAL NURSE PRACTITIONERS, OFFERING A LOCAL SCHOOL DISTRICT'S STUDENTS ACCESS TO URGENT MENTAL HEALTH SERVICES, PARTICIPATING IN STATE-WIDE 0 SUICIDE INITIATIVE, SCREENING ALL PATIENTS FOR SUBSTANCE ABUSE AND PROVIDING FOLLOW UP EDUCATION AND REFERRAL TO TREATMENT AS APPROPRIATE, OFFERING MONTHLY TOBACCO CESSATION PROGRAM, PROVIDING NUTRITION EDUCATION AND COUNSELING (1:1 PATIENT CONSULTATIONS, CLASSES, PROGRAMS), LEADING A COMMUNITY EFFORT TO DEVELOP A TOOLKIT TO ASSIST PROVIDERS WITH ENGAGING IN UNCOMFORTABLE CONVERSATIONS WITH BOTH PEDIATRIC AND ADULT PATIENTS REGARDING WEIGHT MANAGEMENT, PROVIDING SPECIALIZED CARE FOR THE PREVENTION AND TREATMENT OF CHILDHOOD AND ADOLESCENT OBESITY, WORKING WITH PROVIDERS TO IMPROVE EARLY IDENTIFICATION AND REFERRAL OF AT-RISK PATIENTS (PRE-DIABETIC), AND PROVIDING STROKE EDUCATION AND PREVENTION IN THE COMMUNITY.MERCY MEDICAL CENTER HAS A HISTORY OF INCREASING ACCESS TO AND SUPPORTING AFFORDABLE HOUSING INITIATIVES IN THE COMMUNITIES MERCY SERVES. MERCY HAS PARTNERED WITH DEVELOPERS IN THE PROCUREMENT OF PROPERTY AND/OR PROVIDED FINANCIAL ASSISTANCE IN THE DEVELOPMENT OF LOW INCOME HOUSING IN OUR AREA. ADDITIONALLY, MERCY SUPPORTS NONPROFIT ORGANIZATIONS INVOLVED IN AFFORDABLE HOUSING WORK THROUGH CASH CONTRIBUTIONS, AND MERCY PROVIDES ASSISTANCE TO LOCAL HOMELESS SHELTERS IN A VARIETY OF WAYS, INCLUDING IN-KIND PRINTING, MERCY REPRESENTATION ON BOARD OF DIRECTORS, AND AN ANNUAL SUPPLY COLLECTION.MERCY CURRENTLY SHARES INFORMATION WITH LINN COUNTY PUBLIC HEALTH THROUGH A SYNDROMIC SURVEILLANCE PROGRAM AVAILABLE FROM THE CENTERS FOR DISEASE CONTROL TO HELP IDENTIFY TRENDS OF ILLNESS IN THE COMMUNITY. ADDITIONALLY, MERCY SUPPORTS OUR LOCAL PUBLIC HEALTH DEPARTMENT THROUGH AN ANNUAL CASH CONTRIBUTION AND WILL CONTINUE TO ENCOURAGE STAFF PARTICIPATION IN LOCAL PUBLIC HEALTH SYSTEM EFFORTS. AS AN EXAMPLE, MERCY CURRENTLY HAS STAFF INVOLVED IN THE COMMUNITY HEALTH ASSESSMENT - COMMUNITY HEALTH IMPROVEMENT PLAN STEERING COMMITTEE AND SUBCOMMITTEES, IMMUNIZATION COALITION, AND LINN COUNTY DISASTER PREPAREDNESS COMMITTEES. MERCY MEDICAL CENTER HAS SEXUAL ASSAULT NURSE EXAMINERS LOCATED IN THE EMERGENCY DEPARTMENT AND THEY PARTICIPATE ON THE LINN COUNTY SEXUAL ASSAULT RESPONSE TEAM. MERCY ALSO PARTICIPATES IN THE LOCAL SEXUAL HEALTH ALLIANCE FOR LINN AND JOHNSON COUNTIES. AS A PARTNER WITH PUBLIC HEALTH, MERCY SUPPORTS THE WORK OF LINN COUNTY PUBLIC HEALTH (LCPH) IN OFFERING EXTENSIVE SERVICES RELATED TO SEXUALLY TRANSMITTED DISEASES (STDS). SERVICES PROVIDED AT LCPH INCLUDE: COORDINATING THE SEXUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES COALITION; OFFERING HIV TESTS AND FREE STD EXAMINATIONS AND TREATMENT; CONDUCTING STD PARTNER TRACKING FOLLOW-UP SERVICES; OFFERING FREE CONDOMS, DENTAL DAMS AND LUBRICANT; PROVIDING OFFSITE STD/HIV TESTING TO HIGH-RISK COMMUNITY AGENCIES AND EVENTS WITH HIGH-RISK POPULATIONS; AND MONITORING POPULATION HEALTH CHANGES THROUGH PUBLIC HEALTH SURVEILLANCE. MERCY DOES NOT DUPLICATE THESE SERVICES.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	DISCOUNTED CARE IS AVAILABLE TO ALL MERCY MEDICAL CENTER PATIENTS WHO DO NOT HAVE ACTIVE MEDICAL INSURANCE COVERAGE, NOT JUST THOSE WITHIN A FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT. IF PATIENTS STILL FIND THEMSELVES UNABLE TO PAY, THEY MAY APPLY FOR ADDITIONAL FINANCIAL ASSISTANCE.
