2014-05-09T15:00:04-05:00 2013-06-30 470617373 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2012-07-01 421193699 MERCY CLINICS INC MERC 5156437218 1111 6th Avenue Des Moines IA 50314 MIKE WEGNER 2014-05-07 true Pamela Krohn P01210500 3032989100 2012 2015-11-30 17:44:51Z STEPHEN ECKSTAT 1111 6th Avenue Des Moines IA 50314 147799963 false 0928 X WWW.MERCYCLINICSDESMOINES.ORG X 1982 IA MERCY CLINICS, INC. IS A NOT-FOR-PROFIT PHYSICIAN CLINIC ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY IN PARTNERSHIP WITH OTHERS. 6 0 1649 0 0 0 14455220 6443846 136055888 140463371 614 0 3437287 892746 153949009 147799963 1150 2000 0 0 100027506 99784233 0 0 0 50922714 51875613 150951370 151661846 2997639 -3861883 18740249 16658578 15545526 17325738 3194723 -667160 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 134534162 2000 140463371 SEE SCHEDULE O 134534162 true true false true false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false true false false false false false true false false false false true 0 0 1649 true false false false false false false false false false false X 6 0 false false false false true true true true true false false false true true true true true true true false X Randall L Rubin 5156437860 1111 6th Avenue Des Moines IA 50314 MICHAEL FINAN 40.00 0 X X 241762 0 41067 STEPHEN ECKSTAT 40.00 0 X X 473483 0 48501 JACQUELINE FROST-KUNNEN 1.00 42.00 X 0 519896 53155 JOSEPH LEVALLEY 1.00 41.00 X 0 359368 47362 MARSHALL GREIMAN 40.00 0 X 457110 0 49628 ROBERT MORAN 40.00 0 X 376874 0 42418 STEVE KUKLA 1.00 41.00 X 0 500877 48515 DAVID SWIESKOWSKI 20.00 40.00 X 34331 492864 43815 SHARON PHILLIPS 40.00 1.00 X 231725 0 46880 THOMAS MCLEAN 40.00 0.00 X 104088 99365 30952 BERNARD M FELDMAN 40.00 0 X 557177 13142 42128 DENNIS WHITMER 40.00 0 X 594655 0 45722 HARVEY A GILLER 40.00 0 X 642895 13133 42128 JEFFREY MAIRE 40.00 0 X 527268 34634 45514 MATTHEW MORGAN 40.00 0 X 780929 0 37692 5022297 2033279 665477 161 false true false DIAGNOSTIC IMAGING ASSOCIATES PC 1111 6TH STREET DES MOINES IA 503142610 PHYSICIAN SERVICES 492935 MCKESSON TECHNOLOGIES INC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 COLLECTION SERVICES 464205 GENERAL SERVICE BUREAU 8429 BLONDO STREET OMAHA NE 681346207 COLLECTION SERVICES 328806 NCO FINANCIAL SYSTEMS INC 24886 NETWORK PLACE CHICAGO IL 606731248 COLLECTION SERVICES 267560 AUTOMATED ACCOUNTS MGMT SYSTEM 4800 MILLS CIVIC PARKWAY SUITE 202 WEST DES MOINES IA 50265 COLLECTION SERVICES 226432 6 6395548 48298 6443846 PATIENT SERVICES 900099 140210528 140210528 RENTAL INCOME 900099 252843 252843 0 0 0 0 0 0 0 140463371 0 0 0 0 0 0 0 0 0 0 0 0 0 0 REIMBURSEMENT OF EXPENSES 900099 892746 892746 0 0 0 0 0 0 892746 147799963 140463371 0 892746 2000 2000 0 0 0 1846234 1148224 698010 0 81360293 71761918 9598375 1796845 1525039 271806 10047223 9287266 759957 4733638 4392137 341501 0 0 0 0 0 0 3952249 2481501 1470748 0 356727 356727 2277014 1447893 829121 903480 854106 49374 0 9385322 9278417 106905 203079 170542 32537 0 9396 8525 871 249038 249038 0 1077769 1031701 46068 1064145 1064145 MEDICAL SUPPLIES 22840017 22839990 27 BAD DEBTS 4488554 4488554 CHI IA MBO ASSESSMENT 