MERCY MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MERCY MEDICAL CENTER (EIN 42-0698295)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201111319349302336
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T15:24:46-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RSM McGladrey Inc	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N Harrison Street Suite 300	AddressLine1
City	Davenport	City
State	IA	State
ZIP Code	528011999	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	420698295	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	3193986107	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52403	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PHIL PETERSON	Name
Title	EXECUTIVE VP/CFO	Title
Phone	3193986107	Phone
Date Signed	2011-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	John J Romano	Name
Phone	5638884000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PHIL PETERSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52403	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	274566653	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.MERCYCARE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1900	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	31	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	30	NbrIndependentVotingMembers
Total Nbr Employees	2554	TotalNbrEmployees
Total Nbr Volunteers	646	TotalNbrVolunteers
Total Gross UBI	1379237	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2143103	ContributionsGrantsPriorYear
Contributions Grants Current Year	7157145	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	226752893	ProgramServiceRevenuePriorYear
Program Service Revenue CY	249637180	ProgramServiceRevenueCY
Investment Income Prior Year	-7692161	InvestmentIncomePriorYear
Investment Income Current Year	6064869	InvestmentIncomeCurrentYear
Other Revenue Prior Year	25936706	OtherRevenuePriorYear
Other Revenue Current Year	-2188342	OtherRevenueCurrentYear
Total Revenue Prior Year	247140541	TotalRevenuePriorYear
Total Revenue Current Year	260670852	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2831853	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3169250	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	112306262	SalariesEtcPriorYear
Salaries Etc Current Year	113234696	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	112362172	OtherExpensePriorYear
Other Expenses Current Year	120113865	OtherExpensesCurrentYear
Total Expenses Prior Year	227500287	TotalExpensesPriorYear
Total Expenses Current Year	236517811	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19640254	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	24153041	RevenuesLessExpensesCY
Total Assets BOY	382281770	TotalAssetsBOY
Total Assets EOY	420370403	TotalAssetsEOY
Total Liabilities BOY	162982717	TotalLiabilitiesBOY
Total Liabilities EOY	166162089	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	219299053	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	254208314	NetAssetsOrFundBalancesEOY
Mission Description	TO CARE FOR THE SICK AND ENHANCE THE HEALTH OF THE COMMUNITIES WE SERVE, GUIDED BY THE SPIRIT OF THE SISTERS OF MERCY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	212081091	Expense
Grants	3237082	Grants
Revenue	249637180	Revenue
Description	THE MEDICAL CENTER PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX , NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANITALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED (DOLLARS IN THOUSANDS):COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $23,173,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $9,763,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $5,954,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $1,671,000; PHYSICIAN EDUCATION - $1,053,000.IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. A HEALTH NEWS PUBLICATION, THE MERCY TOUCH, DISTRIBUTED TO 55,200 HOUSEHOLDS IN 2010 AT A TOTAL COST OF OVER $59,000. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS OFFERED ON TOPICS INCLUDING AGING, BACK AND NECK PAIN, BREAST FEEDING, DIABETES, DISC DISEASE, EATING DISORDERS, MIGRAINE HEADACHES, MULTIPLE SCLEROSIS, OSTEOPOROSIS, PMS, PARENTING, PARKINSON'S DISEASE, PRENATAL CARE, STROKES AND WELLNESS, SPECIALIZED CANCER SEMINARS FOR CLERGY, SOCIAL WORKERS, DENTAL HYGIENISTS NURSES, DENTISTS AND PHYSICIANS ARE ALSO FREQUENTLY OFFERED. C. HOSPITAL MEETING FACILITIES ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS KIDS FIRST, AMERICAN HEART ASSOCIATION, OVEREATERS ANONYMOUS, AL-ANON, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, AND THE AMERICAN CANCER SOCIETY. D. CONTRIBUTIONS OF 110,100 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,200,000 AND WAS GIVEN BACK THE THE COMMUNITY THROUGH LOWER COSTS.	Description
Total Program Service Expense	212081091	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	249	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2554	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	31	NbrVotingGoverningBodyMembers
Number Independent Voting Members	30	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	KAY CRIST	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3193986107	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52403	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (44 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
JACK COSGROVE
CHAIRMAN	1.00	X	X	0	0	0
KYLE SKOGMAN
VICE CHAIRMAN	1.00	X	X	0	0	0
SISTER SHARON SUTHERLAND
SECRETARY	1.00	X	X	0	0	0
EMMETT SCHERRMAN
TREASURER	1.00	X	X	0	0	0
TIM CHARLES
PRESIDENT & CEO	1.00	X	X	573722	0	113475
MICHELE BUSSE
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
TONY GOLOBIC
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
DON HATTERY
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
SISTER CORITA HEID
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
JOE HLADKY
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
JAN KAZIMOUR
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
BARB KNAPP
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
LEE LIU
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
BRUCE MCGRATH
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
TOM MCINTOSH MD
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
CHERYLE MITVALSKY
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
DARREL MORF
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
DAVE NEUHAUS
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
RUE PATEL
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
CHUCK PETERS
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
FRED PILCHER MD
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
MARY QUASS
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
TOM REED
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
SISTER LAURA REICKS
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
JOHN RIFE
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
CHARLIE ROHDE
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
AL RUFFALO
memBER BOARD OF TRUSTEES	1.00	X		0	0	0
JOHN SMITH
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
SISTER MAURITA SOUKUP
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
BOB VERHILLE
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
SISTER MARGARET WEIGEL
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
ELIOT PROTSCH
MEMBER BOARD OF TRUSTEES	1.00	X		0	0	0
PHIL PETERSON
EXECUTIVE VP/CFO	40.00		X	311544	0	50039
JEFFERY CASH
CIO & SENIOR VP	40.00			237311	0	40004	X
BETH HOULAHAN
SENIOR VP PATIENT CARE SER	40.00			210966	0	28343	X
KARL KEELER
EXECUTIVE VP & COO	40.00			234006	0	42857	X
KATHY KRUSIE
SENIOR VP OF ADMIN & SUPPO	40.00			252187	0	61135	X
DR MARK VALLIERE
SENIOR VP MEDICAL AFFAIRS	40.00			380534	0	37520	X
LARRY DONALDSON
SENIOR VP OF MANAGED CARE	40.00			190539	0	58836		X
HUI LI
RADIATION PHYSICIST	40.00			235690	0	24296		X
DESMOND WATERS
DIRECTOR, PHARMACY	40.00			153543	0	8765		X
PENNY GLANZ
OPERATIONS DIRECTOR - O/P SERVICES	40.00			154069	0	18301		X
SUSAN VANGORDEN
IT PHARMACIST	40.00			135009	0	17289		X
A JAMES TINKER
FORMER BOARD OF TRUSTEES	1.00			121777	26000	0			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3190897	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	26000	TotalReportableCompFrmRltdOrgs
Total Other Compensation	500860	TotalOtherCompensation
Number Individuals GT100 K	32	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HOSPITALIST MEDICINE PHYSICIANS
4535 DRESSLER RD NW	CANTON	OH	44718	HEALTHCARE PROFESSIONAL SERVICES	1893996
VITAL SUPPORT SYSTEMS LLC
11191 AURORA AVENUE	URBANDALE	IA	50322	HARWARE, SOFTWARE, AND I/S SUPPORT SERVI	792731
ElDERKIN & PIRNIE PLC
115 1ST AVE SE	CEDAR RAPIDS	IA	52406	LEGAL SERVICES	626526
WELAND CLINICAL LABORATORY PC
1911 1ST AVENUE SE	CEDAR RAPIDS	IA	52406	HEALTHCARE SERVICES	460542
PHELANS INTERIORS
728 3RD AVENUE SE	CEDAR RAPIDS	IA	52401	REMODELING SERVICES	407885