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 2D OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 25.26%. THIS PERCENTAGE INCREASES TO 68.69% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:	MERCY MEDICAL CENTER (MERCY) PARTICIPATED IN A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES. THIS INCLUDED MERCY STAFF REPRESENTATION ON A NUMBER OF COALITIONS, COMMITTEES AND BOARDS. THIS INCLUDES: BIG BROTHERS BIG SISTERS, BOYS AND GIRLS CLUBS OF CEDAR RAPIDS, UNITED WAY SOLUTIONS TEAMS AND BOARDS AND SERVICE TO THE COMMUNITY THROUGH THE UNITED WAY DAY OF CARING. STAFF ALSO PARTICIPATED IN WORKFORCE DEVELOPMENT EXPERIENCES WITH LOCAL HIGH SCHOOL STUDENTS. MERCY MADE FINANCIAL CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS; THE MAJORITY TO THOSE ORGANIZATIONS THAT PROVIDE COMMUNITY SUPPORT THROUGH THEIR PROGRAMS.
PART III, LINE 2:	THE 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:	SEE PAGE 8 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR A DESCRIPTION OF BAD DEBT EXPENSE.
PART III, LINE 8:	THE COSTS SHOWN FOR THE MEDICARE SHORTFALL ARE BASED ON TOTAL CHARGES OF ALL MEDICARE AND MEDICARE REPLACEMENT (PART C) PATIENTS. THE SHORTFALL IS CALCULATED BY MULTIPLYING THE TOTAL CHARGES BY THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2, LESS PAYMENTS WE RECEIVED FOR THESE SERVICES.THE MEDICARE COST REPORT IS NOT AN APPROPRIATE SOURCE TO DETERMINE THE COSTS FOR THESE PATIENTS. MANY ITEMS, INCLUDING ALL OUTPATIENT SERVICES FOR PATIENTS WHO ARE COVERED BY A MEDICARE REPLACEMENT PLAN (PART C) AND MANY SERVICES SUCH AS LABORATORY, PHYSICAL AND OCCUPATIONAL THERAPY, AND OTHERS PAID ON A FEE FOR SERVICE BASIS, ARE NOT INCLUDED ON THE MEDICARE COST REPORT. IN ADDITION, HOSPICE, HOME HEALTH, AND DIALYSIS SERVICES, ALTHOUGH INCLUDED IN MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, 48% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE. ANOTHER 14% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICAID COVERAGE. NEITHER GOVERNMENT PROGRAM HAS HISTORICALLY REIMBURSED ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THESE PATIENT POPULATIONS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE. OF THE MEDICARE PATIENTS DISCHARGED IN THE 2018 FISCAL YEAR, 14% OF THEM HAD MEDICAID SECONDARY COVERAGE. THIS DOES NOT REFLECT ANY OF THE PATIENTS WHOSE PRIMARY COVERAGE IS MEDICARE REPLACEMENT (PART C) POLICY. BASED ON INFORMATION FROM THE AMERICAN HOSPITAL ASSOCIATION, APPROXIMATELY 20% OF MEDICARE BENEFICIARIES ARE DUALLY-ELIGIBLE AND ACCOUNT FOR APPROXIMATELY 59% OF A HOSPITAL'S MEDICARE BAD DEBT.
