MERCY MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MERCY MEDICAL CENTER (EIN 42-0698295)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201411359349304846
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T12:10:36-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N HARRISON STREET SUITE 300 | AddressLine1 |
| City | DAVENPORT | City |
| State | IA | State |
| ZIP Code | 528011999 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420698295 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 3193986107 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH STREET SE | AddressLine1 |
| City | CEDAR RAPIDS | City |
| State | IA | State |
| ZIP Code | 52403 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PHILIP PETERSON | Name |
| Title | PRESIDENT & CHIEF EXECUTIVE OFFICER | Title |
| Phone | 3193986107 | Phone |
| Date Signed | 2014-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN J ROMANO | Name |
| PTIN | P00227323 | PTIN |
| Phone | 5638884000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TIMOTHY CHARLES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH STREET SE | AddressLine1 |
| City | CEDAR RAPIDS | City |
| State | IA | State |
| ZIP Code | 52403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 301832483 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MERCYCARE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1900 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 31 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 25 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2892 | TotalNbrEmployees |
| Total Nbr Volunteers | 987 | TotalNbrVolunteers |
| Total Gross UBI | 981426 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -536934 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 5715655 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5271930 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 283201650 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 262410378 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3494689 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9481560 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1779802 | OtherRevenuePriorYear |
| Other Revenue Current Year | -1134135 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 290632192 | TotalRevenuePriorYear |
| Total Revenue Current Year | 276029733 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4461011 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5288858 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 120192169 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 131460397 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 148487949 | OtherExpensePriorYear |
| Other Expenses Current Year | 133820411 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 273141129 | TotalExpensesPriorYear |
| Total Expenses Current Year | 270569666 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 17491063 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5460067 | RevenuesLessExpensesCY |
| Total Assets BOY | 477555554 | TotalAssetsBOY |
| Total Assets EOY | 532041098 | TotalAssetsEOY |
| Total Liabilities BOY | 183464391 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 210599178 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 294091163 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 321441920 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 206113914 | Expense |
| Grants | 5288858 | Grants |
| Revenue | 262514378 | Revenue |
| Description | THE MEDICAL CENTER 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) - $29,315,377; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,053,912; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $4,699,864; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $3,764,742; PHYSICIAN EDUCATION - $493,313.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 62,000 HOUSEHOLDS IN 2013 AT A TOTAL COST OF OVER $60,900. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS OFFERED ON TOPICS INCLUDING CHRONIC BACK AND NECK PAIN, PRENATAL EDUCATION, BREAST FEEDING, DIABETES, EATING DISORDERS, OSTEOPOROSIS, CROHNS/COLITIS, CARDIOVASCULAR DISEASE AND WELLNESS, SPECIALIZED CANCER SEMINARS FOR SOCIAL WORKERS, DENTAL HYGIENISTS, NURSES, DENTISTS, AND PHYSICIANS ARE ALSO FREQUENTLY OFFERED. C. HOSPITAL MEETING FACILITIES 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, AND ARC OF EAST CENTRAL IOWA. D. CONTRIBUTIONS OF 126,140 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,487,000 AND WAS GIVEN BACK THE THE COMMUNITY THROUGH LOWER COSTS. | Description |
| Total Program Service Expense | 206113914 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 276 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2892 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 31 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 25 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAY CRIST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3193986107 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH STREET SE | AddressLine1 |
| City | CEDAR RAPIDS | City |
| State | IA | State |
| ZIP Code | 52403 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (48 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOHN-PAUL BESONG | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| LYDIA BROWN | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| MICHELE BUSSE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| TIMOTHY CHARLES | ||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 40.00 | X | 481635 | 0 | 152404 | X | ||
