2012-05-09T19:00:16-05:00 2011-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2010-07-01 421193699 MERCY CLINICS INC MERC 5156437218 1111 6th Avenue Des Moines IA 50314 STEVE KUKLA 2012-05-08 true 7208741500 2010 2016-02-24 21:20:13Z STEPHEN ECKSTAT 1111 6th Avenue Des Moines IA 50314 147931003 false 0928 X WWW.MERCYCLINICSDESMOINES.ORG X 1982 IA MERCY CLINICS, INC. IS A NOT-FOR-PROFIT PHYSICIAN CLINIC ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY IN PARTNERSHIP WITH OTHERS. 7 0 1546 0 0 0 3548080 4006602 126215613 140803273 0 -22052 861457 3115628 130625150 147903451 405 635 0 0 90010375 101277789 0 0 0 41720159 48641874 131730939 149920298 -1105789 -2016847 16176939 16716681 13963008 16519597 2213931 197084 X THE ORGANIZATION'S MISSION IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH BY BRINGING IT NEW LIFE, ENERGY AND VIABILITY IN THE 21ST CENTURY. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE MOVE TOWARD THE CREATION OF HEALTHIER COMMUNITIES. false false 134926419 635 140803273 SEE SCHEDULE O. 134926419 true true false true false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 0 0 1546 true false false false false false false false false false false X 7 0 false false false false true true true true true false false false true true true true true true true false IA X Randall L Rubin 5156437860 1111 6th Avenue Des Moines IA 50314 X JOSE ANGEL 40 X X 414908 0 45064 STEPHEN ECKSTAT 40 X X 354843 0 44450 STEVE KUKLA 1 X 0 514156 43224 JOSEPH LEVALLEY 1 X 0 389431 45136 JOHN TAPP 40 X 254195 0 32866 DAVID SWIESKOWSKI 40 X 495383 0 25128 THOMAS MCCLEAN 40 X 194533 0 14366 SHARON PHILLIPS 40 X 227542 0 21308 MICHAEL FINAN 40 X 285708 0 38330 JACQUELINE FROST-KUNNEN 1 X 0 517784 48194 DANIEL VARNUM 0 X 0 262481 40072 MATTHEW MORGAN 40 X 776085 0 36674 DENNIS WHITMER 40 X 657936 0 42466 JEFFREY MAIRE 40 X 504105 22680 42068 COREY MINECK 40 X 515632 0 39850 LINGXIANG ZHOU 40 X 514346 0 25081 5195216 1706532 584277 157 true true false PREFERRED MEDICAL DEPOSIT INC 10604 JUSTIN DRIVE DES MOINES IA 503223755 COLLECTION SERVICES 552544 TRANS TECH SERVICES INC PO BOX 784 ANKENY IA 500210784 TRANSCRIPTION SERVICES 529311 MCKESSON TECHNOLOGIES INC 5995 WINDWARD PARKWAY ALPHARETTA GA 30005 COLLECTION SERVICES 528820 DIAGNOSTIC IMAGING ASSOCIATES PC 1111 6TH STREET DES MOINES IA 503142610 PHYSICIAN SERVICES 455872 GENERAL SERVICE BUREAU 8429 BLONDO STREET OMAHA NE 681346207 COLLECTION SERVICES 235756 9 3987078 19524 4006602 PATIENT SERVICES 900099 140542885 140542885 RENTAL INCOME 900099 260388 260388 0 0 0 0 140803273 0 0 0 0 0 0 5500 27552 0 -22052 -22052 -22052 0 0 0 REIMBURSEMENT OF EXPENSES 900099 3115628 3115628 0 0 0 0 3115628 147903451 140803273 0 3093576 635 635 0 0 0 2265417 1270818 994599 0 82852464 73379143 9473321 3933209 3668773 264436 7666249 6883907 782342 4560450 4258641 301809 0 0 0 0 0 0 6136043 4435749 1700294 0 24397088 23513591 883497 0 0 9045885 9045885 220903 180135 