MERCY HEALTH NETWORK INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH NETWORK INC (EIN 42-1478417)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201931339349301223
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T11:52:07-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421478417 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH NETWORK INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 5153589200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1449 NW 128TH STREET BLDG 5 NO 200 | AddressLine1Txt |
| City | CLIVE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50325 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT RITZ | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5153589200 | PhoneNum |
| Signature | 2019-05-10 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.232.227.252 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-10 | IPDt |
| IP Tm | 11:52:02 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6410079965079D3074AAD5C60F569B728853E432 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E9C924457B5D275461852EC86B70A375E5271692 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCYONE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT RITZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1449 NW 128TH STREET BLDG 5 NO 200 | AddressLine1Txt |
| City | CLIVE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50325 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,435,719 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYONE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,422,351 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,295,039 | CYProgramServiceRevenueAmt |
| PY Investment Income | $93,230 | PYInvestmentIncomeAmt |
| CY Investment Income | $140,680 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $18,515,581 | PYTotalRevenueAmt |
| CY Total Revenue | $25,435,719 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $170,300 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $87,849 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,890,712 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,370,123 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,847,123 | PYOtherExpensesAmt |
| CY Other Expenses | $20,144,772 | CYOtherExpensesAmt |
| PY Total Expenses | $18,908,135 | PYTotalExpensesAmt |
| CY Total Expenses | $25,602,744 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$392,554 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$167,025 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $10,415,445 | TotalAssetsBOYAmt |
| Total Assets EOY | $13,638,384 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,911,598 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,134,538 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,503,847 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,503,846 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MERCYONE SERVES WITH FIDELITY TO THE GOSPEL AS A COMPASSIONATE, HEALING MINISTRY OF JESUS CHRIST TO TRANSFORM THE HEALTH OF OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $21,856,397 | ExpenseAmt |
| Grant | $87,849 | GrantAmt |
| Revenue | $25,295,039 | RevenueAmt |