| JACK COSGROVE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| CHRIS DEWOLF | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| BARRIE ERNST | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| TONY GOLOBIC | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER LUANN HANNASCH | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| DON HATTERY | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| JOE HLADKY | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| NANCY KASPAREK | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| JAN KAZIMOUR | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| BARB KNAPP | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| LEE LIU | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER TERRY MALTBY | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| BRUCE MCGRATH | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| CHERYLE MITVALSKY | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| DARREL MORF | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| DAVE NEUHAUS | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| RUE PATEL | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| FRED PILCHER MD | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| MARK POSPISIL MD | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| MARY QUASS | ||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | ||
| TOM REED | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER LAURA REICKS | ||||||||
| FORMER MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| JOHN RIFE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| CHARLIE ROHDE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| AL RUFFALO | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| EMMETT SCHERRMAN | ||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | ||
| KYLE SKOGMAN | ||||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | ||
| JOHN SMITH | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER MAURITA SOUKUP | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER SHARI SUTHERLAND | ||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | ||
| BOB VERHILLE | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| SISTER MARGARET WEIGEL | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| DEB WILBUR MD | ||||||||
| MEMBER BOARD OF TRUSTEES | 1.00 | X | 0 | 0 | 0 | |||
| PHILIP PETERSON | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 328637 | 0 | 61332 | X | |||
| JEFFREY CASH | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 249035 | 0 | 47219 | X | |||
| DOUG JONTZ | ||||||||
| VP - HUMAN RESOURCES | 40.00 | 203378 | 0 | 21494 | X | |||
| LAURA REED | ||||||||
| CHIEF NURSING OFFICER | 40.00 | 246770 | 0 | 37356 | X | |||
| MICHAEL TRACTA | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | 397026 | 0 | 64453 | X | |||
| MARK VALLIERE MD | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 339337 | 0 | 108074 | X | |||
| DEE BROWN-EADIE | ||||||||
| EXECUTIVE DIRECTOR, CANCER | 40.00 | 180922 | 0 | 11585 | X | |||
| STEVE DRAKE | ||||||||
| VP MARKETING | 40.00 | 149142 | 0 | 17145 | X | |||
| HUI LI | ||||||||
| RADIATION PHYSICIST | 40.00 | 247052 | 0 | 26784 | X | |||
| SUNDARA MUNAGALA | ||||||||
| PSYCHIATRIST | 40.00 | 272293 | 0 | 21473 | X | |||
| DESMOND WATERS | ||||||||
| DIRECTOR, PHARMACY SERVICE | 40.00 | 158843 | 0 | 21652 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3254070 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 590971 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HMP OF LINN COUNTY PLC | |||||
| PO BOX 645037 | CINCINNATI | OH | 45264 | HEALTHCARE PROFESSIONAL SERVICES | 3345224 |
| VITAL SUPPORT SYSTEM LLC | |||||
| 4250 GLASS ROAD NE 100 | CEDAR RAPIDS | IA | 52402 | CONSULTING | 3270361 |
| ONCOLOGY ASSOCIATES OF CEDAR RAPIDS | |||||
| 701 10TH ST SE 3RD FL HPCC | CEDAR RAPIDS | IA | 52403 | HEALTHCARE PROFESSIONAL SERVICES | 2061744 |
| WELAND CLINICAL LABORATORY | |||||
| 1911 1ST AVE SE PO BOX 1924 | CEDAR RAPIDS | IA | 52406 | HEALTHCARE PROFESSIONAL SERVICES | 768323 |
| SEMINOLE ENERGY SERVICES LLC | |||||
| 1323 EAST 71ST STREET STE 300 | TULSA | OK | 74136 | ENERGY | 598636 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 36 | NumberOfContractorsGT100K |
| Related Organizations | 4974122 | RelatedOrganizations |
| All Other Contributions | 297808 | AllOtherContributions |
| Noncash Contributions | 52645 | NoncashContributions |
| Total Contributions | 5271930 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUES | 900099 | 216397444 | 216397444 | |
| LABORATORY REVENUE | 621500 | 59254165 | 58320861 | 933304 |
| FITNESS CENTER REVENUE | 900099 | 460231 | 460231 | |
| FAMILY COUNSELING REVENUE | 624100 | 291248 | 291248 | |
| LESS: PROVISION FOR BAD DEBT | 900099 | -13992710 | -13992710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 262410378 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3203004 | TotalRevenueColumn |
| Exclusion | $3,203,004 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2027139 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1630964 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 396175 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 396175 | TotalRevenueColumn |
| Exclusion | $396,175 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 27656014 | Securities |
| Other | 23000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 21225728 | Securities |
| Other | 174730 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6430286 | Securities |
| Other | -151730 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6278556 | TotalRevenueColumn |
| Exclusion | $6,278,556 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 2773557 | GrossSalesOfInventory |
| Cost Of Goods Sold | 2771328 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2229 | TotalRevenueColumn |
| Exclusion | $2,229 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| MRI MR ASSOCIATES | 621110 | 2525771 | 2525771 | |
| INVESTMENT PARTNERSHIP INCOME(LOS | 900099 | 1147767 | 1099645 | 48122 |
| MRI JOINT VENTURE | 621110 | -5206077 | -5206077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | -1532539 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 276029733 | TotalRevenueColumn |
| Related Or Exempt Function Income | 259896413 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 981426 | UnrelatedBusinessRevenue |
| Exclusion | $9,879,964 | ExclusionAmount |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5288858 | Total |
| Program Services | 5288858 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2514089 | Total |
| Program Services | 2514089 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98318691 | Total |
| Program Services | 73819170 | ProgramServices |
