MERCY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-01
IRS object ID: 201201229349300950
Schema version: 2010v3.4
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	2012-05-01T13:38:26-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY & PULLEN 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	2010-07-01	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	2012-04-02	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN J ROMANO	Name
Phone	5638884000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	322256772	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	34	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	33	NbrIndependentVotingMembers
Total Nbr Employees	2694	TotalNbrEmployees
Total Nbr Volunteers	687	TotalNbrVolunteers
Total Gross UBI	1439303	TotalGrossUBI
Net Unrelated Business Txbl Income	-154501	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7157145	ContributionsGrantsPriorYear
Contributions Grants Current Year	3118270	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	249637180	ProgramServiceRevenuePriorYear
Program Service Revenue CY	267529503	ProgramServiceRevenueCY
Investment Income Prior Year	6064869	InvestmentIncomePriorYear
Investment Income Current Year	9849536	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-2188342	OtherRevenuePriorYear
Other Revenue Current Year	-1795271	OtherRevenueCurrentYear
Total Revenue Prior Year	260670852	TotalRevenuePriorYear
Total Revenue Current Year	278702038	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3169250	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3213138	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	113234696	SalariesEtcPriorYear
Salaries Etc Current Year	117488859	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	120113865	OtherExpensePriorYear
Other Expenses Current Year	136863974	OtherExpensesCurrentYear
Total Expenses Prior Year	236517811	TotalExpensesPriorYear
Total Expenses Current Year	257565971	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24153041	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	21136067	RevenuesLessExpensesCY
Total Assets BOY	420370403	TotalAssetsBOY
Total Assets EOY	465167371	TotalAssetsEOY
Total Liabilities BOY	166162089	TotalLiabilitiesBOY
Total Liabilities EOY	160509805	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	254208314	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	304657566	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	231800988	Expense
Grants	3213138	Grants
Revenue	267529503	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) - $24,116,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,195,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $5,074,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $4,320,000; PHYSICIAN EDUCATION - $882,000.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 66,000 HOUSEHOLDS IN 2011 AT A TOTAL COST OF OVER $54,000. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS OFFERED ON TOPICS INCLUDING AGING, BACK AND NECK PAIN, BREAST FEEDING, DIABETES, DISC DISEASE, EATING DISORDERS, MIGRAINE HEADACHES, MULTIPLE SCLEROSIS, OSTEOPOROSIS, PMS, PARENTING, PARKINSON'S DISEASE, PRENATAL CARE, STROKES AND WELLNESS, SPECIALIZED CANCER SEMINARS FOR CLERGY, 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 KIDS FIRST, AMERICAN HEART ASSOCIATION, OVEREATERS ANONYMOUS, AL-ANON, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, AND THE AMERICAN CANCER SOCIETY. D. CONTRIBUTIONS OF 109,300 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,221,000 AND WAS GIVEN BACK THE THE COMMUNITY THROUGH LOWER COSTS.	Description
Total Program Service Expense	231800988	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	274	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2694	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	34	NbrVotingGoverningBodyMembers
Number Independent Voting Members	33	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
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
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	0	0	0
TOM REED
VICE CHAIRMAN	1.00	X	X	1002	0	0
SISTER SHARI SUTHERLAND
SECRETARY	1.00	X	X	0	0	0
EMMETT SCHERRMAN
TREASURER	1.00	X	X	0	0	0
TIM CHARLES
PRESIDENT & CEO	1.00	X	X	495984	0	111814
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		747	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
TOM MCINTOSH MD
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
MARY QUASS
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
SISTER MAURITA SOUKUP
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
STEPHEN MAZE MD
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
PHILIP PETERSON
EXECUTIVE VP & CFO	40.00		X	321047	0	40864
BETH HOULAHAN
SENIOR VP PATIENT CARE SER	40.00			217851	0	24298	X
KARL KEELER
EXECUTIVE VP & COO	40.00			226646	0	23506	X
KATHY KRUSIE
SENIOR VP OF ADMIN & SUPPO	40.00			123990	0	15318	X
DR MARK VALLIERE
SENIOR VP MEDICAL AFFAIRS	40.00			394090	0	34604	X
JEFFREY CASH
SENIOR VP/CIO	40.00			225447	0	39039	X
LARRY DONALDSON
SENIOR VP OF MANAGED CARE	40.00			158641	0	9200		X
HUI LI
RADIATION PHYSICIST	40.00			214354	0	18420		X
DESMOND WATERS
DIRECTOR, PHARMACY	40.00			138083	0	14798		X
LAURA REED
OPERATIONAL DIRECTOR	40.00			131310	0	16081		X
A JAMES TINKER
FORMER CEO	1.00			121776	26000	4835			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2646978	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	26000	TotalReportableCompFrmRltdOrgs
Total Other Compensation	337459	TotalOtherCompensation
Number Individuals GT100 K	40	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
HOSPITALIST MEDICINE PHYSICIANS
4535 DRESSLER RD NW	CANTON	OH	44718	HEALTHCARE PROFESSIONAL SERVICES	2902367
VITAL SUPPORT SYSTEMS LLC
11191 AURORA AVENUE	URBANDALE	IA	50322	HARWARE, SOFTWARE, AND I/S SUPPORT SERVI	1766329
OPN ARCHITECTS INC
200 FIFTH AVENUE SUITE 201	CEDAR RAPIDS	IA	52401	DESIGN SERVICES	1729944
PREFERRED MEDICAL DEPOSIT INC
10604 JUSTIN DRIVE	DES MOINES	IA	50322	COLLECTION SERVICES	1481601
MERCY PHYSICIAN SERVICES
311 3RD AVENUE SE	CEDAR RAPIDS	IA	52403	HEALTHCARE PROFESSIONAL SERVICES	783111