PART III, LINE 9B:	MERCY MEDICAL CENTER UNDERSTANDS PATIENTS MAY NOT HAVE THE ABILITY TO PAY FOR SERVICES NOR RECOGNIZE THE OPPORTUNITY THEY MAY HAVE TO RECEIVE FINANCIAL ASSISTANCE. TO AID IN THIS PROCESS, MERCY MEDICAL CENTER HAS IMPLEMENTED A PRESUMPTIVE CHARITY ELIGIBILITY PROGRAM (PCEP). PATIENTS WHO QUALIFY FOR THIS PROGRAM DO NOT COMPLETE PAPERWORK. MERCY MEDICAL CENTER UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS FROM THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE: - MERCY MEDICAL CENTER WILL PROVIDE THE SAME INFORMATION CONCERNING SERVICES AND CHARGES TO ALL PATIENTS. - MERCY MEDICAL CENTER WILL NOT KNOWINGLY SEND A PATIENT'S BILL TO A COLLECTION AGENCY BEFORE INITIAL FINANCIAL ELIGIBILITY ASSISTANCE DETERMINATION HAS BEEN MADE. - MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT.
PART VI, LINE 2:	MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM HOSPITAL CHARITY CARE CASES, COMMUNITY FREE CLINICS, UNITED WAY AND COUNTY HEALTH RANKING REPORTS TO MODIFY CURRENT ACTIVITIES AND CREATE NEW PROGRAMS TO ADDRESS HEALTH NEEDS. ADDITIONALLY, MERCY MEDICAL CENTER RECEIVES REQUESTS FROM LOCAL NON-PROFIT ORGANIZATIONS FOR FINANCIAL AND IN-KIND SUPPORT TO ADDRESS COMMUNITY NEEDS FOR WHICH THEY PROVIDE PROGRAMS AND SERVICES. MERCY MEDICAL CENTER UTILIZES ALL OF THIS INFORMATION, IN ADDITION TO THE CHNA TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL EACH YEAR.
PART VI, LINE 3:	MERCY MEDICAL CENTER IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE WITH COMPASSION, DIGNITY AND RESPECT FOR ALL THOSE WE SERVE, PARTICULARLY THE POOR AND UNDERSERVED; CARING FOR ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES; ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE AND COMMUNICATING INFORMATION ABOUT FINANCIAL ASSISTANCE IN A CLEAR AND CONSISTENT MANNER.MERCY MEDICAL CENTER INFORMS PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE IN THE FOLLOWING WAYS. MERCY MEDICAL CENTER'S BILLING AND COLLECTION POLICIES ALONG WITH THE LIST OF ALL FINANCIAL RESOURCES ARE PROVIDED IN BROCHURES, INCLUDED IN HOSPITAL BILLING STATEMENTS AND POSTED IN KEY PUBLIC AREAS.PATIENTS ARE EDUCATED ABOUT THEIR RESPONSIBILITIES, THE POTENTIAL FINANCIAL OBLIGATION THEY MAY INCUR, THEIR OBLIGATIONS FOR COMPLETING ELIGIBILITY DOCUMENTATIONS AND THE HOSPITAL'S BILLING AND COLLECTION POLICIES. PATIENTS ARE REFERRED TO AND/OR PROVIDED WITH ASSISTANCE TO COMPLETE MEDICAID, STATE INSURANCE EXCHANGE PRODUCTS OR OTHER LOCAL FUNDING APPLICATIONS. MERCY MEDICAL CENTER PROVIDES THESE SERVICES UTILIZING INTERPRETER SERVICES IF NECESSARY.