2322574 2322574 REPAIRS AND MAINTENANCE 1526010 1080853 445157 1220239 1065586 154653 0 151661846 134534162 17127684 0 0 10156 10356 17401 8684 12966885 11714427 0 0 0 457417 210214 16493002 12319483 4747012 4173519 0 0 0 0 541378 541378 18740249 16658578 13454162 15582877 0 2045185 1684372 46179 58489 15545526 17325738 X 3194723 -667160 3194723 -667160 18740249 16658578 -3861883 X false true X true true true X 501987 3548080 4006602 14455220 6443846 28955735 123280513 126215613 140803273 136055888 140463371 666818658 0 0 0 123782500 129763693 144809875 150511108 146907217 695774393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 695774393 272730 325360 0 614 598704 0 272730 325360 0 614 0 598704 0 589807 861457 3115628 3437287 892746 8896925 124645037 130950510 147925503 153949009 147799963 705270022 0.98650 0.98700 0.00080 0.00120 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - REIMBURSEMENT OF EXPENSES, COLUMN A - 589807, COLUMN B - 861457, COLUMN C - 3115628, COLUMN D - 3437287, COLUMN E - 892746, COLUMN F - 8896925;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5704 false false false 5704 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: POLK COUNTY MEDICAL SOCIETY - $5,704 OUT OF $51,855 DUES PAID. 0 3900000 3085893 814107 3110083 2232756 877327 9374565 7000834 2373731 108354 108354 4173519 0 INTERCOMPANY PAYABLES 58489 58489 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MERCY CLINICS, INC.'S FINANCIAL INFORMATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES (CHI), A RELATED ORGANIZATION. CHI'S FIN 48 (ASC 740) FOOTNOTE FOR THE YEAR ENDED JUNE 30, 2013, READS AS FOLLOWS: "CHI IS A TAX-EXEMPT COLORADO CORPORATION AND HAS BEEN GRANTED AN EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CHI OWNS CERTAIN TAXABLE SUBSIDIARIES AND ENGAGES IN CERTAIN ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE AND THEREFORE SUBJECT TO INCOME TAX. MANAGEMENT REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS." X X X X X false false false true false true false false false BERNARD M FELDMAN 551633 13142 0 0 5544 0 20596 0 21532 0 599305 13142 0 0 DAVID SWIESKOWSKI 34331 386562 0 76199 0 30103 0 25596 15916 2303 50247 520763 0 0 DENNIS WHITMER 593395 0 0 0 1260 0 25596 0 20126 0 640377 0 0 0 HARVEY A GILLER 637351 13133 0 0 5544 0 20596 0 21532 0 685023 13133 0 0 JACQUELINE FROST-KUNNEN 0 420840 0 66444 0 32612 0 33096 0 20059 0 573051 0 0 JEFFREY MAIRE 526428 34634 0 0 840 0 0 23096 22418 0 549686 57730 0 0 JOSEPH LEVALLEY 0 280920 0 45274 0 33174 0 25596 0 21766 0 406730 0 0 MARSHALL GREIMAN 455178 0 0 0 1932 0 28096 0 21532 0 506738 0 0 0 MATTHEW MORGAN 780089 0 0 0 840 0 23096 0 14596 0 818621 0 0 0 MICHAEL FINAN 239260 0 0 0 2502 0 27220 0 13847 0 282829 0 0 0 ROBERT MORAN 376034 0 0 0 840 0 23096 0 19322 0 419292 0 0 0 SHARON PHILLIPS 195567 0 24310 0 11848 0 27540 0 19340 0 278605 0 0 0 STEPHEN ECKSTAT 414297 0 24400 0 34786 0 28096 0 20405 0 521984 0 0 0 STEVE KUKLA 0 403188 0 63145 0 34544 0 33096 0 15419 0 549392 0 0 THOMAS MCLEAN 95936 73053 0 20012 8152 6300 16853 0 8672 5427 129613 104792 0 0 SEVERANCE OR CHANGE-OF-CONTROL PAYMENTS SCHEDULE J, PART I, LINE 4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CEOS. 