MERCY HEALTH SERVICES IOWA CORP: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH SERVICES IOWA CORP (EIN 31-1373080)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201211369349300936
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T07:47:30-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311373080 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SERVICES - IOWA CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MERC | NameControl |
| Phone | 2484895004 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 4TH STREET SW | AddressLine1 |
| City | MASON CITY | City |
| State | IA | State |
| ZIP Code | 50401 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES BOSSCHER | Name |
| Title | ASSISTANT TREASURER | Title |
| Phone | 2484895004 | Phone |
| Date Signed | 2012-05-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O FOR LIST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOSEPH SWEDISH | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34605 W 12 MILE RD | AddressLine1 |
| City | FARMINGTON HILLS | City |
| State | MI | State |
| ZIP Code | 48331 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 652735180 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.TRINITY-HEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | DE | StateLegalDomicile |
| Activity Or Mission Description | HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5903 | TotalNbrEmployees |
| Total Nbr Volunteers | 758 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2834217 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2752838 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 584716343 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 594512963 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7425617 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13925192 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 37417845 | OtherRevenuePriorYear |
| Other Revenue Current Year | 38506676 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 632394022 | TotalRevenuePriorYear |
| Total Revenue Current Year | 649697669 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 574500 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 785503 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 279442126 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 288394581 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 774906 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 333261948 | OtherExpensePriorYear |
| Other Expenses Current Year | 342909212 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 613278574 | TotalExpensesPriorYear |
| Total Expenses Current Year | 632089296 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 19115448 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17608373 | RevenuesLessExpensesCY |
| Total Assets BOY | 721360643 | TotalAssetsBOY |
| Total Assets EOY | 785655787 | TotalAssetsEOY |
| Total Liabilities BOY | 274174559 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 286395955 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 447186084 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 499259832 | NetAssetsOrFundBalancesEOY |
| Mission Description | HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 565999242 | Expense |
| Grants | 785503 | Grants |
| Revenue | 590150351 | Revenue |
| Description | MERCY HEALTH SERVICES-IOWA, CORP. OPERATED FOUR HOSPITAL DIVISIONS IN THE STATE OF IOWA THAT PROVIDED 161,750 PATIENT DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES. THE MISSION STATEMENT OF MERCY HEALTH SERVICES-IOWA CORP. IS AS FOLLOWS:WE SERVE TOGETHER IN TRINITY HEALTHIN THE SPIRIT OF THE GOSPELTO HEAL BODY, MIND, AND SPIRITTO IMPROVE THE HEALTH OF OUR COMMUNITIESAND TO STEWARD THE RESOURCES ENTRUSTED TO US. | Description |
| Total Program Service Expense | 565999242 | 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 | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | 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 | 1 | 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 | 0 | TaxExemptBonds |
| 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 | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 582 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 26 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 5903 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 0 | 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| 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 | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | 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 | BETH GDOWIK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2484896000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 34605 W TWELVE MILE RD | AddressLine1 |
| City | FARMINGTON HILLS | City |
| State | MI | State |
| ZIP Code | 48331 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (50 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOSEPH SWEDISH | |||||||||
| TRINITY PRES & CEO | 5.00 | X | X | 0 | 2853932 | 791453 | |||
| MARY MOLLISON CSA | |||||||||
| CHAIR | 2.00 | X | X | 0 | 0 | 0 | |||
| MELANIE DREHER | |||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 25000 | 0 | |||
| SUZANNE BRENNAN CSC | |||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | ||||
| ROBERT LADENBURGER | |||||||||
| TRUSTEE | 2.00 | X | 0 | 22000 | 0 | ||||
| PAUL NEUMANN | |||||||||
| SECRETARY, TRIN SVP & GEN COUNSEL | 5.00 | X | 0 | 686026 | 82938 | ||||
| AGNES HAGERTY | |||||||||
| ASST SEC/MANAGING CSL TRINITY HEALTH | 2.00 | X | 0 | 418922 | 50773 | ||||
| JAMES BOSSCHER | |||||||||
| TREAS THRU 12/10,ASST TRS 1/11, SVP | 2.00 | X | 0 | 558096 | 98578 | ||||
| BENJAMIN CARTER | |||||||||
| TREAS AS OF 1/11, SVP & CFO | 5.00 | X | 0 | 574987 | 73155 | ||||
| MARIANNE CUNNINGHAM | |||||||||
| ASST TREAS UNTIL 12/10; TH DIR DEBT | 2.00 | X | 0 | 161043 | 29898 | ||||
| KEDRICK ADKINS | |||||||||
| TRINITY PRES INTEGRATED SVCS | 5.00 | 0 | 1160870 | 198248 | X | ||||
| MICHAEL SLUBOWSKI | |||||||||
| TRIN PRES HOSP&HLTH NTWKS TIL 12/10 | 5.00 | 0 | 1153164 | 271732 | X | ||||
| MICHAEL MURPHY | |||||||||
| TRINITY HLTH EVP HEALTH NETWORKS | 5.00 | 0 | 539823 | 68542 | X | ||||
| RICHARD O'CONNELL | |||||||||
| TRINITY COO-HOSPITAL NETWORKS | 5.00 | 0 | 761373 | 137960 | X | ||||
| JAMES FITZPATRICK | |||||||||
| CEO-MASON CITY (MC) | 50.00 | 0 | 584600 | 105129 | X | ||||
| RUSSELL KNIGHT | |||||||||
| CEO-DUBUQUE (DUB) | 50.00 | 0 | 459209 | 91619 | X | ||||
| ROBERT PEEBLES | |||||||||
| CEO-SIOUX CITY (SC) | 50.00 | 0 | 471772 | 26049 | X | ||||
| MARY EBELING | |||||||||
| VP, PAT. SERVICES (MC) | 50.00 | 0 | 224390 | 74332 | X | ||||
| DIANE FISCHELS | |||||||||
| VP OPERATIONS (MC) | 50.00 | 0 | 237015 | 53387 | X | ||||
| F SCOTT LEIGHTY | |||||||||
| COO-MASON CITY (MC) | 50.00 | 0 | 313247 | 30483 | X | ||||
| PAUL MANTERNACH | |||||||||
| SVP, PHYS. INTEG. (MC) | 50.00 | 0 | 349056 | 39391 | X | ||||
| TERESA MOCK | |||||||||
| SVP MERCY CLINICS (MC) | 50.00 | 297968 | 0 | 86424 | X | ||||
| RODNEY SCHLADER | |||||||||
| CFO, VP FISCAL SVCS (MC) | 50.00 | 0 | 277975 | 51662 | X | ||||
| BERNARD FOX | |||||||||
| VP PROF & SUPP SVCS (DUB) | 50.00 | 0 | 186432 | 48477 | X | ||||
| GARY GUETZKO | |||||||||
| VP BUS. DEV. (DUB) | 50.00 | 0 | 226952 | 53412 | X | ||||
| KAY TAKES | |||||||||
| VP, PATIENT CARE (DUB) | 50.00 | 0 | 200839 | 36771 | X | ||||
| MARILYN KAPTAIN-DAHLEN | |||||||||
| COO-SIOUX CITY (SC) | 50.00 | 0 | 288123 | 80541 | X | ||||
| STEVEN EAVENSON TATUM LLC | |||||||||
| INTERIM CFO (SC) UNTIL 3/11; CFO | 50.00 | 453600 | 0 | 0 | X | ||||
| LINDA KREI | |||||||||
| VP, HR & ORG. INTG. (SC) | 50.00 | 0 | 212355 | 42325 | X | ||||
| LARRY SELLERS | |||||||||
| CMO-SIOUX CITY (SC) | 50.00 | 0 | 422873 | 67062 | X | ||||
| JAMES KARKOS | |||||||||
| PHYSICIAN, DERMATOLOGY | 50.00 | 612002 | 0 | 112645 | X | ||||
| ALIREZA YARAHMADI | |||||||||
| PHYSICIAN, NEUROLOGY | 50.00 | 607700 | 0 | 64156 | X | ||||
| PHILLIP ALSCHER | |||||||||
| PHYSICIAN, NEPHROLOGY | 50.00 | 603396 | 0 | 104636 | X | ||||
| CARL PLANK | |||||||||
| PHYSICIAN, DERMATOLOGY | 50.00 | 581802 | 0 | 138454 | X | ||||
| ARVIND PERATHUR | |||||||||
| PHYSICIAN, INTERNAL MED. | 50.00 | 527731 | 0 | 87302 | X | ||||
| DANIEL HALE | |||||||||
| FORMER OFFICER | 5.00 | 0 | 789942 | 220882 | X | ||||
| PAUL DOUGHERTY | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | 343327 | 28504 | X | ||||
| PAUL BROWNE | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 699671 | 107716 | X | ||||
| DEBRA CANALES | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 720373 | 92327 | X | ||||
| VELOIS BOWERS | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 360170 | 11408 | X | ||||
| PAUL CONLON | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 408070 | 103830 | X | ||||
| LOUIS FIERENS | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 484981 | 58236 | X | ||||
| PRESTON GEE | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 490180 | 75992 | X | ||||
| MICHAEL HOLPER | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 386168 | 59654 | X | ||||
| TERRENCE O'ROURKE | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 812420 | 59048 | X | ||||
| MARIA SZYMANSKI | |||||||||
| FORMER KEY EMPLOYEE | 5.00 | 0 | 601911 | 161699 | X | ||||
| SCOTT E WELLS | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | 157538 | 37250 | X | ||||
| DOUGLAS MORSE | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | 153491 | 18248 | X | ||||
| KIM PRICE | |||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0 | 107516 | 31839 | X | ||||
| ROBERT SHAFER | |||||||||
| KEY EMP (NOT IN TOP 20) | 50.00 | 0 | 186208 | 74359 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3684199 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 20072040 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 4338526 | TotalOtherCompensation |
| Number Individuals GT100 K | 230 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNITED CLINICAL LABORATORIES | |||||
| 205 BLUFF STREET | DUBUQUE | IA | 52001 | LABORATORY SERVICES | 5405210 |
| MASON CITY CLINIC PC | |||||
| 250 S CRESCENT DRIVE | MASON CITY | IA | 50401 | MEDICAL SERVICES | 4804196 |
| MILLER PURCELL INC | |||||
| 1920 ELM STREET | DUBUQUE | IA | 52001 | MANAGEMENT SERVICES | 4608929 |
| RASMUSSEN MECHANICAL SERVICES | |||||
| 2425 E 4TH STREET | SIOUX CITY | IA | 51101 | HVAC MAINTENANCE | 3191651 |
| AIR METHODS | |||||
| 7211 S PEORIA STREET | ENGLEWOOD | CO | 80112 | AIR AMUBULANCE SVCS | 2589389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 80 | NumberOfContractorsGT100K |
| Fundraising Events | 19300 | FundraisingEvents |
| Related Organizations | 2126811 | RelatedOrganizations |
| Government Grants | 234762 | GovernmentGrants |
| All Other Contributions | 371965 | AllOtherContributions |
| Noncash Contributions | 5180 | NoncashContributions |
| Total Contributions | 2752838 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| NET PATIENT SVC REV | 900099 | 554418482 | 554418482 | |
| PHARMACY REVENUE | 446110 | 40055427 | $40,055,427 | |
| LABORATORY REVENUE | 621500 | 39054 | $39,054 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 594512963 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4998657 | TotalRevenueColumn |
| Exclusion | $4,998,657 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1719810 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2178096 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -458286 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -458286 | TotalRevenueColumn |
| Exclusion | -$458,286 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9008709 | Securities |
| Other | 716730 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 798904 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9008709 | Securities |
| Other | -82174 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8926535 | TotalRevenueColumn |
| Exclusion | $8,926,535 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 206413 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 19300 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 60511 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145902 | TotalRevenueColumn |
| Exclusion | $145,902 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| OTHER REVENUE | 900099 | 35731869 | 35731869 | |
| CAFETERIA REVENUE | 900099 | 3087191 | $3,087,191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 38819060 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 649697669 | TotalRevenueColumn |
| Related Or Exempt Function Income | 590150351 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $56,794,480 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 785503 | Total |
| Program Services | 785503 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5985960 | Total |
| Management And General | 5985960 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 706102 | Total |
| Program Services | 98333 | ProgramServices |
| Management And General | 607769 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 225023348 | Total |
| Program Services | 200089581 | ProgramServices |
| Management And General | 24417497 | ManagementAndGeneral |
| Fundraising | 516270 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19152385 | Total |
| Program Services | 17219644 | ProgramServices |
| Management And General | 1932741 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21594098 | Total |
| Program Services | 18978867 | ProgramServices |
| Management And General | 2527537 | ManagementAndGeneral |
| Fundraising | 87694 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15932688 | Total |