PART VI, LINE 4:	MERCY MEDICAL CENTER SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF EIGHT COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). THE MAJORITY OF MERCY'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 2017 WAS 224,115. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS WAS 509,562. THE PROJECTED 10 YEAR POPULATION GROWTH FOR THE PSA IS 2% AND THE SSA, 1%, ANNUALLY. DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS:-50.1% MALE, 49.9% FEMALE-93.7% CAUCASIAN-2.1% AFRICAN AMERICAN-1.2% NATIVE AMERICAN-1.4% ASIAN/PACIFIC-1.5% TWO OR MORE RACES-3.4% HISPANIC-17.6% OF PERSONS LIVING IN MERCY'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER -92.6% ARE HIGH SCHOOL GRADUATES WHILE 23.7% HOLD A BACHELOR'S DEGREE OR HIGHER -THE MEDIAN HOUSEHOLD INCOME IS $57,692-THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 10.1% AS COMPARED TO 10.7% FOR ALL OF IOWA -13% OF MERCY'S PATIENTS USE MEDICAID AND THE NUMBER OF UNINSURED INDIVIDUALS IN IOWA IS 5.5% ACCORDING TO THE US CENSUS BUREAU-THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.43-FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS ARE PRESENT IN BENTON, BUCHANAN, DELAWARE, IOWA, JONES, LINN AND TAMA COUNTIESAS OF SEPTEMBER 2018, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 2.4%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 1.5-2.0%. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE. UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL IS LOCATED IN LINN COUNTY AND SERVES A SIMILAR GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY IOWA CITY ARE LOCATED IN JOHNSON COUNTY, REGIONAL MEDICAL CENTER IS LOCATED IN DELAWARE COUNTY, UNITYPOINT HEALTH - JONES REGIONAL MEDICAL CENTER IS LOCATED IN JONES COUNTY, AND VIRGINIA GAY HOSPITAL IS LOCATED IN BENTON COUNTY.
PART VI, LINE 5:	MERCY MEDICAL CENTER'S BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PRIMARY SERVICE AREA. THE BOARD CONSISTS OF 28 MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE GOVERNANCE STRUCTURE ENSURES THAT COMMUNITY INTERESTS ARE REPRESENTED IN DECISION-MAKING FOR THE ORGANIZATION. IN ADDITION, FOUR TO SIX SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. THERE ARE CURRENTLY SIX WOMEN RELIGIOUS SERVING ON THE BOARD. MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.MERCY MEDICAL CENTER UTILIZES OPERATING INCOME SURPLUSES TO FUND CAPITAL EXPENDITURES. THE PROPOSED CAPITAL ITEMS ARE REVIEWED BY STAFF, MEDICAL STAFF AND ADMINISTRATION TO ENSURE ITEMS WILL PROVIDE ONGOING HIGH QUALITY, LOW COST CARE TO PATIENTS AND ALIGN WITH THE STRATEGIC INITIATIVES FOR THE FACILITY. ANY EXCESS OPERATING FUNDS RETAINED BY THE ORGANIZATION ARE USED FOR FUTURE CAPITAL IMPROVEMENTS OR OPERATING FUNDS AS NEEDED.MERCY MEDICAL CENTER CONTRIBUTES TO THE HEALTH OF THE COMMUNITIES IT