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. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2012 CALENDAR YEAR. Compensation contingent on revenues of the organization Schedule J, Part I, Line 5a MERCY CLINICS, INC. COMPENSATES PHYSICIANS, IN PART, BASED ON THE REVENUES ATTRIBUTABLE TO WORK PERFORMED BY THE PHYSICIANS FOR MCI. PHYSICIAN COMPENSATION IS NOT DETERMINED BASED UPON THE INCOME (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE OR UPON REVENUE (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE. Compensation contingent on net earnings of the organization Schedule J, Part I, Line 6a MERCY CLINICS, INC. COMPENSATES PHYSICIANS, IN PART, BASED ON THE NET EARNINGS ATTRIBUTABLE TO WORK PERFORMED BY THE PHYSICIANS FOR MCI. PHYSICIAN COMPENSATION IS NOT DETERMINED BASED UPON THE INCOME (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE OR UPON REVENUE (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE. LT LLC BOARD MEMBER OWNS 6.25% INTEREST IN LT, LLC, WHICH RENTS A MEDICAL BUILDING TO MCI 513718 RENT false PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A I. INTRODUCTION MERCY CLINICS, INC. (MCI), ESTABLISHED IN AUGUST, 1983, CURRENTLY HAS 155 PHYSICIANS AND 114 MID-LEVEL PROVIDERS WITHIN THEIR SYSTEM OF FAMILY PRACTICE CLINICS, URGENT CARE CLINICS, QUICK CARE CLINICS, AND SPECIALTY CLINICS, WHICH INCLUDE SUCH SPECIALTIES AS GASTROENTEROLOGY, GERIATRIC MEDICINE, INTERNAL MEDICINE, NEUROLOGY, OTOLARYNGOLOGY, PEDIATRICS, PHYSICAL THERAPY, RHEUMATOLOGY, GYNECOLOGIC ONCOLOGY CARE, AND GENERAL, COLORECTAL, BARIATRICS, PLASTIC, RECONSTRUCTIVE, AND BREAST SURGERY. MERCY CLINICS ARE DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY IN PARTNERSHIP WITH OTHERS. WE DO THIS BY PROVIDING OUR PATIENTS AND THEIR FAMILIES WITH ACCESSIBLE AND EFFECTIVE DISEASE PREVENTION, DIAGNOSIS, TREATMENT, AND EDUCATION. MANY OF OUR EMPLOYEES VOLUNTEER THEIR TIME AND ENERGY IN VARIOUS COMMUNITY ACTIVITIES THROUGHOUT THE GREATER DES MOINES AREA. A BOARD OF DIRECTORS GOVERNS THE CLINICS WITH PHYSICIAN AND HOSPITAL REPRESENTATIVES. THE DIVERSE SPECIALTIES AMID OUR MEDICAL STAFF ALSO LENDS TO SHARED EXPERIENCES AND BEST-PRACTICE DISCUSSIONS, IMPROVING THE QUALITY AND PRODUCTIVITY OF OUR CLINICS. THESE MEDICAL SPECIALTIES, COMBINED WITH OUR LARGE PRIMARY CARE BASE, HELP INSURE THAT OUR PATIENTS WILL BE CARED FOR WITHIN THE MERCY FAMILY. II. COMMUNITY OUTREACH FOR THE POOR THIS PAST YEAR, MANY LOWER INCOME, POOR, AND INDIGENT INDIVIDUALS AND FAMILIES WERE SERVED BY MCI, AND A TOTAL OF $2.3 MILLION IN COMMUNITY BENEFITS, CHARITY CARE COST, ADMINISTRATIVE ADJUSTMENTS, INCLUDING MEDICARE AND AN ADDITIONAL $4.5 MILLION IN BAD DEBT WERE GIVEN IN FISCAL YEAR 2013. VARIOUS ACTIVITIES INCLUDED: CHARITY CARE - ALL MEDICAL COSTS WERE ABSORBED BY MCI FOR PATIENTS WHO WERE UNABLE TO PAY FOR THE MEDICAL CARE THAT THEY HAD RECEIVED. THIS SERVICE WAS PROVIDED TO PATIENTS WHO WERE UNABLE TO PAY DUE TO SPECIAL CIRCUMSTANCES SUCH AS LOW INCOME, NO HEALTH INSURANCE, LOSS OF A JOB, OR DEATH OF THE PATIENT. FREE OR LOW INCOME HEALTH CARE CLINICS - MCI PHYSICIANS AND NURSES DONATED THEIR TIME AND RESOURCES TO HEALTH CARE CLINICS SUCH AS CHRIST THE KING FREE CLINIC AND HOLD FAMILY FREE CLINIC. PATIENT ASSISTANCE PROGRAM (PAP) - INDIVIDUALS WERE ASSISTED BY CLINIC STAFF IN FILLING OUT FORMS FOR VARIOUS PHARMACEUTICAL COMPANIES TO SUPPLY PATIENTS WITH MEDICATIONS AT LITTLE OR NO COST TO THE PATIENT. III. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY A. COMMUNITY EDUCATION & OUTREACH MCI PHYSICIANS AND STAFF CONDUCTED EDUCATIONAL LECTURES THROUGHOUT THE FISCAL YEAR TO VARIOUS FACILITIES AND GROUPS REGARDING A WIDE RANGE OF TOPICS, INCLUDING: WOMEN'S HEALTH ISSUES, RHEUMATOLOGY RELATED ISSUES, STRESS, AND SEASONAL INFLUENZA VACCINATIONS. OTHER OUTREACH PROGRAMS INCLUDED: HEALTH SCREENINGS FOR BLOOD GLUCOSE, BLOOD PRESSURES, AND COLON CANCER SCREENINGS AND EMPLOYEES VOLUNTEERING THEIR TIME TO PARTICIPATE IN FUND RAISING EVENTS SUCH AS THE ARTHRITIS FOUNDATION, AMERICAN DIABETES ASSOCIATION AND JUVENILE DIABETES RESEARCH FOUNDATION, VARIOUS MISSIONS ON THE MOVE, WALK FOR CHILDHOOD CANCER, MULTIPLE SCLEROSIS RACE FOR THE CURE, AND RELAY FOR LIFE. STAFF ALSO HELPED ORGANIZE BLOOD DRIVES AND SUPPLIED AND STAFFED FIRST AID BOOTHS AT AREA EVENTS. CLINIC PHYSICIANS AND STAFF DONATED THEIR TIME FOR SPORTING EVENTS THROUGHOUT THE FISCAL YEAR. THE DOCTORS WERE ON-HAND TO PROVIDE MEDICAL ASSISTANCE FOR SPORTS RELATED INJURIES RECEIVED DURING FOOTBALL OR BASKETBALL GAMES, CROSS COUNTRY MEETS AND WRESTLING MATCHES. THEY ALSO INSTRUCTED STUDENTS ON HOW TO AVOID SPORTS RELATED INJURIES. PHYSICIANS AND STAFF ALSO BECAME MEMBERS OF DIFFERENT HEALTH-RELATED COMMITTEES TO HELP EDUCATE THE COMMUNITY. ORGANIZATIONS INCLUDED WERE: DES MOINES UNIVERSITY BOARD OF TRUSTEES, ARTHRITIS FOUNDATION BOARD, CREATIVE VISIONS BOARD, HEALTHY START PROGRAM, DALLAS COUNTY HOSPITAL BOARD OF TRUSTEES, IOWA MEDICAID PHARMACEUTICAL COMMITTEE, URBAN DREAMS, AND WARREN COUNTY BOARD OF HEALTH. ALSO, DURING THIS PAST FISCAL YEAR, MCI CARE COACHES SPENT ADDITIONAL TIME WITH PATIENTS TO EDUCATE THEM IN THE FIVE "A'S" OF BEHAVIOR CHANGE TOOLS AND TRAINING, I.E. SMOKING CESSATION, EXERCISE PLANS, HEALTHY EATING HABITS. DONATIONS OF SUPPLIES AND CASH WERE GIVEN TO DIFFERENT ORGANIZATIONS THROUGHOUT THE GREATER DES MOINES AREA. THESE ORGANIZATIONS INCLUDE: HABITAT FOR HUMANITY, COMBAT HUNGER, VARIOUS FOOD PANTRIES, SHOES THAT FIT AND COATS THAT FIT CAMPAIGNS, SUPPORT OUR TROOPS, IMPROVE MERCY'S NEIGHBORHOODS, COMMUNITY IMPROVEMENT PROGRAMS, VARIOUS SCHOOL ACTIVITIES AND SUPPLIES. B. MEDICAL EDUCATION TRAINING OF STUDENTS INCLUDED CMA STUDENTS FROM DES MOINES AREA COMMUNITY COLLEGE AND MERCY COLLEGE OF HEALTH SCIENCES. TRAINING ALSO INCLUDES SURGICAL RESIDENTS AND MEDICAL STUDENTS. PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS ARE ALSO SPONSORING ROTATIONS OF NURSE PRACTITIONER STUDENTS FROM VARIOUS SCHOOLS IN THE MIDWEST. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a PER SECTION 8.6 OF THE BYLAWS, THE EXECUTIVE GOVERNANCE COMMITTEE (EGC) SHALL CONSIST OF NO FEWER THAN SIX VOTING MEMBERS. THE EGC SHALL INCLUDE THE THREE PHYSICIAN DIRECTORS, ONE MEMBER APPOINTED BY THE CORPORATE MEMBER AND AN APPROPRIATE MIX, AS DETERMINED BY THE BOARD OF DIRECTORS, OF PRIMARY CARE AND SPECIALTY PHYSICIANS IN ORDER TO REFLECT THE ACTIVITIES OF THE CORPORATION. EACH MEMBER OF THE EGC OTHER THAN THE CHIEF MEDICAL OFFICER, IF ANY, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE MEMBER APPOINTED BY THE CORPORATE MEMBER SHALL BE A PHYSICIAN EMPLOYED BY THE CORPORATION AND APPOINTED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. UPON THE REQUEST OF THE BOARD OF DIRECTORS, THE EGC SHALL ADVISE AND MAKE RECOMMENDATIONS TO THE BOARD OF DIRECTORS REGARDING ANY MATTER INVOLVING THE MEDICAL SERVICES PROVIDED BY THE PHYSICIAN EMPLOYEES OF THE CORPORATION AND ANY MATTER THAT IT BELIEVES IS OF CONCERN TO THE PHYSICIAN EMPLOYEES OF THE CORPORATION; DEVELOP AND IMPLEMENT MEDICAL EDUCATION PROGRAMS; DEVELOP AND IMPLEMENT RULES OF MEDICAL PRACTICE; PROVIDE UTILIZATION REVIEW, UTILIZATION MANAGEMENT AND QUALITY ASSURANCE OVERSIGHT; AND PROVIDE ADVICE AND COUNSEL TO THE PHYSICIAN COMPENSATION COMMITTEE ON MATTERS RELATED TO PHYSICIAN COMPENSATION. THE EGC SHALL BE ADVISORY ONLY AND SHALL NOT HAVE ANY POWERS OF THE BOARD EXCEPT AS MAY BE SPECIFICALLY DELEGATED BY THE BOARD FROM TIME TO TIME. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 PER SECTION 6.1 OF THE BYLAWS, THE SOLE MEMBER OF THE CORPORATION SHALL BE CATHOLIC HEALTH INITIATIVES - IOWA, CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION (THE CORPORATE MEMBER). Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE RIGHT TO SELECT THE DIRECTORS OF THE CORPORATION IS RESERVED TO THE CORPORATE MEMBER. PER SECTION 5.5 OF THE BYLAWS, DIRECTORS SHALL BE APPROVED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30TH OF EACH YEAR, AS NEEDED TO FILL ANY EXPIRED TERMS OR VACANCIES AMONG THE DIRECTORS. THE CORPORATE MEMBER SHALL SELECT THE PHYSICIAN DIRECTORS FROM A SLATE OF QUALIFIED CANDIDATES PROVIDED TO IT BY THE NOMINATING ADVISORY COMMITTEE. NOTWITHSTANDING ANYTHING IN THESE BYLAWS TO THE CONTRARY, SHOULD PHYSICIAN DIRECTORS FAIL TO BE APPROVED IN ACCORDANCE WITH THE PREVIOUS SENTENCE OR PURSUANT TO SECTION 5.9, THE CORPORATE MEMBER SHALL REQUEST THE NOMINATING ADVISORY COMMITTEE TO PROVIDE AN ADDITIONAL SLATE OF QUALIFIED CANDIDATES FOR APPROVAL BY THE CORPORATE MEMBER. THEREAFTER, SHOULD PHYSICIAN DIRECTORS FAIL TO BE APPROVED, THE CORPORATE MEMBER MAY UNILATERALLY APPOINT PHYSICIAN DIRECTORS AS NEEDED TO FILL EXPIRED TERMS OR VACANCIES AMONG PHYSICIAN DIRECTORS. FURTHER, SECTION 5.6.2 OF THE BYLAWS PROVIDES THAT, AFTER CONSULTATION WITH THE EXECUTIVE GOVERNANCE COMMITTEE, ANY DIRECTOR MAY BE REMOVED AT ANY TIME, WITH OR WITHOUT CAUSE, BY THE CORPORATE MEMBER OR THE PARENT CORPORATION. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. PURSUANT TO ARTICLE 6.4 OF THE ORGANIZATION'S AMENDED BYLAWS, THE CORPORATE MEMBER SHALL HAVE THE RIGHT TO APPROVE ANY OF THE ACTIONS SET FORTH BELOW, EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION, ELSEWHERE IN THE BYLAWS, OR IN THE LAWS OF THE STATE OF IOWA: ANY CHANGE IN THE MISSION OR PHILOSOPHY OF THE CORPORATION; ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; THE REMOVAL, WITH OR WITHOUT CAUSE, OF ANY MEMBER OF THE BOARD OF DIRECTORS