MERCY MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-20
IRS object ID: 201341409349300309
Schema version: 2011v1.5
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-20T10:27:19-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	CFO	Title
Phone	3193986107	Phone
Date Signed	2013-05-20	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	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PHILIP PETERSON	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	294952746	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	33	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	32	NbrIndependentVotingMembers
Total Nbr Employees	2687	TotalNbrEmployees
Total Nbr Volunteers	880	TotalNbrVolunteers
Total Gross UBI	1335153	TotalGrossUBI
Net Unrelated Business Txbl Income	-47329	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3118270	ContributionsGrantsPriorYear
Contributions Grants Current Year	5715655	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	267529503	ProgramServiceRevenuePriorYear
Program Service Revenue CY	283201650	ProgramServiceRevenueCY
Investment Income Prior Year	9849536	InvestmentIncomePriorYear
Investment Income Current Year	3494689	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-1795271	OtherRevenuePriorYear
Other Revenue Current Year	-1779802	OtherRevenueCurrentYear
Total Revenue Prior Year	278702038	TotalRevenuePriorYear
Total Revenue Current Year	290632192	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3213138	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	4461011	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	117488859	SalariesEtcPriorYear
Salaries Etc Current Year	120192169	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	136863974	OtherExpensePriorYear
Other Expenses Current Year	148487949	OtherExpensesCurrentYear
Total Expenses Prior Year	257565971	TotalExpensesPriorYear
Total Expenses Current Year	273141129	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	21136067	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	17491063	RevenuesLessExpensesCY
Total Assets BOY	465167371	TotalAssetsBOY
Total Assets EOY	477555554	TotalAssetsEOY
Total Liabilities BOY	160509805	TotalLiabilitiesBOY
Total Liabilities EOY	183464391	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	304657566	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	294091163	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	218461978	Expense
Grants	4461011	Grants
Revenue	283201650	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 SUBSTANITALLY 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) - $22,125,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $3,739,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $4,414,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $1,292,000; PHYSICIAN EDUCATION - $634,000.IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. A HEALTH NEWS PUBLICATION, THE MERCY TOUCH, DISTRIBUTED TO 77,300 HOUSEHOLDS IN 2012 AT A TOTAL COST OF OVER $59,000. 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 115,300 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,320,000 AND WAS GIVEN BACK THE THE COMMUNITY THROUGH LOWER COSTS.	Description
Total Program Service Expense	218461978	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	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	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	256	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2687	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	33	NbrVotingGoverningBodyMembers
Number Independent Voting Members	32	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 (45 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
KYLE SKOGMAN
CHAIRMAN	1.00	X	X	282	0	0
MARY QUASS
VICE CHAIR	1.00	X	X	0	0	0
SISTER SHARI SUTHERLAND
SECRETARY	1.00	X	X	0	0	0
EMMETT SCHERRMAN
TREASURER	1.00	X	X	0	0	0
TIMOTHY CHARLES
PRESIDENT & CEO	40.00	X	X	468404	0	141074
LYDIA BROWN
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
MICHELE BUSSE
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
JACK COSGROVE
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
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
JOE HLADKY
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
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
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
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
TOM REED
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
SISTER LAURA REICKS
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
JOHN SMITH
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
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
SISTER MAURITA SOUKUP
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
PHILIP PETERSON
CFO	40.00		X	325330	0	61753
MICHAEL TRACTA
COO	40.00			248151	0	16709	X
DR MARK VALLIERE
CMO	40.00			328996	0	87847	X
JEFFREY CASH
CIO	40.00			238100	0	43596	X
LAURA REED
CNO	40.00			188557	0	21864	X
DOUG JONTZ
VP - HR	40.00			188627	0	17803	X
HUI LI
RADIATION PHYSICIST	40.00			241132	0	46950		X
DESMOND WATERS
DIRECTOR, PHARMACY SERVICES	40.00			155394	0	16263		X
CAROLINE GIDDINGS
GENERAL COUNSEL	40.00			135251	0	16728		X
SUNDARA MUNAGALA
PSYCHIATRIST	40.00			254653	0	10518		X
STEVE DRAKE
VP MARKETING	40.00			142140	0	17832		X
A JAMES TINKER
FORMER CEO	1.00			119977	27800	2506			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3034994	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	27800	TotalReportableCompFrmRltdOrgs
Total Other Compensation	501443	TotalOtherCompensation
Number Individuals GT100 K	42	NumberIndividualsGT100K
Formers Listed	1	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
MERCY PHYSICIAN SERVICES
311 3RD AVENUE SE	CEDAR RAPIDS	IA	52403	HEALTHCARE PROFESSIONAL SERVICES	2368164
ONCOLOGY ASSOCIATES OF CEDAR RAPIDS
525 10TH STREET SE	CEDAR RAPIDS	IA	52403	HEALTHCARE PROFESSIONAL SERVICES	2257188
HOSPITALIST MEDICINE PHYSICIANS
4525 DRESSLER RD NW	CANTON	OH	44718	HEALTHCARE PROFESSIONAL SERVICES	2222949
VITAL SUPPORT SYSTEMS LLC
11191 AURORA AVENUE	URBANDALE	IA	50322	HARWARE, SOFTWARE, AND I/S SUPPORT SERVI	1619453
PREFERRED MEDICAL DEPOSIT INC
10604 JUSTIN DRIVE	DES MOINES	IA	50322	COLLECTION SERVICES	1539027

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Related Organizations	4948021	RelatedOrganizations
All Other Contributions	767634	AllOtherContributions
Total Contributions	5715655	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES	900099	228213159	228213159
LABORATORY REVENUE	621500	54208318	52873165	1335153
FITNESS CENTER REVENUE	900099	498715	498715
FAMILY COUNSELING REVE	624100	281458	281458

Field	Value	IRS element (for citing)
Total Program Service Revenue	283201650	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3088171	TotalRevenueColumn
Exclusion	$3,088,171	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2368453	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1473136	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	895317	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	895317	TotalRevenueColumn
Exclusion	$895,317	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	509246	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	102728	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	509246	Securities
Other	-102728	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	406518	TotalRevenueColumn
Exclusion	$406,518	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	2672048	GrossSalesOfInventory
Cost Of Goods Sold	2744690	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-72642	TotalRevenueColumn
Exclusion	-$72,642	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MRI MR ASSOCIATES	621110	2539559	2539559
MRI JOINT VENTURE	621110	-5142036	-5142036

Field	Value	IRS element (for citing)
Total Other Revenue	-2602477	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	290632192	TotalRevenueColumn
Related Or Exempt Function Income	279264020	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1335153	UnrelatedBusinessRevenue
Exclusion	$4,317,364	ExclusionAmount

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	4461011	Total
Program Services	4461011	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1794551	Total
Management And General	1794551	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	90197338	Total
Program Services	71643283	ProgramServices
Management And General	18554055	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6703159	Total
Program Services	5220420	ProgramServices
Management And General	1482739	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14812957	Total
Program Services	11536331	ProgramServices
Management And General	3276626	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6684164	Total
Program Services	5205627	ProgramServices
Management And General	1478537	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	71106	Total
Program Services	55377	ProgramServices
Management And General	15729	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	411123	Total
Program Services	320183	ProgramServices
Management And General	90940	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	163415	Total
Program Services	127268	ProgramServices
Management And General	36147	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	26687	Total
Program Services	20784	ProgramServices