| Program Services | 13847023 | ProgramServices |
| Management And General | 2052648 | ManagementAndGeneral |
| Fundraising | 33017 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 753243 | Total |
| Management And General | 753243 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 406879 | Total |
| Management And General | 406879 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35685753 | Total |
| Program Services | 31415518 | ProgramServices |
| Management And General | 4226774 | ManagementAndGeneral |
| Fundraising | 43461 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1458785 | Total |
| Program Services | 1269942 | ProgramServices |
| Management And General | 188253 | ManagementAndGeneral |
| Fundraising | 590 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23119606 | Total |
| Program Services | 20091444 | ProgramServices |
| Management And General | 2978305 | ManagementAndGeneral |
| Fundraising | 49857 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27496487 | Total |
| Program Services | 23946691 | ProgramServices |
| Management And General | 3549796 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11523674 | Total |
| Program Services | 10946348 | ProgramServices |
| Management And General | 576124 | ManagementAndGeneral |
| Fundraising | 1202 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1470062 | Total |
| Program Services | 1277420 | ProgramServices |
| Management And General | 189361 | ManagementAndGeneral |
| Fundraising | 3281 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 160754 | Total |
| Program Services | 140001 | ProgramServices |
| Management And General | 20753 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7424757 | Total |
| Program Services | 7424757 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33274351 | Total |
| Program Services | 31610577 | ProgramServices |
| Management And General | 1663715 | ManagementAndGeneral |
| Fundraising | 59 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3842731 | Total |
| Program Services | 3650594 | ProgramServices |
| Management And General | 192137 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL SUPPLIES | 113834587 | 108133990 | 5691263 | 9334 |
| BAD DEBT | 26304010 | 26304010 | ||
| INTERCO. PURCHASED SVCS | 21826806 | 19008965 | 2817841 | |
| CONTRACT LABOR | 16208288 | 14115798 | 2092490 | |
| UNRELATED BUSINESS TAX | 125000 | 125000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17993439 | Total |
| Program Services | 15644236 | ProgramServices |
| Management And General | 2319062 | ManagementAndGeneral |
| Fundraising | 30141 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 632089296 | Total |
| Program Services | 565999242 | ProgramServices |
| Management And General | 65315148 | ManagementAndGeneral |
| Fundraising | 774906 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10051439 | BOY |
| EOY | 10534564 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114812 | BOY |
| EOY | 140450 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26225 | BOY |
| EOY | 103 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71564672 | BOY |
| EOY | 76226060 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6072 | BOY |
| EOY | 1108 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2352573 | BOY |
| EOY | 2550376 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15275133 | BOY |
| EOY | 14719435 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1776105 | BOY |
| EOY | 1324122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 515636531 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 352407651 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156169988 | BOY |
| EOY | 163228880 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185989404 | BOY |
| EOY | 148017953 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89296859 | BOY |
| EOY | 159896944 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1156680 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 187580681 | BOY |
| EOY | 209015792 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 721360643 | BOY |
| EOY | 785655787 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56490192 | BOY |
| EOY | 61333329 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127592 | BOY |
| EOY | 260654 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217556775 | BOY |
| EOY | 224801972 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 274174559 | BOY |
| EOY | 286395955 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 446838183 | BOY |
| EOY | 499098319 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322901 | BOY |
| EOY | 136513 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000 | BOY |
| EOY | 25000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 447186084 | BOY |
| EOY | 499259832 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 721360643 | BOY |
| EOY | 785655787 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17608373 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 34465375 | 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 Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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) |
|---|---|---|
| Org Belongs To Affiliated Group | X | OrgBelongsToAffiliatedGroup |
| Volunteers | 1 | Volunteers |
| Paid Staff Or Management | 1 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 1 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $88,915 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $45,540 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,545 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 136000 | 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 | LOBBYING ACTIVITY INCLUDED ENCOURAGING ASSOCIATES TO WRITE LETTERS TO PUBLIC OFFICIALS AND THE USE OF PAID STAFF MEMBERS AND MANAGEMENT PERSONNEL. MANAGEMENT PERSONNEL REGULARLY ISSUE MAILINGS TO LEGISLATORS ATTEMPTING TO INFLUENCE LEGISLATIVE MATTERS AND REFERENDUM, AND ORGANIZE AND HOST MEETINGS AMONG HOSPITAL EXECUTIVES AND THEIR LEGISLATORS. PAID STAFF MEMBERS HAVE ON LIMITED OCCASIONS WRITTEN LETTERS TO LEGISLATORS. MERCY HEALTH SERVICES - IOWA, CORP (MHS-IA) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED MHS-IA WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS THAT ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES THAT WILL INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. FEDERAL AND STATE ADVOCACY PRIORITIES FOR FY11 INCLUDED: (1) SECURE COVERAGE AND ACCESS FOR ALL (2) ACHIEVE COORDINATED CARE: PROMOTE SAFE, HIGH-QUALITY COORDINATED CARE ACROSS THE HEALTH CARE CONTINUUM (3) ACHIEVE HIGH-VALUE CARE, INCLUDING: - ADVOCATE FOR MEDICARE AND MEDICAID SAVINGS THROUGH PAYMENT AND DELIVERY REDESIGN - REFORM MEDICARE TO INCLUDE SUSTAINABLE SOLUTIONS TO ADDRESS GEOGRAPHIC PAYMENT DISPARITIES - SECURE ADEQUATE FUNDING FOR IMPLEMENTATION OF HEALTH CARE REFORM RULES - ENCOURAGE USE OF SAFETY/QUALITY MEASUREMENTS - PROMOTE IDEAS TO REDUCE HEALTH CARE COSTS LOBBYING ACTIVITY PERFORMED BY MERCY HEALTH SERVICES-IOWA, CORP. INCLUDED: - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION (CHA), AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) - GRANTS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO HEALTHCARE ORGANIZATIONS - ADVOCACY ACTION DAYS ADVOCACY ACTION DAYS WERE HELD IN MARCH 2011 IN WASHINGTON, D.C. OVER 50 MEETINGS WERE HELD WITH MEMBERS OF THE HOUSE AND SENATE DELIVERING A MESSAGE ABOUT TRANSFORMING AMERICA'S HEALTH. PARTICIPANTS INCLUDED TRINITY HEALTH EXECUTIVES, MINISTRY ORGANIZATION CEO'S, INCLUDING CEO'S OF THE MERCY HEALTH SERVICES - IOWA, CORP. HOSPITALS, LOCAL BOARD MEMBERS AND ADVOCACY LEADERS. THE FOCUS OF THE MEETINGS WAS TO DISCUSS WHAT POLICYMAKERS CAN AND SHOULD DO TO ACHIEVE THE TRINITY HEALTH VISION OF AN ALL-INCLUSIVE, NATIONAL AFFORDABLE HEALTH CARE SYSTEM THAT DELIVERS HIGH VALUE AND CLINICAL EXCELLENCE ACROSS THE CONTINUUM OF CARE. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 25000 | BeginningOfYearBalance |
| End Of Year Balance | 25000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 25000 | BeginningOfYearBalance |
| End Of Year Balance | 25000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 25000 | BeginningOfYearBalance |
| End Of Year Balance | 25000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | 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 | 10460234 | OtherCostOrOtherBasis |
| Book Value | 10460234 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 294802420 | OtherCostOrOtherBasis |
| Depreciation | 197892560 | Depreciation |
| Book Value | 96909860 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 196811003 | OtherCostOrOtherBasis |
| Depreciation | 154204540 | Depreciation |
| Book Value | 42606463 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13562874 | OtherCostOrOtherBasis |
| Depreciation | 310551 | Depreciation |
| Book Value | 13252323 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 163228880 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (3 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ABSOLUTE RETURN STRATEGY FUNDS | 74026363 | F |
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | 20727382 | F |
| BOND FUND | 65143199 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 159896944 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER RECEIVABLES | 11446569 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | 413366 |
| INVESTMENT IN AFFILIATES | 160462780 |
| OTHER ASSETS | 2513318 |
| INTERCOMPANY OTHER LT ASSETS | 34179759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 209015792 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $6,208,324 |
| DEFERRED COMPENSATION | $11,324,992 |
| LONG TERM ASSET RETIREMENT OBLIGATION (FIN 47) | $3,159,407 |
| INTERCOMPANY NOTES PAYABLE | $200,243,788 |
| OTHER LIABILITIES | $3,280,358 |
| LEASE OBLIGATION | $521,123 |
| ANNUITY PAYABLE | $63,980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 224801972 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | Identifier |
| Return Reference | PART V, LINE 4: | ReturnReference |
| Explanation | THE ENDOWMENT FUNDS OF MERCY HEALTH SERVICES - IOWA, CORP. INCLUDE $25,000 KNOWN AS THE VIANNA HOLSCHLAG SCHOLARSHIP FUND. INTEREST INCOME FROM THE FUND IS MADE AVAILABLE FOR NURSING SCHOLARSHIPS. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 135504 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 17000 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 118504 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 23878 | OtherDirectExpensesEvent1 |
| Name Of Event2 | FESTIVAL OF TREES | NameOfEvent2 |
| Gross Receipts Event2 | 65024 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 2300 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 62724 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 6300 | RentFacilityCostsEvent2 |
| Other Direct Expenses Event2 | 23107 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 25185 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 25185 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 1250 | CashPrizesOtherEvents |
| Rent Facility Costs Other Events | 325 | RentFacilityCostsOtherEvents |
| Other Direct Expenses Other Events | 5651 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 225713 | GrossReceiptsTotal |
| Charitable Contributions Total | 19300 | CharitableContributionsTotal |
| Gross Revenue Total Events | 206413 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 1250 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 6625 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 52636 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 60511 | DirectExpenseSummaryEvents |
| Net Income Summary | 145902 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| 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) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 16905 | PersonsServed |
| Total Community Benefit Expense | 13821380 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13821380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02280 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 41 | NumberOfActivitiesOrPrograms |
| Persons Served | 41123 | PersonsServed |
| Total Community Benefit Expense | 41910570 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35326977 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6583593 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01090 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 46 | NumberOfActivitiesOrPrograms |
| Persons Served | 58028 | PersonsServed |
| Total Community Benefit Expense | 55731950 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 35326977 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20404973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03370 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 71 | NumberOfActivitiesOrPrograms |
| Persons Served | 255766 | PersonsServed |
| Total Community Benefit Expense | 4056987 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 272485 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3784502 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 21541 | PersonsServed |
| Total Community Benefit Expense | 6882172 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3215652 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3666520 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00610 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 29 | NumberOfActivitiesOrPrograms |
| Persons Served | 76329 | PersonsServed |
| Total Community Benefit Expense | 18097309 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12109862 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5987447 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00990 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 882 | PersonsServed |