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	32	NumberOfContractorsGT100K
Related Organizations	3065560	RelatedOrganizations
All Other Contributions	52710	AllOtherContributions
Total Contributions	3118270	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES	900099	218439402	218439402
LABORATORY REVENUE	621500	48348033	46919382	1428651
FITNESS CENTER REVENUE	900099	484194	484194
FAMILY COUNSELING REVE	624100	257874	257874

Field	Value	IRS element (for citing)
Total Program Service Revenue	267529503	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3684031	TotalRevenueColumn
Exclusion	$3,684,031	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1681577	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1225981	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	455596	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	455596	TotalRevenueColumn
Exclusion	$455,596	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	44772775	Securities
Other	1234006	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	38353230	Securities
Other	1488046	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6419545	Securities
Other	-254040	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6165505	TotalRevenueColumn
Exclusion	$6,165,505	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	2547836	GrossSalesOfInventory
Cost Of Goods Sold	2487477	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	60359	TotalRevenueColumn
Exclusion	$60,359	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MRI MR ASSOCIATES	621110	2822782	2822782
PARTNERSHIP ORDINARY I	561000	10652		10652
MRI JOINT VENTURE	621110	-5144660	-5144660

Field	Value	IRS element (for citing)
Total Other Revenue	-2311226	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	278702038	TotalRevenueColumn
Related Or Exempt Function Income	263778974	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1439303	UnrelatedBusinessRevenue
Exclusion	$10,365,491	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3213138	Total
Program Services	3213138	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1823601	Total
Management And General	1823601	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	85653095	Total
Program Services	78052526	ProgramServices
Management And General	7600569	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7883816	Total
Program Services	7050268	ProgramServices
Management And General	833548	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15827182	Total
Program Services	14231536	ProgramServices
Management And General	1595646	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6301165	Total
Program Services	5620093	ProgramServices
Management And General	681072	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	57763	Total
Program Services	57763	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	276799	Total
Management And General	276799	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	147376	Total
Management And General	147376	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	24938	Total
Program Services	24938	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	162821	Total
Management And General	162821	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9559413	Total
Program Services	6714838	ProgramServices
Management And General	2844575	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1778659	Total
Program Services	1698204	ProgramServices
Management And General	80455	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	55178121	Total
Program Services	52995870	ProgramServices
Management And General	2182251	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6829500	Total
Program Services	6808216	ProgramServices
Management And General	21284	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	65910	Total
Program Services	65910	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3367956	Total
Program Services	543523	ProgramServices
Management And General	2824433	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	269473	Total
Program Services	155167	ProgramServices
Management And General	114306	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	32708	Total
Program Services	32708	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	2982560	Total
Program Services	2982560	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	18676737	Total
Program Services	15267569	ProgramServices
Management And General	3409168	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	936846	Total
Program Services	346	ProgramServices
Management And General	936500	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
BAD DEBT EXPENSE	19374587	19374587
REPAIRS	5154621	5154621
CONTRACTED SERVICES	4755409	4755409
EQUIPMENT RENTAL & MAIN	2714650	2714650
RESIDENCY EXPENSE	1665028	1665028