Management And General	5903	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	36778	Total
Program Services	28643	ProgramServices
Management And General	8135	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10791800	Total
Program Services	8404654	ProgramServices
Management And General	2387146	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2455454	Total
Program Services	1912308	ProgramServices
Management And General	543146	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	60841083	Total
Program Services	47383035	ProgramServices
Management And General	13458048	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7247079	Total
Program Services	5644025	ProgramServices
Management And General	1603054	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	16500	Total
Program Services	12850	ProgramServices
Management And General	3650	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3083547	Total
Program Services	2401466	ProgramServices
Management And General	682081	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	288366	Total
Program Services	224579	ProgramServices
Management And General	63787	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	34131	Total
Program Services	26581	ProgramServices
Management And General	7550	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2472699	Total
Program Services	1925738	ProgramServices
Management And General	546961	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	19705209	Total
Program Services	15346417	ProgramServices
Management And General	4358792	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	813520	Total
Program Services	633569	ProgramServices
Management And General	179951	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	21486842	21486842
CONTRACTED SERVICES	5935675	4622704	1312971
REPAIRS	5195046	4045902	1149144
EQUIPMENT RENTAL & MAIN	2862813	2229559	633254

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4549076	Total
Program Services	3542822	ProgramServices
Management And General	1006254	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	273141129	Total
Program Services	218461978	ProgramServices
Management And General	54679151	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	629158	BOY
EOY	632661	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	28004569	BOY
EOY	12192434	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	39341216	BOY
EOY	43664551	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2172243	BOY
EOY	396056	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5255100	BOY
EOY	5617699	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2437953	BOY
EOY	2532370	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	386419893	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	187454409	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	177966402	BOY
EOY	198965484	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	58887930	BOY
EOY	61991214	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	93390859	BOY
EOY	95292665	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	56969239	BOY
EOY	56166487	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	112702	BOY
EOY	103933	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	465167371	BOY
EOY	477555554	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30402376	BOY
EOY	32214753	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	81800000	BOY
EOY	79300000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	48307429	BOY
EOY	71949638	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	160509805	BOY
EOY	183464391	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	272378106	BOY
EOY	260620347	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9394869	BOY
EOY	9584831	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22884591	BOY
EOY	23885985	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	304657566	BOY
EOY	294091163	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	465167371	BOY
EOY	477555554	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	17491063	ReconcilationRevenueExpenses
Reconcilation Other Changes	-28057466	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
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	$26,687	OtherActivitiesAmount
Total Lobbying Expenditures IIB	26687	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	22.9% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $26,687.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29795537	BeginningOfYearBalance
Contributions	1481261	Contributions
Investment Earnings Or Losses	402677	InvestmentEarningsOrLosses
Other Expenditures	135675	OtherExpenditures
Administrative Expenses	564000	AdministrativeExpenses
End Of Year Balance	30979800	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.13480	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.77100	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.09420	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	14949322	OtherCostOrOtherBasis
Book Value	14949322	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	255443320	OtherCostOrOtherBasis
Depreciation	121185012	Depreciation
Book Value	134258308	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	113170630	OtherCostOrOtherBasis
Depreciation	64245586	Depreciation
Book Value	48925044	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2856621	OtherCostOrOtherBasis
Depreciation	2023811	Depreciation
Book Value	832810	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	198965484	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
MONEY MARKET FUNDS	14413	F
COMMERCIAL PAPER & CASH	16058097	F
MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS, & REAL ESTATE	79220155	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	95292665	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (6 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATES	52472901	F
DEFERRED FINANCING COSTS	523107	C
INVESTMENT IN CEDAR RAPIDS PHO	709000	F
SLEEP LAB JOINT VENTURE	1116000	F
INVESTMENT IN MR ASSOCIATES	626602	C
INVESTMENT IN MEDICAL MALL	718877	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	56166487	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
INTEREST RATE SWAP AGREEMENTS	$15,994,123
PENSION LIABILITY	$48,313,765
SELF INSURANCE RESERVES	$6,895,706
THIRD PARTY SETTLEMENTS	$642,111
NET EQUITY IN MERCY MEDICAL CENTER AUXILIARY	$75,375
NET EQUITY IN MERCY MEDICAL CENTER FLOWER SHOP	$28,558

Field	Value	IRS element (for citing)
Total Of Amounts	71949638	TotalOfAmounts
Total Revenue	290632192	TotalRevenue
Total Expenses	273141129	TotalExpenses
Excess Or Deficit For Year	17491063	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-3394764	NetUnrealizedGLOnInvestments
Other	-$24,662,702	OtherAmount
Total Adjustments	-28057466	TotalAdjustments
Excess Or Deficit Per FS	-10566403	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	262043571	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-3394764	NetUnrealizedGainsInvestments
Other Revenues	-26854372	OtherRevenues
Revenue Not Rptd F990	-30249136	RevenueNotRptdF990
Revenue Subtotal	292292707	RevenueSubtotal
Other Revenues Not Included	-1660515	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1660515	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	290632192	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	272609974	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1968845	OtherExpensesIncluded
Expenses Not Rptd F990	1968845	ExpensesNotRptdF990
Expenses Subtotal	270641129	ExpensesSubtotal
Other Expenses Not Included	2500000	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2500000	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	273141129	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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, NEUROSCIENCES, HOSPICE OF MERCY, HOSPICE HOUSE, PATIENT CARE, TRAUMA CENTER, ESPECIALLY FOR ME, FIT FAMILIES, HALLMAR, HUSTON FUND (RADIOLOGY), EDUCATIONAL SCHOLARSHIPS, LIPSKY EDUCATIONAL FUND, BENEFICIAL INTERESTS IN REMAINDER & PERPETUAL 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:	THE HOSPITAL IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBIT). UBIT 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, 2012 AND 2011, 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 8 - OTHER ADJUSTMENTS:		CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -14,999,575. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -559,247. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -8,795,550. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -256,142. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -52,188. TOTAL TO SCHEDULE D, PART XI, LINE 8: -24,662,702.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -8,795,550. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN -14,999,575. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION -559,247. GRANT TO MERCYARE SERVICE CORPORATION INCLUDED WITH REVENUES -2,500,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -1,866,117. LOSS ON SALE OF ASSETS -102,728. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT 52,188. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) 256,142.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 1,866,117. LOSS ON SALE OF FIXED ASSETS 102,728.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 2,500,000.