| Desc | MERCY HEALTH NETWORK (MHN) IS AN INTEGRATED SYSTEM OF MEMBER HOSPITALS AND OTHER HEALTH AND PATIENT CARE FACILITIES-UNITED INTO ONE OPERATING ORGANIZATION TO IMPROVE THE DELIVERY OF HEALTH CARE SERVICES TO THE PEOPLE OF IOWA AND SURROUNDING COMMUNITIES. MHN IS SPONSORED BY CATHOLIC HEALTH INITIATIVES (CHI) AND TRINITY HEALTH CORPORATION (THC). MHN PROVIDES SIGNIFICANT ADMINISTRATIVE, MANAGEMENT, GOVERNANCE AND OVERSIGHT RESPONSIBILITIES FOR THE OVERALL ACTIVITIES AND OPERATIONS OF MANY ACUTE CARE HOSPITALS, AMBULATORY CARE FACILITIES, HOME CARE AND HOSPICE PROGRAMS PRESENTLY OWNED AND OPERATED BY CHI OR THC.THE MHN SYSTEM FUNCTIONS AS AN INTEGRATED HEALTH CARE DELIVERY SYSTEM (IN THE BROAD SENSE) BY ESTABLISHING A SINGLE SYSTEM THAT PROVIDES A CONTINUUM OF HEALTH CARE SERVICES PREVIOUSLY PROVIDED THROUGH SEPARATE PROVIDERS. THROUGH THIS SINGLE SYSTEM, THE RESPECTIVE MISSIONS OF CHI AND THC ARE UNIFIED AND THE ABILITY TO EFFECTIVELY AND EFFICIENTLY MEET THE HEALTH CARE NEEDS OF THE COMMUNITY SERVED BY THE MHN SYSTEM ARE ENHANCED.PLEASE VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION: WWW.MERCYONE.ORG | Desc |
| Total Program Service Expenses | $21,856,397 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | 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 | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY SAXTON DIR FINANCE & PAYROLL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7343430844 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20555 VICTOR PARKWAY | AddressLine1Txt |
| City | LIVONIA | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 481527018 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DEAN SWINDLE | ||||||||||
| DIR; CHAIR AS OF 3/18; CHI PRES/CFO | 1.00 | 59.00 | Yes (X) | Yes (X) | $0 | $3,938,227 | $42,763 | |||
| SALLY JEFFCOAT | ||||||||||
| DIR;CHAIR THR 3/18; TRINITY HLTH EVP | 1.00 | 54.00 | Yes (X) | Yes (X) | $0 | $1,517,657 | $43,445 | |||
| CYNTHIA CLEMENCE | ||||||||||
| DIRECTOR; TRINITY HEALTH SVP | 1.00 | 54.00 | Yes (X) | $0 | $913,132 | $48,428 | ||||
| MITCH MELFI | ||||||||||
| DIRECTOR; CHI EVP | 1.00 | 54.00 | Yes (X) | $0 | $1,717,244 | $42,107 | ||||
| LINDA ROSS | ||||||||||
| DIRECTOR; TRINITY HEALTH SVP | 1.00 | 49.00 | Yes (X) | $0 | $690,128 | $157,871 | ||||
| PATRICIA WEBB | ||||||||||
| DIR; CATHOLIC HEALTH INITIATIVES EVP | 1.00 | 54.00 | Yes (X) | $0 | $1,852,355 | $34,081 | ||||
| ROBERT RITZ | ||||||||||
| PRESIDENT AND CEO | 58.00 | 2.00 | Yes (X) | $0 | $1,147,213 | $134,316 | ||||
| MARCIA SMITH | ||||||||||
| SECRETARY; ASSOCIATE COUNSEL | 48.00 | 2.00 | Yes (X) | $0 | $365,778 | $40,617 | ||||
| MICHAEL WEGNER | ||||||||||
| SVP OPS/CFO AT 1/18; CHI-IA SVP | 55.00 | 0.00 | $0 | $620,188 | $36,549 | Yes (X) | ||||
| STEVEN KUKLA | ||||||||||
| INTERIM CFO THROUGH 2/18 | 55.00 | 0.00 | $0 | $545,530 | $30,861 | Yes (X) | ||||
| KENT CARR MD | ||||||||||
| PRESIDENT, PHYSICIAN ENTERPRISE | 50.00 | 0.00 | $0 | $606,876 | $35,290 | Yes (X) | ||||
| BARBARA GESSEL | ||||||||||
| CHRO THROUGH 4/18 | 50.00 | 0.00 | $0 | $434,110 | $32,165 | Yes (X) | ||||
| JOSEPH LEVALLEY | ||||||||||
| VP PLANNING; CHI SVP | 50.00 | 0.00 | $0 | $427,144 | $39,388 | Yes (X) | ||||
| MIKE TRACHTA | ||||||||||
| VP, NETWORK AFFILIATES | 50.00 | 0.00 | $0 | $391,796 | $36,522 | Yes (X) | ||||
| KEVIN ELSBERRY | ||||||||||
| INTERIM HR OFCR AT 10/17; CHI-IA VP | 25.00 | 25.00 | $0 | $341,371 | $34,189 | Yes (X) | ||||
| DAVID VELLINGA | ||||||||||
| FORMER OFFICER; HOSPITAL LIAISON | 45.00 | 0.00 | $0 | $2,432,337 | $16,734 | Yes (X) | ||||
| MICHAEL ROWAN | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,388,245 | $8,780 | Yes (X) | ||||
| RICHARD O'CONNELL | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $880,863 | $16,625 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $20,210,194 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $830,731 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HURON CONSULTING SERVICES LLC | |||||
| 3005 MOMENTUM PLACE | CHICAGO | IL | 60689 | CONSULTING SERVICES | $851,884 |
| WITT KIEFFER INC | |||||
| 2015 SPRING ROAD STE 510 | OAK BROOK | IL | 60523 | RECRUITING SERVICES | $353,420 |