| Total Community Benefit Expense | 248042 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 248042 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 29 | NumberOfActivitiesOrPrograms |
| Persons Served | 104052 | PersonsServed |
| Total Community Benefit Expense | 1320311 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 166928 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1153383 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 150 | NumberOfActivitiesOrPrograms |
| Persons Served | 458570 | PersonsServed |
| Total Community Benefit Expense | 30604821 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15764927 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14839894 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02450 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 196 | NumberOfActivitiesOrPrograms |
| Persons Served | 516598 | PersonsServed |
| Total Community Benefit Expense | 86336771 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 51091904 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35244867 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05820 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 414 | PersonsServed |
| Total Community Building Expense | 71437 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 71437 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 7 | NumberOfActivitiesOrPrograms |
| Persons Served | 628 | PersonsServed |
| Total Community Building Expense | 20180 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 20180 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 249 | PersonsServed |
| Total Community Building Expense | 28458 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 28458 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 145 | PersonsServed |
| Total Community Building Expense | 473 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 473 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 670459 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5798 | DirectOffsettingRevenue |
| Net Community Building Expense | 664661 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Total Community Building Expense | 45973 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 45973 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 3 | NumberOfActivitiesOrPrograms |
| Persons Served | 62 | PersonsServed |
| Total Community Building Expense | 178886 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 178886 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 18 | NumberOfActivitiesOrPrograms |
| Persons Served | 1498 | PersonsServed |
| Total Community Building Expense | 1015866 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 5798 | DirectOffsettingRevenue |
| Net Community Building Expense | 1010068 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $8,703,247 | BadDebtExpenseAmount |
| Amount Attributable To | 1645782 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 206779797 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 202204364 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 4575433 | 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 (10 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 DUBUQUE REGIONAL AMBULATORY SURGICAL CENTER LLC | ||
| AMBULATORY SURGICAL SERVICES | 0.50000 | 0.50000 |
| 2 MEDICAL ASSOCIATESMERCY FAMILY CARE NETWORK LLC | ||
| PRIMARY CARE PHYSICIAN SERVICES | 0.50000 | 0.50000 |
| 3 TRI-STATE OCCUPATIONAL HEALTH LLC | ||
| OCCUPATIONAL HEALTH SERVICES | 0.50000 | 0.50000 |
| 4 FOREST PARK IMAGING LLC | ||
| IMAGING SERVICES | 0.52890 | 0.47110 |
| 5 MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||
| MRI SERVICES | 0.49000 | 0.51000 |
| 6 MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| AMBULATORY SURGICAL SERVICES | 0.51000 | 0.49000 |
| 7 MERCY HEART CENTER OUTPATIENT SERVICES LLC | ||
| OUTPATIENT ECHOCARDIOGRAPHY AND NUCLEAR MEDICINE SERVICES | 0.51000 | 0.49000 |
| 8 SURGICAL CENTER BUILDING ASSOCIATES LLC | ||
| OWNS AND LEASES SURGICAL CENTER BUILDING | 0.35000 | 0.65000 |
| 9 SIOUXLAND SURGERY CENTER | ||
| AMBULATORY SURGICAL SERVICES | 0.31290 | 0.68710 |
| 10 MERCY WEIGHT LOSS CENTER LLC | ||
| PRE-OP AND POST-OP COUNSELING SERVICES TO BARIATRIC PATIENTS | 0.25000 | 0.75000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 6 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Teaching HospitalTeachingHospital | Research FacilityResearchFacility | Er24 HoursEr24Hours | OtherOther | Critical Access HospitalCriticalAccessHospital |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER-NORTH IOWA | |||||||||||
| 1 | 1000 FOURTH STREET SW | MASON CITY | IA | 50401 | X | X | X | X | X | ||
| MERCY MEDICAL CENTER-SIOUX CITY | |||||||||||
| 2 | 801 FIFTH STREET | SIOUX CITY | IA | 51102 | X | X | X | EMPLOYED PHYSICIANS, SKILLED CARE UNIT | |||
| MERCY MEDICAL CENTER - DUBUQUE | |||||||||||
| 3 | 250 MERCY DRIVE | DUBUQUE | IA | 52001 | X | X | X | REHAB,LAB,PHARM, X-RAY,HOME CARE | |||
| SIOUXLAND SURGERY CENTER | |||||||||||
| 4 | 600 SIOUX POINT ROAD | DAKOTA DUNES | SD | 57049 | X | X | |||||
| MERCY MEDICAL CENTER-NEW HAMPTON | |||||||||||
| 5 | 308 NORTH MAPLE AVE | NEW HAMPTON | IA | 50659 | X | X | EMPLOYED PHYSICIANS | X | |||
| MERCY MEDICAL CENTER - DYERSVILLE | |||||||||||
| 6 | 1111 THIRD STREET SW | DYERSVILLE | IA | 52040 | X | X | X | REHAB,LAB,PHARM, X-RAY,HOME CARE | X | ||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 15 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (15 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| MEDICAL ASSOCIATES WEST CAMPUS | ||||
| 1500 ASSOCIATES DRIVE | DUBUQUE | IA | 52001 | OCC. HEALTH, PHYS THER, AMBULATORY SURGERY |
| MEDICAL ASSOCIATES CLINIC | ||||
| 1240 BIG JACK ROAD | PLATTEVILLE | WI | 53818 | X-RAY, LAB, EMPLOYED PHYSICIANS |
| TRI-STATE OCCUPATIONAL HEALTH | ||||
| 1920 ELM STREET | DUBUQUE | IA | 52001 | PHYS THERAPY,EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 10988 BARTELL BLVD | GALENA | IL | 61036 | HOME CARE,LAB, EMPLOYED PHYSICIANS |
| MERCY MEDICAL CENTER - DYERSVILLE | ||||
| 1121 THIRD STREET SW | DYERSVILLE | IA | 52040 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 208 N 12TH STREET | BELLEVUE | IA | 52031 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 911 NW CARTER | ELKADER | IA | 52043 | EMPLOYED PHYSICIANS |
| CASCADE FAMILY HEALTH CENTER | ||||
| 805 JOHNSON STREET SW | CASCADE | IA | 52033 | EMPLOYED PHYSICIANS, LAB, X-RAY, PT |
| MEDICAL ASSOCIATES CLINIC | ||||
| 117 SOUTH MADISON | CUBA CITY | WI | 53807 | X-RAY, LAB, EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 560 PLEASANT ST | ELIZABETH | IL | 61028 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 107 S PAGE | MONONA | IA | 52159 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES EAST CAMPUS | ||||
| 1000 LANGWORTHY | DUBUQUE | IA | 52001 | OCC. HEALTH, PHYSICAL THERAPY |
| MERCY DAKOTA DUNES | ||||
| 705 SIOUX POINT ROAD | DAKOTA DUNES | SD | 57049 | WEIGHT LOSS CENTER |
| MASON CITY SURGERY CENTER | ||||
| 990 4TH STREET | MASON CITY | IA | 50401 | AMBULATORY SURGERY |
| MERCY FAMILY PRACTICE - BUFFALO CENTER | ||||
| 115 NORTH MAIN | BUFFALO CENTER | IA | 50424 | X-RAY, LAB, EMPLOYED PHYSICIANS |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 6A: MERCY HEALTH SERVICES-IOWA REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH IN ITS ANNUAL REPORT, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, THE HOSPITAL DIVISIONS OF MERCY HEALTH SERVICES-IOWA (MHS-IA) INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES MHS-IA'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE. |
| PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS. |
| PART I, L7 COL(F): THE FOLLOWING NUMBER, $26,304,010, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART II: COMMUNITY BUILDING ACTIVITIES -MERCY MEDICAL CENTER- SIOUX CITYMERCY MEDICAL CENTER GIFTED/SOLD PROPERTY IN THE DOWNTOWN AREA TO A LOCAL FOUNDATION FOR USE AS A PUBLIC SPIRITUAL GARDEN/GREEN SPACE. THE LOCATION IS NEXT TO THE DOWNTOWN PRESBYTERIAN CHURCH. THE DOWNTOWN PARTNERS AND THE LOCAL CHURCH BELIEVE THE PROPERTY WILL BENEFIT THE COMMUNITY. DONATION OF THE PROPERTY IS VALUED $200,000 BELOW INVESTMENT. MERCY MEDICAL CENTER-SIOUX CITY STAFF IS ALSO INVOLVED IN THE NW IOWA AMERICAN HEART TASK FORCE, SIOUXLAND INFECTIOUS DISEASE COMMITTEE, TRI-STATE DISASTER COMMITTEE, IOWA DISASTER MEDICAL ASSISTANCE TEAM, EMERGENCY CONFERENCE COMMITTEE (MERCY COMMITTEE), MERCY EMERGENCY PLANNING COMMITTEE AND HEALTH RESOURCE SERVICE ADMINISTRATION (HRSA).MERCY IS WORKING WITH THE MIDTOWN COMMUNITY CENTER AND AMERICORPS WORKERS ON BENEFITS ENROLLMENT OF LOCAL RESIDENTS OFF SITE (AT A NON HEALTH CARE SITE). THE AMERICORPS WORKERS ARE FAMILIAR WITH PEOPLE IN THE AREA AND THE ENVIRONMENT IS LESS INTIMIDATING/ OVERWHELMING THAN THE HOSPITAL ENVIRONMENT. IT IS BELIEVED THAT MANY PATIENTS IN THE LOCAL NEIGHBORHOOD QUALIFY FOR BENEFITS, BUT ARE NOT ENROLLING IN PROGRAMS. THIS LEADS TO INABILITY TO PAY, AND LACK OF ACCESS TO PRIMARY AND PREVENTATIVE HEALTH CARE. MERCY PROVIDED A TOTAL OF 300 COMPUTERS TO MARY TREGLIA COMMUNITY HOUSE AND THE MIDTOWN COMMUNITY CENTER. LOCAL COLLEGES WILL PROVIDE SOFTWARE UPDATES AND EDUCATION TO RESIDENTS IN THE 51103 AND 51105 ZIP CODES. ACCESS TO INTERNET SERVICES (FOR HELP WITH HEALTH INFORMATION, OTHER EDUCATION AND EMPLOYMENT) IS BEING EXPLORED WITH THE CITY OF SIOUX CITY.MERCY MEDICAL CENTER-NORTH IOWACOMMUNITY BASED CLINICAL SERVICES: WITH THE ENTIRE STATE BEING UNDERSERVED BY MENTAL HEALTH SERVICES, MERCY'S BEHAVIORAL SERVICES IS PLEASED TO COLLABORATE WITH CERRO GORDO AND MITCHELL COUNTY SCHOOL SYSTEMS AS WELL AS THE MENTAL HEALTH CENTER OF NORTH IOWA AND PRAIRIE RIDGE ADDICTION AND TREATMENT SERVICES TO ASSESS ADOLESCENTS IN SCHOOL SETTINGS FOR DEPRESSION. THE TEENS THEN RECEIVE APPROPRIATE INTERVENTIONS. MERCY'S BEHAVIORAL SERVICES IS ALSO ACTIVE IN THE AREA YOUTH TASK FORCE.COALITION BUILDING: THE BUILDING AND CONTINUED OPERATION OF THE YMCA & REHABILITATION CENTER WAS IN RESPONSE TO AN IDENTIFIED COMMUNITY HEALTH NEED. THE NORTHERN CLIMATE ONLY UNDERSCORES THE IMPORTANCE FOR PROVIDING THE ONLY YEAR-ROUND OVERALL EXERCISE, FITNESS, WELLNESS PROGRAMS, AND AQUATIC REHAB FACILITY IN NORTH IOWA THAT IS OPEN TO CHILDREN OF ALL AGES. IN ADDITION TO REGULAR PROGRAMMING, THE YMCA CONDUCTS A VARIETY OF PROGRAMS AND ACTIVITIES THAT ARE FREE AND/OR SUBSIDIZED. MERCY MEDICAL CENTER-NORTH IOWA AND THE YMCA PARTICIPATE IN A JOINT VENTURE THAT OWNS THE LAND, CONSTRUCTED THE FACILITY, AND ENABLES THE ONGOING OPERATION OF SUCH. WORKFORCE DEVELOPMENT: NORTH IOWA IS NOT ALWAYS THE PREFERRED LOCATION OF CHOICE FOR MEDICAL PROFESSIONALS. FOR THIS REASON, MERCY MEDICAL CENTER-NORTH IOWA ACTIVELY RECRUITS PHYSICIANS IN AN EFFORT TO PROMOTE ACCESSIBLE HEALTH CARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE THAT HAVE BEEN DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND/OR MEDICALLY UNDERSERVED AREA (MUA). THESE EFFORTS SUPPORT THE COMMUNITIES BY PROVIDING EXPERTISE AND HEALTHCARE SERVICES, AND AS A CLAUSE IN THEIR CONTRACT STATES, SPECIAL CARE FOR INDIGENT AND UNDERSERVED POPULATIONS. AS THE LARGEST EMPLOYER IN OUR 14-COUNTY AREA, MERCY MEDICAL CENTER-NORTH IOWA TAKES ITS CIVIC RESPONSIBILITY VERY SERIOUSLY. THERE ARE OTHER ENDEAVORS IN WHICH MERCY PARTICIPATES TO IMPACT THE UPSTREAM HEALTH OF THE COMMUNITY IN WAYS THAT ARE NOT CURRENTLY ELIGIBLE FOR COMMUNITY BENEFIT REPORTING. ONE EXAMPLE OF THIS IS OUR SIGNIFICANT FINANCIAL CONTRIBUTION TO THE NORTH IOWA CORRIDOR ECONOMIC DEVELOPMENT CORP. TO STRENGTHEN THE ECONOMY OF OUR CATCHMENT COUNTIES, WHICH ENCOURAGES EMPLOYMENT OPPORTUNITIES, WHICH ENHANCES HEALTH AND WELL-BEING ON MULTIPLE FRONTS.MERCY MEDICAL CENTER-NEW HAMPTON (MMC-NH)AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, MMC-NH TAKES ITS CIVIC RESPONSIBILITY VERY SERIOUSLY. SUPPORT OF AND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS, EVENTS, AND PROGRAMS, SUCH AS THE CHAMBER, HELP IMPROVE THE ECONOMY OF MMC-NH'S CATCHMENT COUNTIES. BY PROMOTING ECONOMIC DEVELOPMENT, MMC-NH HELPS CREATE A COMMUNITY THAT CONTINUES TO BUILD ITSELF THROUGH THE LEADERS WHO WORK AND VOLUNTEER AT THE HOSPITAL. ECONOMIC STABILITY IS INTRINSICALLY LINKED TO THE PREVENTION OF HEALTH PROBLEMS ASSOCIATED WITH POVERTY, HOMELESSNESS, AND ENVIRONMENTAL CHALLENGES, AND IS CRUCIAL IF THE COMMUNITY HOPES TO MAINTAIN A VIABLE HOSPITAL COMPLEX WITH A BROAD SPECTRUM OF ESSENTIAL SERVICES. IN ADDITION TO SUPPORTING ECONOMIC DEVELOPMENT IN OUR REGION, MMC-NH ENCOURAGES ITS LEADERSHIP STAFF TO SUPPORT AND PROVIDE LEADERSHIP TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE AREA. FOLLOWING THE 9/11 ATTACKS AND HURRICANE KATRINA, THE U.S. GOVERNMENT PROVIDED GRANT MONEY TO HELP COMMUNITIES BETTER PREPARE FOR DISASTER. MMC-NH IS NOW PART OF A MULTI-DISCIPLINARY GROUP, WHICH INCLUDES STATE, COUNTY, CITY EMPLOYEES, PUBLIC HEALTH, HOSPITALS AND PHYSICIANS, AND VOLUNTEERS THAT MEETS TO STRATEGIZE FOR A REAL DISASTER USING TABLETOP EVENTS AND SIMULATIONS. IN ORDER TO CREATE AWARENESS OF THE OPPORTUNITIES IN HEALTH CARE IN RURAL IOWA, MMC-NH COLLABORATES WITH THE HIGH SCHOOL TO PROVIDE THE SERVICE TO BRING IN STUDENTS TO SHADOW A VARIETY OF HEALTH-RELATED OCCUPATIONS IN ORDER TO SPARK INTEREST IN CONSIDERING A HEALTH CARE CAREER. MMC-NH ALSO IDENTIFIED A NEED FOR MEMBERS OF THE COMMUNITY TO MORE SAFELY DISPOSE OF THEIR SHARPS AND CONTAINERS. THE HOSPITAL NOW COLLABORATES WITH PHARMACIES IN NEW HAMPTON TO COLLECT THE CONTAINERS.MERCY MEDICAL CENTER-DUBUQUEMERCY MEDICAL CENTER-DUBUQUE, DURING ITS FISCAL YEAR ENDING JUNE 30, 2011, WAS ENGAGED IN THREE ACTIVITIES THAT WERE DOCUMENTED IN OUR COMMUNITY BENEFIT EXPENSES AS COMMUNITY BUILDING ACTIVITIES:MERCY SUBSIDIZES THE WAGES OF SEVERAL DEVELOPMENTALLY DISABLED YOUNG ADULTS WHO WORK AT MERCY IN THE ENVIRONMENTAL SERVICES DEPARTMENT. THIS PROGRAM IS IN PARTNERSHIP WITH GOODWILL INDUSTRIES. THE PARTNERS IN EMPLOYMENT ALLIANCE PROGRAM CONTRIBUTES TO THE ECONOMIC DEVELOPMENT OF THE COMMUNITY, IN A SMALL BUT VERY MEANINGFUL WAY, BY PROVIDING AN OPPORTUNITY FOR SKILL BUILDING AND JOB READINESS TO PEOPLE WHO HAVE THE POTENTIAL TO BECOME PRODUCTIVE MEMBERS OF THE COMMUNITY.MERCY OCCASIONALLY LENDS ITS EXPERTISE IN STRATEGIC PLANNING THROUGH FREE CONSULTING SERVICES TO OTHER COMMUNITY NOT-FOR-PROFIT ORGANIZATIONS THAT SHARE MERCY'S MISSION PRINCIPLES. FINALLY, MERCY SUBSIDIZES, FULLY, OR PARTIALLY, THE FEES ASSOCIATED WITH ITS LIFELINE EMERGENCY RESPONSE SYSTEM FOR SENIORS AND HANDICAPPED INDIVIDUALS. THE PROGRAM EXTENDS THE PERIOD OF TIME THAT AN INDIVIDUAL CAN CONTINUE LIVING AT HOME OR WITH MINIMUM DIRECT SUPERVISION, BY PROVIDING A RELIABLE MEANS OF EMERGENCY COMMUNICATION. THIS IMPROVES THE COMMUNITY BY INCREASING THE NUMBER OF PEOPLE WHO ARE ABLE TO AGE IN THE LEAST RESTRICTIVE ENVIRONMENT. |