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	4252308	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4252308	NetCommunityBenefitExpense
Percent Of Total Expense	0.01690	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18341458	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17745663	DirectOffsettingRevenue
Net Community Benefit Expense	595795	NetCommunityBenefitExpense
Percent Of Total Expense	0.00240	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22593766	TotalCommunityBenefitExpense
Direct Offsetting Revenue	17745663	DirectOffsettingRevenue
Net Community Benefit Expense	4848103	NetCommunityBenefitExpense
Percent Of Total Expense	0.01930	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1023082	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1023082	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1898178	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1119571	DirectOffsettingRevenue
Net Community Benefit Expense	778607	NetCommunityBenefitExpense
Percent Of Total Expense	0.00310	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9186418	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7246330	DirectOffsettingRevenue
Net Community Benefit Expense	1940088	NetCommunityBenefitExpense
Percent Of Total Expense	0.00770	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	296675	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	296675	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12404353	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8365901	DirectOffsettingRevenue
Net Community Benefit Expense	4038452	NetCommunityBenefitExpense
Percent Of Total Expense	0.01610	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34998119	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26111564	DirectOffsettingRevenue
Net Community Benefit Expense	8886555	NetCommunityBenefitExpense
Percent Of Total Expense	0.03540	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	24814	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	24814	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	14106	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	14106	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	3332	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	3332	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	211676	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	211676	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	9225	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	9225	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	263153	TotalCommunityBuildingExpense
Net Community Building Expense	263153	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,680,094	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	106482740	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	128644690	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22161950	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
PROVIDES MRI SERVICES	0.33000	0.00000	0.33000
2 EASTERN IOWA SLEEP CENTER LLC
PROVIDES SLEEP STUDIES	0.33000	0.00000	0.33000
3 CEDAR RAPIDS PHYSICIAN HOSPITAL ORGANIZATION
PROVIDES PAYOR CONTRACTING	0.39000	0.00000	0.61000
4 PCI REGIONAL MED MALL LLC
PROVIDES MEDICAL SERVICES	0.10000	0.00000	0.80000
5 PCI LENDER LLC
PROVIDES 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)
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
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
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: NOT APPLICABLE
PART I, LINE 6A: NOT APPLICABLE
PART I, LINE 7: THE FOLLOWING COSTS ARE CALCULATED BASED ON THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2: MEDICAID, FREE CLINIC SERVICES, CHARITY CARE, MEDICARE, AND BAD DEBTS.
PART I, LINE 7G: THE FOLLOWING PROGRAMS AND SERVICES ARE SUBSIDIZED BY MERCY MEDICAL CENTER TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH OUR COMMUNITY ASSESSMENT PROCESS:MERCY'S JOSLIN DIABETIC CENTER: ONLY ONE OF EIGHT FACILITIES OF ITS KIND IN IOWA, MERCY'S JOSLIN DIABETES CENTER PROVIDES DIABETES PATIENTS AND THEIR FAMILY MEMBERS WITH THE COMPREHENSIVE INFORMATION THEY NEED TO BETTER MANAGE THIS DISEASE AND DECREASE THEIR RISK FOR COMPLICATIONS. JOSLIN DIABETES CENTER TEAM MEMBERS INCLUDE AN ENDOCRINOLOGIST, NURSE EDUCATORS, DIETITIAN EDUCATORS, A PODIATRIST AND AN EXERCISE SPECIALIST. DIABETES EDUCATION AND INSULIN MANAGEMENT SERVICES ARE PROVIDED FOR CHILDREN (TODDLER THROUGH ADOLESCENTS) AND ADULTS (ALL AGES). MEDICAL DIABETES CARE IS PROVIDED FOR ADOLESCENTS AND ADULTS.THE ESTIMATED NUMBER OF PATIENTS WITH DIABETES OR PRE-DIABETES IN THE PSA IS 14,000.JOSLIN PROVIDED CARE TO 4,465 PATIENT VISITS FROM JULY 2010-JUNE 2011, AND SERVED 1,279 DIFFERENT PATIENTS FROM JULY 2010-JUNE 2011.EACH SUMMER JOSLIN DIABETES CENTER PLAYS A KEY ROLE IN A ONE-WEEK DIABETES CAMP HELD AT CAMP TANAGER IN MOUNT VERNON FOR CHILDREN WITH DIABETES. JOSLIN EXPERTS EDUCATE THE CAMP STAFF ABOUT DIABETES, AND PROVIDE NURSING AND DIETARY SUPPORT. JOSLIN ALSO DONATES EQUIPMENT AND SUPPLIES USED AT THE CAMP.FOR ONE WEEK, CHILDREN WITH DIABETES CAN RELISH THE OPPORTUNITY TO BE WITH THEIR PEERS AND NOT FEEL "DIFFERENT." AS AN ADDED BONUS, PARENTS CAN RELAX AND REST ASSURED THAT THEIR CHILD IS IN A SAFE PLACE, WHERE ANY SPECIAL NEEDS ARE SURE TO BE MET. THIS EXPERIENCE ENHANCES THE QUALITY OF LIFE FOR THESE CHILDREN AND CREATES LONG-LASTING MEMORIES FOR THEM.BEHAVIORAL HEALTH SERVICES: MERCY SERVES PATIENTS WHO ARE IN A CRISIS STATE RELATED TO A MENTAL HEALTH, CHEMICAL DEPENDENCY OR CO-OCCURRING MENTAL HEALTH AND CHEMICAL DEPENDENCY DIAGNOSIS. PATIENTS ORIGINATE FROM LINN COUNTY AND THE SECONDARY SERVICE AREA. IN FY 2011, MERCY REPORTED 6,025 INPATIENT DAYS. OTHER SERVICES