| INSIGHT HEALTH PARTNERS LLC | |||||
| 830 WEST ROUTE 22 STE 224 | LAKE ZURICH | IL | 60047 | CONSULTING SERVICES | $330,995 |
| MONIGLE ASSOCIATES INC | |||||
| 150 ADAMS ST | DENVER | CO | 80206 | ADVERTISING SERVICES | $229,603 |
| HEALTH MARKET SOLUTIONS | |||||
| 1932 VINSETTA BOULEVARD | ROYAL OAK | MI | 48073 | CONSULTING SERVICES | $225,006 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGEMENT REVENUE | Desc |
| Business | 541610 | BusinessCd |
| Total Revenue Column | $25,295,039 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,295,039 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,295,039 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,326 | TotalRevenueColumnAmt |
| Exclusion | $27,326 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $113,354 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $113,354 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113,354 | TotalRevenueColumnAmt |
| Exclusion | $113,354 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,435,719 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,295,039 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $140,680 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,849 | TotalAmt |
| Program Services | $87,849 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,921,052 | TotalAmt |
| Management And General | $2,921,052 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,449,071 | TotalAmt |
| Program Services | $2,449,071 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $664,167 | TotalAmt |
| Management And General | $664,167 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,000 | TotalAmt |
| Management And General | $109,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,209,883 | TotalAmt |
| Program Services | $3,209,883 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,253 | TotalAmt |
| Program Services | $125 | ProgramServicesAmt |
| Management And General | $52,128 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,948 | TotalAmt |
| Program Services | $64,948 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,418 | TotalAmt |
| Program Services | $92,418 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,857 | TotalAmt |
| Program Services | $178,857 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,552 | TotalAmt |
| Program Services | $26,552 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,467 | TotalAmt |
| Program Services | $11,467 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SHARED SERVICES EXPENSE | $9,938,296 | $9,938,296 |
| CONTRACT LABOR | $5,769,144 | $5,769,144 |
| SUBSCRIPTIONS AND DUES | $27,787 | $27,787 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,602,744 | TotalAmt |
| Program Services | $21,856,397 | ProgramServicesAmt |
| Management And General | $3,746,347 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,314,464 | BOYAmt |
| EOY | $4,925,881 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,361,314 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,552 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,334,762 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,293,137 | BOYAmt |
| EOY | $436,826 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,203,210 | BOYAmt |
| EOY | $387,374 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,579,634 | BOYAmt |
| EOY | $5,553,541 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,415,445 | BOYAmt |
| EOY | $13,638,384 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $545,155 | BOYAmt |
| EOY | $3,039,969 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,366,443 | BOYAmt |
| EOY | $2,094,569 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,911,598 | BOYAmt |