| Management And General | 24499521 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8203730 | Total |
| Program Services | 6210455 | ProgramServices |
| Management And General | 1993275 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15316423 | Total |
| Program Services | 11594964 | ProgramServices |
| Management And General | 3721459 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7107464 | Total |
| Program Services | 5380551 | ProgramServices |
| Management And General | 1726913 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18900 | Total |
| Program Services | 14308 | ProgramServices |
| Management And General | 4592 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317248 | Total |
| Program Services | 240166 | ProgramServices |
| Management And General | 77082 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168777 | Total |
| Program Services | 127769 | ProgramServices |
| Management And General | 41008 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28019 | Total |
| Program Services | 21211 | ProgramServices |
| Management And General | 6808 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33992 | Total |
| Program Services | 25733 | ProgramServices |
| Management And General | 8259 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12911704 | Total |
| Program Services | 9774524 | ProgramServices |
| Management And General | 3137180 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2120707 | Total |
| Program Services | 1605435 | ProgramServices |
| Management And General | 515272 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60534640 | Total |
| Program Services | 45826430 | ProgramServices |
| Management And General | 14708210 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6525346 | Total |
| Program Services | 4939871 | ProgramServices |
| Management And General | 1585475 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16500 | Total |
| Program Services | 12491 | ProgramServices |
| Management And General | 4009 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3161465 | Total |
| Program Services | 2393318 | ProgramServices |
| Management And General | 768147 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 295761 | Total |
| Program Services | 223899 | ProgramServices |
| Management And General | 71862 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29346 | Total |
| Program Services | 22216 | ProgramServices |
| Management And General | 7130 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3056025 | Total |
| Program Services | 2313497 | ProgramServices |
| Management And General | 742528 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20408666 | Total |
| Program Services | 15449936 | ProgramServices |
| Management And General | 4958730 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 822627 | Total |
| Program Services | 622752 | ProgramServices |
| Management And General | 199875 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED SERVICES | 8901454 | 6738652 | 2162802 |
| REPAIRS | 6391533 | 4838571 | 1552962 |
| EQUIPMENT RENTAL & MAIN | 2578125 | 1951713 | 626412 |
| HUMAN RESOURCES | 1847116 | 1398319 | 448797 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3652460 | Total |
| Program Services | 2765016 | ProgramServices |
| Management And General | 887444 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270569666 | Total |
| Program Services | 206113914 | ProgramServices |
| Management And General | 64455752 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 632661 | BOY |
| EOY | 917080 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12192434 | BOY |
| EOY | 18949670 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43664551 | BOY |
| EOY | 40793315 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 396056 | BOY |
| EOY | 701174 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5617699 | BOY |
| EOY | 6226905 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2532370 | BOY |
| EOY | 3983552 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 417091467 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 205953619 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 198965484 | BOY |
| EOY | 211137848 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61991214 | BOY |
| EOY | 69366297 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95292665 | BOY |
| EOY | 117547241 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56166487 | BOY |
| EOY | 62190689 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 103933 | BOY |
| EOY | 227327 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477555554 | BOY |
| EOY | 532041098 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32214753 | BOY |
| EOY | 34083771 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79300000 | BOY |
| EOY | 122122499 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71949638 | BOY |
| EOY | 54392908 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183464391 | BOY |
| EOY | 210599178 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260620347 | BOY |
| EOY | 284551909 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9584831 | BOY |
| EOY | 12221260 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23885985 | BOY |
| EOY | 24668751 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 294091163 | BOY |
| EOY | 321441920 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 477555554 | BOY |
| EOY | 532041098 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5460067 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | -1439756 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 23330446 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $28,019 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 28019 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 23% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $26,813, AND 3% OF MEMBERSHIP DUES TO THE CATHOLIC HEALTH ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $1,206. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 31300732 | BeginningOfYearBalance |
| Contributions | 514737 | Contributions |
| Investment Earnings Or Losses | 1667102 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 548509 | GrantsOrScholarships |