| PART III, LINE 4: MERCY HEALTH SERVICES - IOWA, CORP. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM THOSE STATEMENTS: "SUBSTANTIALLY ALL OF THE CORPORATION'S RECEIVABLES ARE RELATED TO PROVIDING HEALTHCARE SERVICES TO PATIENTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE CORPORATION'S ESTIMATE FOR ITS ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS BY PAYOR."COSTING METHODOLOGY FOR LINES 2 AND 3: AMOUNTS ARE CALCULATED ON LINE 2 USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.THE AMOUNT ON LINE 3 WAS CALCULATED BASED ON THE INFORMATION SUPPLIED BY A THIRD PARTY VENDOR, H&R COLLECTION AGENCY, WHO USES THE FASTAG PROGRAM WHICH IDENTIFIES FINANCIAL ASSISTANCE BASED ON A PROPRIETARY PROCESS. FASTAG COMBINES ACCOUNT DATA, EXTERNAL INFORMATION AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY TO ARRIVE AT A DISCOUNT RECOMMENDATION FOR EACH ACCOUNT. |
| PART III, LINE 8: MERCY HEALTH SERVICES - IOWA, CORP. DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: MERCY HEALTH SERVICES - IOWA, CORP'S COLLECTION POLICY CONTAINS THE CRITERIA FOR FINANCIAL ASSISTANCE, AND CONTAINS THE FOLLOWING VERBIAGE FOR ARRANGEMENTS WITH OUTSIDE COLLECTION AGENCIES: THE AGREEMENT MUST DEFINE THE STANDARDS AND SCOPE OF PRACTICES TO BE USED BY OUTSIDE COLLECTION AGENTS ACTING ON BEHALF OF THE MINISTRY ORGANIZATION, ALL OF WHICH MUST BE IN COMPLIANCE WITH THIS POLICY. |
| PART VI, LINE 2: NEEDS ASSESSMENT - MERCY HEALTH SERVICES-IOWA (MHS-IA) ASSESSES THE HEALTH NEEDS OF THE COMMUNITY THROUGH COMMUNITY NEEDS ASSESSMENTS EVERY THREE YEARS. MHS-IA IS COMPRISED OF FOUR ENTITIES: MERCY MEDICAL CENTER-DUBUQUE, MERCY MEDICAL CENTER-NEW HAMPTON, MERCY MEDICAL CENTER-NORTH IOWA AND MERCY MEDICAL CENTER-SIOUX CITY. EACH MEDICAL CENTER COMPLETES ITS OWN NEEDS ASSESSMENT.A COMMUNITY NEEDS ASSESSMENT IS A POINT-IN-TIME EFFORT TO MEASURE THE HEALTH AND WELL BEING OF THE COMMUNITY. IT SERVES AS THE BASIS FOR MERCY HEALTH SERVICES - IOWA'S STRATEGIC AND SUBSEQUENT ACTION PLANNING TO DEVELOP HEALTH POLICY, ALLOCATE RESOURCES, IMPROVE OR EXPAND EXISTING SERVICES, IMPLEMENT NEW PROGRAMS AND COLLABORATE WITH OTHER COMMUNITY HEALTHCARE PROVIDERS. A COMMUNITY NEEDS ASSESSMENT ALSO SERVES AS A BENCHMARK FOR FUTURE ASSESSMENT OF RELATIVE PROGRESS TOWARD ESTABLISHED COMMUNITY HEALTH OBJECTIVES.MERCY HEALTH SERVICES - IOWA'S COMMUNITY NEEDS ASSESSMENT PROVIDES THE OPPORTUNITY TO:- GAIN INSIGHTS INTO THE NEEDS AND ASSETS OF THE COMMUNITIES SERVED - IDENTIFY AND ADDRESS THE NEEDS OF VULNERABLE POPULATIONS WITHIN THE COMMUNITY- ENHANCE HOSPITAL/COMMUNITY RELATIONSHIPS AND THE OPPORTUNITY FOR COLLABORATIVE COMMUNITY ACTION, INCLUDING INVOLVEMENT WITH COALITIONS, PARTNERSHIPS, BOARDS, COMMITTEES, COMMISSIONS, ADVISORY GROUPS AND PANELS- PROVIDE THE INFORMATION REQUIRED FOR COMMUNITY OUTREACH PLANNINGTHE MERCY HEALTH SERVICES-IOWA COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. THE MERCY HEALTH SERVICES-IOWA COMMUNITY NEEDS ASSESSMENTS ARE CURRENT AS OF 2010 FOR NORTH IOWA AND NEW HAMPTON, 2009 FOR SIOUX CITY AND TO BE COMPLETED AND PUBLISHED FOR DUBUQUE IN 2011.THE MERCY MEDICAL CENTER-NORTH IOWA COMMUNITY HEALTH CARE NEEDS ASSESSMENT INCLUDES ACTION PLANS TO ADDRESS IDENTIFIED COMMUNITY NEEDS HAVE BEEN DEVELOPED THROUGH JUNE 2013. THE ASSESSMENT COVERED THE 14-COUNTY SERVICE AREA OF MERCY-NORTH IOWA. THERE CONTINUES TO BE COORDINATION WITH CERRO GORDO PUBLIC HEALTH, NORTH IOWA COMMUNITY ACTION ORGANIZATION AND THE NORTH CENTRAL IOWA REGIONAL PLANNING COALITION, COMPRISED OF OTHER NOT-FOR-PROFIT AND GOVERNMENTAL AGENCIES AND ORGANIZATIONS REPRESENTING 14 NORTH IOWA COUNTIES: BUTLER, CERRO GORDO, CHICKASAW, FLOYD, FRANKLIN, HANCOCK, HARDIN, HOWARD, KOSSUTH, MITCHELL, PALO ALTO, WINNEBAGO, WORTH, AND WRIGHT. OUTSIDE REFERENCES SUCH AS THE DHS REPORT "HEALTHY PEOPLE 2020" AND IOWA DEPARTMENT OF PUBLIC HEALTH'S "PUBLIC HEALTH DATA WAREHOUSE" AS WELL AS OTHER RELEVANT RESOURCES SUCH AS UNIVERSITY OF IOWA'S "2009 IOWA HEALTH FACT BOOK" WERE REFERENCED. TECHNICAL ASSISTANCE WAS PROVIDED BY A DES MOINES-BASED CONSULTING AND SERVICE FIRM.THE MERCY MEDICAL CENTER-DUBUQUE COMMUNITY HEALTH NEEDS ASSESSMENT WAS UNDERWAY IN FY 2011. THE COMMUNITY NEEDS ASSESSMENT WAS CONDUCTED AS PART OF A COUNTY-WIDE HEALTH CARE ASSESSMENT PROCESS MANDATED FOR ALL COUNTIES BY THE STATE OF IOWA. PARTNERS INCLUDE LOCAL HOSPITALS, COMMUNITY AGENCIES, SOCIAL SERVICES, AND LOCAL BUSINESSES. MORE THAN 50 INDIVIDUALS MET IN SIX SEPARATE SUBCOMMITTEES TO EVALUATE NEEDS AND IDENTIFY STRATEGIES IN SIX CATEGORIES: PROMOTING HEALTHY BEHAVIORS, INJURY PREVENTION, PROTECT AGAINST ENVIRONMENTAL HAZARDS, PREPARE FOR, RESPOND TO AND RECOVER FROM PUBLIC HEALTH EMERGENCIES, PREVENT EPIDEMICS AND THE SPREAD OF DISEASE, AND STRENGTHEN PUBLIC HEALTH INFRASTRUCTURE. RESPONSIBILITY FOR COMPLETING VARIOUS ASPECTS OF THE HEALTH IMPROVEMENT PLAN ASSOCIATED WITH THIS HEALTH NEEDS ASSESSMENT ARE SHARED BY THE DUBUQUE COUNTY BOARD OF HEALTH AND LOCAL HOSPITALS, COMMUNITY AGENCIES, SOCIAL SERVICES, AND LOCAL BUSINESSES. SOME ADDITIONAL OBJECTIVES WILL BE CONSIDERED AND ADDED BY MERCY'S COMMUNITY BENEFITS MINISTRY GRANT FUND COMMITTEE BEFORE THE PLAN IS FINALIZED IN FY 2012.THE MERCY MEDICAL CENTER-SIOUX CITY COMMUNITY NEEDS ASSESSMENT PROCESS INVOLVES THE GATHERING OF TWO TYPES OF DATA: QUANTITATIVE (DEMOGRAPHICS, HEALTH INDICATORS, ETC.) AND QUALITATIVE (PUBLIC SURVEYS, FORUMS, FOCUS GROUPS). THE DATA HELPS SUPPORT SHORT-TERM AND LONG-TERM DECISIONS ABOUT ALLOCATION OF COMMUNITY HUMAN AND CAPITAL RESOURCES. |
| PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HEALTH SERVICES-IOWA IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- 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 - 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 A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, MERCY HEALTH SERVICES-IOWA HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMERCY HEALTH SERVICES-IOWA COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.MERCY MEDICAL CENTER-SIOUX CITYMERCY MEDICAL CENTER-SIOUX CITY NOT ONLY COMMUNICATES FINANCIAL ASSISTANCE POLICIES VIA TRADITIONAL CHANNELS (REGISTRATION, AND BILLING); THE ORGANIZATION SHARES ITS FINANCIAL ASSISTANCE POLICY WITH OTHER SERVICE AGENCIES AND NOT-FOR PROFIT ORGANIZATIONS. FOR EXAMPLE, THROUGH THE MISSION HEALTH PROGRAM, A COLLABORATION BETWEEN THE SIOUXLAND COMMUNITY HEALTH CENTER AND MERCY AND ST. LUKE'S HOSPITALS, MERCY MEDICAL CENTER-SIOUX CITY REACHES OUT TO CHURCHES AND SCHOOLS TO FIND THOSE WHO MAY BE IN NEED OF FINANCIAL ASSISTANCE. PARTICIPANTS ARE PRE-QUALIFIED FOR FINANCIAL ASSISTANCE AT BOTH LOCAL HOSPITALS, AND ARE INVITED TO CHOOSE A MEDICAL HOME. THE MISSION HEALTH PROGRAM HAS OVER 1400 ENROLLED PATIENTS, ALL OF WHOM HAVE A BETTER UNDERSTANDING AND REDUCED ANXIETY CONCERNING FINANCIAL OBLIGATIONS AND ASSISTANCE IF HOSPITALIZATION IS NEEDED. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. MERCY MEDICAL CENTER-SIOUX CITY SOCIAL WORKERS PROVIDE ASSISTANCE AND COUNSELING REGARDING FINANCIAL ASSISTANCE OPPORTUNITIES WITHIN THE ORGANIZATION, AND REFER PATIENTS AND FAMILIES TO APPROPRIATE AGENCIES FOR COVERAGE. MERCY ALSO WORKS WITH THE MIDLANDS GROUP TO ENLIST PATIENTS IN QUALIFYING PROGRAMS. MERCY UTILIZES A COMMUNITY NEEDS INDEX (CNI) TO TARGET SPECIFIC ZIP CODES WHERE PATIENTS IN NEED OF FINANCIAL ASSISTANCE OFTEN RESIDE. MERCY MEDICAL CENTER-DUBUQUEMERCY MEDICAL CENTER-DUBUQUE CONTRACTS WITH A FIRM WITH A LONG TRACK RECORD OF COMPASSIONATE SERVICE TO PROVIDE COUNSELING, REFERRALS, AND ASSISTANCE TO PATIENTS IN DETERMINING ELIGIBILITY AND ENROLLING IN A WIDE VARIETY OF PUBLIC AND PRIVATE ASSISTANCE PROGRAMS, SUCH AS MEDICARE, MEDICAID, HAWK-I (AND THE CORRESPONDING SCHIPS PROGRAMS FOR ILLINOIS AND WISCONSIN) AND IOWA CARE, IOWA'S STATE ASSISTANCE PROGRAM FOR INDIGENT PERSONS. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.MERCY MEDICAL CENTER-NORTH IOWA (INCLUDING NEW HAMPTON)INFORMATION ABOUT MERCY MEDICAL CENTER-NORTH IOWA'S FINANCIAL ASSISTANCE PROGRAM IS DISPLAYED IN VARIOUS ADMISSION AREAS THROUGHOUT THE HOSPITAL AND CLINICS. A "PATIENT FINANCIAL GUIDELINES" BROCHURE IS ALSO AVAILABLE AT EACH ADMISSION AREA. THIS BROCHURE PROVIDES INFORMATION REGARDING PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND BILLING QUESTIONS. FINANCIAL COUNSELING IS ALSO PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. AT TIME OF ADMISSION, THE NAMES OF UNINSURED AND UNDERINSURED PATIENTS ARE GIVEN TO THE PUBLIC BENEFITS FINANCIAL SERVICES COUNSELOR WHO MAKES AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. THE PUBLIC BENEFIT FINANCIAL COUNSELOR HAS A GOOD WORKING RELATIONSHIP WITH THE DEPARTMENT OF HUMAN SERVICES, STATE DISABILITY OFFICES, AND VARIOUS COUNTY AND COMMUNITY PROGRAMS. CONTACT WITH THESE OFFICES OCCURS ALMOST DAILY. MERCY HEALTH SERVICES-IOWA OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH VARIOUS MEANS, WHICH INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF PATIENT BROCHURES, NOTICES OR MESSAGING INCLUDED ON PATIENT BILLS, POSTING OF NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL PATIENT ACCOUNTING DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES LOCATED ON FACILITY CAMPUSES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE THROUGHOUT THE COMMUNITIES SERVED BY MERCY HEALTH SERVICES-IOWA, TO PUBLIC HEALTH CENTERS, CATHOLIC CHARITABLE ORGANIZATIONS AND OTHER COMMUNITY OUTREACH SERVICES.INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE IN ADMISSION PACKAGES DURING INTAKE. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS. IN SIOUX CITY, INTERPRETERS OF MULTIPLE LANGUAGES ARE AVAILABLE ON-SITE THROUGH INTERPRETIVE SERVICES OR AT THE SIOUXLAND COMMUNITY HEALTH CENTER FOR QUESTIONS REGARDING FINANCIAL ASSISTANCE. MERCY MEDICAL CENTER-NORTH IOWA ALSO PROVIDES FINANCIAL ASSISTANCE FOR PRESCRIBED MEDICATIONS. THERE ARE SEVERAL SHORT-TERM ASSISTANCE PROGRAMS AS WELL AS A SOCIAL WORKER FACILITATING THE APPLICATION PROCESS FOR LONG-TERM ASSISTANCE FROM PHARMACEUTICAL PROGRAMS. MERCY HEALTH SERVICES-IOWA HAS ESTABLISHED A WRITTEN POLICY FOR THE BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS. MERCY HEALTH SERVICES - IOWA MAKES EVERY EFFORT TO ADHERE TO THE POLICY AND IS COMMITTED TO IMPLEMENTING AND APPLYING THE POLICY FOR ASSISTING PATIENTS WITH LIMITED MEANS IN A PROFESSIONAL, CONSISTENT MANNER. THE MEDICAL CENTER EDUCATES STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS (INCLUDING THOSE WORKING IN PATIENT REGISTRATION AND ADMITTING, FINANCIAL ASSISTANCE, CUSTOMER SERVICE, BILLING AND COLLECTIONS) ABOUT THESE POLICIES, WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. PATIENT REGISTRATION STAFF, FINANCIAL ASSISTANCE STAFF, SOCIAL WORKERS, CASE MANAGERS, AND CLINIC MANAGERS RECEIVE TRAINING REGARDING FINANCIAL ASSISTANCE POLICIES. |
