2013-05-20T10:27:19-05:00 2012-06-30 420714325 MCGLADREY LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2011-07-01 420698295 MERCY MEDICAL CENTER MERC 3193986107 701 10TH STREET SE CEDAR RAPIDS IA 52403 PHILIP PETERSON 3193986107 2013-05-20 1 JOHN J ROMANO P00227323 5638884000 2011 2016-02-25 16:41:14Z PHILIP PETERSON 701 10TH STREET SE CEDAR RAPIDS IA 52403 294952746 0 0928 X WWW.MERCYCARE.ORG X 1900 IA TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 33 32 2687 880 1335153 -47329 3118270 5715655 267529503 283201650 9849536 3494689 -1795271 -1779802 278702038 290632192 3213138 4461011 0 0 117488859 120192169 0 0 0 136863974 148487949 257565971 273141129 21136067 17491063 465167371 477555554 160509805 183464391 304657566 294091163 X TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY. 0 0 218461978 4461011 283201650 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. 218461978 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 256 0 1 2687 1 1 1 0 0 0 0 0 0 0 0 0 X 33 32 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X KAY CRIST 3193986107 701 10TH STREET SE CEDAR RAPIDS IA 52403 KYLE SKOGMAN 1.00 X X 282 0 0 MARY QUASS 1.00 X X 0 0 0 SISTER SHARI SUTHERLAND 1.00 X X 0 0 0 EMMETT SCHERRMAN 1.00 X X 0 0 0 TIMOTHY CHARLES 40.00 X X 468404 0 141074 LYDIA BROWN 1.00 X 0 0 0 MICHELE BUSSE 1.00 X 0 0 0 JACK COSGROVE 1.00 X 0 0 0 BARRIE ERNST 1.00 X 0 0 0 TONY GOLOBIC 1.00 X 0 0 0 SISTER LUANN HANNASCH 1.00 X 0 0 0 DON HATTERY 1.00 X 0 0 0 JOE HLADKY 1.00 X 0 0 0 JAN KAZIMOUR 1.00 X 0 0 0 BARB KNAPP 1.00 X 0 0 0 LEE LIU 1.00 X 0 0 0 SISTER TERRY MALTBY 1.00 X 0 0 0 BRUCE MCGRATH 1.00 X 0 0 0 CHERYLE MITVALSKY 1.00 X 0 0 0 DARREL MORF 1.00 X 0 0 0 DAVE NEUHAUS 1.00 X 0 0 0 RUE PATEL 1.00 X 0 0 0 FRED PILCHER MD 1.00 X 0 0 0 MARK POSPISIL MD 1.00 X 0 0 0 TOM REED 1.00 X 0 0 0 SISTER LAURA REICKS 1.00 X 0 0 0 JOHN RIFE 1.00 X 0 0 0 CHARLIE ROHDE 1.00 X 0 0 0 AL RUFFALO 1.00 X 0 0 0 JOHN SMITH 1.00 X 0 0 0 BOB VERHILLE 1.00 X 0 0 0 SISTER MARGARET WEIGEL 1.00 X 0 0 0 SISTER MAURITA SOUKUP 1.00 X 0 0 0 PHILIP PETERSON 40.00 X 325330 0 61753 MICHAEL TRACTA 40.00 X 248151 0 16709 DR MARK VALLIERE 40.00 X 328996 0 87847 JEFFREY CASH 40.00 X 238100 0 43596 LAURA REED 40.00 X 188557 0 21864 DOUG JONTZ 40.00 X 188627 0 17803 HUI LI 40.00 X 241132 0 46950 DESMOND WATERS 40.00 X 155394 0 16263 CAROLINE GIDDINGS 40.00 X 135251 0 16728 SUNDARA MUNAGALA 40.00 X 254653 0 10518 STEVE DRAKE 40.00 X 142140 0 17832 A JAMES TINKER 1.00 X 119977 27800 2506 3034994 27800 501443 42 1 1 0 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 30 4948021 767634 5715655 PATIENT REVENUES 900099 228213159 228213159 LABORATORY REVENUE 621500 54208318 52873165 1335153 FITNESS CENTER REVENUE 900099 498715 498715 FAMILY COUNSELING REVE 624100 281458 281458 283201650 3088171 3088171 2368453 1473136 895317 895317 895317 509246 0 102728 509246 -102728 406518 406518 2672048 2744690 -72642 -72642 MRI MR ASSOCIATES 621110 2539559 2539559 MRI JOINT VENTURE 621110 -5142036 -5142036 -2602477 290632192 279264020 1335153 4317364 4461011 4461011 1794551 1794551 90197338 71643283 18554055 6703159 5220420 1482739 14812957 11536331 3276626 6684164 5205627 1478537 71106 55377 15729 411123 320183 90940 163415 127268 36147 26687 20784 5903 36778 28643 8135 10791800 8404654 2387146 2455454 1912308 543146 60841083 47383035 13458048 7247079 5644025 1603054 16500 12850 3650 3083547 2401466 682081 288366 224579 63787 34131 26581 7550 2472699 1925738 546961 19705209 15346417 4358792 813520 633569 179951 BAD DEBT EXPENSE 21486842 21486842 CONTRACTED SERVICES 5935675 4622704 1312971 REPAIRS 5195046 4045902 1149144 EQUIPMENT RENTAL & MAIN 2862813 2229559 633254 4549076 3542822 1006254 273141129 218461978 54679151 0 629158 632661 28004569 12192434 39341216 43664551 2172243 396056 5255100 5617699 2437953 2532370 386419893 187454409 177966402 198965484 58887930 61991214 93390859 95292665 56969239 56166487 112702 103933 465167371 477555554 30402376 32214753 81800000 79300000 48307429 71949638 160509805 183464391 X 272378106 260620347 9394869 9584831 22884591 23885985 304657566 294091163 465167371 477555554 X 17491063 -28057466 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26687 26687 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 22.9% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $26,687. 29795537 1481261 402677 135675 564000 30979800 27886845 151882 4618232 2317922 543500 29795537 26505127 234657 1633447 486386 27886845 29036036 2000 -2532909 26505127 0.13480 0.77100 0.09420 0 1 1 14949322 14949322 255443320 121185012 134258308 113170630 64245586 48925044 2856621 2023811 832810 198965484 MONEY MARKET FUNDS 14413 F COMMERCIAL PAPER & CASH 16058097 F MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS, & REAL ESTATE 79220155 F 95292665 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 56166487 INTEREST RATE SWAP AGREEMENTS 15994123 PENSION LIABILITY 48313765 SELF INSURANCE RESERVES 6895706 THIRD PARTY SETTLEMENTS 642111 NET EQUITY IN MERCY MEDICAL CENTER AUXILIARY 75375 NET EQUITY IN MERCY MEDICAL CENTER FLOWER SHOP 28558 71949638 290632192 273141129 17491063 -3394764 -24662702 -28057466 -10566403 262043571 -3394764 -26854372 -30249136 292292707 -1660515 -1660515 290632192 272609974 1968845 1968845 270641129 2500000 2500000 273141129 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. 1 1 1 X 1 X 1000.000000000000 1 1 1 0 1 1 4252308 0 4252308 0.01690 18341458 17745663 595795 0.00240 22593766 17745663 4848103 0.01930 1023082 0 1023082 0.00410 1898178 1119571 778607 0.00310 9186418 7246330 1940088 0.00770 0 0 296675 0 296675 0.00120 12404353 8365901 4038452 0.01610 34998119 26111564 8886555 0.03540 24814 0 24814 0.00010 14106 0 14106 0.00010 0 0 0 0 3332 0 3332 0.00000 211676 0 211676 0.00080 0 9225 0 9225 0.00000 0 0 263153 263153 0.00100 1 6680094 0 106482740 128644690 -22161950 X 1 1 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 1 1 MERCY MEDICAL CENTER

701 10TH STREET SE CEDAR RAPIDS IA 52403

X X X X MERCY MEDICAL CENTER 1 1 1 200.000000000000 1 1000.000000000000 1 X X X X X X X 1 1 X 1 0 1 X 0 0 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. MERCY MEDICAL CENTER 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 IA 1 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 52584 GENERAL SUPPORT 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 85327 FAIR MARKET VALUE DONATED STAFF HOURS GENERAL SUPPORT 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 27 3 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 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 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. 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 30000000 1288620 28711380 2003 0 0 1 1 58405000 56852500 1552500 2005 0 1 1 1 0 0 0 0 1 0 0 0 0 1 0 0 1 UBS AG 29.000000000000 0 0 0 0 0 0 0 1 UBS AG 24.000000000000 0 0 0 0 0 X TIMOTHY CHARLES PERSONAL X 75000 32143 0 1 1 32143 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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. 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 N/A 0 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 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 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 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