40768 0 9861 3827 6034 314049 314049 0 916409 879313 37096 1349949 1349949 BAD DEBT EXPENSE 3534416 3534416 REPAIRS AND MAINTENANCE 1650342 1209928 440414 SALES TAX 19784 19784 DUES & SUBSCRIPTIONS 421276 403020 18256 EDUCATION 145939 140191 5748 479930 434665 45265 0 149920298 134926419 14993879 0 0 9395 10136 21138 8000 10630273 10787501 25000 12500 221506 488573 15069565 10200972 4599358 4868593 0 0 670269 541378 16176939 16716681 11318787 14033365 2644221 2343906 142326 13963008 16519597 X 2213931 197084 2213931 197084 16176939 16716681 -2016847 0 X false true true X true true X 5022579 9247319 501987 3548080 4006602 22326567 102889456 116488202 123280513 126215613 140803273 609677057 0 0 0 107912035 125735521 123782500 129763693 144809875 632003624 0 0 0 0 0 0 0 0 632003624 159970 260467 272730 325360 0 1018527 0 159970 260467 272730 325360 0 1018527 0 0 0 589807 861457 3115628 4566892 108072005 125995988 124645037 130950510 147925503 637589043 0.99120 0.99550 0.00160 0.00200 X OTHER INCOME, SCHEDULE A, PART III, LINE 12, REIMBURSEMENT OF EXPENSES: 2008- $589,807 2009- $861,457 2010- $3,115,628, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 5736 false false false 5736 false EXPLANATION OF LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1F THE PORTION OF ORGANIZATION DUES THAT ARE RELATED TO LOBBYING ARE AS FOLLOWS: POLK COUNTY MEDICAL SOCIETY - $5,736. 0 6666624 4307381 2359243 0 8269177 5893591 2375586 133764 133764 4868593 0 INTERCOMPANY PAYABLES 142326 142326 147903451 149920298 -2016847 0 0 -2016847 0 0 0 0 0 0 0 0 0 0 0 0 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 MERCY CLINICS, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF CATHOLIC HEALTH INITIATIVES - IOWA CORP D/B/A MERCY MEDICAL CENTER-DES MOINES (CHI-IOWA CORP), A RELATED ORGANIZATION. BELOW IS THE TEXT OF THE FOOTNOTE FROM THOSE FINANCIAL STATEMENTS: "THE CORPORATION AND ALL SUBSIDIARIES, EXCEPT MPA, AND DMMC ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE. ASC 740, INCOME TAXES, PRESCRIBES CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. MANAGEMENT HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT HAVE NOT BEEN REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION'S FEDERAL INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2008 THROUGH JUNE 30, 2011." X X X X X false false false true false true false false false JOSE ANGEL 387625 0 26513 0 770 0 25128 0 19936 0 459972 0 0 0 STEPHEN ECKSTAT 341493 0 7933 0 5417 0 25128 0 19322 0 399293 0 0 0 STEVE KUKLA 0 375271 0 103150 0 35735 0 30028 0 13196 0 557380 0 0 JOSEPH LEVALLEY 0 280844 0 75457 0 33130 0 25128 0 20008 0 434567 0 0 JOHN TAPP 193289 0 55162 0 5744 0 25128 0 7738 0 287061 0 0 0 DAVID SWIESKOWSKI 362858 0 98766 0 33759 0 25128 0 0 0 520511 0 0 0 THOMAS MCCLEAN 156234 0 25616 0 12683 0 14366 0 0 0 208899 0 0 0 SHARON PHILLIPS 184181 0 30355 0 13006 0 21308 0 0 0 248850 0 0 0 MICHAEL FINAN 253557 0 29411 0 2740 0 25128 0 13202 