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2852099	Total
Program Services	2621520	ProgramServices
Management And General	230579	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	257565971	Total
Program Services	231800988	ProgramServices
Management And General	25764983	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	503844	BOY
EOY	629158	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	33184130	BOY
EOY	28004569	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	35957106	BOY
EOY	39341216	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2859486	BOY
EOY	2172243	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4903950	BOY
EOY	5255100	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1810711	BOY
EOY	2437953	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	349855042	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	171888640	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	169689333	BOY
EOY	177966402	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	47245888	BOY
EOY	58887930	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	74534878	BOY
EOY	93390859	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	49623480	BOY
EOY	56969239	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	57597	BOY
EOY	112702	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	420370403	BOY
EOY	465167371	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	24964222	BOY
EOY	30402376	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	84205000	BOY
EOY	81800000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56992867	BOY
EOY	48307429	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	166162089	BOY
EOY	160509805	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	224744236	BOY
EOY	272378106	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7089893	BOY
EOY	9394869	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22374185	BOY
EOY	22884591	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	254208314	BOY
EOY	304657566	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	420370403	BOY
EOY	465167371	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	21136067	ReconcilationRevenueExpenses
Reconcilation Other Changes	29313185	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	$24,938	OtherActivitiesAmount
Total Lobbying Expenditures IIB	24938	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	21.4% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $24,938.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	27886845	BeginningOfYearBalance
Contributions	151882	Contributions
Investment Earnings Or Losses	2300310	InvestmentEarningsOrLosses
Administrative Expenses	543500	AdministrativeExpenses
End Of Year Balance	29795537	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.13060	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.76800	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.10140	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	12728692	OtherCostOrOtherBasis
Book Value	12728692	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	225488869	OtherCostOrOtherBasis
Depreciation	109044699	Depreciation
Book Value	116444170	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2730133	OtherCostOrOtherBasis
Depreciation	1875320	Depreciation
Book Value	854813	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	108907348	OtherCostOrOtherBasis
Depreciation	60968621	Depreciation
Book Value	47938727	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	177966402	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
COMMERCIAL PAPER & CASH	12299754	F
MONEY MARKET FUNDS	11438	F
MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS & REAL ESTATE	81079667	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	93390859	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (6 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATES	53032148	F
DEFERRED FINANCING COSTS	569091	C
INVESTMENT IN CEDAR RAPIDS PHO	678000	F
SLEEP LAB JOINT VENTURE	1123000	F
INVESTMENT IN MR ASSOCIATES	767000	C
INVESTMENT IN MEDICAL MALL	800000	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	56969239	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
INTEREST RATE SWAP AGREEMENTS	$7,198,573
PENSION LIABILITY	$33,391,282
SELF INSURANCE RESERVES	$6,588,140
THIRD PARTY SETTLEMENTS	$1,016,732
NET EQUITY IN MERCY MEDICAL CENTER AUXILIARY	$56,544
NET EQUITY IN MERCY MEDICAL CENTER FLOWER SHOP	$56,158