SERVES IN A NUMBER OF WAYS. MERCY PROVIDES REPRESENTATION ON SEVERAL COMMUNITY BOARDS, COALITIONS AND COMMITTEES ADDRESSING HEALTH NEEDS. EXAMPLES INCLUDE:-THE ARC OF EAST CENTRAL IOWA BOARD-COMMUNITY HEALTH FREE CLINIC BOARD-LINN COUNTY PUBLIC HEALTH LED COMMUNITY CARE COORDINATION COALITION-GEMS OF HOPE BOARD-HAWKEYE AREA COMMUNITY ACTION PROGRAM-WAYPOINT SERVICES BOARDOTHER EXAMPLES OF COMMUNITY BENEFIT ACTIVITIES MERCY EMPLOYEES HAVE PARTICIPATED IN INCLUDE TRAINING OF HEALTH CARE PROFESSIONS STUDENTS, PROVIDING HEALTH EDUCATION TO THE COMMUNITY, OFFERING SUPPORT OF HEALTH PREVENTION AND PROMOTION ACTIVITIES, THROUGH SCREENINGS AND SUPPORT GROUPS, SUPPORTING STROKE CAMP FOR STROKE SURVIVORS AND THEIR CAREGIVERS AND PROVIDING STAFF, MEDICATION AND SUPPLIES FOR A DIABETES CAMP FOR CHILDREN WITH DIABETES, PROVIDING IN-KIND PRINTING TO MULTIPLE NONPROFITS, DONATED AUTOMATIC EXTERNAL DEFIBRILLATORS TO LOCAL CHURCHES, SCHOOLS, AND NON PROFITS, AND COORDINATING ACTIVITIES TO SUPPORT LOCAL NONPROFITS.MERCY HONORED THE LIFETIME ACCOMPLISHMENTS OF SR. MARY LAWRENCE HALLAGAN WITH A NON-PROFIT COMMUNITY CENTER THAT OPENED SEPT. 6, 2011 TO PROVIDE SPACE AND DIRECT CLIENT SERVICES TO NONPROFIT ORGANIZATIONS AT 420 6TH STREET, CEDAR RAPIDS. TENANTS INCLUDE: GEMS OF HOPE; KIDS FIRST LAW CENTER; YOUNG PARENTS NETWORK AND BOYS & GIRLS CLUB; CATHOLIC CHARITIES; AND METRO CATHOLIC OUTREACH. THESE AGENCIES SHARE MERCY'S VISION TO ENHANCE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. TOGETHER, WE MAKE A DIFFERENCE IN THE LIVES OF MANY. MERCY LEASES THE SPACE FOR $1 PER YEAR, PLUS THE COST OF MONTHLY UTILITIES.MERCY SUPPORTS THE CEDAR RAPIDS MEDICAL SELF-SUPPORTED MUNICIPAL IMPROVEMENT DISTRICT - THE MEDICAL QUARTER REGIONAL MEDICAL DISTRICT (MEDQUARTER) - TO ENHANCE OUR COMMUNITY'S NATIONALLY RECOGNIZED REPUTATION FOR HIGH-QUALITY, LOW-COST CARE WITH A CONCENTRATED AREA OF MEDICAL SERVICES THAT ARE EASILY ACCESSIBLE.MERCY MEDICAL CENTER PARTNERS WITH UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL TO SUPPORT A FAMILY PRACTICE RESIDENCY PROGRAM. A COMMUNITY-BASED PROGRAM UNDERSCORES A COMMITMENT TO THE CONCEPT OF THE PATIENT-CENTERED MEDICAL HOME. THE MEDICAL HOME IS A COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER, ONE WHICH ALLOWS RESIDENTS TO CARE FOR THE NEEDS OF BOTH RURAL AND URBAN UNDERSERVED POPULATIONS. MERCY MEDICAL CENTER HAS COMMITTED A FULL-TIME EQUIVALENT TO THE ROLE OF DIRECTOR OF COMMUNITY BENEFIT AND PATIENT RELATIONS. IN ADDITION, MERCY ADMINISTRATION BUDGETS 2 HOURS PER FULL-TIME EQUIVALENT THAT IS USED TO SUPPORT COMMUNITY BENEFIT VOLUNTEER ACTIVITIES AND PRECEPTING. THE DIRECTOR OF COMMUNITY BENEFIT AND PATIENT RELATIONS REPORTS TO THE VICE PRESIDENT OF MISSION INTEGRATION, WHO REPORTS TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO).