| EOY | $5,134,538 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,503,847 | BOYAmt |
| EOY | $8,503,846 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,503,847 | BOYAmt |
| EOY | $8,503,846 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,415,445 | BOYAmt |
| EOY | $13,638,384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$167,025 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $167,024 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MERCY HEALTH SERVICES - IOWA | ||||
| 311373080 | 3 | Yes (1) | $0 | $0 |
| CATHOLIC HEALTH INITIATIVES - IOWA | ||||
| 420680448 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (1) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | 0 | MajorityDirTrstSupportedOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART 1, LINE 12G: | MERCY HEALTH NETWORK PROVIDES HEALTH CARE DELIVERY SYSTEM SERVICES TO ITS SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION A, LINE 2: | CATHOLIC HEALTH INITIATIVES - IOWA DOES NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1); IT HAS BEEN RECOGNIZED AS EXEMPT UNDER SECTION 501(C)(3) UNDER GROUP EXEMPTION NO. 0928 AND IS LISTED IN THE OFFICIAL CATHOLIC DIRECTORY AS A HOSPITAL. CATHOLIC HEALTH INITIATIVES - IOWA IS A PUBLIC CHARITY AS DESCRIBED IN SECTION 509(A)(1) BECAUSE IT IS A HOSPITAL AS DESCRIBED UNDER SECTION 170(B)(1)(A)(III). |
| PART IV, SECTION A, LINE 6: | MERCY HEALTH NETWORK PROVIDED MANAGEMENT AND OTHER SERVICES TO RELATED ORGANIZATIONS WHO SHARE THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS. MERCY HEALTH NETWORK ALSO PROVIDED GRANTS TO UNRELATED CHARITIES THAT CARRY OUT THE CHARITABLE PURPOSES OF ITS SUPPORTED ORGANIZATIONS. |
| PART IV, SECTION C, LINE 1: | THE BOARD OF MERCY HEALTH NETWORK IS APPOINTED BY THE SAME BODIES THAT APPOINT THE BOARDS OF MERCY HEALTH NETWORK'S SUPPORTED ORGANIZATIONS. MERCY HEALTH SERVICES - IOWA IS CONTROLLED BY TRINITY HEALTH CORPORATION AND CATHOLIC HEALTH INITIATIVES - IOWA IS CONTROLLED BY CATHOLIC HEALTH INITIATIVES. TRINITY HEALTH CORPORATION AND CATHOLIC HEALTH INITIATIVES EACH HAVE THE RIGHT TO APPOINT ONE-HALF OF THE BOARD OF DIRECTORS OF MERCY HEALTH NETWORK. TRINITY HEALTH CORPORATION AND CATHOLIC HEALTH INITIATIVES HAVE THE POWER TO APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS A MERGER, DISSOLUTION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
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 | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $109,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $111,981 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $220,981 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MERCY HEALTH NETWORK HAS ENGAGED ONE OR MORE LOBBYING FIRMS TO PROVIDE GOVERNMENTAL RELATIONS FOR MERCY HEALTH NETWORK FOR STATE LEGISLATIVE AND REGULATORY ISSUES. MERCY HEALTH NETWORK ALSO EMPLOYS A FULL TIME ADVOCACY DIRECTOR WHO WORKS WITH THE IOWA LEGISLATURE AND THE IOWA CONGRESSIONAL DELEGATION ON PUBLIC POLICY ISSUES THAT IMPACT MERCY HEALTH NETWORK AND THEIR AFFILIATES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,163,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,548 | DepreciationAmt |
| Book Value | $1,149,262 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $441,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,004 | DepreciationAmt |
| Book Value | $428,996 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $756,504 | OtherCostOrOtherBasisAmt |
| Book Value | $756,504 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,334,762 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MISCELLANEOUS RECEIVABLES | $1,580,123 |