Field	Value	IRS element (for citing)
Total Of Amounts	48307429	TotalOfAmounts
Total Revenue	278702038	TotalRevenue
Total Expenses	257565971	TotalExpenses
Excess Or Deficit For Year	21136067	ExcessOrDeficitForYear
Net Unrealized GL On Investments	13231280	NetUnrealizedGLOnInvestments
Other	$16,081,905	OtherAmount
Total Adjustments	29313185	TotalAdjustments
Excess Or Deficit Per FS	50449252	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	307130348	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	13231280	NetUnrealizedGainsInvestments
Other Revenues	13708402	OtherRevenues
Revenue Not Rptd F990	26939682	RevenueNotRptdF990
Revenue Subtotal	280190666	RevenueSubtotal
Other Revenues Not Included	-1488628	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1488628	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	278702038	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	256681096	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1901747	OtherExpensesIncluded
Expenses Not Rptd F990	1901747	ExpensesNotRptdF990
Expenses Subtotal	254779349	ExpensesSubtotal
Other Expenses Not Included	2786622	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2786622	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	257565971	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, 2011 AND 2010, 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 CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP CONTRIBUTION REVENUE RECORDED AS A LIABILITY
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 2,273,736. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN 7,825,992. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION 6,628,816. GRANT TO MERCARE SERVICE CORPORATION INCLUDED WITH REVENUES -2,500,000. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -304,102. OTHER CEDAR RAPIDS PHYSICIAN-HOSP ORG LC K-1 INCOME 46,380. AUXILIARY CONTRIBUTION EXPENSE INCLUDED IN REVENUE -200,920. GRANT EXPENSE INCLUDED WITH REVENUE -61,500.
PART XII, LINE 4B - OTHER ADJUSTMENTS:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES -1,844,160. LOSS ON SALE OF FIXED ASSETS -60,763. AUXILIARY AND FLOWER SHOP REVENUE NOT INCLUDED IN AUDIT REPORT 32,535. RENTAL REVENUE IN EXPENSES ON REPORT 2,096. CONTRIBUTION REVENUE INCLUDED IN EXPENSE ON REPORT 3,176. RECLASSIFICATION OF EFY CONTRIBUTION REVENUE 378,488.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES 1,844,160. LOSS ON SALE OF FIXED ASSETS 60,763. CONTRIBUTION REVENUE INCLUDED WITH EXPENSE ON REPORT -3,176.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES 2,500,000. ADDITIONAL BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME/(LOSS) 22,106. RENTAL REVENUE IN EXPENSES ON REPORT 2,096. AUXILIARY CONTRIBUTION EXPENSE INCLUDED IN REVENUE 200,920. GRANT EXPENSE INCLUDED WITH REVENUE 61,500.

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	5073963	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5073963	NetCommunityBenefitExpense
Percent Of Total Expense	0.02130	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15931675	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11612345	DirectOffsettingRevenue
Net Community Benefit Expense	4319330	NetCommunityBenefitExpense
Percent Of Total Expense	0.01810	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21005638	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11612345	DirectOffsettingRevenue
Net Community Benefit Expense	9393293	NetCommunityBenefitExpense
Percent Of Total Expense	0.03940	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	951253	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	951253	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2199762	TotalCommunityBenefitExpense
Direct Offsetting Revenue	878312	DirectOffsettingRevenue
Net Community Benefit Expense	1321450	NetCommunityBenefitExpense
Percent Of Total Expense	0.00550	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9358162	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7109098	DirectOffsettingRevenue
Net Community Benefit Expense	2249064	NetCommunityBenefitExpense
Percent Of Total Expense	0.00940	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	325716	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	325716	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12834893	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7987410	DirectOffsettingRevenue
Net Community Benefit Expense	4847483	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	33840531	TotalCommunityBenefitExpense
Direct Offsetting Revenue	19599755	DirectOffsettingRevenue
Net Community Benefit Expense	14240776	NetCommunityBenefitExpense
Percent Of Total Expense	0.05970	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	19509	TotalCommunityBuildingExpense
Net Community Building Expense	19509	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	15970	TotalCommunityBuildingExpense
Net Community Building Expense	15970	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	264	TotalCommunityBuildingExpense
Net Community Building Expense	264	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	189769	TotalCommunityBuildingExpense
Net Community Building Expense	189769	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	4327	TotalCommunityBuildingExpense
Net Community Building Expense	4327	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	229839	TotalCommunityBuildingExpense
Net Community Building Expense	229839	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,154,638	BadDebtExpenseAmount
Amount Reimbursed By Medicare	95598663	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	118714706	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-23116043	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 (4 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	0.38000	0.00000	0.62000
4 PCI REGIONAL MED MALL LLC
REAL ESTATE	0.10000	0.00000	0.80000