| PART VI, LINE 4: COMMUNITY INFORMATION -MERCY MEDICAL CENTER-SIOUX CITY (MMC-SC) SERVES A 33-COUNTY AREA OF WESTERN IOWA, EASTERN NEBRASKA AND SOUTHEASTERN SOUTH DAKOTA, AN AREA WITH A HIGH COMMUNITY NEED. IN ADDITION TO THE MAIN HOSPITAL IN SIOUX CITY, MMC-SC OWNS RURAL HOSPITALS IN PRIMGHAR, IOWA, AND OAKLAND, NEBRASKA; MANAGES HOSPITALS IN PENDER, NEBRASKA AND HAWARDEN, IOWA; AND OPERATES A PRIMARY CARE CLINIC NETWORK, SPECIALTY CARE CLINICS AND HOME HEALTH SERVICES. MERCY ALSO PARTNERS WITH OTHER COMMUNITY HEALTHCARE PROVIDERS TO SPONSOR A REGIONAL CANCER CENTER, PARAMEDIC SERVICES, HOSPICE SERVICES, A FREESTANDING SURGERY CENTER AND A VARIETY OF OTHER HEALTH SERVICES.THE PRIMARY SERVICE AREA IS CONSIDERED URBAN (WITHIN SIOUX CITY). HOWEVER, MERCY SERVES MANY RURAL COMMUNITIES THROUGHOUT THE 33 COUNTY AREA, AND MANY DISTINCT ETHNIC AND CULTURAL GROUPS, INCLUDING HISPANIC, VIETNAMESE, SOMALI, AND NATIVE AMERICAN.THE AVERAGE HOUSEHOLD INCOME FOR THE 14 COUNTY SIOUX CITY AREA IS $57,046. ACCORDING TO THE STATE HEALTH ACCESS DATA ASSISTANCE CENTER, IN 2007, 27.9% PERCENT OF RESIDENTS WERE BELOW THE FEDERAL POVERTY GUIDELINES. MORE THAN 8.7% OF THE COMMUNITY IS UNINSURED, AND APPROXIMATELY 35.1% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE PROGRAMS.ACCORDING TO 2009 CLARITAS DATA, THE 14 COUNTY COMMUNITY HAS A POPULATION OF 297,730. EIGHTY-FIVE PERCENT OF THE POPULATION IS WHITE, 9% HISPANIC, 1.7% ASIAN & PACIFIC ISLANDER AND 1% BLACK. THIRTY-SIX PERCENT ARE HIGH SCHOOL GRADUATES WITH NO ADDITIONAL EDUCATION, WHILE 28% HAVE SOME COLLEGE OR ASSOCIATES DEGREE, AND 18% HAVE A BACHELOR'S, GRADUATE OR PROFESSIONAL DEGREE. THE CURRENT UNEMPLOYMENT RATE IS 3.5%.SIMILAR TRENDS ARE FOUND IN BOTH NEBRASKA AND SOUTH DAKOTA. MEDICAID ENROLLMENT IS 34% IN NEBRASKA AND 37.5% IN SOUTH DAKOTA. THE PERCENT OF POPULATIONS IN EACH STATE BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL) IS 28.8% IN NEBRASKA AND 30.9% IN SOUTH DAKOTA. MMC-SC IS LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA; SHORTAGES EXIST IN PRIMARY CARE, INTERNAL MEDICINE, ANESTHESIOLOGY, DENTISTRY AND PHARMACY, AMONG OTHER AREAS. MANY COMMUNITY HOSPITALS AND CRITICAL ACCESS HOSPITALS ARE LOCATED IN THE SECONDARY SERVICE AREA.THE TOP THREE HEALTH RISKS FOR THE AREA ARE: SMOKING, HIGH BLOOD PRESSURE AND HIGH CHOLESTEROL, WHILE THE TOP THREE HEALTH RISKS FOR THE LOW INCOME POPULATION AND THE UNINSURED, MEDICARE AND MEDICAID POPULATIONS ARE: HIGH BLOOD PRESSURE, DEPRESSION/ANXIETY DISORDER, AND HIGH CHOLESTEROL.ACCESS TO PRIMARY CARE (A MEDICAL HOME) IS AN IDENTIFIED COMMUNITY NEED, AS ARE ACCESS TO DENTAL CARE AND AFFORDABILITY OF PRESCRIPTION MEDICATIONS. FIFTY PERCENT OF THE PATIENTS PRESENTING TO MMC-SC EMERGENCY DEPARTMENT EITHER HAVE NO MEDICAL HOME OR THE MEDICAL HOME IS LOCATED AT THE SIOUXLAND COMMUNITY HEALTH CENTER.MERCY MEDICAL CENTER-NORTH IOWA (MMC-NI) SERVES A 14-COUNTY SERVICE AREA WITHIN A 70-MILE RADIUS STRETCHING IN EVERY DIRECTION FROM MASON CITY. THE PRIMARY SERVICE AREA CONSISTS OF CERRO GORDO AND WORTH COUNTIES IN IOWA, WHILE THE SECONDARY SERVICE AREA IS COMPRISED OF AN ADDITIONAL 12 CONTIGUOUS COUNTIES IN IOWA (BUTLER, CHICKASAW, FLOYD, FRANKLIN, HANCOCK, HARDIN, HOWARD, KOSSUTH, MITCHELL, PALO ALTO, WINNEBAGO, AND WRIGHT). IN 2010 THE 14-COUNTY SERVICE AREA HAD AN ESTIMATED POPULATION OF 194,162. 94.9 PERCENT OF RESIDENTS ARE WHITE. THERE ARE 11 CRITICAL ACCESS HOSPITALS WITHIN MMC-NI'S SERVICE AREA PROVIDING PRIMARY HEALTH CARE SERVICES, EIGHT OF WHICH ARE MMC-NI AFFILIATES. PATIENTS FROM THE REMAINING IOWA COUNTIES UTILIZE MMC-NI FOR TERTIARY LEVEL CARE. THE UNIVERSITY OF IOWA HOSPITALS IN IOWA CITY AND MAYO CLINIC IN ROCHESTER, MINNESOTA ALSO PROVIDE TERTIARY CARE FOR THIS AREA.MMC-NI'S MARKET SHARE FOR THE 14-COUNTY SERVICE AREA IS STABLE AT 50 PERCENT, WHILE THE PRIMARY SERVICE AREA HAS 93.15 PERCENT OF THE MARKET, AS REPORTED BY IOWA HOSPITAL ASSOCIATION DATA.ACCORDING TO THE U.S. CENSUS BUREAU, MMC-NI'S SERVICE AREA EXPERIENCED A 6.6 PERCENT DECLINE IN POPULATION FROM 2000-2009; THE 2014 POPULATION PROJECTION DOCUMENTS AN ADDITIONAL 3.2 PERCENT DECLINE. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. ABOUT 19.8 PERCENT OF THE POPULATION IN THE SERVICE AREA WAS OVER AGE 65 IN 2010, COMPARED TO 17 PERCENT FOR THE STATE AND 13.2 PERCENT FOR THE NATION.THE AVERAGE INCOME IN MMC-NI'S SERVICE AREA IN 2010 WAS ESTIMATED TO BE BETWEEN $25,000 AND $50,000; INDIVIDUALS EARNING LESS THAN $15,000 COMPRISE 11.2 PERCENT OF THE POPULATION. MMC-NI IS A DISPROPORTIONATE SHARE HOSPITAL. IN FY 2010, OUR GENERAL ADMITTANCE INSURANCE PAYOR MIX FOR MEDICARE WAS 53.2 PERCENT AND 12.2 PERCENT FOR THE POOR AND UNDERSERVED. THE INSURANCE PAYOR MIX FOR THE POOR AND UNDERSERVED IN EMERGENCY DEPARTMENT ADMITTANCE WAS 34 PERCENT.THE ENTIRE 14-COUNTY SERVICE AREA IS DESIGNATED AS A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA, AND SEVERAL COUNTIES ARE CONSIDERED PRIMARY CARE HEALTH PROFESSIONAL SHORTAGE AREAS OR MEDICALLY UNDERSERVED AREAS.MERCY MEDICAL CENTER-NEW HAMPTON (MMC-NH) SERVES THE CHICKASAW AREA AND SURROUNDING COUNTIES WITHIN A 20-MILE RADIUS STRETCHING IN EVERY DIRECTION FROM NEW HAMPTON. THE PRIMARY SERVICE AREA CONSISTS OF THE TOWNS OF NEW HAMPTON, FREDERICKSBURG, ALTA VISTA, IONIA, ELMA, WAUCOMA, LAWLER AND NASHUA. THE ESTIMATED POPULATION OF THIS AREA IS 13,500. ACCORDING TO THE U.S. CENSUS BUREAU, CHICKASAW COUNTY HAD AN ESTIMATED POPULATION OF 12,439 IN 2010. CHICKASAW COUNTY EXPERIENCED AN ESTIMATED 5.0% PERCENT DECLINE IN POPULATION FROM 2000-2010. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. NINETEEN PERCENT OF THE POPULATION IN THE CHICKASAW AREA WAS OVER AGE 65 IN 2010.THE MEDIAN HOUSEHOLD INCOME IN CHICKASAW COUNTY WAS ESTIMATED AT $43,990 IN 2009. INDIVIDUALS BELOW THE POVERTY LEVEL COMPRISE 9.3% OF THE POPULATION. THE FISCAL YEAR 2011 PAYER MIX AT POINT OF REGISTRATION INCLUDES 57% COVERED BY MEDICARE, 5% COVERED BY MEDICAID AND 4% SELF-PAY.MERCY MEDICAL CENTER-DUBUQUE (MMC-D)FOR PURPOSES OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MMC-D'S PRIMARY SERVICE AREA IS DUBUQUE COUNTY, IOWA. IN FY 2011 (ENDING JUNE 30, 2011), MORE THAN 61% OF MERCY'S INPATIENT CASES AND MORE THAN 75% OF MERCY'S EMERGENCY DEPARTMENT CASES WERE FOR DUBUQUE COUNTY RESIDENTS.DUBUQUE COUNTY'S POPULATION IS 89,143. IT INCLUDES ONE URBAN COMMUNITY, THE CITY OF DUBUQUE. ITS 65+ POPULATION IS ALMOST AS HIGH AS IOWA'S, AND SIGNIFICANTLY HIGHER THAN THE US AVERAGE FOR THIS AGE RANGE. CONVERSELY, THE 16-24 POPULATION IS NOTICEABLY LOWER THAN THE US AVERAGE. ALTHOUGH MINORITY POPULATIONS IN DUBUQUE COUNTY HAVE INCREASED DURING THE LAST DECADE, THE POPULATION IS STILL 97.1% WHITE, WITH NO OTHER SINGLE RACIAL GROUP ACCOUNTING FOR MORE THAN 1%. THE COUNTY'S HISPANIC OR LATINO POPULATION IS 1.2%CONSIDERING ONLY THE POPULATION OF DUBUQUE COUNTY RESIDENTS WHO ARE 25 OR OLDER, DUBUQUE COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH ONLY A HIGH SCHOOL DIPLOMA OR EQUIVALENT THAN IOWA AND THE US. THERE IS A SMALLER PERCENTAGE OF DUBUQUE COUNTY RESIDENTS WITH SOME COLLEGE THAN IOWA OR THE US.MEDIAN INCOME IN DUBUQUE COUNTY IS $39,582, SLIGHTLY HIGHER THAN IOWA, BUT LOWER THAN THE US MEDIAN. IN THE COUNTY, HOUSEHOLDERS UNDER 25 AND OLDER THAN 65 ARE BELOW THAT MEDIAN, WHICH IS ALSO TRUE FOR IOWA AND THE US. PER CAPITA INCOME IN DUBUQUE COUNTY IS $19,600, EQUAL TO IOWA AND SOMEWHAT LOWER THAN THE US. DUBUQUE COUNTY BLACK PER CAPITA INCOME IS 51% OF WHITE PER CAPITA INCOME, COMPARED TO 61% IN IOWA AND 60% NATIONALLY. DUBUQUE COUNTY HISPANIC PER CAPITA INCOME IS 58% OF WHITE PER CAPITA INCOME, COMPARED TO 54% IN IOWA AND 51% NATIONALLY. THE GROWING ELDERLY POPULATION IS OF CONCERN TO THE COMMUNITY. WE ANTICIPATE A SHORTAGE OF HEALTH CARE WORKERS TO CARE FOR THE ELDERLY, LIMITED TRANSPORTATION OPTIONS, LIMITED ADULT DAY CARE OPTIONS AND LIMITED FUNDING FOR SERVICES FOR THE ELDERLY. THE HIGH COST OF PRESCRIPTION MEDICATIONS AND CHRONIC ILLNESSES CAUSING LONG-TERM DISABILITY PRESENT FINANCIAL CONCERNS AS WELL. |
| PART VI, LINE 6: OTHER INFORMATION -MERCY MEDICAL CENTER-SIOUX CITY IS HOME TO THE ONLY LEVEL II TRAUMA CENTER IN WESTERN IOWA, AND PROVIDES A VITAL, LIFESAVING LINK TO RURAL AREAS VIA MERCY AIR CARE, THE HOSPITAL'S HELICOPTER AMBULANCE SERVICE.MERCY MEDICAL CENTER-SIOUX CITY IS INVOLVED IN A NUMBER OF COMMUNITY VENTURES, AND SUPPORTS THE SIOUXLAND MEDICAL EDUCATION FOUNDATION (FAMILY PRACTICE RESIDENCY). WE ALSO WORK CLOSELY WITH WINNEBAGO INDIAN HEALTH SERVICES TO CLOSE HEALTH OUTCOMES DISPARITIES. IN ADDITION, THE MEDICAL CENTER COLLABORATES WITH ST. LUKE'S COLLEGE OF NURSING, WITCC SCHOOL OF NURSING, AND BRIAR CLIFF UNIVERSITY SCHOOL OF NURSING (REPLICATING THE RAIN PROGRAM, WHICH IS INTENDED TO INCREASE THE NUMBER OF AMERICAN INDIAN NURSES).ST. LUKE'S HOSPITAL, FAMILY SERVICES, COMMUNITY MENTAL HEALTH CENTER, MERCY MEDICAL CENTER AND COMMUNITY PSYCHIATRISTS MEET BI-MONTHLY TO ASSESS AND PLAN FOR IMPROVED ACCESS AND SERVICES. THE PLAN INVOLVES COLLABORATION/CONSOLIDATION TO BETTER SERVE PATIENTS WITH MENTAL ILLNESS, MOST OF WHOM ARE UNDER-SERVED. THE PLAN SHOULD IMPROVE SERVICES AND SAVE COSTS, INCLUDING COSTS INCURRED BY GOVERNMENT PAYER SOURCES. MERCY IS PARTICIPATING IN THE STATE WIDE REORGANIZATION OF MENTAL HEALTH SERVICES. ASSOCIATES FROM MERCY'S EMERGENCY DEPARTMENT, SOCIAL SERVICES, MISSION SERVICES, NURSING, BEHAVIORAL HEALTH, AND PHARMACY ARE COLLABORATING TO IMPROVE ACCESS TO PHARMACEUTICALS. LACK OF MEDICATIONS AND REFILL AUTHORIZATIONS OFTEN LEAD TO VISITS TO THE EMERGENCY DEPARTMENT. TIMELY ACCESS TO MEDICATION COULD RESOLVE (DECREASE) SOME OF THESE VISITS THROUGH DIRECTION TO COMMUNITY PHYSICIANS AND ACCESS TO MEDICATIONS.MERCY MEDICAL CENTER-NORTH IOWAMERCY MEDICAL CENTER-NORTH IOWA HAS BEEN PROVIDING MANAGEMENT SERVICES FOR RURAL HOSPITALS SINCE 1978. THESE COMMUNITY HOSPITALS OFFER QUALITY HEALTH CARE AND YET ARE STILL ABLE TO TAKE ADVANTAGE OF ALL THE RESOURCES MERCY MEDICAL CENTER-NORTH IOWA HAS TO OFFER AS A MAJOR REFERRAL CENTER. AS A TEACHING HOSPITAL, MERCY MEDICAL CENTER-NORTH IOWA HOSTS A FAMILY PRACTICE RESIDENCY PROGRAM, PHARMACY RESIDENCY, PALLIATIVE CARE FELLOWSHIP, CARDIOLOGY FELLOWSHIP, AND A SCHOOL OF RADIOLOGIC TECHNOLOGY. IT ALSO IS A CLINICAL SITE FOR STUDENTS STUDYING TO BECOME MEDICAL LABORATORY TECHNICIANS, NURSES, PARAMEDICS, REHABILITATION TECHNICIANS AND PERFUSIONISTS. IN ADDITION, THE MEDICAL CENTER MANAGES AN ADULT DAY CARE CENTER AND HOMELESS SHELTERS FOR MEN AND WOMEN IN COLLABORATION WITH OTHER NON-PROFITS. AS A SOLE COMMUNITY PROVIDER, SPECIALIZED SERVICES INCLUDE A HEART CENTER, CANCER CENTER, DIABETES CENTER, STROKE CENTER, BARIATRIC CENTER, LEVEL II BIRTH CENTER AND A LEVEL II EMERGENCY CENTER. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. BECAUSE OF THE NEED BY INDIGENT ADULTS FOR DENTAL CARE, MERCY-NORTH IOWA HAS FULLY FURNISHED TWO ROOMS TO ACCOMMODATE EMERGENT DENTAL NEEDS. HALF-DAY CLINICS ARE MANNED BY AREA DENTISTS AND DENTAL ASSISTANTS WHO VOLUNTEER THEIR TIME AND GUIDANCE. BEING A RURAL AREA OFTEN CREATES A TRANSPORTATION BARRIER FOR ACCESS TO MEDICAL APPOINTMENTS. MERCY MEDICAL CENTER-NORTH IOWA HAS THREE SUBSIDIZED PROGRAMS THAT FACILITATE TRANSPORTATION FOR INDIVIDUALS WHO, BECAUSE OF AGE, DISABILITY, ECONOMICS AND/OR TREATMENT, NEED ASSISTANCE. THIS SERVES THOSE WHO LIVE IN MASON CITY AS WELL AS THROUGHOUT SURROUNDING NORTH IOWA COMMUNITIES. MERCY FAMILY HEALTH LINE, A 24-HOUR/7-DAY A WEEK TELEPHONE INFORMATION SERVICE, FIELDS NEARLY 30,000 CALLS A YEAR. REGISTERED NURSES PROVIDE MEDICAL TRIAGE AS WELL AS REFERRALS TO INTERNAL AND COMMUNITY HUMAN SERVICES RESOURCES. IN COLLABORATION WITH THE COMMUNITY KITCHEN, OUR HOSPITAL KITCHEN HANDLES THE PREPARATION OF MEALS ON WHEELS MONDAY THROUGH FRIDAY AND DONATES DELIVERY COORDINATION. IN CALENDAR YEAR 2010, OVER 22,000 MEALS WERE PREPARED AND DELIVERED.THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY HEALTHCARE PROVIDERS IN ORDER TO BEST MEET THE NEEDS OF THOSE WHO LIVE IN NORTH IOWA COMMUNITIES.MERCY MEDICAL CENTER-NORTH IOWA HAS ABOUT 400 VOLUNTEERS, WHO SERVE IN NEARLY EVERY DEPARTMENT OF THE HOSPITAL. FROM CLERICAL WORK TO PROVIDING PATIENT AND VISITOR SERVICES, MERCY VOLUNTEERS TRULY DO MAKE A DIFFERENCE. THROUGH FUNDRAISERS, THEY ALSO PROVIDE FINANCIAL SUPPORT TO A VARIETY OF AREAS WITHIN THE HOSPITAL. MERCY AMBASSADORS AWARD SCHOLARSHIPS TO STUDENTS PURSUING EDUCATION IN THE HEALTHCARE FIELD. THE AMBASSADORS RENT OUT INFANT SAFETY SEATS TO ENSURE THAT ALL BABIES LEAVE OUR HEALTH CARE CENTER IN A PROPER SAFETY SEAT, AND CO-SPONSOR FREE MONTHLY CHILD SAFETY SEAT INSPECTION SERVICES FOR THE COMMUNITY. THEY ALSO FACILITATE HEALTH SCREENINGS AT SEVERAL LOCATIONS.MERCY MEDICAL CENTER-NEW HAMPTONAS A SOLE COMMUNITY PROVIDER, MMC-NH PROVIDES A RANGE OF SPECIALIZED SERVICES, DIABETES EDUCATION AND NUTRITION AND AN EMERGENCY CENTER. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY HEALTH CARE PROVIDERS, IN ORDER TO BEST MEET THE NEEDS OF OUR NORTHEAST IOWA COMMUNITIES.MMC-NH HAS ABOUT 200 VOLUNTEERS, WHO SERVE IN NEARLY EVERY DEPARTMENT OF THE HOSPITAL. FROM CLERICAL WORK TO PROVIDING PATIENT AND VISITOR SERVICES, MERCY VOLUNTEERS TRULY DO MAKE A DIFFERENCE. THROUGH FUNDRAISERS, THE VOLUNTEERS ALSO PROVIDE FINANCIAL SUPPORT TO A VARIETY OF AREAS WITHIN THE HOSPITAL. MERCY AUXILIARY AWARDS SCHOLARSHIPS TO HIGH SCHOOL AND NON-TRADITIONAL STUDENTS PURSUING EDUCATION IN THE HEALTH CARE FIELD. THE AUXILIARY ALSO SPONSORS NUMEROUS BLOOD DRIVES AND LUNCH-AND-LEARN EVENTS ON HEALTH CARE SUBJECTS. THEY ALSO PROVIDE WIGS AND TURBANS TO THOSE INDIVIDUALS WHO HAVE LOST THEIR HAIR DUE TO ILLNESS. MMC-NH HAS RE-OPENED ITS OBSTETRICS DEPARTMENT TO PROVIDE MEMBERS OF THE COMMUNITY A PLACE TO RECEIVE CHILDBIRTH EDUCATION AND SERVICES, AND CARE FOR NEW MOTHER AND BABY NEEDS.MMC-NH PROVIDES A DIETICIAN WHO IS ACCREDITED BY THE AMERICAN DIETETIC ASSOCIATION COMMISSION FOR DIABETES SELF-MANAGEMENT TRAINING TO MEMBERS OF THE COMMUNITY WHO HAVE DEVELOPED THIS GROWING HEALTH CONCERN. AN ANNUAL DIABETES HEALTH FAIR IS OFFERED.MMC-NH MAINTAINS A 24-HOUR EMERGENCY DEPARTMENT TO PROVIDE ACCESSIBLE HEALTH CARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE, WHICH IS DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND/OR MEDICALLY UNDERSERVED AREA (MUA). THESE EFFORTS SUPPORT THE COMMUNITY BY PROVIDING EXPERTISE AND HEALTH CARE SERVICES, AND SPECIAL CARE FOR INDIGENT AND UNDERSERVED POPULATIONS.MMC-NH ALSO ISSUES A QUARTERLY HEALTH WATCH NEWSLETTER TO ALL RESIDENTS AND MAINTAINS A WEBSITE WHICH OFFERS FREE ACCESS TO HEALTHY RECIPES AND OTHER HEALTHY LIVING IDEAS, AND A CALENDAR OF UPCOMING CLASSES AND EVENTS FOR COMMUNITY MEMBERS TO PARTICIPATE IN.MERCY MEDICAL CENTER-DUBUQUE PROVIDES SEVERAL SERVICES THAT ARE UNIQUE TO THE COMMUNITY, INCLUDING OPEN HEART SURGERY, NEONATAL INTENSIVE CARE AND INPATIENT COMMUNITY PSYCHIATRIC SERVICES. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. |