0 324038 0 0 0 JACQUELINE FROST-KUNNEN 0 379480 0 104126 0 34178 0 30028 0 18166 0 565978 0 0 DANIEL VARNUM 0 196852 0 53235 0 12394 0 21403 0 18669 0 302553 0 0 MATTHEW MORGAN 667174 0 108071 0 840 0 22678 0 13996 0 812759 0 0 0 DENNIS WHITMER 588434 0 66746 0 2756 0 22678 0 19788 0 700402 0 0 0 JEFFREY MAIRE 454532 22680 47346 0 2227 0 20228 0 21840 0 546173 22680 0 0 COREY MINECK 441147 0 73729 0 756 0 20228 0 19622 0 555482 0 0 0 LINGXIANG ZHOU 448259 0 64872 0 1215 0 22678 0 2403 0 539427 0 0 0 Compensation contingent on revenues of the organization Schedule J, Part I, Line 5a MERCY CLINICS COMPENSATES PHYSICIANS, IN PART, BASED ON THE REVENUES ATTRIBUTABLE TO WORK PERFORMED BY THE PHYSICIANS FOR MCI. PHYSICIAN COMPENSATION IS NOT DETERMINED BASED UPON THE INCOME (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE OR UPON REVENUE (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE. Compensation contingent on net earnings of the organization Schedule J, Part I, Line 6a MERCY CLINICS COMPENSATES PHYSICIANS, IN PART, BASED ON THE NET EARNINGS ATTRIBUTABLE TO WORK PERFORMED BY THE PHYSICIANS FOR MCI. PHYSICIAN COMPENSATION IS NOT DETERMINED BASED UPON THE INCOME (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE OR UPON REVENUE (GROSS OR NET) OF THE ORGANIZATION AS A WHOLE. SEVERANCE PAYMENTS SCHEDULE J, PART I, LINE 4A POST-TERMINATION PAYMENTS ARE ADDRESSED IN THE EXECUTIVE EMPLOYMENT AGREEMENTS FOR CEOS. THESE EMPLOYMENT AGREEMENTS REQUIRE THAT IN ORDER FOR THE EXECUTIVE TO RECEIVE POST-TERMINATION PAYMENTS, THESE INDIVIDUALS MUST EXECUTE A GENERAL RELEASE AND SETTLEMENT AGREEMENT. POST-TERMINATION PAYMENT ARRANGEMENTS ARE PERIODICALLY REVIEWED FOR OVERALL REASONABLENESS IN LIGHT OF THE EXECUTIVE'S OVERALL COMPENSATION PACKAGE. NO REPORTABLE INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING THE 2010 CALENDAR YEAR. PROGRAM DESCRIPTION FORM 990, PART III, LINE 4A ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE MERCY CLINICS, INC. (MCI), ESTABLISHED IN 1983, CURRENTLY HAS 157 PHYSICIANS, AND 99 MID-LEVEL PRACTITIONERS WITHIN THEIR SYSTEM OF 18 FAMILY PRACTICE CLINICS, FIVE URGENT CARE CLINICS, FIVE QUICK CARE CLINICS, AND 26 SPECIALTY CLINICS. WITHIN THESE CLINICS, MCI OFFERS A COMPREHENSIVE RANGE OF PRIMARY CARE AND SPECIALTY SERVICES, INCLUDING GERIATRICS, INTERNAL MEDICINE, GASTROENTEROLOGY, NEUROLOGY, OTOLARYNGOLOGY, PEDIATRICS, PHYSICAL THERAPY, RHEUMATOLOGY, AND SURGICAL SPECIALTIES WHICH INCLUDE: GENERAL, COLORECTAL, BREAST, BARIATRICS, ONCOLOGY, AND GYNECOLOGIC ONCOLOGY. MERCY CLINICS, INC. IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT ORGANIZATION. MERCY CLINICS, INC. IS DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY IN PARTNERSHIP WITH OTHERS. WE DO THIS BY PROVIDING OUR PATIENTS AND THEIR FAMILIES WITH ACCESSIBLE AND EFFECTIVE DISEASE PREVENTION, DIAGNOSIS, TREATMENT AND EDUCATION. MANY OF OUR EMPLOYEES VOLUNTEER THEIR TIME AND ENERGY IN VARIOUS