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	21	NumberOfContractorsGT100K
Fundraising Events	2010	FundraisingEvents
Related Organizations	2338686	RelatedOrganizations
All Other Contributions	4816449	AllOtherContributions
Noncash Contributions	791731	NoncashContributions
Total Contributions	7157145	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUES	900099	222049588	222049588
LABORATORY REVENUE	621500	26733336	25369524	1363812
FITNESS CENTER REVENUE	900099	555294	555294
FAMILY COUNSELING REVE	624100	298962	298962

Field	Value	IRS element (for citing)
Total Program Service Revenue	249637180	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2638376	TotalRevenueColumn
Exclusion	$2,638,376	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1548268	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	1145762	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	402506	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	402506	TotalRevenueColumn
Exclusion	$402,506	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	13730472	Securities
Other	33169	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	9982668	Securities
Other	354480	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	3747804	Securities
Other	-321311	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	3426493	TotalRevenueColumn
Exclusion	$3,426,493	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	5688	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	2010	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1946	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	3742	TotalRevenueColumn
Exclusion	$3,742	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	2503495	GrossSalesOfInventory
Cost Of Goods Sold	2410945	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	92550	TotalRevenueColumn
Exclusion	$92,550	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
MRI MR ASSOCIATES	621110	1389112	1389112
DISASTER RELIEF	900099	1091275		$1,091,275
PARTNERSHIP ORDINARY I	561000	15425			15425

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-5182952	TotalRevenueColumn
Related Or Exempt Function Income	-5182952	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	-2687140	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	260670852	TotalRevenueColumn
Related Or Exempt Function Income	244479528	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1379237	UnrelatedBusinessRevenue
Exclusion	$7,654,942	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	3169250	Total
Program Services	3169250	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2134076	Total
Management And General	2134076	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	39998	Total
Program Services	39998	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	81029213	Total
Program Services	74030293	ProgramServices
Management And General	6998920	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	8878755	Total
Program Services	7924370	ProgramServices
Management And General	954385	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15093037	Total
Program Services	13557097	ProgramServices
Management And General	1535940	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6059617	Total
Program Services	5395321	ProgramServices
Management And General	664296	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	59746	Total
Program Services	59746	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	328132	Total
Management And General	328132	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	148317	Total
Program Services	4317	ProgramServices
Management And General	144000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	27084	Total
Program Services	27084	ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	219831	Total
Management And General	219831	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	10545574	Total
Program Services	7722575	ProgramServices
Management And General	2822999	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1576090	Total
Program Services	1497227	ProgramServices
Management And General	78863	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	49120558	Total
Program Services	47244505	ProgramServices
Management And General	1876053	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	6639109	Total
Program Services	6622527	ProgramServices
Management And General	16582	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	6600	Total
Program Services	6600	ProgramServices

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3632156	Total
Program Services	1222459	ProgramServices
Management And General	2409697	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	301523	Total
Program Services	96172	ProgramServices
Management And General	205351	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	12607	Total
Program Services	12607	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	2902730	Total
Program Services	2902730	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16786943	Total
Program Services	13414135	ProgramServices
Management And General	3372808	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	572378	Total
Program Services	457	ProgramServices
Management And General	571921	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
BAD DEBT EXPENSE	17417809	17417809
REPAIRS	6395685	6395685
RESIDENCY EXPENSE	1525107	1525107
DUES & SUBSCRIPTIONS	542435	542435
VEHICLE EXPENSE	375663	375663

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	977788	Total
Program Services	874922	ProgramServices
Management And General	102866	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	236517811	Total
Program Services	212081091	ProgramServices
Management And General	24436720	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1572149	BOY
EOY	503844	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	13671118	BOY
EOY	33184130	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	34670440	BOY
EOY	35957106	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3081264	BOY
EOY	2859486	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3723029	BOY
EOY	4903950	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1508395	BOY
EOY	1810711	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	326897451	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	157208118	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	169197744	BOY
EOY	169689333	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	48000779	BOY
EOY	47245888	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	43816137	BOY
EOY	74534878	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	63040715	BOY
EOY	49623480	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	57597	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	382281770	BOY
EOY	420370403	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	25148495	BOY
EOY	24964222	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	86350000	BOY
EOY	84205000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	51484222	BOY
EOY	56992867	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	162982717	BOY
EOY	166162089	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	191992053	BOY
EOY	224744236	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5226000	BOY
EOY	7089893	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22081000	BOY
EOY	22374185	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	219299053	BOY
EOY	254208314	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	382281770	BOY
EOY	420370403	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	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)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$27,084	OtherActivitiesAmount
Total Lobbying Expenditures IIB	27084	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	23.7% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES, OR $27,084.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	26505127	BeginningOfYearBalance
Contributions	234657	Contributions
Investment Earnings Or Losses	1633447	InvestmentEarningsOrLosses
Administrative Expenses	486386	AdministrativeExpenses
End Of Year Balance	27886845	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	29036036	BeginningOfYearBalance
Contributions	2000	Contributions
Investment Earnings Or Losses	-2532909	InvestmentEarningsOrLosses
End Of Year Balance	26505127	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.11920	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.80230	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.07850	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10573595	OtherCostOrOtherBasis
Book Value	10573595	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	212303782	OtherCostOrOtherBasis
Depreciation	96921561	Depreciation
Book Value	115382221	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2635277	OtherCostOrOtherBasis
Depreciation	1732125	Depreciation
Book Value	903152	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	101384797	OtherCostOrOtherBasis
Depreciation	58554432	Depreciation
Book Value	42830365	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	169689333	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
COMMERCIAL PAPER & CASH	9484468	F
MONEY MARKET FUNDS	11435	F
MUTUAL FUNDS, INVESTED IN CORP BONDS, LLPS & REAL ESTATE	65038975	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	74534878	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN AFFILIATEs	46403332	F
DEFERRED FINANCING COSTS	616533	C
INVESTMENT IN CEDAR RAPIDS PHO	601266	F
SLEEP LAB JOINT VENTURE	1193596	F
INVESTMENT IN MR ASSOCIATES	808753	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	49623480	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
INTEREST RATE SWAP AGREEMENTS	$9,472,309
PENSION LIABILITY	$40,529,500
SELF INSURANCE RESERVES	$5,830,679
THIRD PARTY SETTLEMENTS	$1,102,782
NET EQUITY IN MERCY MEDICAL CENTER AUXILIARY	$57,597