OF THE CORPORATION; THE INCURRENCE OF DEBT, INCLUDING WITHOUT LIMITATION, BORROWINGS, GUARANTEES, LOANS, ENCUMBRANCES, OPERATING LEASES, AND CAPITAL LEASES, IN EXCESS OF THRESHOLDS AND WITHIN THE LIMITS ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; ANY JOINT VENTURE TO WHICH THE CORPORATION IS A PARTY; THE CREATION OF A NEW CORPORATION, PARTNERSHIP, OR LIMITED LIABILITY COMPANY BY THE CORPORATION; ANY MERGER OR CONSOLIDATION TO WHICH THE CORPORATION IS A PARTY; THE SALE OR DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; THE ADOPTION OF LONG RANGE AND STRATEGIC PLANS; THE ADOPTION OF OPERATING AND CAPITAL BUDGETS AND AMENDMENTS THERETO; AND ANY VARIATIONS FROM PREVIOUSLY APPROVED OPERATING AND/OR CAPITAL BUDGETS, IN EXCESS OF THRESHOLDS ESTABLISHED BY THE CORPORATE MEMBER. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b MERCY CLINICS, INC.'S FORM 990 IS REVIEWED BY THE CFO BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. IN ADDITION, THE 990 WILL BE PRESENTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED BOARD MEETING, FOLLOWING THE FILING OF THE RETURN. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT EACH BOARD MEMBER COMPLETE AN ANNUAL QUESTIONNAIRE THAT DISCLOSES POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. IF A POTENTIAL CONFLICT EXISTS, THE BOARD OR COMMITTEE DETERMINES WHETHER THE BOARD MEMBER SHOULD BE EXCLUDED FROM VOTING OR DISCUSSION ON THAT PARTICULAR MATTER. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR THE TOP MANAGEMENT OFFICIAL. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2011 FOR CALENDAR YEAR 2012 COMPENSATION. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS, NOT INCLUDING PHYSICIAN EMPLOYEES. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARD AND GUIDELINES FOR APPROPRIATENESS. COMPENSATION FOR EMPLOYED PHYSICIANS OF MCI IS APPROVED BY THE PHYSICIAN TRANSACTION REVIEW COMMITTEE OF CHI IOWA, CORP. THAT COMMITTEE IS COMPOSED OF A GROUP OF INDEPENDENT CHI IOWA, CORP. BOARD MEMBERS. THE PTRC CONSIDERS AND DOCUMENTS THE USE OF APPROPRIATE COMPARABILITY DATA IN EVALUATING AND APPROVING REASONABLE PHYSICIAN COMPENSATION. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE IOWA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT CREIGHTON HEALTH 12809 WEST DODGE ROAD OMAHA NE 68154 HEALTHCARE NE 501(C)(3) 3 NA true ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 HEALTHCARE IA 501(C)(3) 3 AHIMC true ALEGENT HEALTH FOUNDATION 12809 WEST DODGE ROAD OMAHA NE 68154 FUNDRAISING NE 501(C)(3) 7 ACH true ALEGENT HEALTH IMMANUEL MEDICAL CENTER 6901 NORTH 72ND STREET OMAHA NE 68122 HEALTHCARE NE 501(C)(3) 3 ACH true ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER NE 104 W 17TH STREET SCHUYLER NE 68661 HEALTHCARE NE 501(C)(3) 3 AHIMC true ALEGENT HEALTH - MERCY HOSPITAL CORNING IOWA PO BOX 368 CORNING IA 50841 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTH CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 NA true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 7 CHIC true CATHOLIC HEALTH INITIATIVES INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES NATIONAL FOUNDATION 6385 CORPORATE DRIVE COLORADO