| End Of Year Balance | 32934062 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 29795537 | BeginningOfYearBalance |
| Contributions | 1481261 | Contributions |
| Investment Earnings Or Losses | 723609 | InvestmentEarningsOrLosses |
| Other Expenditures | 135675 | OtherExpenditures |
| Administrative Expenses | 564000 | AdministrativeExpenses |
| End Of Year Balance | 31300732 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 27886845 | BeginningOfYearBalance |
| Contributions | 151882 | Contributions |
| Investment Earnings Or Losses | 4618232 | InvestmentEarningsOrLosses |
| Other Expenditures | 2317922 | OtherExpenditures |
| Administrative Expenses | 543500 | AdministrativeExpenses |
| End Of Year Balance | 29795537 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 26505127 | BeginningOfYearBalance |
| Contributions | 234657 | Contributions |
| Investment Earnings Or Losses | 1633447 | InvestmentEarningsOrLosses |
| Administrative Expenses | 486386 | AdministrativeExpenses |
| End Of Year Balance | 27886845 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 29036036 | BeginningOfYearBalance |
| Contributions | 2000 | Contributions |
| Investment Earnings Or Losses | -2532909 | InvestmentEarningsOrLosses |
| End Of Year Balance | 26505127 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.14910 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.74900 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.10190 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18459607 | OtherCostOrOtherBasis |
| Book Value | 18459607 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 260074548 | OtherCostOrOtherBasis |
| Depreciation | 133453156 | Depreciation |
| Book Value | 126621392 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135606624 | OtherCostOrOtherBasis |
| Depreciation | 70325925 | Depreciation |
| Book Value | 65280699 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2950688 | OtherCostOrOtherBasis |
| Depreciation | 2174538 | Depreciation |
| Book Value | 776150 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 211137848 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MONEY MARKET FUNDS | 2124756 | F |
| COMMERCIAL PAPER & CASH | 27684023 | F |
| MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS, & REAL ESTATE | 87738462 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 117547241 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated (6 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| INVESTMENT IN MERCY MEDICAL CENTER FOUNDATION | 57875213 | C |
| DEFERRED FINANCING COSTS | 1079224 | C |
| INVESTMENT IN CEDAR RAPIDS PHO | 813000 | C |
| SLEEP LAB JOINT VENTURE | 1151000 | C |
| INVESTMENT IN MR ASSOCIATES | 532000 | C |
| INVESTMENT IN MEDICAL MALL | 740252 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 62190689 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST RATE SWAP AGREEMENTS | $9,749,837 |
| PENSION LIABILITY | $36,433,726 |
| SELF INSURANCE RESERVES | $7,245,215 |
| THIRD PARTY SETTLEMENTS | $736,803 |
| NET EQUITY IN MERCY MEDICAL CENTER AUXILIARY | $70,481 |
| NET EQUITY IN MERCY MEDICAL CENTER FLOWER SHOP | $156,846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 54392908 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 296871180 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1439756 | NetUnrealizedGainsInvestments |
| Other Revenues | 21547380 | OtherRevenues |
| Revenue Not Rptd F990 | 20107624 | RevenueNotRptdF990 |
| Revenue Subtotal | 276763556 | RevenueSubtotal |
| Other Revenues Not Included | -733823 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -733823 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 276029733 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 269520423 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 1985299 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1985299 | ExpensesNotRptdF990 |
| Expenses Subtotal | 267535124 | ExpensesSubtotal |
| Other Expenses Not Included | 3034542 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3034542 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 270569666 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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 CANCER CENTER & CANCER PROGRAMS, NEUROSCIENCES, HOSPICE OF MERCY, HOSPICE HOUSE, PATIENT CARE, TRAUMA CENTER, THRIVE PROGRAM, FIT FAMILIES, HALLMAR, HUSTON FUND (RADIOLOGY), BENEFICIAL INTERESTS IN TRUSTS, WATTS LIBRARY, MERCY MEDICAL CENTER CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTORS' DISCRETION. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION 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, 2013 AND 2012, 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 6,244,286. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN 12,400,783. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 5,402,311. GRANT TO MERCYARE SERVICE CORPORATION INCLUDED WITH REVENUES -2,500,000. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -1,899,487. LOSS ON SALE OF ASSETS -151,730. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT 27,337. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 636,952. CHARITABLE CONTRIBUTION REVENUE INCLUDED WITH EXPENSES IN REPORT 65,918. NONCASH CONTRIBUTION REVENUE NOT REPORTED FOR BOOKS 52,645. ADDITIONAL CONTRIBUTION REVENUE NOT INCLUDED FOR BOOKS 534,542. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 1,899,487. LOSS ON SALE OF FIXED ASSETS 151,730. CHARITABLE CONTRIBUTION REVENUE INCLUDED WITH EXPENSES IN REPORT -65,918. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 2,500,000. ADDITIONAL CONTRIBUTION EXPENSE NOT INCLUDED FOR BOOKS 534,542. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 1000.