| INVESTMENT IN UNCONSOL. AFFILIATES | $2,500,000 |
| RELATED PARTY RECEIVABLES | $1,473,418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,553,541 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RELATED PARTY PAYABLES | Desc |
| Amt | $2,094,569 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,094,569 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| IOWA ACADEMY OF FAMILY PHYSICIANS FOUNDATION | |||||||
| 100 EAST GRAND AVE STE 170 | DES MOINES | IA | 50309 | 421300642 | 501(C)(3) | $70,000 | RURAL PRIMARY CARE LOAN REPAYMENT |
| UNIVERSITY OF IOWA FOUNDATION | |||||||
| PO BOX 4550 | IOWA CITY | IA | 52244 | 420796760 | 501(C)(3) | $7,500 | 100 GREAT IOWA NURSES PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE BY MERCY HEALTH NETWORK TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEAN SWINDLE | ||||||||||||||
| DIR; CHAIR AS OF 3/18; CHI PRES/CFO | $0 | $1,210,550 | $0 | $2,110,703 | $0 | $616,974 | $0 | $16,950 | $0 | $25,813 | $0 | $3,980,990 | $0 | $288,009 |
| SALLY JEFFCOAT | ||||||||||||||
| DIR;CHAIR THR 3/18; TRINITY HLTH EVP | $0 | $898,754 | $0 | $388,608 | $0 | $230,295 | $0 | $12,150 | $0 | $31,295 | $0 | $1,561,102 | $0 | $0 |
| CYNTHIA CLEMENCE | ||||||||||||||
| DIRECTOR; TRINITY HEALTH SVP | $0 | $626,427 | $0 | $173,136 | $0 | $113,569 | $0 | $20,250 | $0 | $28,178 | $0 | $961,560 | $0 | $0 |
| MITCH MELFI | ||||||||||||||
| DIRECTOR; CHI EVP | $0 | $679,789 | $0 | $875,160 | $0 | $162,295 | $0 | $16,075 | $0 | $26,032 | $0 | $1,759,351 | $0 | $0 |
| LINDA ROSS | ||||||||||||||
| DIRECTOR; TRINITY HEALTH SVP | $0 | $497,557 | $0 | $172,715 | $0 | $19,856 | $0 | $131,625 | $0 | $26,246 | $0 | $847,999 | $0 | $0 |
| PATRICIA WEBB | ||||||||||||||
| DIR; CATHOLIC HEALTH INITIATIVES EVP | $0 | $687,908 | $0 | $872,792 | $0 | $291,655 | $0 | $16,075 | $0 | $18,006 | $0 | $1,886,436 | $0 | $128,263 |
| ROBERT RITZ | ||||||||||||||
| PRESIDENT AND CEO | $0 | $741,171 | $0 | $323,926 | $0 | $82,116 | $0 | $113,111 | $0 | $21,205 | $0 | $1,281,529 | $0 | $57,150 |
| MARCIA SMITH | ||||||||||||||
| SECRETARY; ASSOCIATE COUNSEL | $0 | $294,618 | $0 | $69,041 | $0 | $2,119 | $0 | $12,150 | $0 | $28,467 | $0 | $406,395 | $0 | $0 |
| MICHAEL WEGNER | ||||||||||||||
| SVP OPS/CFO AT 1/18; CHI-IA SVP | $0 | $534,049 | $0 | $65,182 | $0 | $20,957 | $0 | $16,075 | $0 | $20,474 | $0 | $656,737 | $0 | $0 |
| STEVEN KUKLA | ||||||||||||||
| INTERIM CFO THROUGH 2/18 | $0 | $467,842 | $0 | $48,660 | $0 | $29,028 | $0 | $16,075 | $0 | $14,786 | $0 | $576,391 | $0 | $0 |
| KENT CARR MD | ||||||||||||||
| PRESIDENT, PHYSICIAN ENTERPRISE | $0 | $511,925 | $0 | $50,000 | $0 | $44,951 | $0 | $9,450 | $0 | $25,840 | $0 | $642,166 | $0 | $0 |
| BARBARA GESSEL | ||||||||||||||
| CHRO THROUGH 4/18 | $0 | $287,139 | $0 | $44,001 | $0 | $102,970 | $0 | $18,954 | $0 | $13,211 | $0 | $466,275 | $0 | $0 |
| JOSEPH LEVALLEY | ||||||||||||||
| VP PLANNING; CHI SVP | $0 | $349,374 | $0 | $48,702 | $0 | $29,068 | $0 | $16,075 | $0 | $23,313 | $0 | $466,532 | $0 | $0 |
| MIKE TRACHTA | ||||||||||||||
| VP, NETWORK AFFILIATES | $0 | $360,253 | $0 | $16,435 | $0 | $15,108 | $0 | $15,221 | $0 | $21,301 | $0 | $428,318 | $0 | $0 |
| KEVIN ELSBERRY | ||||||||||||||
| INTERIM HR OFCR AT 10/17; CHI-IA VP | $0 | $295,754 | $0 | $28,876 | $0 | $16,741 | $0 | $13,350 | $0 | $20,839 | $0 | $375,560 | $0 | $0 |
| DAVID VELLINGA | ||||||||||||||
| FORMER OFFICER; HOSPITAL LIAISON | $0 | $650,306 | $0 | $959,783 | $0 | $822,248 | $0 | $4,040 | $0 | $12,694 | $0 | $2,449,071 | $0 | $353,247 |
| MICHAEL ROWAN | ||||||||||||||
| FORMER OFFICER | $0 | $67,219 | $0 | $0 | $0 | $1,321,026 | $0 | $8,780 | $0 | $0 | $0 | $1,397,025 | $0 | $0 |