| PART VI, LINE 7: MERCY HEALTH SERVICES-IOWA IS A MEMBER ORGANIZATION OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE SYSTEMS IN THE COUNTRY. BASED IN NOVI, MICHIGAN, TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEVELOP, AND ARE HELD ACCOUNTABLE FOR ACHIEVING, COMMUNITY BENEFIT GOALS THAT INCLUDE DEVELOPING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS TO SERVE THE POOR AND UNINSURED, MANAGE CHRONIC CONDITIONS LIKE DIABETES, HEALTH EDUCATION AND PROMOTION INITIATIVES, AND OUTREACH FOR THE ELDERLY. IN FISCAL YEAR 2011, THIS INCLUDED NEARLY $453 MILLION IN SUCH COMMUNITY BENEFITS. THEREFORE, TRINITY HEALTH TAKES A SYSTEMS APPROACH IN ITS COMMUNITY BENEFIT PLANNING AND IMPLEMENTATION, AND IS CONSEQUENTLY ABLE TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ARE HELPING PROMOTE AND ADDRESS THE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| NORTHEAST IOWA COMMUNITY ACTION CORP | |||||||
| 305 MONTGOMERY ST | DECORAH | IA | 52101 | 426092713 | 501(C)3 | 6000 | COMMUNITY SUPPORT |
| NORTHWESTERN YOUTH SERVICES INC | |||||||
| 2069 500TH STREET | CHEROKEE | IA | 51012 | 204538859 | 6000 | COMMUNITY SUPPORT | |
| NORTH CENTRAL IOWA GROWTH PARTNERSHIP INC | |||||||
| 25 WEST STATE STREET | MASON CITY | IA | 50401 | 753190471 | 501(C)6 | 25000 | PLEDGE |
| BISHOP HEELAN CATHOLIC SCHOOLS | |||||||
| 1018 GRANDVIEW BLVD | SIOUX CITY | IA | 51103 | 420698209 | 501(C)3 | 50000 | THIRD INSTALLMENT OF A FIVE YEAR PLEDGE FOR HEELAN'S NEW SCHOOL |
| BRIAR CLIFF UNIVERSITY | |||||||
| 3303 REBECCA STREET | SIOUX CITY | IA | 51104 | 420707124 | 501(C)3 | 82500 | SCHOLARSHIP FUND |
| NORTH IOWA AREA COMMUNITY COLLEGE | |||||||
| 500 COLLEGE DRIVE | MASON CITY | IA | 50401 | 420930155 | 501(C)3 | 60000 | NURSING PLEDGE |
| SIOUX CITY SYMPHONY ORCHESTRA | |||||||
| 520 PIERCE STREET | SIOUX CITY | IA | 51101 | 426006580 | 501(C)3 | 5000 | PROGRAM SUPPORT - SPONSORSHIP OF IOWA PIANO COMPETITION |
| NEWMAN CATHOLIC SCHOOL SYSTEM FOUNDATION | |||||||
| 2445 - 19TH STREET | MASON CITY | IA | 50401 | 421078829 | 501(C)3 | 33700 | PLEDGES FOR EDUCATION AND CHILDCARE |
| SIOUXLAND HERITAGE FOUNDATION | |||||||
| 2901 JACKSON ST | SIOUX CITY | IA | 51104 | 421516734 | 501(C)3 | 10000 | CAPITAL CAMPAIGN SUPPORT - THIRD AND FOURTH OF A FIVE PLEDGE FOR SIOUX CITY'S NEW MUSEUM |
| SIOUXLAND COMMUNITY HEALTH CENTER | |||||||
| 1021 NEBRASKA STREET | SIOUX CITY | IA | 51102 | 421374894 | 501(C)3 | 152364 | COMMUNITY SUPPORT |
| CRESCENT COMMUNITY HEALTH CENTER | |||||||
| 1789 ELM STREET | DUBUQUE | IA | 52001 | 481302204 | 501(C)3 | 51734 | DIABETES MANAGEMENT PROGRAM SUPPORT |
| UNITED WAY OF SIOUXLAND INC | |||||||
| PO BOX 204 | SIOUX CITY | IA | 51102 | 420680395 | 501(C)3 | 6925 | PLEDGE |
| THE CRITTENTON CENTER | |||||||
| 303 WEST 24TH STREET | SIOUX CITY | IA | 51104 | 420698246 | 501(C)3 | 22627 | COMMUNITY SUPPORT |
| PENDER COMMUNITY HEALTH CARE FOUNDATION INC | |||||||
| PO BOX 490 | PENDER | NE | 68047 | 470750036 | 501(C)3 | 5625 | COMMUNITY SUPPORT AND SCHOLARSHIPS |
| SAINT GABRIEL COMMUNICATIONS LTD | |||||||
| 705 DOUGLAS ST STE 238 | SIOUX CITY | IA | 51101 | 421516853 | 501(C)3 | 6000 | COMMUNITY SUPPORT |
| ST MICHAEL'S SCHOOL | |||||||
| 1315 1ST AVE | SOUTH SIOUX CITY | NE | 68776 | 470457873 | 501(C)3 | 8900 | COMMUNITY SUPPORT |
| WINNEBAGO TRIBE OF NEBRASKA | |||||||
| PO BOX 687 | WINNEBAGO | NE | 68071 | 470489118 | TRIBAL GOVERNMENT | 6500 | SUPPORT WELLNESS AND DIABETES PROGRAM |
| LEGENDS OF GOLD INC | |||||||
| PO BOX 287 | BERESFORD | SD | 57004 | 273794971 | 501(C)3 | 6000 | CAMP SCHOLARSHIP |
| NORTHWEST IOWA HOSPITAL CORPORATION DBA ST LUKE'S COLLEGE | |||||||
| 2720 STONE PARK BLVD | SIOUX CITY | IA | 51104 | 421019872 | 501(C)3 | 20975 | CLINICAL PASTORAL EDUCATION SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 17 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 2 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: DONATIONS MADE BY MERCY HEALTH SERVICES - IOWA, CORP. TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE AND ARE CONSIDERED UNRESTRICTED WITH REGARD TO THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 (46 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH SWEDISH | |||||||||||||
| 0 | 1240774 | 0 | 645161 | 0 | 967997 | 0 | 763945 | 0 | 27508 | 0 | 3645385 | 0 | 690161 |
| PAUL NEUMANN | |||||||||||||
| 0 | 453650 | 0 | 133218 | 0 | 99158 | 0 | 60389 | 0 | 22549 | 0 | 768964 | 0 | 0 |
| AGNES HAGERTY | |||||||||||||
| 0 | 316857 | 0 | 75909 | 0 | 26156 | 0 | 38171 | 0 | 12602 | 0 | 469695 | 0 | 0 |
| JAMES BOSSCHER | |||||||||||||
| 0 | 294168 | 0 | 115448 | 0 | 148480 | 0 | 87903 | 0 | 10675 | 0 | 656674 | 0 | 101733 |
| BENJAMIN CARTER | |||||||||||||
| 0 | 410595 | 0 | 113318 | 0 | 51074 | 0 | 49689 | 0 | 23466 | 0 | 648142 | 0 | 0 |
| MARIANNE CUNNINGHAM | |||||||||||||
| 0 | 160274 | 0 | 0 | 0 | 769 | 0 | 13623 | 0 | 16275 | 0 | 190941 | 0 | 0 |
| KEDRICK ADKINS | |||||||||||||
| 0 | 717356 | 0 | 326029 | 0 | 117485 | 0 | 184461 | 0 | 13787 | 0 | 1359118 | 0 | 0 |
| MICHAEL SLUBOWSKI | |||||||||||||
| 0 | 701008 | 0 | 291561 | 0 | 160595 | 0 | 246925 | 0 | 24807 | 0 | 1424896 | 0 | 42832 |
| MICHAEL MURPHY | |||||||||||||
| 0 | 343184 | 0 | 68618 | 0 | 128021 | 0 | 47238 | 0 | 21304 | 0 | 608365 | 0 | 0 |
| RICHARD O'CONNELL | |||||||||||||
| 0 | 533392 | 0 | 113794 | 0 | 114187 | 0 | 116680 | 0 | 21280 | 0 | 899333 | 0 | 0 |
| JAMES FITZPATRICK | |||||||||||||
| 0 | 381816 | 0 | 151717 | 0 | 51067 | 0 | 83040 | 0 | 22089 | 0 | 689729 | 0 | 0 |
| RUSSELL KNIGHT | |||||||||||||
| 0 | 293715 | 0 | 107078 | 0 | 58416 | 0 | 74936 | 0 | 16683 | 0 | 550828 | 0 | 13185 |
| ROBERT PEEBLES | |||||||||||||
| 0 | 415553 | 0 | 0 | 0 | 56219 | 0 | 25137 | 0 | 912 | 0 | 497821 | 0 | 0 |
| MARY EBELING | |||||||||||||
| 0 | 186683 | 0 | 35129 | 0 | 2578 | 0 | 61810 | 0 | 12522 | 0 | 298722 | 0 | 0 |
| DIANE FISCHELS | |||||||||||||
| 0 | 198741 | 0 | 37309 | 0 | 965 | 0 | 44501 | 0 | 8886 | 0 | 290402 | 0 | 0 |
| F SCOTT LEIGHTY | |||||||||||||
| 0 | 261987 | 0 | 50403 | 0 | 857 | 0 | 16369 | 0 | 14114 | 0 | 343730 | 0 | 0 |
| PAUL MANTERNACH | |||||||||||||
| 0 | 293884 | 0 | 54520 | 0 | 652 | 0 | 22724 | 0 | 16667 | 0 | 388447 | 0 | 0 |
| TERESA MOCK | |||||||||||||
| 151575 | 0 | 115576 | 0 | 30817 | 0 | 49967 | 0 | 36457 | 0 | 384392 | 0 | 0 | 0 |
| RODNEY SCHLADER | |||||||||||||
| 0 | 232175 | 0 | 44619 | 0 | 1181 | 0 | 31760 | 0 | 19902 | 0 | 329637 | 0 | 0 |
| BERNARD FOX | |||||||||||||
| 0 | 146658 | 0 | 35965 | 0 | 3809 | 0 | 38884 | 0 | 9593 | 0 | 234909 | 0 | 0 |
| GARY GUETZKO | |||||||||||||
| 0 | 180778 | 0 | 44525 | 0 | 1649 | 0 | 36307 | 0 | 17105 | 0 | 280364 | 0 | 0 |
| KAY TAKES | |||||||||||||
| 0 | 161265 | 0 | 39077 | 0 | 497 | 0 | 22358 | 0 | 14413 | 0 | 237610 | 0 | 0 |
| MARILYN KAPTAIN-DAHLEN | |||||||||||||
| 0 | 229618 | 0 | 56369 | 0 | 2136 | 0 | 64851 | 0 | 15690 | 0 | 368664 | 0 | 0 |
| STEVEN EAVENSON TATUM LLC | |||||||||||||
| 453600 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 453600 | 0 | 0 | 0 |
| LINDA KREI | |||||||||||||
| 0 | 169710 | 0 | 41365 | 0 | 1280 | 0 | 25985 | 0 | 16340 | 0 | 254680 | 0 | 0 |
| LARRY SELLERS | |||||||||||||
| 0 | 316563 | 0 | 67137 | 0 | 39173 | 0 | 45468 | 0 | 21594 | 0 | 489935 | 0 | 0 |
| JAMES KARKOS | |||||||||||||
| 336816 | 0 | 211564 | 0 | 63622 | 0 | 74375 | 0 | 38270 | 0 | 724647 | 0 | 0 | 0 |
| ALIREZA YARAHMADI | |||||||||||||
| 335180 | 0 | 251887 | 0 | 20633 | 0 | 29696 | 0 | 34460 | 0 | 671856 | 0 | 0 | 0 |
| PHILLIP ALSCHER | |||||||||||||
| 420306 | 0 | 127333 | 0 | 55757 | 0 | 41220 | 0 | 63416 | 0 | 708032 | 0 | 0 | 0 |
| CARL PLANK | |||||||||||||
| 475270 | 0 | 45201 | 0 | 61331 | 0 | 72434 | 0 | 66020 | 0 | 720256 | 0 | 0 | 0 |
| ARVIND PERATHUR | |||||||||||||
| 338854 | 0 | 139458 | 0 | 49419 | 0 | 48813 | 0 | 38489 | 0 | 615033 | 0 | 0 | 0 |
| DANIEL HALE | |||||||||||||
| 0 | 451341 | 0 | 207437 | 0 | 131164 | 0 | 201869 | 0 | 19013 | 0 | 1010824 | 0 | 52144 |
| PAUL DOUGHERTY | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 343327 | 0 | 18658 | 0 | 9846 | 0 | 371831 | 0 | 343327 |
| PAUL BROWNE | |||||||||||||
| 0 | 460911 | 0 | 174224 | 0 | 64536 | 0 | 87030 | 0 | 20686 | 0 | 807387 | 0 | 6099 |
| DEBRA CANALES | |||||||||||||
| 0 | 453678 | 0 | 194272 | 0 | 72423 | 0 | 79191 | 0 | 13136 | 0 | 812700 | 0 | 0 |
| VELOIS BOWERS | |||||||||||||
| 0 | 228935 | 0 | 96129 | 0 | 35106 | 0 | 1801 | 0 | 9607 | 0 | 371578 | 0 | 0 |
| PAUL CONLON | |||||||||||||
| 0 | 251101 | 0 | 100416 | 0 | 56553 | 0 | 81742 | 0 | 22088 | 0 | 511900 | 0 | 15062 |
| LOUIS FIERENS | |||||||||||||
| 0 | 317250 | 0 | 123808 | 0 | 43923 | 0 | 44110 | 0 | 14126 | 0 | 543217 | 0 | 0 |
| PRESTON GEE | |||||||||||||
| 0 | 296889 | 0 | 111712 | 0 | 81579 | 0 | 50787 | 0 | 25205 | 0 | 566172 | 0 | 0 |
| MICHAEL HOLPER | |||||||||||||
| 0 | 251970 | 0 | 97178 | 0 | 37020 | 0 | 39654 | 0 | 20000 | 0 | 445822 | 0 | 0 |
| TERRENCE O'ROURKE | |||||||||||||
| 0 | 464591 | 0 | 205751 | 0 | 142078 | 0 | 32195 | 0 | 26853 | 0 | 871468 | 0 | 0 |
| MARIA SZYMANSKI | |||||||||||||
| 0 | 374739 | 0 | 104539 | 0 | 122633 | 0 | 147379 | 0 | 14320 | 0 | 763610 | 0 | 66282 |
| SCOTT E WELLS | |||||||||||||
| 0 | 114556 | 0 | 42441 | 0 | 541 | 0 | 27866 | 0 | 9384 | 0 | 194788 | 0 | 0 |
| DOUGLAS MORSE | |||||||||||||
| 0 | 114181 | 0 | 38613 | 0 | 697 | 0 | 16186 | 0 | 2062 | 0 | 171739 | 0 | 0 |
| KIM PRICE | |||||||||||||
| 0 | 77486 | 0 | 27691 | 0 | 2339 | 0 | 22682 | 0 | 9157 | 0 | 139355 | 0 | 0 |
| ROBERT SHAFER | |||||||||||||
| 0 | 148383 | 0 | 36509 | 0 | 1316 | 0 | 59762 | 0 | 14597 | 0 | 260567 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINES 4A-B | ReturnReference |
| Explanation | THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2010. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): PAUL DOUGHERTY - $343,327 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES $18,658 OF SEVERANCE FOR PAUL DOUGHERTY WHICH WAS UNPAID AS OF 12/31/10. THE $18,658 WAS PAID AND INCLUDED IN PAUL DOUGHERTY'S TAXABLE INCOME IN 2011. THE FOLLOWING ARE PARTICIPANTS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUALS FOR 2010 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $49,977 MICHAEL SLUBOWSKI - $77,185 JOSEPH SWEDISH - $511,613 THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH PENSION RESTORATION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($245,000 FOR 2010). THE FOLLOWING ACCRUALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $113,498 JAMES BOSSCHER - $52,983 PAUL BROWNE - $66,672 DEBRA CANALES - $59,431 BENJAMIN CARTER - $33,040 PAUL CONLON - $34,248 LOUIS FIERENS - $24,986 JAMES FITZPATRICK - $54,892 PRESTON GEE - $29,232 DANIEL HALE - $155,414 MICHAEL HOLPER - $17,612 RUSSELL KNIGHT - $45,100 MICHAEL MURPHY - $26,316 PAUL NEUMANN - $41,143 RICHARD O'CONNELL - $83,058 ROBERT PEEBLES - $5,481 MICHAEL SLUBOWSKI - $136,445 JOSEPH SWEDISH - $223,342 MARIA SZYMANSKI - $101,730 THE FOLLOWING ARE PARTICIPANTS IN A MERCY HEALTH SERVICES-IOWA CORP. NON-QUALIFIED ELECTIVE DEFERRED COMPENSATION PLAN. THE FOLLOWING DEFERRALS FOR 2010 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: TERESA MOCK - $17,404 PHILLIP ALSCHER - $17,810 JAMES KARKOS - $40,533 ARVIND PERATHUR - $36,156 CARL PLANK - $29,605 ALIREZA YARAHMADI - $15,867 PART II: STEVEN EAVENSON - THE AMOUNT LISTED IN COLUMN B(I) OF SCHEDULE J, PART II REPRESENTS THE AMOUNT PAID BY MERCY HEALTH SERVICES - IOWA, CORP. (MHS-IA) IN CALENDAR 2010 TO TATUM, LLC FOR MR. EAVENSON'S SERVICES AS INTERIM CFO FOR MHS-IA'S SIOUX CITY FACILITY. MHS-IA DOES NOT KNOW HOW MUCH MR. EAVENSON RECEIVED AS WAGES FROM TATUM, LLC IN CALENDAR 2010. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KIM PRICE | NamePerson |
| Purpose Of Loan | EDUCATION LOAN | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $18,000 | OriginalPrincipalAmount |
| Balance Due | 1108 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 1108 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| UNITED CLINICAL LABORATORIES (UCL) | |||
| BERNARD FOX, KEY EMP & ROBERT SHAFER,FORMER KEY EMP, SERVE ON THE BD OF UCL | 5296712 | PAYMENTS MADE BY MERCY HEALTH SERVICES - IOWA, CORP. TO UNITED CLINICAL LABORATORIES FOR LABORATORY SERVICES. | 0 |
| BARBARA SHAFER | |||
| FAMILY MEMBER OF ROBERT SHAFER, FORMER KEY EMPLOYEE | 64042 | EMPLOYMENT ARRANGEMENT | 0 |
| PREFERRED HEALTH CHOICES LLC (PHC) | |||
| RUSSELL KNIGHT, KEY EMPLOYEE, ALSO SERVES ON THE BOARD OF PHC | 10480437 | PAYMENTS MADE BY PREFERRED HEALTH CHOICES TO MERCY HEALTH SERVICES - IOWA, CORP. FOR MEDICAL SERVICES PROVIDED. | 0 |
| WELLMARK BLUE CROSS BLUE SHIELD OF IOWA AND SOUTH DAKOTA | |||
| MELANIE DREHER, BOARD MEMBER, ALSO SERVES ON THE BOARD OF WELLMARK BCBS | 114198107 | PAYMENTS MADE BY WELLMARK BCBS TO MERCY HEALTH SERVICES - IOWA, CORP FOR MEDICAL SERVICES PROVIDED. | 0 |
| DUBUQUE REGIONAL AMBULATORY SURGERY CENTER LLC (DRASC) | |||
| RUSSELL KNIGHT & KAY TAKES, KEY EMPLOYEES, ALSO SERVE ON THE BOARD OF DRASC | 2350000 | PARTNERSHIP DISTRIBUTION MADE BY DRASC TO MHS-IA (MHS-IA IS A 50% PARTNER IN DRASC) | 0 |
| MEDICAL ASSOCIATESMERCY FAMILY CARE NETWORK LLC (MAMFCN) | |||
| RUSSELL KNIGHT & KAY TAKES, KEY EMPLOYEES, ALSO SERVE ON THE BD OF MA/MFCN | 150000 | PARTNERSHIP CAPITAL CONTRIBUTION MADE TO MA/MFCN BY MHS-IA (MHS-IA IS A 50% PARTNER IN MA/MFCN) | 0 |
| TATUM LLC | |||
| STEVEN EAVENSON, SIOUX CITY INTERIM CFO, IS A KEY EMPLOYEE OF TATUM, LLC. | 359100 | FEES PAID TO TATUM, LLC FOR MR. EAVENSON'S SERVICES AS INTERIM CFO. SEE SCHEDULE J, PART III. | 0 |
| RODGER MOCK | |||
| FAMILY MEMBER OF TERESA MOCK, KEY EMPLOYEE | 30790 | EMPLOYMENT ARRANGEMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| EXPLANATION FOR NOT FILING FORM 990-T | FORM 990, PART V, LINE 3B | CONTACT TAXPAYER FOR ADDITIONAL INFORMATION ON FORM 990-T. |