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4720642 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4720642 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01740 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22640488 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16709015 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5931473 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02190 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27361130 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16709015 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10652115 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03930 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 954000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 954000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1820000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1133000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 687000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9948000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7661000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2287000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 368000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 368000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13090000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8794000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4296000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01590 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40451130 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25503015 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14948115 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05520 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 20162 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 20162 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35358 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 35358 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 325 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 325 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 516355 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 516355 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7734 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 7734 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 579934 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 579934 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $13,992,710 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 101896360 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 124080703 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -22184343 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 1 MR ASSOCIATES LLP | |||
| MRI SERVICES | 0.33000 | 0.00000 | 0.33000 |
| 2 EASTERN IOWA SLEEP CENTER LLC | |||
| SLEEP STUDIES | 0.33000 | 0.00000 | 0.33000 |
| 3 CEDAR RAPIDS PHYSICIAN HOSPITAL ORGANIZATION | |||
| PAYOR CONTRACTING | 0.39000 | 0.00000 | 0.61000 |
| 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) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 10TH STREET SE | AddressLine1 |
| City | CEDAR RAPIDS | City |
| State | IA | State |
| ZIP Code | 52403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MERCYCARE.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 1000.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | Return ReferenceReturnReference | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3C: NOT APPLICABLE | ||
| PART I, LINE 6A: NOT APPLICABLE | ||
| PART I, LINE 7: MERCY MEDICAL CENTER UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO, AND THIS RATIO WAS USED IN COMPUTING THE INFORMATION REPORTED IN PART I, LINE 7. | ||
| PART I, LINE 7G: NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. | ||
| PART I, L7 COL(F): BAD DEBT EXPENSE WAS NOT INCLUDED IN THE DENOMINATOR BECAUSE IT WAS REPORTED ON LINE 2E OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 14.95%. THIS PERCENTAGE INCREASES TO 60.81% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN THE TOTAL COMMUNTY BENEFIT EXPENSE. | ||
| PART II: MERCY MEDICAL CENTER PARTICIPATED IN A NUMBER OF COMMUNITY BUILDING ACTIVITIES THAT PROMOTED THE HEALTH OF THE COMMUNITIES IT SERVES. THIS WAS DONE THROUGH MERCY REPRESENTATION ON A NUMBER OF COALITIONS, COMMITTEES AND BOARDS. ADDITIONALLY, MERCY SUPPORTED THE EFFORTS OF LOCAL ROTARY AND CHAMBER OF COMMERCE. MERCY MADE FINANCIAL CONTRIBUTIONS TO NON-PROFIT ORGANIZATIONS THAT SUPPORT COMMUNITY-BUILDING EFFORTS, INCLUDING PHYSICAL IMPROVEMENTS, ECONOMIC DEVELOPMENT AND COMMUNITY SUPPORT. MERCY PROVIDES REPRESENTATION ON THE FOLLOWING COMMUNITY-BUILDING COALITIONS, BOARDS, AND COMMITTEES: - AGING SERVICES BOARD - BIG BROTHERS BIG SISTERS - CATHERINE MCAULEY CENTER BOARD - CEDAR RAPIDS CHAMBER OF COMMERCE - COMMUNITY EMERGENCY RESPONSE TEAM - MARION CHAMBER OF COMMERCE - DAYBREAK ROTARY - DIVERSITY FOCUS BOARD - HACAP BOARD - MEET ME AT THE MARKET COMMITTEE - SAFE KIDS LINN COUNTY COALITION - UNITED WAY TEAMS AND BOARD - WOMEN'S LEADERSHIP INITIATIVE - WILLIS DADY EMERGENCY SHELTER - YOUNG PARENTS NETWORK BOARD | ||
| BAD DEBT RECORDED IS THE UNPAID AMOUNT OF THE PATIENTS ACCOUNT; IT DOES NOT REFLECT GROSS ESTABLISHED CHARGES. FOR PATIENTS WITH INSURANCE COVERAGE, THIS IS THE RESULTING PATIENT LIABILITY AFTER INSURANCE PAYMENTS AND CONTRACTUAL ALLOWANCES HAVE BEEN APPLIED TO THE ACCOUNT. FOR PATIENTS WITHOUT INSURANCE COVERAGE, A DISCOUNT PERCENTAGE BASED ON CURRENT ORGANIZATION POLICY IS APPLIED TO GROSS ESTABLISHED CHARGES BEFORE THE PATIENT IS BILLED. IF THEY DO NOT PAY THIS REMAINING AMOUNT AND DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THIS AMOUNT WOULD BE APPLIED TO BAD DEBT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAS BEEN WRITTEN OFF TO BAD DEBT ARE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS FROM INSURANCE OR SELF-PAY ACCOUNTS ARE WRITTEN OFF TO CONTRACTUAL ALLOWANCE ACCOUNTS. | PART III, LINE 2: | |
| PART III, LINE 4: PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. THE HOSPITAL DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. PATIENT RECEIVABLES ARE WRITTEN OFF AS BAD DEBT EXPENSE WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. | ||
| 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, 50% OF OUR GROSS CHARGES ARE GENERATED BY PATIENTS WITH MEDICARE AND MEDICARE REPLACEMENT (PART C) COVERAGE. ANOTHER 8% 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 76,735 MEDICARE PATIENTS DISCHARGED IN THE 2013 FISCAL YEAR, 16.9% 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. | ||