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 (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Address Line2USAddress/AddressLine2Txt
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(C)(3)	$11,731,000	FOR USE IN CONTINUING OPERATIONS
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	501(C)(3)	$422,890	FOR USE IN CONTINUING OPERATIONS AND CONTRIBUTION FOR ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER
FOUR OAKS FAMILY AND CHILDREN SERVICES
5400 KIRKWOOD BLVD SW	CEDAR RAPIDS	IA	52404	420998726	501(C)(3)	$40,000	GENERAL SUPPORT
MOUNT MERCY UNIVERSITY
1300 ELMHURST DRIVE NE	CEDAR RAPIDS	IA	52402	420681046	501(C)(3)	$25,000	GENERAL SUPPORT
ESPECIALLY FOR YOU RACE AGAINST BREAST CANCER
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(C)(3)	$20,000	GENERAL SUPPORT
LINN COUNTY SHERIFF'S OFFICE
PO BOX 669 310 2ND AVENUE SW	CEDAR RAPIDS	IA	52406	426004338	LINN COUNTY	$17,945	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION INC
1035 N CENTER POINT RD SUITE B	HIAWATHA	IA	52233	135613797	501(C)(3)	$15,000	GENERAL SUPPORT
UNITED WAY OF EAST CENTRAL IOWA
317 7TH AVENUE SE STE 401	CEDAR RAPIDS	IA	52401	420861239	501(C)(3)	$13,225	GENERAL SUPPORT	$291	FAIR MARKET VALUE	IN KIND DONATIONS
JUNIOR ACHIEVEMENT OF EASTERN IOWA
324 3RD STREET SE STE 200	CEDAR RAPIDS	IA	52401	420919209	501(C)(3)	$12,100	GENERAL SUPPORT	$55	FAIR MARKET VALUE	MASSAGE CERTIFICATE
JUVENILE DIABETES FOUNDATION (JDRF)
1026 A AVENUE NE SUITE 113 PO BOX	CEDAR RAPIDS	IA	52402	231907729	501(C)(3)	$10,000	GENERAL SUPPORT				3026
ORCHESTRA IOWA INC
119 THIRD AVENUE SE	CEDAR RAPIDS	IA	52401	420772544	501(C)(3)	$9,500	GENERAL SUPPORT
GEMS OF HOPE INC
420 6TH STREET SE	CEDAR RAPIDS	IA	52401	203155610	501(C)(3)	$7,500	GENERAL SUPPORT
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION
317 7TH AVENUE SE STE 402	CEDAR RAPIDS	IA	52401	133039601	501(C)(3)	$7,500	GENERAL SUPPORT	$110	FAIR MARKET VALUE	MASSAGE CERTIFICATE
ZACH JOHNSON FOUNDATION
PO BOX 2336	CEDAR RAPIDS	IA	52406	272683100	501(C)(3)	$6,500	GENERAL SUPPORT
STATE UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550	IOWA CITY	IA	52244	420796760	501(C)(3)	$6,200	GENERAL SUPPORT
WAYPOINT
318 5TH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(C)(3)	$5,000	GENERAL SUPPORT
CATHERINE MCAULEY CENTER
866 4TH AVENUE SE	CEDAR RAPIDS	IA	52403	421342872	501(C)(3)	$5,000	GENERAL SUPPORT
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF DUBUQUE
PO BOX 1309	DUBUQUE	IA	52004	420680493	501(C)(3)	$5,000	GENERAL SUPPORT
CHAINS INTERRUPTED
PO BOX 583	CEDAR RAPIDS	IA	52406	814426353	501(C)(3)	$5,000	GENERAL SUPPORT
MARCH OF DIMES (WALK AMERICA)
425 2ND STREET SE SUITE 605	CEDAR RAPIDS	IA	52401	131846366	501(C)(3)	$5,000	GENERAL SUPPORT
NEWBO CITY MARKET
1100 3RD STREET SE	CEDAR RAPIDS	IA	52401	270600597	501(C)(3)	$5,000	GENERAL SUPPORT
LINN COUNTY MEDICAL SOCIETY
813 1ST AVE SE	CEDAR RAPIDS	IA	52402	237410746	501(C)(6)	$5,000	GENERAL SUPPORT
SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY INC
7262 MERCY ROAD	OMAHA	NE	68124	262400800	501(C)(3)	$5,000	GENERAL SUPPORT
UNIVERSITY OF IOWA
105 JESSUP HALL	IOWA CITY	IA	52242	426004813	STATE OF IOWA	$5,000	GREAT IOWA NURSES PROGRAM
HAWKEYE AREA COMMUNITY ACTION PROGRAM INC
1515 HAWKEYE DRIVE	HIAWATHA	IA	52233	420898405	501(C)(3)	$4,000	GENERAL SUPPORT	$1,259	FAIR MARKET VALUE	AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS)

Field	Value	IRS element (for citing)
Total501c3 Org	24	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 CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TIMOTHY L CHARLES