COMMUNITY ACTIVITIES THROUGHOUT THE GREATER DES MOINES AREA. GUIDED BY OUR VALUES OF REVERENCE, INTEGRITY, COMPASSION, AND EXCELLENCE, WE HOLD OURSELVES TO A HIGH STANDARD OF GIVING TO THE POOR AND BROADER COMMUNITY. A BOARD OF DIRECTORS GOVERNS THE CLINICS WITH PHYSICIAN AND HOSPITAL REPRESENTATIVES. THE DIVERSE SPECIALTIES AMID OUR MEDICAL STAFF ALSO LENDS TO SHARED EXPERIENCES AND BEST-PRACTICE DISCUSSIONS, IMPROVING THE QUALITY AND PRODUCTIVITY OF OUR CLINICS. THESE MEDICAL SPECIALTIES, COMBINED WITH OUR LARGE PRIMARY CARE BASE, HELP ENSURE THAT OUR PATIENTS WILL BE CARED FOR WITHIN THE MERCY FAMILY. MERCY CLINICS, INC. PARTICIPATES IN GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS LIKE MEDICAID AND MEDICARE. COMMUNITY BENEFIT APPROACH MERCY CLINICS, INC. HAS SERVED THE DES MOINES METROPOLITAN AREA WITH MANY ON-GOING COMMUNITY BENEFITS SINCE ITS BEGINNING. MANY OF OUR EMPLOYEES VOLUNTEER THEIR TIME AND ENERGY IN VARIOUS COMMUNITY ACTIVITIES THROUGHOUT THE GREATER DES MOINES AREA. TRUE TO ITS MISSION, MERCY CLINICS, INC. HAS MADE A COMMITMENT TO IMPROVING THE HEALTH OF THE COMMUNITY BY PROVIDING PREVENTATIVE HEALTHCARE SCREENING AND HEALTH EDUCATION. MERCY CLINICS, INC. HAS FINANCIAL ASSISTANCE POLICIES AND PROGRAMS FOR LOW-INCOME PERSONS LIKE THE UNINSURED/UNDERINSURED PATIENT DISCOUNT POLICY AND THE SELF-PAY AND THIRD-PARTY DISCOUNTS POLICY. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT COMMUNITY OUTREACH FOR THE POOR THIS PAST YEAR, OVER 3,368 LOWER INCOME, POOR AND INDIGENT INDIVIDUALS AND FAMILIES WERE SERVED BY MERCY CLINICS, AND A TOTAL OF $4,181,225 IN CHARITY CARE, ADMINISTRATIVE ADJUSTMENTS, INCLUDING MEDICARE AND BAD DEBT WERE GIVEN IN FISCAL YEAR 2011. VARIOUS ACTIVITIES INCLUDED: CHARITY CARE - ALL MEDICAL COSTS WERE ABSORBED BY MCI FOR PATIENTS WHO WERE UNABLE TO PAY FOR THE MEDICAL CARE THAT THEY HAD RECEIVED. THIS SERVICE WAS PROVIDED TO PATIENTS WHO WERE UNABLE TO PAY DUE TO SPECIAL CIRCUMSTANCES SUCH AS LOW INCOME, NO HEALTH INSURANCE, LOSS OF A JOB, OR DEATH OF THE PATIENT. FREE OR LOW INCOME HEALTHCARE CLINICS - MERCY PHYSICIANS AND NURSES DONATED THEIR TIME AND RESOURCES TO HEALTHCARE CLINICS SUCH AS CHRIST THE KING FREE CLINIC. PATIENT ASSISTANCE PROGRAM (PAP) - INDIVIDUALS WERE ASSISTED BY CLINIC STAFF IN FILLING OUT FORMS FOR VARIOUS PHARMACEUTICALS COMPANIES TO SUPPLY PATIENTS WITH MEDICATIONS AT LITTLE OR NO COST TO THE PATIENT. COMMUNITY OUTREACH FOR THE BROADER COMMUNITY COMMUNITY EDUCATION & OUTREACH MERCY CLINICS PHYSICIANS AND STAFF CONDUCTED EDUCATIONAL LECTURES THROUGHOUT THE FISCAL YEAR TO VARIOUS FACILITIES AND GROUPS REGARDING A WIDE RANGE OF TOPICS, INCLUDING: WOMEN HEALTH ISSUES, RHEUMATOLOGY RELATED ISSUES, STRESS, AND SEASONAL FLU & H1N1 VACCINATIONS. OTHER OUTREACH PROGRAMS INCLUDED: HEALTH SCREENINGS FOR BLOOD GLUCOSE, BLOOD PRESSURES, AND HEARING SCREENINGS, EMPLOYEES VOLUNTEERING THEIR TIME TO PARTICIPATE IN FUNDRAISING EVENTS SUCH AS THE ARTHRITIS