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	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 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 (MERCY) 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 (JOSLIN) 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 PRIMARY SERVICE AREA IS 14,000. JOSLIN SERVED 1,279 PATIENTS THROUGH 4,465 PATIENT VISITS FROM JULY 2010-JUNE 2011.EACH SUMMER JOSLIN 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 ARE 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 EMERGENCY DEPARTMENT. 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 PRIMARY SERVICE AREA AND SECONDARY SERVICE AREA 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 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 BECAUSE OF 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 (NICU): 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 PER 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 A NURSE 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. SOME OF THE OUTCOMES ARE AS FOLLOWS: -WEIGHT LOSS AND FEEDING PROBLEMS WERE IDENTIFIED, CARE PLANS DEVELOPED, AND FOLLOW-UP WAS DONE TO ASSURE EFFECTIVENESS. -JAUNDICE WAS IDENTIFIED IN NEWBORNS, LABS DRAWN AND ORDERS RECEIVED TO PREVENT KERNICTERUS. -MATERNAL VITAL CHANGES WERE IDENTIFIED AND PHYSICIANS NOTIFIED WHEN NECESSARY. -EDUCATION IS REINFORCED AND DONE TO ASSURE A SAFE ENVIRONMENT FOR THE BABY AND MOM. -SAFETY ISSUES WERE IDENTIFIED IN THE ENVIRONMENT AND CORRECTED WHEN NECESSARY. -SIGNS AND SYMPTOMS OF POSTPARTUM DEPRESSION WERE 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): $19,374,587 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 14.21%, AND THE PERCENTAGE INCREASES TO 64.05% 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 BOARDSR. MARY LAWRENCE COMMUNITY CENTER RENOVATION PROJECT: MERCY MEDICAL CENTER RENOVATED THE PENNYSAVER BUILDING TO BECOME THE SR. MARY LAWRENCE COMMUNITY CENTER IN AN EFFORT TO PROVIDE OFFICE AND PROGRAMMING SPACE FOR LOCAL NONPROFITS. GIRLS AND BOYS CLUB, GEMS OF HOPE, KIDS FIRST LAW CENTER, AND YOUNG PARENTS NETWORK PAY $1 PLUS THE COST OF THEIR UTILITIES AS RENT FOR THE YEAR. THE MONEY THEY SAVE FROM OVERHEAD IS PUT BACK INTO THEIR OPERATIONS SO THEY CAN SERVE MORE WITHIN OUR COMMUNITY.ENCOURAGING OUR YOUTH: TEACHING HEALTHY LIFESTYLE HABITS IS PART OF MERCY'S COMMITMENT TO PREVENTION AS A PART OF HEALTH CARE. IN 2011, 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 OTHER SERVICES 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 THE MEDICARE COST REPORT, DO NOT SHOW THE COSTS AND PAYMENTS ASSOCIATED WITH THESE SERVICES FOR MEDICARE BENEFICIARIES. FOR MERCY MEDICAL CENTER, 49.6% OF OUR GROSS CHARGES ARE FOR MEDICARE PATIENTS INCLUDING THOSE WITH MEDICARE REPLACEMENTS. ANOTHER 6.7% 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 64,484 MEDICARE PATIENTS WHO WERE DISCHARGED DURING THE 2011 FISCAL YEAR, 13,240, OR 20.6%, HAD MEDICAID COVERAGE. THIS DOES NOT REFLECT ANY OF THE PATIENTS WHOSE PRIMARY COVERAGE IS MEDICARE REPLACEMENT POLICY.
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 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 MANNER.-BALANCING 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 CENTER'S 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 OBLIGATIONS 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 CARES, HEALTHY AND WELL KIDS IN IOWA (HAWKI), GENERAL ASSISTANCE AND/OR LOCAL COUNTY FUNDS FOR FUTURE CARE NEEDS. MERCY ALSO HAS INTERPRETING SERVICES AVAILABLE FOR LIMITED ENGLISH PROFICIENCY PATIENTS WHO SPEAK OTHER LANGUAGES.
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 (DATA FROM IOWA HOSPITAL ASSOCIATION).THE TOTAL POPULATION OF LINN COUNTY IN 2010 IS 211,226. THE TOTAL POPULATION OF BOTH PRIMARY AND SECONDARY SERVICE AREAS IS 462,398. BASED ON THE 2010 U.S. CENSUS, THE FOLLOWING FACTS PERTAIN TO PERSONS LIVING IN MERCY'S PSA & SSA:-12.6% OF PERSONS ARE AGE 65 OR OLDER-81.3% OF PERSONS AGE 18 AND OLDER GRADUATED FROM HIGH SCHOOL-28.3% OF PERSONS AGE 18 AND OLDER HAVE A BACHELORS DEGREE OR HIGHER-MEDIAN HOUSEHOLD INCOME IS $62,211-11.7% OF THE POPULATION LIVE BELOW POVERTY LEVEL-AVERAGE PERSONS PER HOUSEHOLD IS 2.43-49.7% OF THE POPULATION ARE MALE-50.3% OF THE POPULATION ARE FEMALE-91.2% OF THE POPULATION ARE CAUCASIAN-3.3% OF THE POPULATION ARE AFRICAN AMERICAN-0.2% OF THE POPULATION ARE NATIVE AMERICAN-2.4% OF THE POPULATION ARE ASIAN, NATIVE HAWAIIAN, OR PACIFIC ISLANDER-2.9% OF THE POPULATION ARE HISPANIC
PART VI, LINE 6:
PART VI, LINE 7: 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.
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 (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(C)(3)	2500000	FOR USE IN CONTINUING OPERATIONS
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	501(C)(3)	282420	FOR USE IN CONTINUING OPERATIONS
AGING SERVICES
800 FIRST ST NW	CEDAR RAPIDS	IA	52405	237085316	501(C)(3)	6000	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
4080 1ST AVE NE STE 101	CEDAR RAPIDS	IA	52402	410724036	501(C)(3)	26050	GENERAL SUPPORT
CEDAR RAPIDS HEALTHCARE ALLIANCE
600 7TH ST SE	CEDAR RAPIDS	IA	52401	203178229	501(C)(3)	25000	GENERAL SUPPORT
DIVERSITY FOCUS
205 SECOND STREET SE	CEDAR RAPIDS	IA	52401	203420207	501(C)(3)	11500	GENERAL SUPPORT
ESPECIALLY FOR YOU
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	420698295	501(C)(3)	20000	GENERAL SUPPORT
HEALTHY LINN CARE NETWORK
PO BOX 3026	CEDAR RAPIDS	IA	52406	421106819	501(C)(3)	42500	GENERAL SUPPORT
JUVENILE DIABETES FOUNDATION
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	231907729	501(C)(3)	10022	GENERAL SUPPORT
LINN COUNTY MEDICAL SOCIETY
813 1ST AVENUE SE	CEDAR RAPIDS	IA	52402	237410746	501(C)(6)	5000	GENERAL SUPPORT
PRIORITY ONE
424 1ST AVENUE NE	CEDAR RAPIDS	IA	52401	420172900	501(C)(6)	20000	GENERAL SUPPORT
WAYPOINT SERVICES FOR WOMEN & CHILDREN
318 5TH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(C)(3)	5680	GENERAL SUPPORT
ALZHEIMER'S ASSOCIATION OF EAST CENTRAL IOWA
1570 42ND AVENUE NE	CEDAR RAPIDS	IA	52402	421333384	501(C)(3)	7000	GENERAL SUPPORT
BOYS AND GIRLS CLUB OF CEDAR RAPIDS
621 4TH AVENUE SE	CEDAR RAPIDS	IA	52401	421434056	501(C)(3)	1000	DONATED SPACE FOR OPERATIONS
ENTREPRENEURIAL DEVELOPMENT CENTER
230 2ND STREET SE STE 212	CEDAR RAPIDS	IA	52401	421447565	501(C)(6)	20000	CAPITAL CAMPAIGN
FOUR OAKS
5400 KIRKWOOD BLVD SW	CEDAR RAPIDS	IA	52404	420998726	501(C)(3)	10000	GENERAL SUPPORT
HORIZONS
819 5TH STREET SE	CEDAR RAPIDS	IA	52401	421135083	501(C)(3)	5000	CAPITAL CAMPAIGN CONTRIBUTIONS
JUNIOR LEAGUE OF CEDAR RAPIDS
2100 1ST AVENUE NE	CEDAR RAPIDS	IA	52402	426060212	501(C)(3)	5670	CORPORATE EVENT SPONSORSHIP
CEDAR RAPIDS SYMPHONY
800 SECOND AVE SE	CEDAR RAPIDS	IA	52401	420772544	501(C)(3)	15000	GENERAL SUPPORT
IOWA HEALTHCARE COLLABORATIVE
100 EAST GRAND STE 360	DES MOINES	IA	50309	203869767	501(C)(3)	20000	GENERAL SUPPORT
MERCY PHYSICIAN ASSOCIATION FREE CLINIC
311 THIRD AVE SE 4TH FLOOR	CEDAR RAPIDS	IA	52401	421442443		8453	DONATED STAFF HOURS
SISTERS OF MERCY
1125 PRAIRIE DRIVE NE	CEDAR RAPIDS	IA	52402	420680250	501(C)(3)	5000	GENERAL SUPPORT
UNITED WAY OF EAST CENTRAL IOWA
1030 5TH ST SE STE 100	CEDAR RAPIDS	IA	52403	420861239	501(C)(3)	8070	GENERAL SUPPORT
UNIVERSITY OF IOWA FOUNDATION
200 HAWKINS DRIVE	IOWA CITY	IA	52242	420796760	501(C)(3)	10000	GENERAL SUPPORT