PRESIDENT & CEO	$653,904	$0	$205,168	$0	$17,990	$0	$60,873	$0	$19,577	$0	$957,512	$0	$0	$0
NICHOLAS HODGMAN MD
MEMBER BOARD OF TRUSTEES	$604,715	$0	$181,052	$0	$1,122	$0	$14,850	$0	$20,030	$0	$821,769	$0	$0	$0
NATHAN VANGENDEREN
EXECUTIVE VP/CFO	$355,946	$0	$94,307	$0	$7,775	$0	$40,014	$0	$20,656	$0	$518,698	$0	$0	$0
TIMOTHY QUINN MD
CHIEF OF CLINICAL OPERATIONS	$474,865	$0	$119,316	$0	$8,867	$0	$48,316	$0	$20,345	$0	$671,709	$0	$0	$0
MARY BROBST
CHIEF NURSING OFFICER	$251,238	$0	$58,270	$0	$9,933	$0	$32,684	$0	$20,366	$0	$372,491	$0	$0	$0
JEFFREY CASH
CHIEF INFORMATION OFFICER	$244,778	$0	$59,652	$0	$9,803	$0	$31,998	$0	$22,752	$0	$368,983	$0	$0	$0
NANCY HILL-DAVIS
VP - HUMAN RESOURCES	$201,475	$0	$23,558	$0	$6,746	$0	$12,748	$0	$7,516	$0	$252,043	$0	$0	$0
AARON BENSON MD
PHYSICIAN	$558,467	$0	$194,846	$0	$20,148	$0	$14,850	$0	$19,184	$0	$807,495	$0	$0	$0
AMANDEEP DHALIWAL MD
PHYSICIAN	$616,451	$0	$247,574	$0	$16,835	$0	$14,850	$0	$9,229	$0	$904,939	$0	$0	$0
SHANE GAILUSHAS MD
PHYSICIAN	$512,252	$0	$345,171	$0	$14,895	$0	$14,850	$0	$20,030	$0	$907,198	$0	$0	$0
DAVID GLASSMAN MD
PHYSICIAN	$610,742	$0	$58,322	$0	$540	$0	$14,850	$0	$16,493	$0	$700,947	$0	$0	$0
RYAN HOLLENBECK MD
PHYSICIAN	$600,625	$0	$223,339	$0	$16,835	$0	$14,850	$0	$27,124	$0	$882,773	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TRAVEL FOR COMPANIONS: LIMITED TRAVEL FOR COMPANIONS IS PAID BY THE ORGANIZATION ON BEHALF OF ONE OF THE ORGANIZATION'S OFFICERS. THIS AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION AS REPORTED 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 2017: MARY BROBST - $17,834, JEFFREY CASH - $17,148, TIMOTHY L. CHARLES - $46,023, TIMOTHY QUINN, M.D. - $33,466, AND NATHAN VAN GENDEREN - $25,164. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2017.
PART I, LINE 7	BONUS PAYMENTS ARE MADE ANNUALLY BASED ON NUMEROUS CRITERIA SUCH AS THE ORGANIZATION'S CASH FLOW BUDGET, OPERATING MARGIN, QUALITY RESULTS, AS WELL AS PERSONAL METRICS AND GOALS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$5,550,000	$30,000,000	$1,288,620	$28,711,380	2003	0	Yes (1)	Yes (1)
B	$20,430,000	$58,405,000	$1,552,500		2005	Yes (1)	Yes (1)	Yes (1)	$56,852,500
C	$6,115,000	$45,604,359	$604,359	$45,000,000	2013	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	Yes (1)
B	0	Yes (1)
C	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS AG
A	0	0	0	Yes (1)	Yes (1)	Yes (1)	29.000000000000	0	0	0	0	Yes (1)
UBS AG
B	0	0	0	Yes (1)	Yes (1)	Yes (1)	24.000000000000	0	0	0	0	Yes (1)
(no name)
C	0	Yes (1)	0	0	0	0				0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY CARE MANAGEMENT INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE BELOW IN PART V	RelationshipDescriptionTxt
Transaction	$1,718,813	TransactionAmt
Transaction	MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF MERCY MEDICAL CENTER IS MERCYCARE SERVICE CORPORATION, AN IOWA NONPROFIT CORPORATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS: 1. AMEND, REPEAL, OR RESTATE THE ARTICLES OF INCORPORATION; 2. ANY MATTER DIRECTLY RELATED TO THE RELIGIOUS PRINCIPLES AND MORAL PHILOSOPHY OF THE SISTERS OF MERCY; 3. ADOPT OR CHANGE THE PHILOSOPHY AND MISSION OF THE CORPORATION; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, AND MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE CORPORATION; 6. ADOPTION OR AMENDMENT TO LONG-TERM STRATEGIC PLANS; 7. ADOPTION OR AMENDMENT TO ANNUAL CAPITAL OR OPERATING BUDGETS; AND 8. APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING THE FORM. THE