| RICHARD O'CONNELL | ||||||||||||||
| FORMER OFFICER | $0 | $31,633 | $0 | $193,351 | $0 | $655,879 | $0 | $7,059 | $0 | $9,566 | $0 | $897,488 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MERCY HEALTH NETWORK'S CEO IS PAID DIRECTLY BY CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION FOR MERCY HEALTH NETWORK'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM TRINITY HEALTH (A RELATED ORGANIZATION) IN CALENDAR 2017. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: RICHARD O'CONNELL - $448,968 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM CHI (A RELATED ORGANIZATION) IN CALENDAR 2017. THESE AMOUNTS WERE INCLUDED IN COLUMN B (III) OF SCHEDULE J, PART II: KENT CARR, MD - $30,093 MICHAEL ROWAN - $1,303,356 POST-TERMINATION PAYMENTS ARE ADDRESSED IN EXECUTIVE EMPLOYMENT AGREEMENTS FOR CHI AND RELATED ORGANIZATIONS' EMPLOYEES AT THE LEVEL OF VICE PRESIDENT AND ABOVE. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2017. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. BENEFITS FOR PARTICIPANTS VESTED IN A PLAN WERE PAID OUT IN 2017, AND BENEFITS FOR PARTICIPANTS NOT YET VESTED IN A PLAN WERE ACCRUED IN 2017. THE FOLLOWING PAYOUTS FOR 2017 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: CYNTHIA CLEMENCE - $97,577 SALLY JEFFCOAT - $199,865 RICHARD O'CONNELL - $202,294 THE FOLLOWING ACCRUAL FOR 2017 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: LINDA ROSS - $119,475 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION OR RETENTION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($270,000 FOR 2017). THE FOLLOWING PAYOUT FOR 2017 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: MARCIA SMITH - $798 DURING THE 2017 CALENDAR YEAR CHI MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR CEOS/PRESIDENTS AND OTHER CHI EMPLOYEES AT THE LEVEL OF SENIOR VICE PRESIDENT AND ABOVE. THE FOLLOWING REPORTABLE INDIVIDUALS WERE ELIGIBLE TO PARTICIPATE IN THAT PLAN: MITCH MELFI ROBERT RITZ MICHAEL ROWAN DEAN SWINDLE DAVID VELLINGA PATRICIA WEBB DURING 2017 THE FOLLOWING DISTRIBUTIONS WERE MADE BY CHI FROM THE DEFERRED COMPENSATION PLAN: ROBERT RITZ - $58,350 DEAN SWINDLE - $288,050 DAVID VELLINGA - $718,619 PATRICIA WEBB - $128,281 COLUMN (F) OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. DUE TO THE "SUPER" VESTING RULES UNDER THE CHI DEFERRED COMPENSATION PLAN, PARTICIPANTS WHO HAD MET CERTAIN REQUIREMENTS SUCH AS INVOLUNTARY TERMINATION WITHOUT CAUSE, AGE, AGE AND YEARS OF SERVICE, OR MORE THAN 5 YEARS OF PLAN PARTICIPATION WERE ELIGIBLE TO RECEIVE THEIR 2017 CONTRIBUTIONS IN CASH DURING THE CALENDAR YEAR. THESE CASH PAYOUTS ARE INCLUDED IN THE PARTICIPANT'S REPORTABLE COMPENSATION IN COLUMN (III) OTHER REPORTABLE COMPENSATION ON SCHEDULE J PART II. DURING 2017, THE FOLLOWING CONTRIBUTIONS AND ASSOCIATED GAINS OR LOSSES THAT WOULD HAVE BEEN MADE BY CHI TO THE DEFERRED COMPENSATION PLAN WERE PAID IN CASH: MITCH MELFI - $135,426 DEAN SWINDLE - $303,912 DAVID VELLINGA - $89,462 PATRICIA WEBB - $136,430 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF MERCY HEALTH NETWORK ARE TRINITY HEALTH CORPORATION AND CATHOLIC HEALTH INITIATIVES. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER OF MERCY HEALTH NETWORK HAS THE RIGHT TO APPOINT ONE-HALF OF THE BOARD OF DIRECTORS OF MERCY HEALTH NETWORK. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE TWO MEMBERS MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. BOTH MEMBERS MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, THE FORM 990 FOR MERCY HEALTH NETWORK IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY HEALTH NETWORK HAS ADOPTED A CONFLICT OF INTEREST POLICY, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCY HEALTH NETWORK, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCY HEALTH NETWORK AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO INTERNAL LEGAL COUNSEL AND THE INTEGRITY AND COMPLIANCE OFFICER, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MERCY HEALTH NETWORK (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY HEALTH NETWORK OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCY HEALTH NETWORK (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MERCY HEALTH NETWORK. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | MERCY HEALTH NETWORK DOES NOT CURRENTLY MAKE ITS DOCUMENTS OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,053,188. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,053,188. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 156,695. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,695. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY COMMUNITY HOSPITAL GROUP LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1449 NW 128TH ST BLDG 5 SUITE 200 | AddressLine1Txt |
| City | CLIVE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50325 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352473948 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH NETWORK INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CATHOLIC HEALTH INITIATIVES | |||||||||||
| 198 INVERNESS DRIVE WEST | ENGLEWOOD | CO | 80112 | 470617373 | SPONSOR AND SUPPORT HEALTH CARE PROVIDERS | CO | 501(C)(3) | LINE 12A, I | N/A | Yes (1) | |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 420680448 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | Yes (1) | CATHOLIC HEALTH INITIATIVES | |
| MERCY HEALTH SERVICES - IOWA CORP | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTH CARE AND HOSPITAL SERVICES | DE | 501(C)(3) | LINE 3 | Yes (1) | TRINITY HEALTH CORPORATION | |
| TRINITY HEALTH CORPORATION | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 12B, II | Yes (1) | CATHOLIC HEALTH MINISTRIES | |
| WHEATON FRANCISCAN HEALTHCARE - IOWA INC | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421177001 | HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT | IA | 501(C)(3) | LINE 12C, III-FI | Yes (1) | MERCY HEALTH NETWORK | |
| NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421207432 | TITLE HOLDING COMPANY | IA | 501(C)(2) | Yes (1) | WHEATON FRANCISCAN HEALTHCARE-IOWA | ||
| SARTORI MEMORIAL HOSPITAL INC | |||||||||||
| 515 COLLEGE STREET | CEDAR FALLS | IA | 50613 | 420758901 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | Yes (1) | WHEATON FRANCISCAN HEALTHCARE-IOWA | |
| SARTORI HEALTH CARE FOUNDATION INC | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421240996 | FOUNDATION | IA | 501(C)(3) | LINE 12A, I | Yes (1) | SARTORI MEMORIAL HOSPITAL INC | |
| MERCY HOSPITAL OF FRANCISCAN SISTERS INC | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421178403 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | Yes (1) | WHEATON FRANCISCAN HEALTHCARE-IOWA | |
| COVENANT MEDICAL CENTER INC | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421264647 | HEALTH CARE AND HOSPITAL SERVICES | IA | 501(C)(3) | LINE 3 | Yes (1) | WHEATON FRANCISCAN HEALTHCARE-IOWA | |
| COVENANT FOUNDATION INC | |||||||||||
| 3421 WEST NINTH STREET | WATERLOO | IA | 50702 | 421295784 | FOUNDATION | IA | 501(C)(3) | LINE 10 | Yes (1) | COVENANT MEDICAL CENTER INC | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCY HEALTH SERVICES - IOWA CORP | ||
| Q | $6,670,264 | PER BOOKS |
| WHEATON FRANCISCAN HEALTHCARE - IOWA INC | ||
| Q | $1,964,477 | PER BOOKS |
| CATHOLIC HEALTH INITIATIVES - IOWA CORP | ||
| Q | $626,202 | PER BOOKS |