INCLUDE THE ACCESS DEPARTMENT WHICH PROVIDES TRIAGE IN THE EMERGENCY DEPARTMENT, CONSULTATIONS THROUGHOUT THE HOSPITAL AND PROVIDES A 24 HOUR CRISIS TELEPHONE LINE. 2,578 CLIENTS WERE EVALUATED AND REFERRED TO INPATIENT OR OUTPATIENT SERVICES. IN ADDITION MERCY HANDLED 3,165 CRISIS PHONE CALLS AND MADE THE APPROPRIATE OUTPATIENT/COMMUNITY REFERRALS OR ARRANGED TO BRING PATIENTS IN FOR EVALUATION IN THE ED. INDIVIDUALS EXPERIENCING MULTIPLE LIFE STRESSORS ARE MOST VULNERABLE AND NEED BEHAVIOR HEALTH ASSISTANCE AND COPING MECHANISMS. MANY INDIVIDUALS ARE IMPACTED BY THE EFFECTS OF THE NATIONAL ECONOMIC DOWNTURN, AND BEHAVIOR HEALTH SERVICES CONTINUES TO SERVE A ROLE IN PROVIDING MENTAL HEALTH AND CHEMICAL DEPENDENCY RESOURCES TO A GROWING NUMBER OF PEOPLE WHO REQUIRE SUPPORT.WHILE THE MISSION IS TO MEET THE NEEDS OF THE PSA AND SSA PATIENTS, MERCY HAS BEEN INCREASINGLY CALLED UPON TO MEET STATE-WIDE NEEDS AND HAS RECEIVED PATIENTS FROM AS FAR AWAY AS ILLINOIS. TRANSPORTATION IS PROVIDED TO SAFELY SEND PATIENTS BACK TO THEIR HOME LOCATION WITHOUT RECEIVING REIMBURSEMENT FROM THE SENDING COUNTIES. IOWA IS SUFFERING A SEVERE SHORTAGE OF MENTAL HEALTH BEDS, AND MENTAL HEALTH AND CHEMICAL DEPENDENCY RESOURCES. THERE ARE LONG WAITING LISTS FOR PATIENTS TO BE SEEN BY PSYCHIATRISTS AND MENTAL HEALTH OR CHEMICAL DEPENDENCY PROVIDERS. THIS SAME POPULATION IS FREQUENTLY EITHER UNINSURED OR THEIR MENTAL HEALTH BENEFITS ARE SEVERELY LIMITED OR CAPPED AT LOW LEVELS FOR A LIFETIME. THE STATE OF IOWA AND LINN COUNTY ARE TARGETING PATIENTS WITH CO-OCCURRING DISORDERS AS A PARTICULARLY DIFFICULT POPULATION TO TREAT AND HAVE HISTORICALLY POOR OUTCOMES. AS A PART OF THIS STATE AND COUNTY WIDE INITIATIVE, THE BEHAVIORAL HEALTH UNIT IS PARTICIPATING IN DATA COLLECTION, STAFF EDUCATION AND CONSISTENT TREATMENT INITIATIVES THAT HAVE BEEN IDENTIFIED AS EVIDENCED BASE BEST PRACTICE. WHEN PATIENTS CANNOT AFFORD DISCHARGE MEDICATIONS, MERCY PROVIDES AN INITIAL 30 DAY SUPPLY TO PREVENT IMMEDIATE READMISSION DUE TO NONCOMPLIANCE DUE TO FINANCIAL CONSTRAINTS. THE STATE OF IOWA IS NOW FACING AN IMMINENT CHANGE IN HOW MENTAL HEALTH RESOURCES ARE BEING ADMINISTERED AND FUNDED. UNDER NEW REFORM INITIATIVES, RESIDENTIAL BEDS ARE CLOSING, THERE ARE WAITING LISTS FOR TREATMENT AND MEDICATION APPROVAL AND OUTPATIENT SERVICES ARE BEING CUT OR DOWNSIZED. ALL OF THESE CHANGES WILL IMPACT LENGTH OF STAY, WHICH IN TURN IMPACTS BED AVAILABILITY AS TURNOVER SLOWS AND, PREDICTABLY, MAKES IT MORE DIFFICULT FOR PATIENTS TO REMAIN STABLE AND AVOID READMISSION. THE BEHAVIORAL HEALTH DEPARTMENT IS IMPLEMENTING A PROGRAM IN AN EFFORT TO STABILIZE PATIENTS FOLLOWING DISCHARGE AND REDUCE READMISSIONS THROUGH A PSYCHIATRIC HOME HEALTH NURSE. THE PROGRAM WAS LAUNCHED IN APRIL AND HAS WORKED WITH 14 PATIENTS THUS FAR. ONLY ONE OF THEM WAS READMITTED DURING HOME CARE FOLLOW-UP. TWO MORE WERE READMITTED AFTER THEY HAD COMPLETED HOME CARE. IN ADDITION, THE HOME PSYCH NURSE HAS PROVIDED VALUABLE RESOURCES TO THE MEDICAL PATIENTS WHO HAVE PSYCHIATRIC ISSUES AND ARE RECEIVING HOME HEALTH CARE. BIRTHPLACE AND NEONATAL INTENSIVE CARE UNIT: MERCY'S NICU/BIRTHPLACE HAS A FAMILY-CENTERED CARE APPROACH THAT STARTS BEFORE BIRTH WITH EDUCATIONAL CLASSES AND CONTINUES AFTER A FAMILY LEAVES THE HOSPITAL WITH THEIR BABY. A DAY OR TWO AFTER DISCHARGE A MERCY HOME NURSE VISITS THE HOME. THERE ALSO IS A WEEKLY BREASTFEEDING SUPPORT GROUP AVAILABLE TO NURSING MOTHERS AND NICU STAFF MEMBERS ARE AVAILABLE BY TELEPHONE 24 HOURS DAY. MERCY ALSO SUPPORTS A DEVELOPMENTAL CLINIC, WHICH FOLLOWS UP ON MERCY NICU BABIES AT REGULAR INTERVALS UP TO AGE 30 MONTHS. THE PURPOSE OF THE OBSTETRIC HOME VISIT PROGRAM IS TO PROVIDE SUPPORT AND EDUCATION TO PARENTS OF NEWBORNS AFTER THEIR DISCHARGE FROM THE HOSPITAL AND BEFORE THEIR FIRST VISIT TO THEIR HEALTHCARE PROVIDER AT APPROXIMATELY TWO WEEKS OF AGE. WHEN MOTHER AND NEWBORNS STARTED DISCHARGING FROM THE HOSPITAL TWO OR THREE DAYS AFTER BIRTH, THERE WERE A NUMBER OF CASES WHERE BABIES AND SOMETIMES MOTHERS DEVELOPED SERIOUS MEDICAL CONDITIONS WHICH WERE NOT IDENTIFIED UNTIL THEY WERE SERIOUSLY COMPROMISED. THE HOME VISIT BY AN RN IS SET UP TO PREVENT SUCH SITUATIONS. ALL MOTHERS DISCHARGED FROM BIRTHPLACE ARE OFFERED A HOME VISIT IF THEY LIVE WITHIN A 30 MILE RADIUS OR THEY ARE ENCOURAGED TO RETURN TO THE HOSPITAL FOR AN IN HOSPITAL VISIT IF THEY LIVE BEYOND THAT. THIS VISIT IS DONE WITHIN THE FIRST FEW DAYS THEY ARE HOME. THE MOTHER AND BABY ARE ASSESSED WITH VITAL SIGNS AND A WEIGHT CHECK ON THE BABY. ANY CONCERNS OR ISSUES ARE CALLED TO THE PHYSICIAN AND FOLLOWED UP. NUMBER SERVED: IN CALENDAR YEAR 2010, 781 WERE BABIES BORN AT THE BIRTHPLACE.OUTCOMES: -WEIGHT LOSS AND FEEDING PROBLEMS ARE IDENTIFIED, CARE PLANS DEVELOPED, AND FOLLOW-UP IS DONE TO ASSURE EFFECTIVENESS. -JAUNDICE IS IDENTIFIED IN NEWBORNS, LABS DRAWN AND ORDERS RECEIVED TO PREVENT KERNICTERUS. -MATERNAL VITAL CHANGES ARE IDENTIFIED AND PHYSICIANS NOTIFIED WHEN NECESSARY. -EDUCATION IS REINFORCED AND DONE TO ASSURE A SAFE ENVIRONMENT FOR THE BABY AND MOM. -SAFETY ISSUES ARE IDENTIFIED IN THE ENVIRONMENT AND CORRECTED WHEN NECESSARY. -SIGNS AND SYMPTOMS OF POSTPARTUM DEPRESSION ARE IDENTIFIED AND ADDRESSEDPEDIATRICS: CHILDREN AGES 17 AND UNDER EXPERIENCE A CONTINUITY OF CARE TO REDUCE STRESS AND ENHANCE CARE. MERCY PROVIDES AGE-APPROPRIATE VIDEO GAMES, MOVIES AND BOOKS TO HELP CHILDREN RELAX, REST AND RECUPERATE. A PEDIATRIC CLINICAL NURSE SPECIALIST ASSISTS THE NURSES TO COORDINATE SERVICES FOR PATIENTS AND THEIR FAMILIES. MERCY'S FAST TRACK EMERGENCY DEPARTMENT ALSO OFFERS DISTRACTION KITS, MOVIES, ETC. TO EASE CHILDREN'S CONCERNS WHEN THEY NEED CARE IN THE EMERGENCY ROOM.