Field	Value	IRS element (for citing)
Total Of Amounts	56992867	TotalOfAmounts
Total Revenue	260670852	TotalRevenue
Total Expenses	236517811	TotalExpenses
Excess Or Deficit For Year	24153041	ExcessOrDeficitForYear
Net Unrealized GL On Investments	8891631	NetUnrealizedGLOnInvestments
Other	$1,864,589	OtherAmount
Total Adjustments	10756220	TotalAdjustments
Excess Or Deficit Per FS	34909261	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	270744995	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	8891631	NetUnrealizedGainsInvestments
Other Revenues	-694058	OtherRevenues
Revenue Not Rptd F990	8197573	RevenueNotRptdF990
Revenue Subtotal	262547422	RevenueSubtotal
Other Revenues Not Included	-1876570	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-1876570	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	260670852	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	235835734	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2073948	OtherExpensesIncluded
Expenses Not Rptd F990	2073948	ExpensesNotRptdF990
Expenses Subtotal	233761786	ExpensesSubtotal
Other Expenses Not Included	2756025	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	2756025	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	236517811	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	MERCY HOSPITAL, CEDAR RAPIDS, IA ENDOWMENT FOUNDATION, INC., A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE FOUNDATION'S ENDOWMENT FUNDS ARE USED FOR THE CANCER CENTER, NEUROSCIENCES, HOSPICE OF MERCY, HOSPICE HOUSE, PATIENT CARE, TRAUMA CENTER, ESPECIALLY FOR ME, FIT FAMILIES, HALLMAR, HUSTON FUND (RADIOLOGY), EDUCATIONAL SCHOLARSHIPS, LIPSKY EDUCATIONAL FUND, BENEFICIAL INTERESTS IN REMAINDER & PERPETUAL TRUSTS, WATTS LIBRARY, MERCY MEDICAL CENTER CAPITAL PROJECTS, AND GENERAL ENDOWMENT FUNDS TO BE USED AT THE BOARD OF DIRECTORS' DISCRETION.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	THE HOSPITAL IS A NOT-FOR-PROFIT AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THIS RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE TAX POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HOSPITALS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX EXEMPT STATUS OF BONDS ISSUED BY THE OBLIGATED GROUP, THE NATURE, THE CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS INCOME (UBIT). UBIT IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AS OF JUNE 30, 2010 AND 2009, THERE WERE NO UNCERTAIN TAX BENEFITS IDENTIFIED AND RECORDED AS A LIABILITY. FORMS 990 AND 990T FILED BY THE HOSPITAL ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. THE HOSPITAL'S IRS FORM 990 AND 990T ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED JUNE 30, 2006.
Part XI, Line 8 - Other Adjustments:		CHANGE IN ADDITIONAL MINIMUM LIABILITY FOR RETIREMENT BENEFITS CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS) CHANGE IN INTEREST IN NET ASSETS OF AUXILIARY AND GIFT SHOP
Part XII, Line 2d - Other Adjustments:		CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS: -3783309. CHANGE IN UNRECOGNIZED FUNDED STATUS OF RETIREMENT PLAN: 478859. CHANGE IN INTEREST IN NET ASSETS OF MERCY MEDICAL CENTER FOUNDATION: 3883399. GRANT TO MERCARE SERVICE CORPORATION INCLUDED WITH REVENUES: -2500000. BOOK/TAX DIFFERENCE IN PARTNERSHIP INCOME(LOSS): 1226993.
Part XII, Line 4b - Other Adjustments:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES: -1752636. LOSS ON SALE OF ASSETS: -321312. AUXILIARY AND GIFT SHOP REVENUE NOT INCLUDED IN AUDIT REPORT: 197378.
Part XIII, Line 2d - Other Adjustments:		CAFETERIA COST OF GOODS SOLD NETTED WITH REVENUES: 1752636. LOSS ON SALE OF FIXED ASSETS: 321312.
Part XIII, Line 4b - Other Adjustments:		GRANT TO MERCYCARE SERVICE CORPORATION INCLUDED WITH REVENUES: 2500000. AUXILIARY AND GIFT SHOP EXPENSES NOT INCLUDED IN AUDIT REPORT: 256025.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	1000.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	9443	PersonsServed
Total Community Benefit Expense	5608400	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	5608400	NetCommunityBenefitExpense
Percent Of Total Expense	0.02560	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	20364	PersonsServed
Total Community Benefit Expense	14864872	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13194319	DirectOffsettingRevenue
Net Community Benefit Expense	1670553	NetCommunityBenefitExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	29807	PersonsServed
Total Community Benefit Expense	20473272	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13194319	DirectOffsettingRevenue
Net Community Benefit Expense	7278953	NetCommunityBenefitExpense
Percent Of Total Expense	0.03320	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	13914	PersonsServed
Total Community Benefit Expense	837423	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	837423	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	326	PersonsServed
Total Community Benefit Expense	1959550	TotalCommunityBenefitExpense
Direct Offsetting Revenue	519040	DirectOffsettingRevenue
Net Community Benefit Expense	1440510	NetCommunityBenefitExpense
Percent Of Total Expense	0.00660	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	3438	PersonsServed
Total Community Benefit Expense	10214227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7601108	DirectOffsettingRevenue
Net Community Benefit Expense	2613119	NetCommunityBenefitExpense
Percent Of Total Expense	0.01190	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	291376	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	291376	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	17678	PersonsServed
Total Community Benefit Expense	13302576	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8120148	DirectOffsettingRevenue
Net Community Benefit Expense	5182428	NetCommunityBenefitExpense
Percent Of Total Expense	0.02360	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	47485	PersonsServed
Total Community Benefit Expense	33775848	TotalCommunityBenefitExpense
Direct Offsetting Revenue	21314467	DirectOffsettingRevenue
Net Community Benefit Expense	12461381	NetCommunityBenefitExpense
Percent Of Total Expense	0.05680	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	40078	TotalCommunityBuildingExpense
Net Community Building Expense	40078	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	28958	TotalCommunityBuildingExpense
Net Community Building Expense	28958	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	3377	TotalCommunityBuildingExpense
Net Community Building Expense	3377	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	858	TotalCommunityBuildingExpense
Net Community Building Expense	858	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	168259	TotalCommunityBuildingExpense
Net Community Building Expense	168259	NetCommunityBuildingExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	7485	TotalCommunityBuildingExpense
Net Community Building Expense	7485	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	9783	TotalCommunityBuildingExpense
Net Community Building Expense	9783	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	258798	TotalCommunityBuildingExpense
Net Community Building Expense	258798	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$5,721,061	BadDebtExpenseAmount
Amount Reimbursed By Medicare	87793726	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	110966815	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-23173089	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 (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
MR ASSOCIATES LLP
PROVIDES MRI SERVICES	0.33000	0.00000	0.33000
EASTERN IOWA SLEEP CENTER LLC
PROVIDES SLEEP STUDIES	0.33000	0.00000	0.33000
CEDAR RAPIDS PHYSICIAN HOSPITAL ORGANIZATION
PROVIDES PAYOR CONTRACTING	0.39000	0.00000	0.61000