| FORM 990, PART VI, SECTION A, LINE 3 | MERCY HEALTH SERVICES - IOWA, CORP. (MHS-IA) HAS CONTRACTED WITH TATUM, LLC FOR THE PROVISION OF INTERIM CFO SERVICES AT ITS SIOUX CITY FACILITY. SEE SCHEDULE J, PART III FOR ADDITIONAL INFORMATION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF MERCY HEALTH SERVICES - IOWA, CORP. IS TRINITY HEALTH - MICHIGAN. SEE LINE 7 FOR ADDITIONAL INFORMATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | TRINITY HEALTH - MICHIGAN IS THE SOLE MEMBER OF MERCY HEALTH SERVICES - IOWA, CORP. TRINITY HEALTH - MICHIGAN HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF TRUSTEES OF MERCY HEALTH SERVICES - IOWA, CORP. | |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, TRINITY HEALTH - MICHIGAN MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH - MICHIGAN MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, THE FORM 990 FOR MERCY HEALTH SERVICES - IOWA, CORP. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE BOARD OF TRUSTEES. THE BOARD RECEIVES A COPY OF THE RETURN BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY HEALTH SERVICES - IOWA, CORP. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCY HEALTH SERVICES - IOWA, CORP., WHICH INCLUDES TRUSTEES, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MERCY HEALTH SERVICES - IOWA, CORP.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY HEALTH SERVICES - IOWA, CORP. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES OF MERCY HEALTH SERVICES - IOWA, CORP. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MERCY HEALTH SERVICES - IOWA, CORP. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF TRUSTEES OF MERCY HEALTH SERVICES - IOWA, CORP. ON AN ANNUAL BASIS. | |
| FORM 990, PART VI, SECTION B, LINE 15 | TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MERCY HEALTH SERVICES - IOWA, CORP. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | MERCY HEALTH SERVICES - IOWA, CORP. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE ANNUAL REPORT (WHICH INCLUDES COMMUNITY BENEFIT MINISTRY INFORMATION) AND CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, THE HOSPITAL DIVISIONS OF MHS-IA INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES MHS-IA'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE. | |
| ESTIMATE OF THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: | FORM 990, PART VII, SECTION A, LINE 1, COLUMN B: | THE HOURS LISTED IN COLUMN B OF PART VII, SECTION A, LINE 1 REFLECT ONLY THE INDIVIDUALS' AVERAGE WEEKLY HOURS SPENT DIRECTLY ON THE ACTIVITIES OF THE REPORTING ORGANIZATION. IN ADDITION, THESE ARE THE AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: KEDRICK ADKINS - 50 HOURS JAMES BOSSCHER - 48 HOURS VELOIS BOWERS - 45 HOURS PAUL BROWNE - 45 HOURS DEBRA CANALES - 45 HOURS BENJAMIN CARTER - 45 HOURS PAUL CONLON - 45 HOURS MARIANNE CUNNINGHAM - 43 HOURS LOUIS FIERENS - 45 HOURS PRESTON GEE - 45 HOURS AGNES HAGERTY - 48 HOURS DANIEL HALE - 45 HOURS MICHAEL HOLPER - 45 HOURS MICHAEL MURPHY - 50 HOURS PAUL NEUMANN - 45 HOURS RICHARD O'CONNELL - 50 HOURS TERRENCE O'ROURKE - 45 HOURS MICHAEL SLUBOWSKI - 50 HOURS JOSEPH SWEDISH - 50 HOURS MARIA SZYMANSKI - 45 HOURS |
| TRUSTEES: | FORM 990, PART VII, SECTION A, LINE 1: | SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MERCY HEALTH SERVICES - IOWA, CORP. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES AS A TRUSTEE FOR TRINITY HEALTH CORPORATION, MERCY HEALTH SERVICES - IOWA, CORP. AND TRINITY HEALTH - MICHIGAN. SR. MARY MOLLISON, CSA, IS A MEMBER OF THE CONGREGATION OF SAINT AGNES. HAVING TAKEN A VOW OF POVERTY, SR. MARY MOLLISON DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MERCY HEALTH SERVICES - IOWA, CORP. INSTEAD, A TOTAL OF $50,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF SAINT AGNES FOR SR. MARY MOLLISON'S SERVICES AS BOARD CHAIR FOR TRINITY HEALTH CORPORATION, MERCY HEALTH SERVICES - IOWA, CORP. AND TRINITY HEALTH - MICHIGAN. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 20,361,324. NET EQUITY TRANSFERS TO AFFILIATES: -17,442,126. NET CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE: -1,156,680. EQUITY EARNINGS IN UNCONSOLIDATED AFFILIATES: 34,086,477. OTHER TRANSACTIONS: -1,383,620. TOTAL TO FORM 990, PART XI, LINE 5: 34,465,375. |
| FORM 990, PART XII, LINE 2: | MERCY HEALTH SERVICES -IOWA, CORP.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY11 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. | |
| FORM 990, PAGE 1, DOING BUSINESS AS NAMES: | FOREST PARK PHARMACY, MARIAN HEALTH CENTER, MERCY HEALTH CENTER-DUBUQUE (ST. JOSEPH'S), MERCY HEALTH CENTER-DYERSVILLE (ST. MARY'S), MERCY HOME CARE-NORTH IOWA, MERCY MEDICAL CENTER-DUBUQUE, MERCY MEDICAL CENTER-NEW HAMPTON, MERCY MEDICAL CENTER-NORTH IOWA, MERCY MEDICAL CENTER-SIOUX CITY, NORTH IOWA MERCY HEALTH CENTER, NORTH IOWA MERCY HOME HEALTHCARE, SHEFFIELD PHARMACY, ST. JOSEPH COMMUNITY HOSPITAL |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (93 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | |||||||||||
| 245 STATE ST SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| AMICARE HOSPICE SERVICES INC | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382949053 | PROVIDE HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | SUPPORTS SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | 0 | |
| BATTLE CREEK HEALTH SYSTEM | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382776791 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH - MICHIGAN | 0 | |
| BATTLE CREEK HEALTH SYSTEM AUXILIARY | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 383355520 | SUPPORT OF TAX EXEMPT HEALTH ORGANIZATION | MI | 501(C)(3) | 11, TYPE I | BATTLE CREEK HEALTH SYSTEM | 0 | |
| BAUM HARMON MERCY HOSPITAL | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | ACUTE/AMBULATORY HEALTHCARE SERVICES | IA | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | BAUM HARMON MERCY HOSPITAL | 1 | |
| CAPITAL PARK FAMILY HEALTH CENTER INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311387838 | OPERATION OF A FEDERALLY QUALIFIED HEALTH CENTER (FORMERLY) | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | |||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES | MI | 501(C)(3) | 11, TYPE II | TRINITY HEALTH-MICHIGAN | 0 | |
| COMMUNITY HEALTH PARTNERS OF SOUTH BEND | |||||||||||
| PO BOX 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| CRANBROOK HOSPICE CARE | |||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 48302 | 383320699 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| DILEY RIDGE MEDICAL CENTER | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| DUBUQUE MERCY HEALTH FOUNDATION INC | |||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| DYERSVILLE HEALTH FOUNDATION INC | |||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| HACKLEY HOSPITAL | |||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 494433302 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | |||||||||||
| PO BOX 3302 | MUSKEGON | MI | 494433302 | 382299878 | SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY | MI | 501(C)(3) | 11, TYPE III-FI | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY LIFE COUNSELING | |||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 494423545 | 381386362 | COUNSELING, EDUCATION, AND SUPPORT | MI | 501(C)(3) | 9 | MERCY HEALTH PARTNERS | 0 | |
| HACKLEY VISITING NURSE SERVICES AND HOSPICE INC | |||||||||||
| 888 TERRACE ST | MUSKEGON | MI | 49440 | 381359598 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | 0 | |
| HOLY CROSS CARENET INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY | MD | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES | 0 | |
| HOLY CROSS HOSPITAL FOUNDATION INC | |||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | CHARITABLE FUNDRAISING | MD | 501(C)(3) | 11, TYPE I | HOLY CROSS HOSPITAL OF SILVER SPRING INC | 0 | |
| HOLY CROSS HOSPITAL OF SILVER SPRING INC | |||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 209101484 | 520738041 | HEALTHCARE SERVICES | MD | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| HOLY CROSS MEDICAL CENTER | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| HOLY ROSARY MEDICAL CENTER FOUNDATION | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | 0 | |
| HOSPICE OF NORTH IOWA | |||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 504016208 | 421173708 | HOSPICE HEALTH CARE SERVICES | IA | 501(C)(3) | 7 | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| HOSPICE OF WASHTENAW II | |||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| HPCN | |||||||||||
| 1675 LEAHY STREET | MUSKEGON | MI | 49442 | 300207909 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE II | MERCY HEALTH PARTNERS | 0 | |
| IHA HEALTH SERVICES CORPORATION | |||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | PROVIDES OFFICE-BASED MEDICAL CARE | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| LAKESHORE COMMUNITY HOSPITAL INC | |||||||||||
| 72 S STATE STREET | SHELBY | MI | 494551228 | 382549295 | ACUTE HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | MERCY HEALTH PARTNERS | 0 | |
| LIFESPAN INC | |||||||||||
| 166 EAST GOODALE AVE | BATTLE CREEK | MI | 490372728 | 383298476 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | 9 | BATTLE CREEK HEALTH SYSTEM | 0 | |
| MARIAN HOME HEALTHCARE | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | PROVIDE HOME HEALTH CARE SERVICES | IA | 501(C)(3) | 11, TYPE I | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| MCAULEY CLINIC CORPORATION | |||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | 0 | |
| MERCY AMICARE HOME HEALTHCARE OAKLAND | |||||||||||
| 281 ENTERPRISE COURT | BLOOMFIELD HILLS | MI | 483020312 | 383320698 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY AMICARE HOME HEALTHCARE PORT HURON | |||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | |||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY HEALTH PARTNERS | |||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE SYSTEM SUPPORT | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HEALTH SERVICES - IOWA CORP | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | 3 | TRINITY HEALTH-MICHIGAN | 1 | |
| MERCY HEALTHCARE FOUNDATION | |||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES | IA | 501(C)(3) | 11, TYPE I | MERCY MEDICAL CENTER-CLINTON | 1 | |
| MERCY HOSP & HEALTH SERVICES OF DETROITMARSHALL PARK HEALTH SERVICES INC | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 381562325 | SUPPORTS MALPRACTICE CONTINGENCIES OF CLOSED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HOSPITAL CADILLAC FOUNDATION | |||||||||||
| 400 HOBART | CADILLAC | MI | 496012331 | 203357131 | SUPPORT THE SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY HOSPITAL GIFT SHOP | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| MERCY MEDICAL CENTER - CLINTON INC | |||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 527322940 | 421336618 | TO PROVIDE QUALITY HEALTH CARE | DE | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 7 | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 504012800 | 421229151 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | 11, TYPE III-FI | MERCY HEALTH SERVICES-IOWA CORP | 0 | |
| MERCY MEDICAL CENTER FOUNDATION INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 0 | |
| MERCY NORTH HOMECARE AND HOSPICE | |||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOME HEALTH AND HOSPICE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MERCY PAVILION OF BATTLE CREEK | |||||||||||
| 300 NORTH AVENUE | BATTLE CREEK | MI | 49016 | 382783350 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 9 | BATTLE CREEK HEALTH SYSTEM | 0 | |
| MERCY PHYSICIAN GROUP INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 208192593 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 9 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | 0 | |
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382719605 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | 11, TYPE II | TRINITY CONTINUING CARE SERVICES INC | 0 | |
| MIDWEST MEDFLIGHT | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | AEROMEDICAL TRANSPORT | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MOUNT CARMEL CARE CONTINUUM SERVICES CORP | |||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311126211 | COOPERATIVE HOSPITAL SERVICE ORGANIZATION | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL COLLEGE OF NURSING | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | 2 | MOUNT CARMEL HEALTH | 0 | |
| MOUNT CARMEL HEALTH | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 314379602 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH PLAN INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO FOR SENIORS | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HEALTH SYSTEM | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | OH | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | 11, TYPE I | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MOUNT CARMEL HOME CARE LLC | |||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | PROVIDE HOME HEALTH CARE SERVICES | OH | 501(C)(3) | 9 | TRINITY HOME HEALTH SERVICES INC | 0 | |
| MOUNT CARMEL NEW ALBANY SURGICAL HOSPITAL | |||||||||||
| 7333 SMITHS MILL RD | NEW ALBANY | OH | 43054 | 870790288 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| MRI MOBILE SERVICES OF WEST MICHIGAN | |||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | 7 | MERCY HEALTH PARTNERS | 0 | |
| OAKLAND MERCY HOSPITAL | |||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | 3 | MERCY HEALTH SERVICES-IOWA CORP | 1 | |
| OAKLAND MERCY HOSPITAL FOUNDATION | |||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | SUPPORTS SERVICES OF RELATED HOSPITAL | NE | 501(C)(3) | 11, TYPE III-FI | OAKLAND MERCY HOSPITAL | 1 | |