PART I, L7 COL(F): $21,486,842 OF BAD DEBT EXPENSE IS SUBTRACTED FOR PURPOSES OF COMPUTING THE PERCENTAGE IN PART I, LINE 7K, COLUMN F. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES, LESS BAD DEBT, IS 13.91%, AND THE PERCENTAGE INCREASES TO 65.03% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.
PART II: COMMUNITY HEALTH IMPROVEMENT THROUGH COALITION BUILDING/COMMUNITY BOARD PARTICIPATION: MERCY MEDICAL CENTER CONTRIBUTED TO THE ECONOMIC AND CIVIC HEALTH OF THE SURROUNDING COMMUNITY BY SERVING ON SEVERAL COMMUNITY AND AREA BOARDS. MERCY ALSO SUPPORTED THE EFFORTS OF LOCAL ROTARY AND CHAMBER OF COMMERCE AS WELL AS ORGANIZATIONS ESTABLISHED TO INCREASE AWARENESS ON ECONOMIC GROWTH AND DIVERSITY. EXAMPLES INCLUDE:-UNITED WAY-CEDAR RAPIDS CHAMBER OF COMMERCE-MARION CHAMBER OF COMMERCE-DAYBREAK ROTARY-WAYPOINT KIDS BOARD-DIVERSITY FOCUS BOARD-FREEDOM FROM HUNGER PLANNING COMMITTEE-JUNIOR ACHIEVEMENT BOARD-KIRKWOOD COLLEGE ADVISORY BOARD-AGING SERVICES BOARD-HEALTHY LINN CARE NETWORK BOARD-AMERICAN CANCER ASSOCIATION BOARD-CATHERINE MCAULEY CENTER BOARD ENCOURAGING OUR YOUTH: TEACHING HEALTHY LIFESTYLE HABITS IS PART OF MERCYS COMMITMENT TO PREVENTION AS A PART OF HEALTH CARE. IN 2012, MERCY TEAMED UP WITH MCKINLEY AND TAFT MIDDLE SCHOOLS STAFF AND STUDENTS TO EDUCATE STUDENTS ON THE DANGERS OF TOBACCO USE AND THE GIMMICKS BIG TOBACCO CORPORATIONS USE TO LURE KIDS INTO TRYING TOBACCO PRODUCTS.THE OPPORTUNITY FOR HIGH SCHOOL STUDENTS TO JOB SHADOW IS COORDINATED THROUGH THE WORKPLACE LEARNING CONNECTION. THIS YEAR, STUDENTS EXPERIENCED SEVERAL DIFFERENT JOB SHADOW AREAS WITHIN 23 DEPARTMENTS AT MERCY, INCLUDING A BEHIND-THE-SCENES LOOK AT THE OPERATING ROOM WITH THE OPPORTUNITY TO TALK TO PROFESSIONALS ABOUT THEIR JOBS.
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 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 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, 50.6% OF OUR GROSS CHARGES ARE FOR MEDICARE PATIENTS INCLUDING THOSE WITH MEDICARE REPLACEMENTS. ANOTHER 7.5% OF OUR CHARGES ARE FOR PATIENTS WHO QUALIFY FOR MEDICAID COVERAGE. NEITHER GOVERNMENT PROGRAM PAYS ENOUGH TO COVER THE COSTS OF THE SERVICES PROVIDED TO THESE PATIENTS. IF WE DID NOT SERVE THE MEDICARE AND MEDICAID PATIENTS, ANOTHER FACILITY WOULD HAVE TO PROVIDE THE SERVICE. OF THE 71,491 MEDICARE PATIENTS WHO WERE DISCHARGED DURING THE 2012 FISCAL YEAR, 14,794, OR 20.7%, HAD MEDICAID COVERAGE. THIS DOES NOT REFLECT ANY OF THE PATIENTS WHOSE PRIMARY COVERAGE IS MEDICARE REPLACEMENT POLICY. BASED ON THE INFORMATION FROM THE AMERICAN HOSPITAL ASSOCIATION, 46% OF THE MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL.
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 HAVE TO COMPLETE PAPERWORK. MERCY UTILIZES AN OUTSIDE VENDOR TO ASSIST IN DETERMINING A PATIENT'S FINANCIAL RISK. MERCY MEDICAL CENTER USES BILLING AND COLLECTION RECOMMENDATIONS ESTABLISHED BY THE IOWA HOSPITAL ASSOCIATION. THESE RECOMMENDATIONS INCLUDE:-MERCY MEDICAL CENTER WILL PROVIDE TO ALL PATIENTS THE SAME INFORMATION CONCERNING SERVICES AND CHARGES.-FOR A PATIENT WHO HAS AN APPLICATION PENDING FOR EITHER GOVERNMENT-SPONSORED COVERAGE OR MEDICAL CENTER'S FINANCIAL AID PROGRAM, MERCY WILL NOT KNOWINGLY SEND THAT PATIENT'S BILL TO A COLLECTION AGENCY BEFORE THE INITIAL ELIGIBILITY DETERMINATION HAS BEEN MADE.-MERCY MEDICAL CENTER WILL REVIEW THE PATIENT'S RECORD TO DETERMINE IF REASONABLE EFFORTS WERE UNDERTAKEN TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED AND/OR IF FINANCIAL ASSISTANCE IS APPROPRIATE BEFORE ANY COLLECTION AGENCY ASSIGNMENT.