FOUNDATION, AMERICAN DIABETES ASSOCIATION AND JUVENILE DIABETES RESEARCH FOUNDATION, VARIOUS MISSIONS ON THE MOVE, WALK FOR CHILDHOOD CANCER, MULTIPLE SCLEROSIS RACE FOR THE CURE, AND RELAY FOR LIFE. STAFF ALSO HELPED ORGANIZE BLOOD DRIVES, AND SUPPLIED AND STAFFED FIRST AID BOOTHS AT AREA EVENTS. CLINIC PHYSICIANS AND STAFF DONATED THEIR TIME FOR SPORTING EVENTS THROUGHOUT THE FISCAL YEAR. THE DOCTORS WERE ON-HAND TO PROVIDE MEDICAL ASSISTANCE FOR SPORTS RELATED INJURY RECEIVED DURING A FOOTBALL OR BASKETBALL GAME, CROSS COUNTRY MEET OR WRESTLING MATCH. THEY ALSO INSTRUCTED STUDENTS ON HOW TO AVOID SPORTS RELATED INJURIES. PHYSICIANS AND STAFF ALSO BECAME MEMBERS OF DIFFERENT HEALTH-RELATED COMMITTEES TO HELP EDUCATE THE COMMUNITY. ORGANIZATIONS INCLUDED WERE: ARTHRITIS FOUNDATION BOARD, CREATIVE VISIONS BOARD, HEALTHY START PROGRAM, IOWA MEDICAID PHARMACEUTICAL COMMITTEE, URBAN DREAMS, FORT DES MOINES MUSEUM, AND WARREN COUNTY BOARD OF HEALTH. DONATIONS OF SUPPLIES AND CASH WERE GIVEN TO DIFFERENT ORGANIZATIONS THROUGHOUT THE GREATER DES MOINES AREA. THESE ORGANIZATIONS INCLUDE: COMBAT HUNGER, VARIOUS FOOD PANTRIES, SHOES THAT FIT AND COATS THAT FIT CAMPAIGNS, SUPPORT OUR TROOPS, JOPLIN, MISSOURI TORNADO RELIEF, IMPROVE MERCY'S NEIGHBORHOOD, COMMUNITY IMPROVEMENT PROGRAMS, AND VARIOUS SCHOOL ACTIVITIES AND SUPPLIES. MEDICAL EDUCATION TRAINING OF STUDENTS INCLUDED CMA STUDENTS FROM DES MOINES AREA COMMUNITY COLLEGE AND MERCY COLLEGE OF HEALTH SCIENCES. TRAINING ALSO INCLUDES SURGICAL RESIDENTS AND MEDICAL STUDENTS. PHYSICIAN ASSISTANTS AND NURSE PRACTITIONERS ARE ALSO SPONSORING ROTATIONS OF NURSE PRACTITIONER STUDENTS FROM VARIOUS SCHOOLS IN THE MIDWEST. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 MERCY CLINICS, INC'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES-IOWA CORP, AN IOWA NONPROFIT CORPORATION. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a THE SOLE CORPORATE MEMBER HAS THE POWER TO APPROVE THE APPOINTMENT, REPLACEMENT OR REMOVAL OF MEMBERS OF THE BOARD OF DIRECTORS. Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b MERCY CLINICS, INC.'S (MCI) SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES-IOWA CORP (CHI-IOWA CORP), AN IOWA NONPROFIT CORPORATION. PURSUANT TO SECTION 3.8 OF THE ORGANIZATION'S BYLAWS THE FOLLOWING ACTIONS REQUIRE TWO-THIRDS VOTE BY THE BOARD OF DIRECTORS AND APPROVAL BY THE CORPORATE MEMBER: - SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF MCI - DISSOLUTION, LIQUIDATION, MERGER OR CONSOLIDATION OF MCI - ALTERATION, AMENDMENT OR REPEAL OF THE ARTICLES OR BYLAWS OR THE ADOPTION OF NEW OR RESTATED ARTICLES OR BYLAWS - REMOVAL OF A DIRECTOR OR ANY UNPAID OFFICER EXCEPT THAT NO VOTE OF DIRECTORS IS REQUIRED IF THE REMOVAL IS MADE BY THE CORPORATE MEMBER FOR CAUSE - INCORPORATION OR DISSOLUTION OF AFFILIATED ENTITIES. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11a MERCY CLINICS, INC.'S FORM 990 IS REVIEWED BY THE CFO BEFORE FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE AND THE STATE OF IOWA. THE TAX DEPARTMENT FILES THE RETURN WITH THE APPROPRIATE FEDERAL AGENCIES, MAKING ANY NON-SUBSTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. IN ADDITION, THE 990 WILL BE PRESENTED TO THE BOARD AT THE NEXT REGULARLY SCHEDULED BOARD MEETING. Conflict of interest policy Form 990, Part VI, Section B, Line 12c THE ORGANIZATION'S CONFLICT OF INTEREST POLICY REQUIRES THAT EACH BOARD MEMBER COMPLETE AN ANNUAL QUESTIONNAIRE THAT DISCLOSES POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. ADDITIONALLY, BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. IF A POTENTIAL CONFLICT EXISTS, THE BOARD OR COMMITTEE DETERMINES WHETHER THE BOARD MEMBER SHOULD BE EXCLUDED FROM VOTING OR DISCUSSION ON THAT PARTICULAR MATTER. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a THE ORGANIZATION USED A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR THE TOP MANAGEMENT OFFICIAL. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS. THE PROCESS IS DOCUMENTED IN THE BOARD MINUTES. THIS PROCESS WAS LAST UNDERTAKEN IN JUNE 2009 FOR CALENDAR YEAR 2010 COMPENSATION. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE ORGANIZATION USES A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS, NOT INCLUDING PHYSICIAN EMPLOYEES. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARD AND GUIDELINES FOR APPROPRIATENESS. COMPENSATION FOR EMPLOYED PHYSICIANS OF MCI IS APPROVED BY THE PHYSICIAN TRANSACTION REVIEW COMMITTEE OF CHI IOWA, CORP. THAT COMMITTEE IS COMPOSED OF A GROUP OF INDEPENDENT CHI IOWA, CORP. BOARD MEMBERS. THE PTRC CONSIDERS AND DOCUMENTS THE USE OF APPROPRIATE COMPARABILITY DATA IN EVALUATING AND APPROVING REASONABLE PHYSICIAN COMPENSATION. Public Disclosure Form 990, Part VI, Section C, Line 19 THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE IOWA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. EXECUTIVE COMMITTEE FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE IS ELECTED BY THE BOARD OF DIRECTORS FROM AMONG ITS MEMBERS TO TRANSACT ALL REGULAR BUSINESS OF THE BOARD DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON ALL MATTERS NOT INCONSISTENT WITH THE PROVISIONS OF THE ARTICLES OF INCORPORATION AND THESE BYLAWS. THE EXECUTIVE COMMITTEE INCLUDES: (A) THE CHAIRPERSON, (B) THE VICE CHAIRPERSON, (C) THE PRESIDENT, (D) THE CEO, AND (E) THREE AT LARGE MEMBERS INCLUDING THE CEO OF THE MEMBER AND TWO AT LARGE MEMBERS ELECTED BY THE BOARD FROM A SLATE SELECTED BY THE NOMINATING COMMITTEE AND APPROVED BY THE CORPORATE MEMBER. IN THE EVENT THAT ANY OF (A) THROUGH (D) ARE FILLED BY THE SAME PERSON, THAT PERSONAL SHALL HAVE ONLY ONE VOTE ON THE EXECUTIVE COMMITTEE, AND THE NUMBER OF AT LARGE MEMBERS MAY BE INCREASED SO THAT THE EXECUTIVE COMMITTEE HAS A TOTAL OF SEVEN MEMBERS. EXECUTIVE COMMITTEE MAY HAVE UP TO TWO PHYSICIAN MEMBERS. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 40 HOUR-PER-WEEK EMPLOYEES. ALEGENT HEALTH - BERGAN MERCY HEALTH SYS 7500 MERCY ROAD OMAHA NE 68124 470484764 HEALTHCARE NE 501(C)(3) 3 CHI true ALEGENT HEALTH - MERCY HOSPITAL CORNING PO BOX 368 CORNING IA 50841 420782518 HEALTHCARE IA 501(C)(3) 3 AHBMHS true ALVERNA APARTMENTS 300 SE 8TH AVENUE LITTLE FALLS MN 56345 411351177 LTERM CARE MN 501(C)(3) 9 CHI true APPLETREE COURT 601 OAK STREET BRECKENRIDGE MN 56520 411850500 SENIOR HOMES MN 501(C)(3) 9 SFH true BISHOP DRUMM RETIREMENT CENTER 1111 6TH AVENUE DES MOINES IA 50314 420725196 LTERM CARE IA 501(C)(3) 9 CHI-IA CORP true BORNEMANN HEALTHCARE CORPORATION 2500 BERNVILLE RD PO BOX 316 READING PA 19603 232187242 HEALTHCARE PA 501(C)(3) 11 - Type I CHI true CARRINGTON HEALTH CENTER 800 NORTH 4TH STREET CARRINGTON ND 58421 450227311 HEALTHCARE ND 501(C)(3) 3 CHI true CATHOLIC HEALTH CARE FEDERATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 208473567 JURIDIC PERSON CO 501(C)(3) 11 - Type I CHI true CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 470617373 HEALTHCARE CO 501(C)(3) 9 CHI true CATHOLIC HEALTH INITIATIVES COLORADO FOUNDATION 961 EAST COLORADO AVENUE COLORADO SPRINGS CO 80903 840902211 FUNDRAISING CO 501(C)(3) 7 CHI COLORADO true CENTENNIAL MEDICAL GROUP INC 2700 STEWART PARKWAY ROSEBURG OR 97470 900433062 PHYSICIANS OR 501(C)(3) 9 MMC true CHI COLORADO 188 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 840405257 HEALTHCARE CO 501(C)(3) 3 CHI true CHI HEALTH CONNECT AT HOME - FARGO 4816 AMBER VALLEY PARKWAY FARGO ND 58104 271966847 HEALTHCARE ND 501(C)(3) 3 CHI true CHI INSTITUTE FOR RESEARCH AND INNOVATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 271050565 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI KENTUCKY INC 3900 OLYMPIC BLVD SUITE 400 ERLANGER KY 41018 202741651 HEALTHCARE KY 501(C)(3) 11 - Type I CHI true CHI NATIONAL FOUNDATION 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 270930004 FUNDRAISING CO 501(C)(3) 11 - Type I CHI true CHI NATIONAL HOME CARE 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 451261716 HEALTHCARE CO 501(C)(3) 11 - Type I CHI true CHI NATIONAL SERVICES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 452532084 HEALTHCARE CO 501(C)(3) 9 CHI true CHI NEBRASKA 555 SOUTH 70TH STREET LINCOLN NE 68510 363233121 HEALTHCARE NE 501(C)(3) 11 - Type I CHI true CHI-IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTHCARE IA 501(C)(3) 3 MHN true CONTINUING CARE HOSPITAL 150 NORTH EAGLE CREEK DRIVE LEXINGTON KY 40509 611400619 LTACH KY 501(C)(3) 3 SJHS true ENUMCLAW REGIONAL HOSPITAL ASSOCIATION 1450 BATTERSBY AVENUE ENUMCLAW WA 98022 910715805 HEALTHCARE WA 501(C)(3) 3 FHS true FLAGET HEALTHCARE DBA FLAGET MEMORIAL HOSPITAL 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 611345363 HEALTHCARE KY 501(C)(3) 3 CHI true FLAGET MEMORIAL HOSPITAL FOUNDATION INC 4305 NEW SHEPHERDSVILLE ROAD BARDSTOWN KY 40004 562351341 FUNDRAISING KY 501(C)(3) 11 - 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