| PORT HURON MERCY FAMILY CARE INC | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL MED TEAM | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 494423257 | 382638284 | MEDICAL CARE, TRANSPORTATION AND EDUCATION | MI | 501(C)(3) | 9 | TRINITY HEALTH-MICHIGAN | 0 | |
| PROFESSIONAL OFFICE CORPORATION | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | 11, TYPE I | SAINT AGNES MEDICAL CENTER | 0 | |
| SAINT AGNES MEDICAL CENTER | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| SAINT ALPHONSUS BUILDING COMPANY INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS DIVERSIFIED CARE INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | 11, TYPE I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | |||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE SERVICES | ID | 501(C)(3) | 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | |||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | |||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 466341935 | 350868157 | HEALTHCARE SERVICES | IN | 501(C)(3) | 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | |||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| SAINT JOSEPH'S AUXILIARY OF MARSHALL COUNTY | |||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(3) | 11, TYPE II | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | 0 | |
| SAINT JOSEPH'S TOWER INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 311040468 | PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS | IN | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES-INDIANA | 0 | |
| SAINT MARY'S AMICARE HOME HEALTHCARE | |||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HOME HEALTH SERVICES INC | 0 | |
| SAINT MARY'S DORAN FOUNDATION CO SAINT MARY'S HEALTH CARE | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 7 | TRINITY HEALTH-MICHIGAN | 0 | |
| ST JOHN'S HEALTH SYSTEM | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 350877584 | HEALTHCARE SERVICES (FORMERLY) | IN | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| ST JOSEPH MERCY OAKLAND FOUNDATION | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH-MICHIGAN | 0 | |
| ST ANN'S HOSPITAL | |||||||||||
| 500 SOUTH CLEVELAND AVE | WESTERVILLE | OH | 43081 | 314412701 | HEALTHCARE SERVICES | OH | 501(C)(3) | 3 | MOUNT CARMEL HEALTH SYSTEM | 0 | |
| ST ELIZABETH HEALTH CARE FOUNDATION | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | 7 | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | 0 | |
| ST JOSEPH'S MEDICAL CENTER AUXILIARY | |||||||||||
| 801 E LASALLE AVE PO BOX 1935 | SOUTH BEND | IN | 466341935 | 356033285 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | 0 | |
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | |||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | SUPPORTS SERVICES OF RELATED HOSPITAL | IN | 501(C)(3) | 11, TYPE I | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | 0 | |
| TRINITY CONTINUING CARE SERVICES | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 382559656 | MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY CONTINUING CARE SERVICES - INDIANA INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 483339184 | 930907047 | PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING | IN | 501(C)(3) | 9 | TRINITY CONTINUING CARE SERVICES | 0 | |
| TRINITY HEALTH - MICHIGAN | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | 3 | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH CORPORATION | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | 11, TYPE I | 0 | N/A | |
| TRINITY HEALTH INTERNATIONAL | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 421253527 | HEALTHCARE TRAINING AND SUPPORT SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HEALTH WELFARE BENEFIT TRUST | |||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | 0 | |
| TRINITY HOME HEALTH SERVICES INC | |||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES | MI | 501(C)(3) | 11, TYPE I | TRINITY HEALTH CORPORATION | 0 | |
Form990 Schedule R Part III Form990ScheduleRPartIII (31 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANCED IMAGING SERVICES OF BATTLE CREEK | ||||||||||||||
| 5352 BECKLEY ROAD STE A | BATTLE CREEK | MI | 49015 | 204594297 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||||||
| 5955 EAST BROAD ST | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| FOREST PARK IMAGING LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | RELATED | 0 | 1 | 0.52889 | MERCY HEALTH SERVICES-IOWA CORP | 1081595 | 307605 | |
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | N/A | 0 | 0 | 0.00000 | |||
| HAWARDEN COMMUNITY CLINIC LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | N/A | 0 | 0 | 0.00000 | |||
| IDAHO GYNONCOLOGY SERVICES LLC | ||||||||||||||
| 1055 N CURTIS RD | BOISE | ID | 83706 | 202975807 | PROVIDE GYN ONCOLOGY SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| INTERMOUNTAIN MEDICAL IMAGING LLC | ||||||||||||||
| 877 WEST MAIN ST STE 603 | BOISE | ID | 83702 | 820514422 | PROVIDE IMAGING SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | RELATED | 0 | 1 | 0.49000 | MERCY HEALTH SERVICES-IOWA CORP DBA MERCY MEDICAL CENTER-N IA | 1264535 | 2863 | |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | RELATED | 0 | 1 | 0.51000 | MERCY HEALTH SERVICES-IOWA CORP DBA MERCY MEDICAL CENTER-N IA | 2385459 | 2075596 | |
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | RELATED | 0 | 0 | 0.51000 | MERCY HEALTH SERVICES-IOWA CORP DBA MERCY MEDICAL CENTER-N IA | 956951 | 978407 | |
| MERCY OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 841380439 | OUTPATIENT SURGERY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| MICHIANA HEALTH INFORMATION NETWORK LLC | ||||||||||||||
| 215 WEST MADISON STREET | SOUTH BEND | IN | 46601 | 352050128 | COMMUNITY BASED CLINICAL INFORMATION SYSTEM AND DATA DEPOSITORY | IN | N/A | N/A | 0 | 0 | 0.00000 | |||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| RIVERVIEW MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311531135 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| ROSENBERG & BRUNO PROPERTIES LLC (FKA BSV MEDICAL OFFICE BUILDING II LLC) | ||||||||||||||
| 855 M STREET TENTH FLOOR | FRESNO | CA | 93721 | 202673839 | MEDICAL OFFICE BUILDING RENTAL | CA | N/A | N/A | 0 | 0 | 0.00000 | |||
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| SIXTY FOURTH STREET LLC | ||||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| TAMARACK MEDICAL CLINIC LLC | ||||||||||||||
| 610 VILLAGE DRIVE | DONNELLY | ID | 83615 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | N/A | 0 | 0 | 0.00000 | |||
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | N/A | 0 | 0 | 0.00000 | |||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | N/A | 0 | 0 | 0.00000 | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (32 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HEALTH VENTURES INC | ||||||||||||||||
| 565 W WESTERN AVE | MUSKEGON | MI | 49440 | 383522260 | SOFTWARE MARKETING | MI | N/A | C | ||||||||
| HACKLEY HEALTH MANAGEMENT CENTER | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | ||||||||
| HACKLEY HEALTH VENTURES INC | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | ||||||||
| HACKLEY HEALTHCARE EQUIPMENT | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | ||||||||
| HACKLEY PROFESSIONAL CENTER | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | ||||||||
| HACKLEY PROFESSIONAL PHARMACY | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | ||||||||
| HEF INC | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | ||||||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | ||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | ||||||||
| HPC CO-OWNERS ASSOCIATION | ||||||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | ||||||||
| HURON ARBOR CORPORATION | ||||||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | ||||||||
| INTEGRATED HEALTH ASSOCIATES INC | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383126920 | MEDICAL MANAGEMENT | MI | N/A | C | ||||||||
| IHA AFFILIATION CORPORATION | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | ||||||||
| IHA HEALTH SERVICES CORPORATION | ||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | MEDICAL SERVICES | MI | N/A | C | ||||||||
| MARYLAND CARE GROUP INC | ||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | ||||||||
| MEDNOW INC | ||||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | ||||||||
| MERCY COMMUNITY PHYSICIANS | ||||||||||||||||
| 363 FREMONT STREET | BATTLE CREEK | MI | 49017 | 264252468 | HEALTHCARE SERVICES | MI | N/A | C | ||||||||
| MERCY MEDICAL SERVICES | ||||||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | C | MERCY HEALTH SERVICES - IOWA CORP DBA MERCY MEDICAL CENTER - SIOUX CITY | -8127346 | 11467575 | 1.00000 | |||||
| MICHIGAN PHYSICIAN SERVICES | ||||||||||||||||
| 44405 WOODWARD AVENUE H-5 | PONTIAC | MI | 48341 | 383293125 | PHYSICIAN SERVICES | MI | N/A | C | ||||||||
| MICHIGAN ATHLETIC CLUB | ||||||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49546 | 382647304 | ATHLETIC CLUB | MI | N/A | C | ||||||||
| MOUNT CARMEL BEHAVIORAL HEALTHCARE SERVICES INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 310971510 | BEHAVIORAL HEALTHCARE SERVICES | OH | N/A | C | ||||||||
| MOUNT CARMEL HEALTH HORIZONS CORP | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311177652 | MEDICAL SERVICES/RENT | OH | N/A | C | ||||||||
| MOUNT CARMEL HEALTH PROVIDERS INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | ||||||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | ||||||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | C | MERCY HEALTH SERVICES - IOWA CORP | 1.00000 | |||||||
| PRIMARY CARE NETWORK OF OHIO INC | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311422486 | HEALTH MANAGEMENT SERVICES | OH | N/A | C | ||||||||
| PRIORITY PLUS OF CALIFORNIA | ||||||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HEALTH MANAGEMENT NOW DISCONTINUED SUBSTANTIALLY ALL OPERATIONS | CA | N/A | C | ||||||||
| SAINT ALPHONSUS PHYSICIANS PA | ||||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 837061370 | 331078261 | PHYSICIANS | ID | N/A | C | ||||||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | ||||||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | ||||||||
| SURGERY CENTER FINANCING CORPORATION | ||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | ||||||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | ||||||||||||||||
| 27870 CABOT DRIVE | NOVI | MI | 483772920 | 383410377 | GRANTOR TRUST | MI | N/A | T | ||||||||
| VENZKE INSURANCE COMPANY LTD | ||||||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||||||
| WESTSHORE HEALTH NETWORK | ||||||||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | PHYSICIAN HOSPITAL ORGANIZATION | MI | N/A | C | ||||||||
| WORKPLACE HEALTH OF GRAND HAVEN | ||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (41 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| TRINITY HEALTH CORPORATION | ||
| J | 861805 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | 15470711 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| C | 176474 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| K | 253185 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| L | 49424218 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| O | 46137427 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | 566858 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| E | 7000000 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | 8291320 | PER BOOKS |
| DUBUQUE MERCY HEALTH FOUNDATION | ||
| C | 1087963 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| A | 103952 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| C | 982373 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| K | 1717035 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| P | 413612 | PER BOOKS |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| C | 2168266 | PER BOOKS |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| K | 286421 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| A | 185668 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| C | 1272549 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| K | 2569682 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| P | 364168 | PER BOOKS |
| HOSPICE OF NORTH IOWA | ||
| P | 618866 | PER BOOKS |
| HOSPICE OF NORTH IOWA | ||
| L | 168300 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| A | 2114 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| C | 1363361 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| A | 49760 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| P | 1495962 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| B | 8506174 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| K | 345213 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| L | 65860 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| O | 1221031 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| A | 15101 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| C | 1495842 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| O | 109889 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| P | 155417 | PER BOOKS |
| MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION | ||
| B | 606698 | PER BOOKS |
| MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION | ||
| C | 155029 | PER BOOKS |
| MERCY MEDICAL CENTER-CLINTON INC | ||
| K | 215605 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES INC | ||
| P | 82221 | PER BOOKS |
| MERCY MEDICAL CENTER FOUNDATION-NORTH IOWA | ||
| B | 551578 | PER BOOKS |
| MERCY MEDICAL CENTER FOUNDATION-NORTH IOWA | ||
| C | 368255 | PER BOOKS |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||
| C | 1270828 | PER BOOKS |
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