PART V, SECTION B, LINE 19D: ALL PATIENTS REGARDLESS OF FINANCIAL SITUATION ARE CHARGED THE SAME GROSS AMOUNT FOR SERVICES PROVIDED. FAP-ELIGIBLE INDIVIDUALS COMPLETE A FINANCIAL ASSISTANCE APPLICATION, SUPPLY PERSONAL FINANCIAL INFORMATION (PAYSTUBS, 1040 ETC) AND SUBMIT THE INFORMATION TO OUR BUSINESS OFFICE. BASED ON THE INFORMATION SUPPLIED, PATIENTS ARE GIVEN A 25-100% DISCOUNT FROM THEIR BILLED CHARGES.	MERCY MEDICAL CENTER
PART VI, LINE 2: IN ORDER TO ENSURE OUTREACH EFFORTS ARE TRULY REFLECTIVE OF CONTINUALLY CHANGING COMMUNITY HEALTH NEEDS, MERCY MEDICAL CENTER WORKED TO DEVELOP A FORMALIZED APPROACH TO CAPTURE THE COMMUNITY'S VOICE. IN 2010, MERCY MEDICAL CENTER ESTABLISHED A COMMUNITY BENEFIT COMMITTEE OF THE BOARD COMPRISED OF COMMUNITY MEMBERS FROM LINN COUNTY. THIS COMMITTEE WAS FORMED TO PROVIDE INSIGHT INTO ADDRESSING THE HEALTH NEEDS IDENTIFIED IN A HEALTH NEEDS ASSESSMENT AND PROVIDES GUIDANCE, SUPPORT AND RECOMMENDATIONS FOR PROGRAM DEVELOPMENT.HEALTHY LINN CARE NETWORK, A BRANCH OF LINN COUNTY PUBLIC HEALTH, COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT IN 2011. A MIXED METHODOLOGY APPROACH WAS USED TO PROVIDE A COMPREHENSIVE OVERVIEW OF THE LOCAL SERVICE AREA. DATA SOURCES WERE BOTH QUALITATIVE AND QUANTITATIVE AND INCLUDED: IOWA DEPARTMENT OF PUBLIC HEALTH, VITAL STATISTICS OF IOWA, MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES, IOWA DEPARTMENT OF PUBLIC SAFETY, U.S. CENSUS, CDC BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, LINN COUNTY PUBLIC HEALTH, ENVIRONMENTAL PROTECTION AGENCY, IOWA DEPARTMENT OF EDUCATION, IOWA DEPARTMENT OF HUMAN SERVICES, PREVENT CHILD ABUSE IOWA AND THE IOWA YOUTH SURVEILLANCE REPORT. MERCY PROVIDED REPRESENTATION ON THE COMMUNITY STEERING COMMITTEE. MERCY ALSO REVIEWED THE RESULTS OF THE 6 CONTIGUOUS COUNTIES SURROUNDING LINN TO ASSESS THEIR REPORTED HEALTH NEEDS.IN ADDITION, MERCY MEDICAL CENTER UNDERSTANDS THE NEED FOR ONGOING ASSESSMENT AND USES DATA AND INFORMATION OBTAINED FROM HOSPITAL CHARITY CARE CASES, COMMUNITY FREE CLINICS, SCHOOLS, UNITED WAY AND COUNTY HEALTH RANKING REPORTS TO MODIFY CURRENT ACTIVITIES AND CREATE NEW PROGRAMS TO ADDRESS HEALTH NEEDS. ALL OF THIS INFORMATION WAS UTILIZED TO COMPLETE A COMMUNITY BENEFIT PLAN FOR THE HOSPITAL.
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;-COMMUNICATING INFORMATION ABOUT FINANCIAL ASSISTANCE IN A CLEAR AND CONSISTENT MANNERBALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN THE COMMUNITY.MERCY WILL NOTIFY PROSPECTIVE PATIENTS THAT THE HOSPITAL WILL PROVIDE, UPON REQUEST, AN ESTIMATED PRICE OR PRICE RANGE FOR THE CONTEMPLATED SERVICES.COMMUNICATE THE AVAILABILITY OF FINANCIAL AID:-PUBLICLY DISPLAYING BILLING AND COLLECTION POLICIES MERCY DISPLAYS AND/OR MAKES AVAILABLE OUR BILLING AND COLLECTION POLICIES, INCLUDING DISCOUNT AND CHARITY CARE POLICIES. BROCHURES LIST ALL AVAILABLE FINANCIAL RESOURCES. -COMMUNICATION WITH PATIENTS - MERCY PROVIDES INFORMATION ON POLICIES WITHIN PATIENT REGISTRATION PACKETS. FINANCIAL COUNSELORS ARE AVAILABLE SEVEN DAYS A WEEK, 24 HOURS A DAY, TO COMMUNICATE THESE POLICIES AND ASSIST PATIENTS IN APPLYING FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. MERCY MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, SOCIAL WORK, BILLING AND COLLECTIONS) ABOUT HOSPITAL BILLING, COLLECTION POLICIES AND PRACTICES, FINANCIAL ASSISTANCE, AND OUR COMMITMENT TO CARE FOR ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY FOR SERVICES. EDUCATION IS ALSO PROVIDED REGARDING FEDERAL, STATE AND LOCAL PUBLIC FINANCIAL ASSISTANCE PROGRAMS AND MERCY MEDICAL CENTERS FINANCIAL ASSISTANCE PROGRAM. -COMMUNICATIONS TO THE PUBLIC REGARDING FINANCIAL ASSISTANCE ARE WRITTEN IN CONSUMER-FRIENDLY TERMINOLOGY AND IN A LANGUAGE THAT THE PATIENT CAN UNDERSTAND. -INFORMATION IS INCLUDED IN HOSPITAL BILLS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE AND HOW TO OBTAIN FURTHER INFORMATION AND APPLY FOR FINANCIAL ASSISTANCE.-INFORMATION ON FINANCIAL ASSISTANCE POLICIES IS POSTED IN KEY PUBLIC AREAS WITH INSTRUCTIONS ON HOW TO APPLY OR OBTAIN FURTHER INFORMATION. BROCHURES ARE ALSO AVAILABLE.-PATIENTS ARE EDUCATED ABOUT THEIR RESPONSIBILITIES, THE POTENTIAL FINANCIAL OBLIGATION THEY MAY INCUR, THEIR OBLIGATIONS FOR COMPLETING ELIGIBILITY DOCUMENTATION, AND THE HOSPITAL'S BILL COLLECTION POLICIES.-PATIENTS ARE REFERRED TO AND/OR PROVIDED WITH ASSISTANCE REGARDING APPLYING FOR MEDICAID, IOWA CARE, HEALTHY START, GENERAL ASSISTANCE AND/OR LOCAL COUNTY FUNDS FOR FUTURE CARE NEEDS. MERCY ALSO HAS INTERPRETING SERVICES AVAILABLE FOR LIMITED ENGLISH PROFICIENCY OR HEARING IMPAIRED PATIENTS.