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MERCY MEDICAL CENTER	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	701 10TH STREET SE	AddressLine1
City	CEDAR RAPIDS	City
State	IA	State
ZIP Code	52403	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Teaching Hospital	X	TeachingHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c: NOT APPLICABLE	IncomeBasedCriteria
Annual Community Benefit Expln	Part I, Line 6a: NOT APPLICABLE	AnnualCommunityBenefitExpln
Costing Method Used	Part I, Line 7: THE FOLLOWING COSTS ARE CALCULATED BASED ON THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2: MEDICAID, FREE CLINIC SERVICES, CHARITY CARE, MEDICARE, AND BAD DEBTS.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: COSTS FOR SUBSIDIZED SERVICES WERE CALCULATED BASED ON OUR COST ACCOUNTING SYSTEM. THESE SERVICES WERE SPLIT BETWEEN UNREIMBURSED CHARITY CARE PATIENT ACCOUNTS, MEDICAID PATIENTS ACCOUNTS, AND PATIENTS ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE. The following programs and services are subsidized by Mercy Medical Center to address community health needs identified through our community assessment process:Mercy's Joslin Diabetic Center: Only one of eight facilities of its kind in Iowa, Mercy's Joslin Diabetes Center provides diabetes patients and their family members with the comprehensive information they need to better manage this disease and decrease their risk for complications. Joslin Diabetes Center team members include an endocrinologist, nurse educators, dietitian educators, a podiatrist and an exercise specialist. Diabetes education and insulin management services are provided for children (toddler through adolescents) and adults (all ages). Medical diabetes care is provided for adolescents and adults. The estimated number of patients with diabetes or prediabetes in the PSA is 14,000.Joslin provided care to 3240 patient visits from July 2009-May 2010.Each summer Joslin Diabetes Center plays a key role in a one-week Diabetes Camp held at Camp Tanager in Mount Vernon for children with diabetes. Joslin experts educate the camp staff about diabetes, and provide nursing and dietary support. Joslin also donates equipment and supplies used at the camp.For one week, children with diabetes can relish the opportunity to be with their peers and not be "different." As an added bonus, parents can relax and rest assured that their child is in a safe place, where any special needs are sure to be met. This experience enhances the quality of life for these children and creates long-lasting memories for them.Behavioral Health Services: Mercy serves patients older who are in a crisis state related to a mental health, chemical dependency or co-occurring mental health and chemical dependency diagnosis. Patients originate from Linn County and the secondary service area. In FY 2010, 5,593 inpatients were served. Other services include telephone triage and 2,788 clients were evaluated and referred to outpatient services. Individuals experiencing multiple life stressors are most vulnerable and need behavior health assistance and coping mechanisms. Our state, and our local community, continues to recover from the catastrophic June 2008 floods that destroyed homes and business. These individuals also are impacted by the effects of the national economic downturn, and Behavior Health Services continues to serve a role in providing mental health and chemical dependency resources.While the mission is to meet the needs of the PSA and SSA patients, Mercy has been increasingly called upon to meet state-wide needs and has received patients from as far away as Illinois. Transportation is provided to safely send patients back to their home location without receiving reimbursement from the sending counties. Iowa is suffering a severe shortage of mental health beds and mental health and chemical dependency resources. There are long waiting lists for patients to be seen by psychiatrists and mental health or chemical dependency providers. This same population is frequently either uninsured or their mental health benefits are severely limited or capped at low levels for a lifetime. The state of Iowa and Linn County are targeting patients with co-occurring disorders as a particularly difficult population to treat and have historically poor outcomes. As a part of this state and county wide initiative, the Behavioral Health Unit is participating in data collection, staff education and consistent treatment initiatives that have been identified as evidenced base best practice. When patients cannot afford discharge medications Mercy provides an initial 30 day supply to prevent immediate readmission due to noncompliance due to financial constraints.WOMEN AND CHILDREN'S SERVICES: Mercy's NICU/Birthplace has a family-centered care approach that starts before birth with educational classes and continues after a family leaves the hospital with their baby. A day or two after discharge, a Mercy Home Care nurse visits the home and NICU staff members are available by telephone 24 hours day. Mercy also supports a Developmental Clinic, which follows up on Mercy NICU babies at regular intervals up to age 30 months. The purpose of the obstetric home visit program is to provide support and education to parents of newborns after their discharge from the hospital and before their first visit to their healthcare provider at approximately two weeks of age. When mother and newborns started discharging from the hospital two or three days after birth there were a number of cases where babies and sometimes mothers developed serious medical conditions which were not identified until they were seriously compromised. The home visit by an RN is set up to prevent such situations. All mothers discharged from Birthplace are offered a home visit if they live within a thirty mile radius or encouraged to return to the hospital for an in hospital visit if they live beyond that. This visit is done within the first few days they are home. The mother and baby are assessed with vital signs and a weight check on the baby. Any concerns or issues are called to the physician and followed up.Number served: Calendar year 2009 there were 873 babies born on BirthplaceOutcomes: -Weight loss and feeding problems are identified, care plans developed, and follow up is done to assure effectiveness.-Jaundice is identified in newborns, labs drawn and orders received to prevent kernicterus.-Maternal vital changes are identified and physicians notified when necessary.-Education is reinforced and done to assure a safe environment for the baby and mom.-Safety issues are identified in the environment and corrected when necessary.-Signs and symptoms of postpartum depression are identified and addressedMercy's Fast Track Emergency Department also offers distraction kits, movies, etc. to ease children's concerns when they need care in the emergency room. Our 30-minute wait guarantee ensures families that they will not have to wait longer 30 minutes for care to begin for their child.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: $17,417,809 OF BAD DEBT EXPENSE IS SUBTRACTED FOR PURPOSES OF COMPUTING THE PERCENTAGE IN PART I, LINE 7K, COLUMN F. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES, LESS BAD DEBT, IS 15.43%, AND THE PERCENTAGE INCREASES TO 66.14% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: Patient receivables due directly from the patients are carried at the original charge for the service provided less amounts covered by third-party payers and less an estimated allowance for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Management determines the allowance for doubtful accounts by identifying troubled accounts, by historical experience applied to an aging of accounts and by considering the patient's financial history, credit history and current economic conditions. The Hospital does not charge interest on patient receivables. Patient receivables are written off as bad debt expense when deemed uncollectible. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.Charity care is provided for services where the patient's inability to pay is documented and the revenues are not expected to be received. Bad debts, on the other hand, relate to services for which the hospital expected to receive payments, but did not receive the payment. This may be a result of the patient may not beING able to pay for the services, but the hospital is unaware of that fact, or the patient is unwilling to pay for the services. In many cases, it is not possible to determine whether the bad debt amount could be for an indigent or medically needy patient. Not-for-profit hospitals must accept any patient who needs services regardless of their ability to pay. We may even know that a patient has a large balance due on a number of prior services, but we cannot turn the patient away if the services are necessary. Once a patient is stabilized, it does not mean that the patient will be willing to move to another facility for the remainder of their treatment nor does it mean there is another facility that may be willing to accept the patient as a transfer. Bad debt, whether for patients who cannot pay or those who are unwilling to pay, should be considered a community benefit. A hospital cannot deny necessary services even if the patient will not pay for the services. A retailer, on the other hand, can deny credit if the customer has not been paying on their credit card. There is a significant difference between bad debts at the hospital and bad debts in general.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The costs shown for the Medicare shortfall are based on total charges of all Medicare and Medicare replacement patients. The shortfall is calculated by multiplying the total charges by the cost to charge ratio calculated on Worksheet 2 less the payments we received for these services. The Medicare cost report is not an appropriate source to determine the costs for these patients. Many items including all outpatient services for patients who are covered by a Medicare replacement plan and many services such as laboratory, physical and occupational therapy, and others paid on a fee for service basis are not included on the Medicare cost report. In addition, hospice, home health, and dialysis services, although included on the Medicare cost report, do not show the costs and payments associated with these services for Medicare beneficiaries.For Mercy Medical Center, 50.2% of our gross charges are for Medicare patients including those with Medicare replacements. Another 6.7% of our charges are for patients who qualify for Medicaid coverage. Neither government program pays enough to cover the costs of the services provided to these patients. If we did not serve the Medicare and Medicaid patients, another facility would have to provide the service. Of the 59,188 Medicare patients who were discharged during the 2010 fiscal year, 12,678, or 21.4%, had Medicaid coverage. This does not reflect any of the patients whose primary coverage is a Medicare replacement policy. Based on information from the American Hospital Association, 46% of Medicare spending is for beneficiaries whose income is below 200% of the federal poverty level.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: Mercy Medical Center understands patients may not have the ability to pay for services nor recognize the opportunity they may have to receive financial assistance. To aid in this process Mercy Medical Center has implemented a Presumptive Charity Eligibility Program (PCEP). Patients who qualify for this program do not have to complete paperwork. Mercy utilizes an outside vendor to assist in determining a patient's financial risk. Mercy Medical Center uses billing and collection recommendations established by the Iowa Hospital Association. These recommendations include:-Mercy Medical Center will provide to all patients the same information concerning services and charges.-For a patient who has an application pending for either government-sponsoredcoverage or Medical Center's financial aid program, Mercy will notknowingly send that patient's bill to a collection agency before the initial eligibility determination has been made.-Mercy Medical Center will review the patient's record to determine if reasonable efforts were undertaken to ensure that financial assistance was offered and/or if financial assistance is appropriate before any collection agency assignment.	DebtCollectionPolicy
General Explanation	FORM 990, SCHEDULE H, PART I, LINE 3B:Mercy Medical Center utilizes a presumptive charity care process for Medicaid, medically needy, food stamp, state-assisted, or self-pay patients. These patients receive a 25% discount without having to submit an application for financial assistance. Full charity care will be provided to uninsured and underinsured patients earning 200% or less of the Federal Poverty Income Guidelines (FPIG). Patients whose income, as determined by the Federal Poverty Income Guideline, is more than 200% and less than or equal to 1000% of the poverty guidelines may be eligible for assistance under the "Sliding Scale Discount Program." A sliding scale discount will be applied to the patient's balance BASED ON THE the lower of 10% of 2 years household income or the discounted AMOUNT BASED ON A THE PATIENT'S PERCENT OF fEDERAL POVERTY INCOME GUIDELINES.	GeneralExplanation
Needs Assessment	Part VI, Line 2: Mercy Medical Center takes a collaborative approach in assessing the needs of the community it serves AS A SPONSORING PARTNER OF THE HEALTHY LINN CARE NETWORK. A Community Health Needs Assessment was conducted in 2005 by Healthy Linn Care Network, a branch of the Linn County Public Health Department. Data and information was collected through qualitative and quantitative methods and a Health Improvement Plan was developed. Mercy partnered with several community organizations to form coalitions to address the top five community health needs:-Obesity (and related chronic health conditions including diabetes and cardiovascular disease)-Mental Health-Substance Abuse-Cancer-Sexually Transmitted Infections and Human Immunodeficiency VirusMercy staff members participate on the following committees and coalitions:-Women's Health Network-Colorectal Cancer Committee-Linn County Mental Health Services Planning Committee-Healthy Living Coalition-Linn County Senior Coalition-STI/HIV/AIDS Alliance-Linn County Partnership on Substance Abuse-Community Indigent/Low Income Service Committee-Linn County Family Violence Coalition-Linn County Asthma Reduction Coalition-Make it Safe CoalitionHealthy Linn Care Network has made a commitment to the community to provide a Health Needs Assessment every 3 years. The most current assessment is due for completion in February, 2011.Mercy Medical Center understands the need for ongoing assessment and uses data and information obtained from Federal Census Bureau reports, hospital charity care cases, Linn County Public Health Department, Community Free Clinics, schools, United Way, County Health Ranking report, and the Cedar Rapids Healthcare Alliance to modify current programs and create new programs to address health needs.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: Mercy Medical Center is committed to:-Providing access to quality healthcare with compassion, dignity and respect for all those we serve, particularly the poor and underserved;-Caring for all persons, regardless of their ability to pay for services;-Assisting patients who cannot pay for part or all of the care they receive;-Communicating information about financial assistance in a clear and consistent manner-Balancing needed financial assistance for some patients with broader fiscal responsibilities in order to sustain viability and provide the quality and quantity of services for all who may need care in the community.Mercy will notify prospective patients that the hospital will provide, upon request, an estimated price or price range for the contemplated services.Communicate the Availability of Financial Aid:-Publicly Displaying Billing and Collection Policies - Mercy displaysand/or makes available our billing and collection policies, including discount and charity care policies. Brochures list all available financial resources. -Communication with Patients - Mercy provides information on policies within patient registration packets. Financial counselors are available seven days a week, 24 hours a day, to communicate these policies and assist patients in applying for public and private programs for which they may qualify and that may assist them in obtaining and paying for healthcare services. Mercy Medical Center educates staff members who work closely with patients (including those working in patient registration and admitting, financial assistance, social work, billing and collections) about hospital billing, collection policies and practices, financial assistance, and our commitment to care for all patients with dignity and respect regardless of their insurance status or ability to pay for services. Education is also provided regarding federal, state and local public financial assistance programs and Mercy Medical Centers financial assistance program. -Communications to the public regarding financial assistance are writtenin consumer-friendly terminology and in a language that the patient canunderstand. -Information is included in hospital bills about the availability of financialassistance and how to obtain further information and apply for financial assistance.