COMMITTEE IS PROVIDED WITH GENERAL BACKGROUND INFORMATION REGARDING THE FORM 990, AND THE FORM ITSELF (INCLUDING ATTACHMENTS) IS REVIEWED. UPON REQUEST, THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE AND MANAGEMENT ARE AVAILABLE TO ANSWER QUESTIONS FROM THE TRUSTEES ON THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AS WELL AS EACH EMPLOYEE TO DISCLOSE ANY INTEREST IN, OBLIGATION OR DUTY TO, OR ACTIVITY FOR ANY CONCERN IN WHICH A DIRECTOR, OFFICER, KEY EMPLOYEE, OR EMPLOYEE OR THEIR FAMILY MEMBER MAY BE INVOLVED THAT: MIGHT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR MIGHT HAVE THE APPEARANCE OF ADVERSELY AFFECTING THE DIRECTOR'S, OFFICER'S, KEY EMPLOYEE'S, OR EMPLOYEE'S JUDGMENT OR ACTIONS IN PERFORMING HIS/HER DUTIES TOWARDS MERCY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES SHALL FILE AN INITIAL CONFLICT OF INTEREST REPORT UPON HIRE AND SHALL BE REQUIRED TO FILE AN UPDATED REPORT IMMEDIATELY IF ANY CHANGES OCCUR WHICH RESULT IN A CONFLICT OF INTEREST OR FINANCIAL INTEREST. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES (SUPERVISOR AND ABOVE), PHYSICIANS, AND ANY EMPLOYEE IN A POSITION TO INFLUENCE A PURCHASE DECISION SHALL RE-SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WITH ANY NECESSARY CHANGES, EACH YEAR AND IMMEDIATELY IF ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. ALL BOARD MEMBERS SHALL SUBMIT IN WRITING A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. THE STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR AND AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE MERCYCARE SERVICE CORPORATION'S COMPENSATION COMMITTEE. THE COMMITTEE USES MERCER (US) INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED AND DOCUMENTED ON MARCH 29, 2018.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS 9,993,824. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 1,666,791. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 2,941,530. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -12,800. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -480,162.
FORM 990, PART XI, LINE 2C	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	FUNDRAISING FOR MERCY MEDICAL CENTER	IA	501(C)(3)	LINE 12C, III-FI	MERCY MEDICAL CENTER	Yes (1)
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	HEALTHCARE OVERSIGHT	IA	501(C)(3)	LINE 12C, 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	Direct Controlling NADirectControllingNACd
MR ASSOCIATES LLP
1455 SHERMAN ROAD	HIAWATHA	IA	52233	421260463	MEDICAL IMAGING	IA	MERCY MEDICAL CENTER	RELATED	$1,367,720	$1,452,761	0	Yes (1)	0.33330
UNIVERSITY OF IOWA AFFILIATED HEALTH PROVIDERS LC
200 HAWKINS DRIVE	IOWA CITY	IA	52242	421432272	ACCOUNTABLE CARE ORGANIZATION	IA								N/A
EASTERN IOWA SLEEP CENTER
600 7TH STREET	CEDAR RAPIDS	IA	52401	260310416	SLEEP STUDIES	IA		RELATED	$356,266	$1,414,814	0	Yes (1)	0.33330

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	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	0	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	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCY CARE MANAGEMENT INC
A	$1,718,813	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
A	$1	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
B	$11,731,000	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
B	$422,890	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C	$2,152,165	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
C	$2,848,849	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
Q	$620,725	FAIR MARKET VALUE