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
Written Employment Contract	X	WrittenEmploymentContract
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 (10 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
TIM CHARLES
396804	0	75275	0	23905	0	99240	0	12574	0	607798	0	0	0
PHILIP PETERSON
251364	0	62799	0	6884	0	27652	0	13212	0	361911	0	0	0
BETH HOULAHAN
169871	0	41356	0	6624	0	12278	0	12020	0	242149	0	0	0
KARL KEELER
160230	0	39450	0	26966	0	14076	0	9430	0	250152	0	0	0
DR MARK VALLIERE
312196	0	75170	0	6724	0	22317	0	12287	0	428694	0	0	0
JEFFREY CASH
181541	0	37286	0	6620	0	26073	0	12966	0	264486	0	0	0
LARRY DONALDSON
120147	0	12118	0	26376	0	0	0	9200	0	167841	0	0	0
HUI LI
214354	0	0	0	0	0	5319	0	13101	0	232774	0	0	0
DESMOND WATERS
134112	0	3971	0	0	0	0	0	14798	0	152881	0	0	0
A JAMES TINKER
0	0	0	0	121776	26000	4835	0	0	0	126611	26000	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation
PART I, LINE 1A	TRAVEL FOR COMPANIONS: LIMITED TRAVEL FOR COMPANIONS ARE PAID BY THE ORGANIZATION ON BEHALF OF TOP MANAGEMENT. THESE AMOUNTS ARE 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 2010: PHILIP PETERSON - $17,858, BETH HOULAHAN - $12,278, TIMOTHY CHARLES - $95,057, MARK VALLIERE - $22,317, KARL KEELER - $9,863, AND JEFFREY CASH - $19,603. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2010.