-Information on financial assistance policies is posted in key public areas withinstructions on how to apply or obtain further information. Brochures are also Available.-Patients are educated about their responsibilities, the potential financial OBligation they may incur, their obligations for completing eligibilitydocumentation, and the hospital's bill collection policies.-Patients are referred to and/or provided with assistance regardingapplying for Medicaid, Iowa Care, Healthy Start, General Assistance and/orlocal county funds for future care needs. In addition to English, patient financial assistance information is also available in Spanish for those with limited English proficiency, reflecting other dominant languages spoken in the communities served by Mercy Medical Center. Mercy also has interpreting services available for limited English proficiency patients who speak other languages.	PatientEducationAssistance
Community Information	Part VI, Line 4: Mercy Medical Center serves a primary service area (PSA) of Linn County and a secondary service area (SSA) of 7 contiguous counties (Benton, Buchanan, Cedar, Delaware, Iowa, Johnson, and Jones). The total population of Linn County is 209,226. The total population of both primary and secondary service areas is 328,256. The projected 10 year population growth for the PSA is 2% and the SSA, 1%. 12.7% of persons living in Mercy's combined service area are age 65 or older. 90.6% are high school graduates while 27.7% hold a Bachelors degree or higher. The median household income is $55,173. The percentage of people living below poverty level is 9,3% as compared to 10.1% for all of Iowa. 1 in 9 Iowans is uninsured or 12% (includes children and nonelderly adults). The average persons per household are 2.4.Demographics for the service area are as follows:49.5% male, 50.5% female92% Caucasian3.5% African American.4% Native American1.9% Asian/Pacific2.2% HispanicThe current unemployment rate for Linn County is 6.3%, THE SAME RATE AS THE STATE OF IOWA. Linn County features a diverse employer base including manufacturing, trade, education, service, finance and agriculture.	CommunityInformation
Community Building Activities	Part VI, Line 5: Cash contributions: Mercy Medical Center gives cash contributions to several area non-profit organizations, especially those that address health, emergency housing and the needs of children. Examples include:-American Cancer Society-Waypoint-Juvenile Diabetes Association-Horizons Meals on Wheels-Camp Courageous-Tanager Place-Young Parents Network-Alzheimer's Association-Cedar Rapid Health Care AllianceMercy Medical Center also provides in-kind printing services for several area non-profits.Meeting space for nonprofits: Mercy Medical Center provides meeting space for a variety of non-profit organizations throughout the year at no charge. Mercy also provides no charge catering services for several non-profit community organizations. Mercy Medical Center hosts many community support groups for individuals facing emotion and physical challenges including cancer, pulmonary disease, heart disease, prostate cancer, dialysis, grief and mental health issues. In-kind space for nonprofits: Mercy Medical Center provides space for operations for several local community non-profits. These include:-Young Parents Network and Wee Care Shop-Gems of Hope-Boys and Girls Club-Kids First Law office-American Cancer SocietyCommunity Health improvement through coalition building/community board participation: Mercy Medical Center contributed to the economic and civic health of the surrounding community by serving on several community and area boards. Mercy also supported the efforts of local rotary and chamber of commerce as well as organizations established to increase awareness on economic growth and diversity. Examples include:-United Way-Cedar Rapids Chamber of Commerce-Marion Chamber of Commerce-Daybreak Rotary-Waypoint Kids Board-Diversity Focus Board-Freedom From Hunger planning committee-Junior Achievement Board-Kirkwood College Advisory Board-Aging Services Board-Healthy Linn Care Network Board-AMERICAN CANCER SOCIETY-Catherine McAuley Center BoardCOMMUNITY IMPACT EVALUATIONS ARE REQUESTED TO ASSURE FUNDS ARE ADDRESSING COMMUNITY NEEDS.	CommunityBuildingActivities
Other Information	Part VI, Line 6: Mercy Regional Cancer CenterCancer is now Iowa's leading cause of death with more than 16,000 Iowans diagnosed each year. In Linn County alone, one person dies from cancer every day; those numbers will continue to rise with the growing aging population. Mercy's cancer programs and services are patient-focused, with an integrated approach to care. Additional comprehensive services such as forums, support groups, and genetic counseling, are open to the community participation as well as our patients and family members.Mercy Medical Center's Board of Trustees is made up of volunteers, the majority of whom are residents within the PSA. The board consists of 32 members who are neither employees nor contractors of the organization. The governance structure ensures that community interests are represented in decision-making for the organization. In addition, five seats are allocated to women religious who ensure the organization remains true to it charitable mission. Mercy also provides Board-level support in a Community Benefit committee comprised of community members from Linn County. This committee was formed to provide guidance, support and make recommendations for program development to improve the health of the communities served by Mercy.Mercy Medical Center maintains an open medical staff, as privileges are extended to all qualified PROVIDERS. CURRENTLY THERE ARE 423 MEDICAL STAFF MEMBERS AND 73 MID-LEVEL PROVIDERS. Mercy Medical Center partners with St. Luke's hospital to support a Family Practice Residency program. THE CEDAR RAPIDS MEDICAL EDUCATION FOUNDATION WAS ESTABLISHED IN 1971. SINCE THAT TIME, THERE HAVE BEEN 255 GRADUATES. OF THESE, 68 ARE PRACTICING IN THE 7 COUNTY AREA CONSIDERD AS PART OF MERCY MEDICAL CENTER'S SERVICE AREA. THE VAST MAJORITY OF THE RESIDENTS STAY IN THE MIDWEST STATES (NEBRASKA TO INDIANA, MINNESOTA TO MISSOURI.) THE PROGRAM ADDRESSES GAPS IN COMMUNITY CARE FOR THE UNINSURED AND UNDERINSURED. Mercy Medical Center provides health professions education through precepting nursing and other allied health students within the hospital and on off-campus sites. 10,600 employee hours were reported for precepting health care students in FY 2010. Mercy Medical Center provides no charge radiology, laboratory and in-patient care services for patients originating from two free health clinics within the PSA. This strategy assisted 2,451 patients and equated to $345,231 in charity care. Mercy Medical Center has developed several key programs to address the physical and mental health needs identified through our community health needs assessment process. Examples include:-Especially For You - Race Against Breast Cancer - raises funds to pay for free pap and mammography services for uninsured females in the PSA and SSA. For 19 years, this annual race is held at Mercy Medical Center. The OCTOBER 2009 race was the largest in the event's history, with 11,575 people registered. Since 1991 the fund has been accessed by 4,300 women, for a total of $1.13M in services.-Parish Nurse Education Program - Mercy became an education affiliate of the International Parish Nurse Resource Center to offer a parish nurse curriculum at a reduced rate to area nurses. 37 nurses have taken the course. Mercy also created a Parish Nurse Advisory Council, comprised of community representatives who provide program oversight and guidance. Parish nurses play a key role in health care navigation and health education within their faith communities. -Vascular screening - Free outreach screenings are provided to determine risk for PVD/PAD for those older than age 50, smoke, have high blood pressure, diabetes or suffer from leg pain when walking. Screenings help participants understand their risks, share prevention tips and outline treatment options. Patients served: 333.