SPRINGS CO 80919 FUNDRAISING CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES-COLORADO 188 INVERNESS DRIVE WEST SUITE 500 ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 3 CHI true CATHOLIC HEALTH INITIATIVES-IOWA CORP DBA MERCY MEDICAL CENTER-DES MOINES 1111 6TH AVENUE DES MOINES IA 50314 HEALTHCARE IA 501(C)(3) 3 CHI true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 PHYSICIANS OR 501(C)(3) 9 MMC true CENTRAL KANSAS MEDICAL CENTER 3515 BROADWAY GREAT BEND KS 67530 SURGERY CNTR KS 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY SOUTH FARGO ND 58104 HEALTHCARE ND 501(C)(3) 9 CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 9 CHI NHC true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NEBRASKA 6940 O STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true COMMUNITY LIMITED CARE DIALYSIS CENTER 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 DIALYSIS OH 501(C)(2) N/A GSH true COMMUNITY MEMORIAL HOSPITAL MEDICAL SERVICE FOUNDATION MISSOURI VALLEY IA 631 N 8TH STREET MISSOURI VALLEY IA 51555 FUNDRAISING IA 501(C)(3) 11 - Type I AHCMH true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 LTACH KY 501(C)(3) 3 SJHS true COVENANT HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 HOME HEALTH PA 501(C)(3) 11 - Type II NA true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 HEALTHCARE KY 501(C)(3) 3 KOH true FLAGET MEMORIAL HOSPITAL FOUNDATION 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 FUNDRAISING KY 501(C)(3) 11 - Type I FH true FRANCISCAN FOUNDATION 1717 SOUTH J STREET TACOMA WA 98405 FUNDRAISING WA 501(C)(3) 9 FHS true FRANCISCAN HEALTH SYSTEM 1717 SOUTH J STREET TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 3 CHI true FRANCISCAN MEDICAL GROUP 1708 SOUTH YAKIMA AVENUE TACOMA WA 98405 HEALTHCARE WA 501(C)(3) 9 FHS true FRANCISCAN VILLA OF SOUTH MILWAUKEE 3601 SOUTH CHICAGO AVENUE SOUTH MILWAUKEE WI 53172 HEALTHCARE WI 501(C)(3) 9 CHI true GETTYSBURG MEDICAL CENTER 606 EAST GARFIELD AVENUE GETTYSBURG SD 57442 HEALTHCARE SD 501(C)(3) 3 SMHC true GLOBAL HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 MINISTRIES CO 501(C)(3) 11 - Type I CHI true GOOD SAMARITAN COLLEGE OF NURSING & HEALTH SCIENCE 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 EDUCATION OH 501(C)(3) 2 GSH true GOOD SAMARITAN FOUNDATION OF CINCINNATI INC 619 OAK STREET - ACCOUNTING 3 WEST CINCINNATI OH 45206 FUNDRAISING OH 501(C)(3) 11 - Type I GSH true GOOD SAMARITAN HOSPITAL PO BOX 1990 KEARNEY NE 68848 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true GOOD SAMARITAN HOSPITAL FOUNDATION 111 W 31ST STREET KEARNEY NE 68847 FUNDRAISING NE 501(C)(3) 7 GSH true ST LUKE'S MEDICAL GROUP FKA GREATER HOUSTON HEALTH NETWORK 6624 FANNIN HOUSTON TX 77030 PHY PRACTICES TX 501(C)(3) 3 SLHS true HEALTH SET 4200 WEST CONEJOS PLACE 436 DENVER CO 80204 LOW INC.CARE CO 501(C)(3) 7 CHIC true HEALTHCARE AND WELLNESS FOUNDATION 2400 ST FRANCIS DRIVE BRECKENRIDGE MN 56520 FUNDRAISING MN 501(C)(3) 11 - Type I SFMC true HIGHLINE MEDICAL CENTER 16251 SYLVESTER RD SW BURIEN WA 98166 HEALTHCARE WA 501(C)(3) 3 FHS true HOSPITAL ASSOCIATION FOR ST JOSEPH HOSPITAL 7601 OSLER DRIVE TOWSON MD 