| NOT APPLICABLE | PART III, LINE 3: | |
| PART V, SECTION B, LINE 3: LINN COUNTY PUBLIC HEALTH FACILITATED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THROUGH THE USE OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). THIS PROCESS INCLUDED THE FOLLOWING: A COMMUNITY HEALTH STATUS ASSESSMENT (COLLECTION OF STATISTICAL DATA FROM MAJOR LEADING HEALTH INDICATORS); COMMUNITY THEMES AND STRENGTHS ASSESSMENT (FACILITATED DIALOGUES/FOCUS GROUPS THAT ARE CONDUCTED AMONG DIVERSE POPULATIONS); A LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENT (AN EVENT THAT BRINGS TOGETHER COMMUNITY MEMBERS, AGENCIES, AND LEADERS TO IDENTIFY THE PUBLIC HEALTH SYSTEMS STRENGTHS AND WEAKNESSES); AND A FORCE OF CHANGE ASSESSMENT (AN IMPORTANT BRAINSTORMING ACTIVITY THAT IDENTIFIED FORCES THAT HAVE THE POTENTIAL TO AFFECT HEALTH OUTCOMES). SPECIFICALLY, LINN COUNTY PUBLIC HEALTH CONDUCTED A TOTAL OF 12 COMMUNITY DIALOGUES WITH VARIOUS GROUPS, INCLUDING: MENTAL HEALTH SERVICES PLANNING COMMITTEE, WOMEN'S HEALTH NETWORK, FAMILY VIOLENCE PREVENTION COALITION, PARTNERSHIP FOR A DRUG FREE COMMUNITY, LAW ENFORCEMENT INTELLIGENCE NETWORK (HOUSED IN BENTON COUNTY), RESIDENTS IN TREATMENT AT THE HEART OF IOWA, SAFE KIDS COALITION, HEALTH LIVING COALITION/BLUE ZONES PROJECT SUBCOMMITTEES, SEXUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES, PROVIDERS WITH THE LINN COUNTY MEDICAL SOCIETY AND ENVIRONMENTAL PUBLIC HEALTH WORK GROUP. BENTON COUNTY PUBLIC HEALTH CONDUCTED TWO ADDITIONAL COMMUNITY DIALOGUES WITHIN BENTON COUNTY. IN ADDITION, THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE INCLUDED INDIVIDUALS FROM THE FOLLOWING ORGANIZATIONS: BENTON COUNTY PUBLIC HEALTH/VIRGINIA GAY HOSPITAL, CEDAR COUNTY, COMMUNITY HEALTH FREE CLINIC, HACAP, HIS HANDS FREE MEDICAL CLINIC, JOHNSON COUNTY PUBLIC HEALTH, JONES REGIONAL MEDICAL CENTER, LINN COMMUNITY CARE, LINN COUNTY PUBLIC HEALTH, MERCY MEDICAL CENTER, UNITYPOINT HEALTH - ST. LUKE'S HOSPITAL AND UNITED WAY OF EAST CENTRAL IOWA. MERCY MEDICAL CENTER VALIDATED THE IDENTIFIED NEEDS WITH MERCY'S PRIMARY CARE NETWORK OF PHYSICIANS AND THE HOSPITAL'S QUALITY STEERING COMMITTEE. | MERCY MEDICAL CENTER | |
| PART V, SECTION B, LINE 4: LINN COUNTY PUBLIC HEALTH FACILITATED A CHNA 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 7: SEXUAL HEALTH WAS IDENTIFIED AS A HIGH PRIORITY FOR LINN AND JOHNSON COUNTIES. TO ADDRESS THIS NEED, MERCY MEDICAL CENTER HAS SEXUAL ASSAULT NURSE EXAMINERS LOCATED IN THE ED AND THEY PARTICIPATE ON THE LINN COUNTY SEXUAL ASSAULT RESPONSE TEAM. MERCY WILL NOT BE FURTHER ADDRESSING THIS NEED BECAUSE THE LINN COUNTY PUBLIC HEALTH DEPARTMENT CURRENTLY OFFERS EXTENSIVE SERVICES IN THIS AREA. THESE SERVICES INCLUDE: COORDINATING THE SEXUAL HEALTH ALLIANCE OF LINN AND JOHNSON COUNTIES COALITION (A MERCY PHYSICIAN SERVES ON THIS 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. VIOLENCE, INJURY PREVENTION, ENVIRONMENTAL HEALTH AND PRENATAL/EARLY CHILDHOOD HEALTH WERE OTHER KEY HEALTH PRIORITIES ANALYZED IN THE CHNA. HOWEVER, THEY WERE NOT IDENTIFIED AS HIGH PRIORITY AREAS DUE TO LIMITED DATA AND/OR THE LOWER INCIDENCE OR PREVALENCE RATES WHEN COMPARED TO STATE AND NATIONAL RATES. FOR THIS REASON, MERCY WILL NOT BE ADDRESSING THESE NEEDS BEYOND CURRENT PROGRAMMING. | MERCY MEDICAL CENTER | |
| 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 CENTERS BILLING AND COLLECTION POLICIES ALONG WITH THE LIST OF ALL FINANCIAL RESOURCES ARE PROVIDED IN BROCHURES, ARE INCLUDED IN PATIENT REGISTRATION PACKETS, 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 HOSPITALS 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 CONTIGUOUS COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON, JONES AND TAMA). 17.8% OF MERCY'S INPATIENT DISCHARGES AND OUTPATIENT VISITS COME FROM THE SECONDARY SERVICE AREA.THE TOTAL POPULATION OF LINN COUNTY IN 2012 IS 215,295. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS IS 488,735. THE PROJECTED 10-YEAR POPULATION GROWTH FOR THE PSA IS 1% AND THE SSA, 1%, ANNUALLY. - 13.4% OF PERSONS LIVING IN MERCY'S COMBINED SERVICE AREA ARE AGE 65 OR OLDER. - 93.3% ARE HIGH SCHOOL GRADUATES, WHILE 32.3% HOLD A BACHELOR'S DEGREE OR HIGHER. - THE MEDIAN HOUSEHOLD INCOME IS $53,722. - THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 11.7%, AS COMPARED TO 11.9% FOR ALL OF IOWA. - THE IOWAN UNINSURED RATE IS 11%. THE UNINSURED RATE IN LINN COUNTY IS 9%. THE EIGHT CONTIGUOUS UNINSURED RATES RANGE FROM 8 TO 14%. - THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.42.DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS: - 49.7% MALE, 50.3% FEMALE - 91.5% CAUCASIAN - 3.5% AFRICAN AMERICAN - 0.5% NATIVE AMERICAN - 2.6% ASIAN/PACIFIC - 1.9% TWO OR MORE RACES - 3.3% HISPANICAS OF AUGUST 2013, THE UNEMPLOYMENT RATE FOR LINN COUNTY IS 4.9%. THE EIGHT CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 3.8 TO 5.2%. 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 THE SAME GEOGRAPHIC SERVICE AREA AS MERCY MEDICAL CENTER. ADDITIONALLY, THE UNIVERSITY OF IOWA AND MERCY HOSPITAL ARE LOCATED IN JOHNSON COUNTY AND VIRGINIA GAY HOSPITAL IS LOCATED IN BENTON COUNTY. | ||
| PART VI, LINE 5: 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 - ALZHEIMER'S ASSOCIATION BOARD - BLUE ZONES PROJECT COMMITTEES - COMMUNITY HEALTH FREE CLINIC BOARD - GEMS OF HOPE BOARD - PARTNERSHIP FOR A DRUG-FREE COMMUNITY COALITIION - SEXUAL ASSAULT RESPONSE TEAM OF LINN COUNTYMERCY 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 MANAGER, COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES. IN ADDITION, MERCY ADMINISTRATION BUDGETS 2 HOURS PER FULL-TIME EQUIVALENT THAT IS USED TO SUPPORT COMMUNITY BENEFIT VOLUNTEER ACTIVITIES AND PRECEPTING. IN THE PAST YEAR, MERCY MEDICAL CENTER EMPLOYEES ACCRUED 20,986 COMMUNITY BENEFIT HOURS, OR 7.62 HOURS PER FULL-TIME EMPLOYEE. THE HOSPITAL ALSO HAS A SUPPORTIVE COMMITTEE STRUCTURE THAT WORKS WITH THE MANAGER OF COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES IN DEVELOPING THE COMMUNITY BENEFIT PLAN AND EVALUATING THE IMPACT OF PROGRAMS AND ACTIVITIES ESTABLISHED TO MEET GAPS IN CARE WITHIN THE PRIMARY AND SECONDARY SERVICE AREAS. THE COMMITTEES REFERENCED ABOVE ARE THE HOSPITAL COMMUNITY BENEFIT COMMITTEE, CONSISTING OF SEVERAL HOSPITAL AND CLINIC REPRESENTATIVES, AND THE HOSPITAL BOARD COMMITTEE FOR COMMUNITY BENEFIT. THE MANAGER OF COMMUNITY BENEFIT AND MISSION OUTREACH MINISTRIES REPORTS TO THE VICE PRESIDENT OF MISSION INTEGRATION, WHO REPORTS TO THE PRESIDENT & CHIEF EXECUTIVE OFFICER (CEO).MERCY MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF, AS PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS.MERCY MEDICAL CENTER'S BOARD OF TRUSTEES IS MADE UP OF VOLUNTEERS, THE MAJORITY OF WHOM ARE RESIDENTS WITHIN THE PSA. THE BOARD CONSISTS OF 30 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, FIVE SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO ITS CHARITABLE MISSION. | ||