-Sexual Abuse Nurse Examiner (SANE) Program - Started more than 10 years ago, this free service was the first program developed in Cedar Rapids. Nurses have in-depth training to provide all aspects of the forensic and health-care processes for sexual assault victims, and a sexual assault nurse examination. In FY 2010, 228 hours of direct SANE patient care; 192 hours orientation and training for SANE; 75 hours on Case Study and CEU's SANE-specific; on-call hours total for the year was 3712. Today we offer sexual assault nurse examination services 24/7 through our Emergency Department. We have a Sexual Assault Response Team (SART) for Linn County which includes but is not limited to representatives from Mercy's Sexual Assault program, Waypoint Advocacy Services, local police departments, Child Protection Center, Planned Parenthood, and the Linn County Attorney's Office.-Parochial School Nurse Health Clinic Program - Episodic care, evaluation of illness, health promotion, health education, case management, management of chronic illnesses, management of outbreaks and communicable diseases is provided by one advanced practice nurse at two elementary school sites. 325 students were served at St. Matthew's and All Saints Schools.-Chronic Disease Self-management program - Live Active, Live Healthy chronic disease self management workshops educate patients about how to get the most of each day while living with a chronic condition. Mercy is licensed through Stanford University to offer the workshops and maintains fidelity through a Stanford certified master. Number of individuals served from 07/01/09 - 06/30/10: 179.-Fit Families - This physician-driven clinic helps overweight children and teenagers, and their families through a series of clinic visits with a doctor, dietitian and exercise specialist. The goal is to help families understand that obesity affects many people throughout our community and that there is hope for change. -Trim Kids - a family-oriented fitness and nutrition class created through a unique partnership between Mercy's Fit Families and the Cedar Rapids metropolitan area YMCA to help families become aware of healthier nutrition and fitness. Clinically proven to be effective, the program assists families in making positive lifestyle changes through 6 weeks of lifestyle training. -Mobile Mammography - Residents within a 75-mile radius of Mercy Medical Center have access to the same high level of digital mammography equipment available at Mercy's Women's Center via a mobile digital mammography van. Mercy Medical Center provides on-going community health education presentations and programs. These include classes on nutrition and healthy eating, chronic disease, cancer, exercise and substance abuse. Mercy staff members present in churches, community centers, grocery stores, schools, manufacturing plants, colleges, assisted living and nursing homes.Examples include:-Sisters of Mercy: Arthritis-Young Parents Expectant Moms Group: Having a Healthy Pregnancy-Mount Mercy College: Accessing Mental Health Services-Linn County Office Administration: Stress Reduction Exercises-Advancement Services, Disabled Adults: Nutrition-Options of Linn County, Disabled Adults: Healthy Lifestyle, Exercise, and Nutrition-Mount Zion Baptist Church: Healthy Living and Nutrition-Steps2Health and the Walk with a Doc programMercy Medical Center supports Project Access, a program of Healthy Linn Care Network, a branch of the Linn County Public Health Department. Project Access assists patient who earn 200% FPG or less obtain specialty inpatient and outpatient medical services. Mercy assisted 188 patients obtain these services this fiscal year.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: MERCY HOSPITAL, D/B/A MERCY MEDICAL CENTER (HOSPITAL), IS AN IOWA NOT-FOR-PROFIT CORPORATION. THE HOSPITAL PROVIDES SERVICES FROM ITS FACILITY LOCATED IN CEDAR RAPIDS, IOWA. THE ACCOMPANYING FINANCIAL STATEMENTS INCLUDE THE HOSPITAL'S INTEREST IN THE NET ASSETS OF THE MERCY HOSPITAL ENDOWMENT FOUNDATION, INC., D/B/A MERCY MEDICAL CENTER FOUNDATION (FOUNDATION). THE FOUNDATION WAS ESTABLISHED TO FOSTER SUPPORT AND ENCOURAGE THE ACTIVITIES AND PURPOSES OF THE HOSPITAL.MERCYCARE SERVICE CORPORATION (PARENT), AN IOWA NOT-FOR-PROFIT CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE HOSPITAL. ANOTHER RELATED CORPORATION, MERCY CARE MANAGEMENT, INC. (MCM), IS ALSO CONTROLLED BY THE PARENT. THE FINANCIAL POSITION AND RESULTS OF OPERATIONS OF THE PARENT AND MCM ARE NOT INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS.	AffiliatedHealthCareSystem
Reports Filed With States	IA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (22 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	501(c)(3)	2500000	FOR USE IN CONTINUING OPERATIONS
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	501(c)(3)	132788	FOR USE IN CONTINUING OPERATIONS
AMERICAN DIABETES ASSOCIATION
1026 A AVE NW	CEDAR RAPIDS	IA	52402	131623888	501(c)(3)	10000	GENERAL SUPPORT
AMERICAN CANCER SOCIETY
4080 1st ave ne ste 101	CEDAR RAPIDS	IA	52402	410724036	501(c)(3)	48046	GENERAL SUPPORT
CEDAR RAPIDS HEALTHCARE ALLIANCE
600 7TH ST SE	CEDAR RAPIDS	IA	52401	203178229	501(c)(3)	25000	GENERAL SUPPORT
DIVERSITY FOCUS
205 SECOND STREET SE	CEDAR RAPIDS	IA	52401	203420207	501(c)(3)	21000	GENERAL SUPPORT
ESPECIALLY FOR YOU
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	420698295	501(c)(3)	10000	GENERAL SUPPORT
HEALTHY LINN CARE NETWORK
PO BOX 3026	CEDAR RAPIDS	IA	52406	421106819	501(c)(3)	30000	GENERAL SUPPORT
JUVENILE DIABETES FOUNDATION
1026 A AVENUE NE	CEDAR RAPIDS	IA	52402	231907729	501(c)(3)	10000	GENERAL SUPPORT
JUNIOR ACHIEVEMENT OF EAST CENTRAL IOWA
315 3RD AVENUE SE	CEDAR RAPIDS	IA	52401	420919209	501(c)(3)	10500	GENERAL SUPPORT
LINN COUNTY MEDICAL SOCIETY
813 1ST AVENUE SE	CEDAR RAPIDS	IA	52402	237410746	501(C)(6)	5000	GENERAL SUPPORT
PRIORITY ONE
424 1ST AVENUE NE	CEDAR RAPIDS	IA	52401	420172900	501(C)(6)	20240	GENERAL SUPPORT
WAYPOINT SERVICES FOR WOMEN & CHILDREN
318 5TH STREET SE	CEDAR RAPIDS	IA	52401	420680307	501(c)(3)	5680	GENERAL SUPPORT
ALZHEIMER'S ASSOCIATION OF EAST CENTRAL IOWA
1570 42ND AVENUE NE	CEDAR RAPIDS	IA	52402	421333384	501(c)(3)	6000	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
3220 GREY WOLF	HIAWATHA	IA	52233	135613797	501(c)(3)	7000	GENERAL SUPPORT
BOYS AND GIRLS CLUB OF CEDAR RAPIDS
621 4TH AVENUE SE	CEDAR RAPIDS	IA	52401	421434056	501(c)(3)	37060	DONATED SPACE FOR OPERATIONS
ENTREPRENEURIAL DEVELOPMENT CENTER
230 2ND STREET SE STE 212	CEDAR RAPIDS	IA	52401	421447565	501(C)(6)	20000	CAPITAL CAMPAIGN CONTRIBUTIONS
FOUR OAKS
5400 KIRKWOOD BLVD SW	CEDAR RAPIDS	IA	52404	420998726	501(c)(3)	10000	GENERAL SUPPORT
HORIZONS
819 5TH STREET SE	CEDAR RAPIDS	IA	52401	421135083	501(c)(3)	5000	CAPITAL CAMPAIGN CONTRIBUTIONS
JUNIOR LEAGUE OF CEDAR RAPIDS
2100 1ST AVENUE NE	CEDAR RAPIDS	IA	52402	426060212	501(c)(3)	9000	CORPORATE EVENT SPONSORSHIP
KIDS FIRST
621 4TH AVENUE SE	CEDAR RAPIDS	IA	52401	202199649	501(c)(3)	16296	DONATED SPACE FOR OPERATIONS
YOUNG PARENTS NETWORK
205 12TH STREET SE	CEDAR RAPIDS	IA	52403	421355480	501(c)(3)	53134	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	19	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: ALL CHECKS ARE ISSUED DIRECTLY TO THE ORGANIZATION TO BE USED AT THEIR DISCRETION.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TIM CHARLES
387023	0	58795	0	127904	0	105465	0	8010	0	687197	0	0	0
PHIL PETERSON
248210	0	56560	0	6774	0	42035	0	8004	0	361583	0	0	0
JEFFERY CASH
181013	0	33472	0	22826	0	32003	0	8001	0	277315	0	0	0
BETH HOULAHAN
170039	0	35063	0	5864	0	20342	0	8001	0	239309	0	0	0
KARL KEELER
191580	0	31014	0	11412	0	34855	0	8002	0	276863	0	0	0
KATHY KRUSIE
182173	0	37429	0	32585	0	53134	0	8001	0	313322	0	0	0
DR MARK VALLIERE
310189	0	63731	0	6614	0	29513	0	8007	0	418054	0	0	0
LARRY DONALDSON
171719	0	11760	0	7060	0	50835	0	8001	0	249375	0	0	0
HUI LI
235590	0	0	0	100	0	16222	0	8074	0	259986	0	0	0
DESMOND WATERS
146871	0	6672	0	0	0	691	0	8074	0	162308	0	0	0
PENNY GLANZ
122971	0	5803	0	25295	0	10227	0	8074	0	172370	0	0	0
SUSAN VANGORDEN
118034	0	0	0	16975	0	9215	0	8074	0	152298	0	0	0
A JAMES TINKER
0	0	0	0	121777	26000	0	0	0	0	121777	26000	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