PART VI, LINE 4: MERCY MEDICAL CENTER SERVES A PRIMARY SERVICE AREA (PSA) OF LINN COUNTY AND A SECONDARY SERVICE AREA (SSA) OF 7 CONTIGUOUS COUNTIES (BENTON, BUCHANAN, CEDAR, DELAWARE, IOWA, JOHNSON AND JONES). 17.5% OF MERCY'S PATIENTS COME FROM THE SECONDARY SERVICE AREA.THE TOTAL POPULATION OF LINN COUNTY IN 2010 IS 211,226. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS IS 462,398. THE PROJECTED 10 YEAR POPULATION GROWTH FOR THE PSA IS 2% AND THE SSA, 1%. -12.6% OF PERSONS LIVING IN MERCYS COMBINED SERVICE AREA ARE AGE 65 OR OLDER. -81.3% ARE HIGH SCHOOL GRADUATES WHILE 28.3% HOLD A BACHELORS DEGREE OR HIGHER. -THE MEDIAN HOUSEHOLD INCOME IS $62,211. -THE PERCENTAGE OF PEOPLE LIVING BELOW POVERTY LEVEL IS 11.7% AS COMPARED TO 11.8% FOR ALL OF IOWA. -THE IOWAN UNINSURED RATE IS 9.3%. -THE AVERAGE PERSONS PER HOUSEHOLD ARE 2.43.DEMOGRAPHICS FOR THE COMBINED SERVICE AREA ARE AS FOLLOWS:-49.7% MALE, 50.3% FEMALE-91.2% CAUCASIAN-3.3% AFRICAN AMERICAN-0.2% NATIVE AMERICAN-2.4% ASIAN/PACIFIC-2.9% HISPANICTHE CURRENT UNEMPLOYMENT RATE FOR LINN COUNTY IS 5.6%. THE SEVEN CONTIGUOUS UNEMPLOYMENT RATES RANGE FROM 4.6-5.6. LINN COUNTY FEATURES A DIVERSE EMPLOYER BASE INCLUDING MANUFACTURING, TRADE, EDUCATION, SERVICE, FINANCE AND AGRICULTURE.
PART VI, LINE 5: MERCY MEDICAL CENTER CONTRIBUTED TO THE PROMOTION OF HEALTH OF THE COMMUNITY BY SERVING ON SEVERAL COMMUNITY AND AREA BOARDS. EXAMPLES INCLUDE:-UNITED WAY-WAYPOINT KIDS BOARD-DIVERSITY FOCUS BOARD-FREEDOM FROM HUNGER PLANNING COMMITTEE-AGING SERVICES BOARD-HEALTHY LINN CARE NETWORK BOARD-AMERICAN CANCER ASSOCIATION BOARD-CATHERINE MCAULEY CENTER BOARD-COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEEMERCY STAFF MEMBERS ALSO PARTICIPATE ON THE FOLLOWING COMMITTEES AND COALITIONS:-WOMEN'S HEALTH NETWORK-COLORECTAL CANCER COMMITTEE-LINN COUNTY MENTAL HEALTH SERVICES PLANNING COMMITTEE-HEALTHY LIVING COALITION-LINN COUNTY SENIOR COALITION-STI/HIV/AIDS ALLIANCE-LINN COUNTY PARTNERSHIP ON SUBSTANCE ABUSE-COMMUNITY INDIGENT/LOW INCOME SERVICE COMMITTEE-LINN COUNTY FAMILY VIOLENCE COALITION-LINN COUNTY ASTHMA REDUCTION COALITION-MAKE IT SAFE COALITIONMERCY 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 33 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, SIX SEATS ARE ALLOCATED TO WOMEN RELIGIOUS WHO ENSURE THE ORGANIZATION REMAINS TRUE TO IT CHARITABLE MISSION.
PART VI, LINE 6: MERCY HOSPITAL, D/B/A MERCY MEDICAL CENTER (HOSPITAL), IS AN IOWA NOT-FOR-PROFIT CORPORATION. THE HOSPITAL PROVIDES SERVICES FROM ITS FACILITY LOCATED IN CEDAR RAPIDS, IOWA. THE ACCOMPANYING FINANCIAL STATEMENTS INCLUDE THE HOSPITAL'S INTEREST IN THE NET ASSETS OF THE MERCY HOSPITAL ENDOWMENT FOUNDATION, INC., D/B/A MERCY MEDICAL CENTER FOUNDATION (FOUNDATION). THE FOUNDATION WAS ESTABLISHED TO FOSTER SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE HOSPITAL.MERCYCARE SERVICE CORPORATION (PARENT), AN IOWA NOT-FOR-PROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. ANOTHER RELATED CORPORATION, MERCY CARE MANAGEMENT, INC. (MCM), IS ALSO CONTROLLED BY THE PARENT. THE FINANCIAL POSITION AND RESULTS OF OPERATIONS OF THE PARENT AND MCM ARE NOT INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS.
IA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (29 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
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)	197435	FOR USE IN CONTINUING OPERATIONS
ALZHEIMER'S ASSOCIATION OF EAST CENTRAL IOWA
317 7TH AVENUE SE STE 402	CEDAR RAPIDS	IA	52401	421333384	501(C)(3)	7500	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
4080 1ST AVE NE STE 101	CEDAR RAPIDS	IA	52402	410724036	501(C)(3)	39300	GENERAL SUPPORT
AMERICAN DIABETES ASSOCIATION
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	131623888	501(C)(3)	20000	GENERAL SUPPORT
DIVERSITY FOCUS
205 SECOND STREET SE	CEDAR RAPIDS	IA	52401	203420207	501(C)(3)	11000	GENERAL SUPPORT
CEDAR RAPIDS MUSEUM OF ART
410 3RD AVENUE SE	CEDAR RAPIDS	IA	52401	420680248	501(C)(3)	5000	GENERAL SUPPORT
ST LUKE'S HEALTHCARE FOUNDATION
PO BOX 3026	CEDAR RAPIDS	IA	52406	421106819	501(C)(3)	26250	GENERAL SUPPORT
JUVENILE DIABETES FOUNDATION
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	231907729	501(C)(3)	10600	GENERAL SUPPORT
LINN COUNTY MEDICAL SOCIETY
813 1ST AVENUE SE	CEDAR RAPIDS	IA	52402	237410746	501(C)(6)	5500	GENERAL SUPPORT
CEDAR RAPIDS AREA CHAMBER OF COMMERCE
424 1ST AVENUE NE	CEDAR RAPIDS	IA	52401	420172900	501(C)(6)	20000	GENERAL SUPPORT
CEDAR RAPIDS CITY MARKET
PO BOX 667	CEDAR RAPIDS	IA	52406	270600567	501(C)(3)	5000	GENERAL SUPPORT
ENTREPRENEURIAL DEVELOPMENT CENTER
230 2ND STREET SE STE 212	CEDAR RAPIDS	IA	52401	421447565	501(C)(6)	20000	GENERAL SUPPORT
FOUR OAKS FAMILY & CHILDREN SERVICES
5400 KIRKWOOD BLVD SW	CEDAR RAPIDS	IA	52404	420998726	501(C)(3)	10000	GENERAL SUPPORT
HORIZONS - A FAMILY ALLIANCE
819 5TH STREET SE	CEDAR RAPIDS	IA	52401	421135083	501(C)(3)	5500	GENERAL SUPPORT
JUNIOR LEAGUE OF CEDAR RAPIDS INC
317 7TH AVENUE SE	CEDAR RAPIDS	IA	52401	426060212	501(C)(3)	8000	GENERAL SUPPORT
YOUNG PARENTS NETWORK
621 4TH AVENUE SE	CEDAR RAPIDS	IA	52401	421355480	501(C)(3)	750	GENERAL SUPPORT	52584
CEDAR RAPIDS SYMPHONY ORCHESTRA ASSOCIATION INC
119 3RD AVENUE SE	CEDAR RAPIDS	IA	52401	420772544	501(C)(3)	5000	GENERAL SUPPORT
IOWA HEALTHCARE COLLABORATIVE