| IA | PART VI, LINE 7 | REPORTS FILED WITH STATES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| MERCYCARE SERVICE CORPORATION | |||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 421199429 | 501(C)(3) | 2500000 | FOR USE IN CONTINUING OPERATIONS |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | |||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 510233180 | 501(C)(3) | 375407 | FOR USE IN CONTINUING OPERATIONS |
| ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATION | |||||||
| 317 7TH AVENUE SE STE 402 | CEDAR RAPIDS | IA | 52401 | 421333384 | 501(C)(3) | 7500 | GENERAL SUPPORT |
| AMERICAN CANCER SOCIETY INC MIDWEST DIVISION INC | |||||||
| N19 W24350 RIVERWOOD DRIVE | WAUKESHA | WI | 53188 | 410724036 | 501(C)(3) | 43500 | GENERAL SUPPORT |
| AMERICAN DIABETES ASSOCIATION INC | |||||||
| 1701 N BEAUREGARD STREET | ALEXANDRIA | VA | 22311 | 131623888 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| DIVERSITY FOCUS | |||||||
| 222 SECOND STREET SE | CEDAR RAPIDS | IA | 52401 | 203420207 | 501(C)(3) | 11000 | GENERAL SUPPORT |
| AFRICAN AMERICAN HERITAGE FOUNDATION | |||||||
| 55 12TH AVENUE SE | CEDAR RAPIDS | IA | 52401 | 421415305 | 501(C)(3) | 5500 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION INC | |||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | 6500 | GENERAL SUPPORT |
| JDRF INTERNATIONAL | |||||||
| 26 BROADWAY 14TH FLOOR | NEW YORK | NY | 10004 | 231907729 | 501(C)(3) | 10600 | GENERAL SUPPORT |
| LINN COUNTY MEDICAL SOCIETY | |||||||
| 813 1ST AVENUE SE | CEDAR RAPIDS | IA | 52402 | 237410746 | 501(C)(6) | 5000 | GENERAL SUPPORT |
| THE CATHERINE MCAULEY CENTER INC | |||||||
| 866 4TH AVENUE SE | CEDAR RAPIDS | IA | 52403 | 421342872 | 501(C)(3) | 5000 | GENERAL SUPPORT |
| CEDAR RAPIDS CITY MARKET INC | |||||||
| 1100 3RD STREET | CEDAR RAPIDS | IA | 52401 | 270600567 | 501(C)(3) | 5000 | GENERAL SUPPORT |
| ENTREPRENEURIAL DEVELOPMENT CENTER INC | |||||||
| 230 2ND STREET SE STE 212 | CEDAR RAPIDS | IA | 52401 | 421447565 | 501(C)(6) | 20000 | GENERAL SUPPORT |
| FOUR OAKS FAMILY AND CHILDREN SERVICES | |||||||
| 5400 KIRKWOOD BLVD SW | CEDAR RAPIDS | IA | 52404 | 420998726 | 501(C)(3) | 10500 | GENERAL SUPPORT |
| CEDAR RAPIDS METRO ECONOMIC ALLIANCE FOUNDATION | |||||||
| 501 FIRST STREET SE | CEDAR RAPIDS | IA | 52401 | 421206276 | 501(C)(3) | 6045 | GENERAL SUPPORT |
| COALITION TO PROTECT AMERICA'S HEALTH CARE | |||||||
| PO BOX 30211 | BETHESDA | MD | 20824 | 522253225 | 501(C)(4) | 5000 | GENERAL SUPPORT |
| JUNIOR ACHIEVEMENT | |||||||
| 324 3RD STREET SE STE 200 | CEDAR RAPIDS | IA | 52401 | 420919209 | 501(C)(3) | 7253 | GENERAL SUPPORT |
| CEDAR RAPIDS SYMPHONY ORCHESTRA ASSOCIATION INC | |||||||
| 119 3RD AVENUE SE | CEDAR RAPIDS | IA | 52401 | 420772544 | 501(C)(3) | 15000 | GENERAL SUPPORT |
| IOWA HEALTHCARE COLLABORATIVE | |||||||
| 100 EAST GRAND STE 360 | DES MOINES | IA | 50309 | 203869767 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| UNITED WAY OF EAST CENTRAL IOWA | |||||||
| 317 7TH AVENUE SE STE 401 | CEDAR RAPIDS | IA | 52401 | 420861239 | 501(C)(3) | 18900 | GENERAL SUPPORT |
| STATE UNIVERSITY OF IOWA FOUNDATION | |||||||
| PO BOX 4550 | IOWA CITY | IA | 52244 | 420796760 | 501(C)(3) | 6000 | GENERAL SUPPORT |
| GEMS OF HOPE INC | |||||||
| 420 6TH STREET SE | CEDAR RAPIDS | IA | 52401 | 203155610 | 501(C)(3) | 5750 | GENERAL SUPPORT |
| WAYPOINT SERVICES FOR WOMEN CHILDREN & FAMILIES | |||||||
| 318 5TH STREET SE | CEDAR RAPIDS | IA | 52401 | 420680307 | 501(C)(3) | 10000 | GENERAL SUPPORT |
| ZACH JOHNSON FOUNDATION | |||||||
| PO BOX 2336 | CEDAR RAPIDS | IA | 52406 | 272683100 | 501(C)(3) | 6500 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 21 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 3 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: ALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TIMOTHY CHARLES | ||||||||||||||
| PRESIDENT & CHIEF EXECUTIVE OFFICER | 415880 | 0 | 37837 | 0 | 27918 | 0 | 139933 | 0 | 12471 | 0 | 634039 | 0 | 0 | 0 |
| PHILIP PETERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 264222 | 0 | 54404 | 0 | 10011 | 0 | 48305 | 0 | 13027 | 0 | 389969 | 0 | 0 | 0 |
| JEFFREY CASH | ||||||||||||||
| CHIEF INFORMATION OFFICER | 204426 | 0 | 36496 | 0 | 8113 | 0 | 33341 | 0 | 13878 | 0 | 296254 | 0 | 0 | 0 |
| DOUG JONTZ | ||||||||||||||
| VP - HUMAN RESOURCES | 176414 | 0 | 19048 | 0 | 7916 | 0 | 10311 | 0 | 11183 | 0 | 224872 | 0 | 0 | 0 |
| LAURA REED | ||||||||||||||
| CHIEF NURSING OFFICER | 200005 | 0 | 38574 | 0 | 8191 | 0 | 26671 | 0 | 10685 | 0 | 284126 | 0 | 0 | 0 |
| MICHAEL TRACTA | ||||||||||||||
| CHIEF OPERATING OFFICER | 312293 | 0 | 66158 | 0 | 18575 | 0 | 51687 | 0 | 12766 | 0 | 461479 | 0 | 0 | 0 |
| MARK VALLIERE MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | 328680 | 0 | 0 | 0 | 10657 | 0 | 88435 | 0 | 19639 | 0 | 447411 | 0 | 0 | 0 |
| DEE BROWN-EADIE | ||||||||||||||
| EXECUTIVE DIRECTOR, CANCER | 170902 | 0 | 0 | 0 | 10020 | 0 | 0 | 0 | 11585 | 0 | 192507 | 0 | 0 | 0 |
| STEVE DRAKE | ||||||||||||||
| VP MARKETING | 132776 | 0 | 15898 | 0 | 468 | 0 | 7610 | 0 | 9535 | 0 | 166287 | 0 | 0 | 0 |
| HUI LI | ||||||||||||||
| RADIATION PHYSICIST | 246776 | 0 | 0 | 0 | 276 | 0 | 11857 | 0 | 14927 | 0 | 273836 | 0 | 0 | 0 |