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

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	43929	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	43929	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
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.
	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 12C
	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE COMPENSATION COMMITTEE. THE COMMITTEE USES RSM MCGLADREY, INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED ON SEPTEMBER 28, 2011.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 13,231,280. CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS 7,825,992. CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION 6,628,816. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS 2,273,736. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) -235,616. CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP -32,535. CONTRIBUTION REVENUE RECORDED AS A LIABILITY -378,488. TOTAL TO FORM 990, PART XI, LINE 5: 29,313,185.	FORM 990, PART XI, LINE 5:
	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.	FORM 990, PART XI, LINE 2C

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	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
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)	11B/II	N/A	1
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	HEALTHCARE OVERSIGHT	IA	501(C)(3)	11C/III-FI	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MR ASSOCIATES LLP	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1455 SHERMAN ROAD	AddressLine1
City	HIAWATHA	City
State	IA	State
ZIP Code	52233	ZIPCode

Field	Value	IRS element (for citing)
EIN	421260463	EIN
Primary Activity	MEDICAL IMAGING	PrimaryActivity
Legal Domicile State	IA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	2801396	ShareOfTotalIncome
Share Of EOY Assets	2022299	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.33000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MERCY CARE MANAGEMENT INC
PO BOX 786	CEDAR RAPIDS	IA	52406	421198970	MEDICAL CLINICS	IA	MERCYCARE SERVICE CORPORATION	C	955484	82416652	1.00000
MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442443	MEDICAL SERVICES	IA	MERCY CARE MANAGEMENT INC	C	20457461	157289809	1.00000
MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442442	SUPPORT SERVICES	IA	MERCY CARE MANAGEMENT INC	C	-23555963	18159464	1.00000

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	282420	FMV - CASH
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C	2759307	FMV - CASH
MERCYCARE SERVICE CORPORATION
B	2500000	FMV - CASH
MERCY CARE MANAGEMENT INC
A	456000	FMV - CASH
MERCYCARE SERVICE CORPORATION
C	306253	FMV - CASH
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
P	489997	FMV - CASH
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
I	1	FMV - CASH