100 EAST GRAND STE 360	DES MOINES	IA	50309	203869767	501(C)(3)	10000	GENERAL SUPPORT
CEDAR RAPIDS DOWNTOWN DISTRICT
312 2ND AVENUE SE	CEDAR RAPIDS	IA	52401	421454804	501(C)(3)	5000	GENERAL SUPPORT
UNITED WAY OF EAST CENTRAL IOWA
317 7TH AVENUE SE STE 401	CEDAR RAPIDS	IA	52401	420861239	501(C)(3)	5750	GENERAL SUPPORT
UNIVERSITY OF IOWA FOUNDATION
200 HAWKINS DRIVE	IOWA CITY	IA	52242	420796760	501(C)(3)	27400	GENERAL SUPPORT
COMMUNITY HEALTH FREE CLINIC
947 14TH AVENUE SE	CEDAR RAPIDS	IA	52401	134228071	501(C)(3)	5000	GENERAL SUPPORT	85327	FAIR MARKET VALUE	DONATED STAFF HOURS
GEMS OF HOPE INC
621 4TH AVENUE SE	CEDAR RAPIDS	IA	52401	203155610	501(C)(3)	6500	GENERAL SUPPORT
HAWKEYE AREA COMMUNITY ACTION PROGRAM
1515 HAWKEYE DRIVE	HIAWATHA	IA	52233	420898405	501(C)(3)	5200	GENERAL SUPPORT
HIS HANDS FREE MEDICAL CLINIC
400 12TH STREET SE	CEDAR RAPIDS	IA	52403	391878608	501(C)(3)	6000	GENERAL SUPPORT
NATIONAL CZECH & SLOVAK MUSEUM & LIBRARY
1400 INSPIRATION PLACE SW	CEDAR RAPIDS	IA	52404	510189030	501(C)(3)	5000	GENERAL SUPPORT
WAYPOINT SERVICES FOR WOMEN CHILDREN & FAMILIES
318 5TH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(C)(3)	11600	GENERAL SUPPORT
ZACH JOHNSON FOUNDATION
PO BOX 2336	CEDAR RAPIDS	IA	52406	272683100	501(C)(3)	13200	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	27	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	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

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
414924	0	49888	0	3592	0	127746	0	13328	0	609478	0	0	0
PHILIP PETERSON
263808	0	59430	0	2092	0	38291	0	23462	0	387083	0	0	0
MICHAEL TRACTA
223224	0	24400	0	527	0	5850	0	10859	0	264860	0	0	0
DR MARK VALLIERE
326588	0	0	0	2408	0	78118	0	9729	0	416843	0	0	0
JEFFREY CASH
201079	0	36197	0	824	0	32252	0	11344	0	281696	0	0	0
LAURA REED
172730	0	15177	0	650	0	9647	0	12217	0	210421	0	0	0
DOUG JONTZ
175752	0	10935	0	1940	0	5787	0	12016	0	206430	0	0	0
HUI LI
240856	0	0	0	276	0	25121	0	21829	0	288082	0	0	0
DESMOND WATERS
152347	0	3047	0	0	0	6284	0	9979	0	171657	0	0	0
CAROLINE GIDDINGS
128380	0	6595	0	276	0	6472	0	10256	0	151979	0	0	0
SUNDARA MUNAGALA
254533	0	0	0	120	0	1058	0	9460	0	265171	0	0	0
STEVE DRAKE
128823	0	12973	0	344	0	7265	0	10567	0	159972	0	0	0
A JAMES TINKER
0	0	0	0	119977	27800	0	0	2506	0	122483	27800	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 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. THIS AMOUNT IS INCLUDED IN REPORTABLE COMPENSATION AS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2011: PHILIP PETERSON - $28,541, BETH HOULAHAN - $5,384, TIMOTHY CHARLES - $117,996, MARK VALLIERE - $68,368, KARL KEELER - $15,520, AND JEFFREY CASH - $22,502. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2011.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF CEDAR RAPIDS IOWA
426004336	150543AA4	2003-04-10	30000000	REIMBURSE HOSPITAL FOR COSTS OF ACQUIRING AND CONSTRUCTING FACILITIES	0	0	0
CITY OF CEDAR RAPIDS IOWA
426004336	150543AB2	2005-11-17	58405000	ADVANCE REFUND OF 1999 BONDS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest
30000000	1288620	28711380	2003	0	0	1	1
58405000	1552500		2005	0	1	1	1	56852500

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1
0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
UBS AG
0	0	1	29.000000000000	0	0	0	0	0
UBS AG
0	0	1	24.000000000000	0	0	0	0	0

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	TIMOTHY CHARLES	NamePerson
Purpose Of Loan	PERSONAL	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$75,000	OriginalPrincipalAmount
Balance Due	32143	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	32143	TotalBalanceDue

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 18, 2012.
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 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -3,394,764. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS -14,999,575. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION -559,247. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS -8,795,550. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -256,142. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -52,188. TOTAL TO FORM 990, PART XI, LINE 5: -28,057,466.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C	MERCY MEDICAL CENTER'S GOVERNING BOARD ENGAGES THE INDEPENDENT ACCOUNTANTS TO PERFORM THE AUDIT. IN ADDITION, THE AUDITORS REVIEW THE MANAGEMENT LETTER WITH THE GOVERNING BOARD.

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	2540144	1416844	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
MERCY CARE MANAGEMENT INC
PO BOX 786	CEDAR RAPIDS	IA	52406	421198970	MEDICAL CLINICS	IA	N/A	C
MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442443	MEDICAL SERVICES	IA	N/A	C
MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442442	SUPPORT SERVICES	IA	N/A	C

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
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	197435	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C	3108093	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
B	2500000	FAIR MARKET VALUE
MERCY CARE MANAGEMENT INC
A	646000	FAIR MARKET VALUE
MERCYCARE SERVICE CORPORATION
C	1839928	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
P	513254	FAIR MARKET VALUE
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
I	1	FAIR MARKET VALUE