| SUNDARA MUNAGALA | ||||||||||||||
| PSYCHIATRIST | 271979 | 0 | 0 | 0 | 314 | 0 | 12853 | 0 | 8620 | 0 | 293766 | 0 | 0 | 0 |
| DESMOND WATERS | ||||||||||||||
| DIRECTOR, PHARMACY SERVICE | 151217 | 0 | 7626 | 0 | 0 | 0 | 6472 | 0 | 15180 | 0 | 180495 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | TRAVEL FOR COMPANIONS: LIMITED TRAVEL FOR COMPANIONS IS PAID BY THE ORGANIZATION ON BEHALF OF TOP MANAGEMENT. IN TAX YEAR 2012, TIMOTHY CHARLES, AN OFFICER AND TRUSTEE REPORTED IN PART VII, RECEIVED THIS BENEFIT. THE 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 2012: PHILIP PETERSON - $18,805, MICHAEL TRACHTA - $22,187, TIMOTHY CHARLES - $29,322, MARK VALLIERE - $23,500, LAURA REED - $14,194, AND JEFFREY CASH - $14,400. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012. |
| PART I, LINE 7 | MERCY MEDICAL CENTER EXECUTIVES RECEIVE AN ANNUAL INCENTIVE COMPENSATION BONUS BASED ON WHETHER THEY MEET SPECIFIC CRITERIA. A PORTION OF THE BONUS IS BASED ON FINANCIAL RESULTS AS WELL AS OTHER METRICS IF CERTAIN GOALS ARE ATTAINED. THE MAXIMUM PAYMENT AMOUNT IS 40% OF SALARY. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| CITY OF CEDAR RAPIDS IOWA | ||||||||
| A | 426004336 | 150543AA4 | 2003-04-10 | 30000000 | REIMBURSE HOSPITAL FOR COSTS OF ACQUIRING AND CONSTRUCTING FACILITIES | 0 | 0 | 0 |
| CITY OF CEDAR RAPIDS IOWA | ||||||||
| B | 426004336 | 150543AB2 | 2005-11-17 | 58405000 | ADVANCE REFUND OF 1999 BONDS | 0 | 0 | 0 |
| IOWA FINANCE AUTHORITY | ||||||||
| C | 521699886 | 462466EQ2 | 2012-12-13 | 45604359 | REIMBURSE HOSPITAL FOR CAPIT | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund |
|---|---|---|---|---|---|---|---|---|---|
| A | 30000000 | 1288620 | 28711380 | 2003 | 0 | 0 | 1 | 1 | |
| B | 58405000 | 1552500 | 2005 | 0 | 1 | 1 | 1 | ||
| C | 45604359 | 604359 | 45000000 | 2013 | 0 | 0 | 1 | 1 | 2125000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS AG | ||||||||||||
| A | 0 | 0 | 0 | 1 | 1 | 1 | 29.000000000000 | 0 | 0 | 0 | 0 | 0 |
| UBS AG | ||||||||||||
| B | 0 | 0 | 0 | 1 | 1 | 1 | 24.000000000000 | 0 | 0 | 0 | 0 | 0 |
| (no name) | ||||||||||||
| C | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | |||
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K PART IV, ARBITRAGE, LINE 2C | Identifier |
| Return Reference | DATE REBATE COMPUTATION PERFORMED | ReturnReference |
| 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: 09/01/2009 | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | TIMOTHY CHARLES | NamePerson |
| Relationship With Organization | PRESIDENT & CHIEF EXECUTIVE OFFICER | RelationshipWithOrganization |
| Purpose Of Loan | PERSONAL | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $75,000 | OriginalPrincipalAmount |
| Balance Due | 21429 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 21429 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CARE MANAGEMENT INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE BELOW IN PART V | Relationship |
| Amount Of Transaction | 650000 | AmountOfTransaction |
| Description Of Transaction | MERCY CARE MANAGEMENT, INC. PAID MERCY MEDICAL CENTER RENT. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FORM 990, SCHEDULE L, PART IV, COLUMN B | Identifier |
| Return Reference | DESCRIPTION OF RELATIONSHIP - MERCY CARE MANAGEMENT, INC. | ReturnReference |
| Explanation | TIMOTHY CHARLES, EMMETT SCHERRMAN, AND KYLE SKOGMAN ARE OFFICERS AND JAN KAZIMOUR, BRUCE MCGRATH, AND BOB VERHILLE ARE MEMBERS OF THE BOARD OF TRUSTEES OF MERCY MEDICAL CENTER AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, ALL THE AFOREMENTIONED INDIVIDUALS WERE MEMBERS OF THE BOARD OF DIRECTORS OF MERCY CARE MANAGEMENT, INC. | Explanation |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 52645 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 11 | 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 COMPENSATION COMMITTEE. THE COMMITTEE USES MCGLADREY & PULLEN LLP FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED ON APRIL 17, 2013. | |
| 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 12,400,783. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 5,402,311. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 6,244,286. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -636,952. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -27,337. NONCASH CONTRIBUTION NOT RECORDED FOR BOOK PURPOSES -52,645. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 11B, II | MERCY MEDICAL CENTER | 1 | |
| MERCYCARE SERVICE CORPORATION | |||||||||||
| 701 10TH STREET SE | CEDAR RAPIDS | IA | 52403 | 421199429 | HEALTHCARE OVERSIGHT | IA | 501(C)(3) | LINE 11B, II | 0 | N/A | |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MR ASSOCIATES LLP | ||||||||||||||
| 1455 SHERMAN ROAD | HIAWATHA | IA | 52233 | 421260463 | MEDICAL IMAGING | IA | MERCY MEDICAL CENTER | RELATED | 2526084 | 1348055 | 0 | 1 | 0.33000 | |
| UNIVERSITY OF IOWA AFFILIATED HEALTH PROVIDERS LC | ||||||||||||||
| 200 HAWKINS DRIVE | IOWA CITY | IA | 52242 | 421432272 | ACCOUNTABLE CARE ORGANIZATION | IA | N/A | |||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| MERCY CARE MANAGEMENT INC | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421198970 | MEDICAL CLINICS | IA | N/A | C | 1 |
| MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC) | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421442443 | MEDICAL SERVICES | IA | N/A | C | 1 |
| MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC) | |||||||||
| PO BOX 786 | CEDAR RAPIDS | IA | 52406 | 421442442 | SUPPORT SERVICES | IA | N/A | C | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| B | 375407 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| C | 2741879 | FAIR MARKET VALUE |
| MERCYCARE SERVICE CORPORATION | ||
| B | 2500000 | FAIR MARKET VALUE |
| MERCY CARE MANAGEMENT INC | ||
| A | 665000 | FAIR MARKET VALUE |
| MERCYCARE SERVICE CORPORATION | ||
| C | 2155283 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| Q | 564586 | FAIR MARKET VALUE |
| MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION | ||
| A | 1 | FAIR MARKET VALUE |
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