21204 HEALTHCARE MD 501(C)(3) 9 SJMC true HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 SHELTER IA 501(C)(3) 7 CHI-IA CORP true JEWISH HOSPITAL AND ST MARY'S HEALTHCARE INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 3 KOH true JEWISH PHYSICIAN GROUP INC 539 S 4TH STREET LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 JHSMH true KENTUCKYONE HEALTH INC FKA JH PROPERTIES INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 HEALTHCARE KY 501(C)(3) 9 CHI true LAKEWOOD HEALTH CENTER 600 MAIN AVENUE SOUTH BAUDETTE MN 56623 HEALTHCARE MN 501(C)(3) 3 CHI true LINUS OAKES INC 2700 STEWART PARKWAY ROSEBURG OR 97470 SENIOR LIVING OR 501(C)(3) 9 MMC true LISBON AREA HEALTH SERVICES 905 MAIN STREET LISBON ND 58054 HEALTHCARE ND 501(C)(3) 3 CHI true MEMORIAL HEALTH CARE SYSTEM FOUNDATION 2525 DE SALES AVENUE CHATTANOOGA TN 37404 FUNDRAISING TN 501(C)(3) 7 MHCS true MEMORIAL HEALTH CARE SYSTEM INC 2525 DE SALES AVENUE CHATTANOOGA TN 37404 HEALTHCARE TN 501(C)(3) 3 CHI true MEMORIAL HEALTH PARTNERS FOUNDATION INC 5600 BRAINERD ROAD SUITE 500 CHATTANOOGA TN 37411 HEALTHCARE TN 501(C)(3) 9 MHCS true MERCY AUXILIARY OF CENTRAL IOWA 1111 6TH AVENUE DES MOINES IA 50314 AUXILIARY IA 501(C)(3) 11 - 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Type I OCH true PUEBLO STEPUP 1925 EAST ORMAN AVE SUITE G52 PUEBLO CO 81004 COMMUNITY CO 501(C)(3) 7 CHIC true SET OF COLORADO SPRINGS INC 2864 S CIRCLE DRIVE SUITE 450 COLORADO SPRINGS CO 80906 LTERM CARE CO 501(C)(3) 7 CHIC true SAINT CLARE'S COMMUNITY CARE 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 11 - Type II SCHS true SAINT CLARE'S FOUNDATION 25 POCONO ROAD DENVILLE NJ 07834 FUNDRAISING NJ 501(C)(3) 7 SCHS true SAINT CLARE'S HEALTH SERVICES INC 25 POCONO ROAD DENVILLE NJ 07834 MANAGEMENT NJ 501(C)(3) 7 CHI true SAINT CLARE'S HOSPITAL 25 POCONO ROAD DENVILLE NJ 07834 HEALTHCARE NJ 501(C)(3) 3 SCHS true SAINT ELIZABETH FOUNDATION 555 SOUTH 70TH STREET LINCOLN NE 68510 FUNDRAISING NE 501(C)(3) 7 SERMC true SAINT ELIZABETH HEALTH SERVICES 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 SERMC true SAINT ELIZABETH REGIONAL MEDICAL CENTER 555 SOUTH 70TH STREET LINCOLN NE 68510 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER 2620 WEST FAIDLEY GRAND ISLAND NE 68803 HEALTHCARE NE 501(C)(3) 3 CHI NEBRASKA true SAINT FRANCIS MEDICAL CENTER FOUNDATION PO BOX 9804 GRAND ISLAND NE 68802 FUNDRAISING NE 501(C)(3) 7 SFMC true SAINT JOSEPH BEREA HOSPITAL FOUNDATION INC 305 ESTILL STREET BEREA KY 40403 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH HEALTH SYSTEM INC 424 LEWIS HARGETT CIRCLE 160 LEXINGTON KY 40503 HEALTHCARE KY 501(C)(3) 3 CHI true SAINT JOSEPH LONDON FOUNDATION INC 1001 SAINT JOSEPH LANE LONDON KY 40741 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH MEDICAL FOUNDATION INC 200 ABRAHAM FLEXNER WAY LOUISVILLE KY 40202 PHY PRACTICES KY 501(C)(3) 3 SJHS true SAINT JOSEPH MOUNT STERLING FOUNDATION INC 225 FALCON DRIVE MOUNT STERLING KY 40353 FUNDRAISING KY 501(C)(3) 7 SJHS true SAINT JOSEPH'S HOSPITAL FOUNDATION 30 WEST 7TH STREET DICKINSON ND 58601 FUNDRAISING ND 501(C)(3) 11 - 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