TRAVEL FOR COMPANIONS AND HEALTH OR SOCIAL CLUB DUES: LIMITED TRAVEL FOR COMPANIONS AND HEALTH AND SOCIAL CLUB DUES ARE PAID BY THE ORGANIZATION ON BEHALF OF TOP MANAGEMENT. THESE AMOUNTS ARE INCLUDED IN REPORTABLE COMPENSATION AS REPORTED ON FORM 990, PART VII AND SCHEDULE J, PART II.

Part I, Line 4a

THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND RECEIVED A DISTRIBUTION IN 2009: A. JAMES TINKER - $81,411 AND CAROL WATSON - $3,457. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2009: PHILIP PETERSON - $17,375, BETH HOULAHAN - $11,903, TIMOTHY CHARLES - $85,795, MARK VALLIERE - $21,713, KATHLEEN KRUSIE - $12,752, KARL KEELER - $21,165, LARRY DONALDSON - $12,020, AND JEFFREY CASH - $16,390. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY THE ORGANIZATION ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0	0.00000	0.00000	0.00000	1
0	0	0	0	0	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

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

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	TIMOTHY CHARLES	NamePerson
Purpose Of Loan	PERSONAL	PurposeOfLoan
Loan From Organization	X	LoanFromOrganization
Original Principal	$75,000	OriginalPrincipalAmount
Balance Due	54911	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	54911	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
ALLIANT ENERGY
ENTITY IN WHICH ELIOT PROTSCH, A BOARD MEMBER, IS AN OFFICER.	1616623	ALLIANT ENERGY PROVIDES UTILITY SERVICES TO MERCY MEDICAL CENTER.	0
BARBARA PROTSCH
BARBARA PROTSCH IS THE WIFE OF ELIOT PROTSCH, A BOARD MEMBER FOR MMC.	64619	COMPENSATION	0

Schedule M IRS990ScheduleM

Securities Prtnrshp Trust Intrsts SecuritiesPrtnrshpTrustIntrsts

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	791731	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	1	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Method for Determining Number of Contributors:	Identifier
Return Reference	Part I, Column (b):	ReturnReference
Explanation	THE ORGANIZATION IS REPORTING BOTH THE NUMBER OF CONTRIBUTIONS RECEIVED AND THE NUMBER OF CONTRIBUTORS ON LINE 11, COLUMN B.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section A, line 6	THE SOLE MEMBER OF MERCY MEDICAL CENTER IS MERCYCARE SERVICE CORPORATION, AN IOWA NONPROFIT CORPORATION. THE SOLE MEMBER HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
Form 990, Part VI, Section A, line 7a	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE EXCLUSIVE POWER TO APPOINT, AFTER CONSIDERATION OF ANY RECOMMENDATIONS FROM THE CORPORATION'S BOARD OF TRUSTEES, ANY TRUSTEE TO THE CORPORATION'S BOARD AND TO REMOVE ANY TRUSTEE FROM THE CORPORATION'S BOARD AT ANY TIME FOR ANY REASON.
Form 990, Part VI, Section A, line 7b	AS THE SOLE MEMBER OF MERCY MEDICAL CENTER, MERCYCARE SERVICE CORPORATION HAS THE POWER TO APPROVE THE FOLLOWING ACTIONS: 1. AMEND, REPEAL, OR RESTATE THE ARTICLES OF INCORPORATION; 2. ANY MATTER DIRECTLY RELATED TO THE RELIGIOUS PRINCIPLES AND MORAL PHILOSOPHY OF THE SISTERS OF MERCY; 3. ADOPT OR CHANGE THE PHILOSOPHY AND MISSION OF THE CORPORATION; 4. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION, AND MERGER OR CONSOLIDATION OF THE CORPORATION WITH ANOTHER ENTITY; 5. DISSOLUTION OF THE CORPORATION; 6. ADOPTION OR AMENDMENT TO LONG-TERM STRATEGIC PLANS; 7. ADOPTION OR AMENDMENT TO ANNUAL CAPITAL OR OPERATING BUDGETS; AND 8. APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION.
Form 990, Part VI, Section B, line 11	THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE (SUBCOMMITTEE OF THE BOARD OF TRUSTEES) PRIOR TO FILING THE FORM. THE COMMITTEE IS PROVIDED WITH GENERAL BACKGROUND INFORMATION REGARDING THE FORM 990, AND THE FORM ITSELF (INCLUDING ATTACHMENTS) IS REVIEWED. UPON REQUEST, THE TAX RETURN WILL BE AVAILABLE FOR REVIEW BY THE BOARD OF TRUSTEES. MEMBERS OF THE EXECUTIVE COMMITTEE AND MANAGEMENT ARE AVAILABLE TO ANSWER QUESTIONS FROM THE TRUSTEES ON THE RETURN.
Form 990, Part VI, Section B, line 12c	THE ORGANIZATION REQUIRES ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES, AS WELL AS EACH EMPLOYEE TO DISCLOSE ANY INTEREST IN, OBLIGATION OR DUTY TO, OR ACTIVITY FOR ANY CONCERN IN WHICH A DIRECTOR, OFFICER, KEY EMPLOYEE, OR EMPLOYEE OR THEIR FAMILY MEMBER MAY BE INVOLVED THAT: MIGHT CREATE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR MIGHT HAVE THE APPEARANCE OF ADVERSELY AFFECTING THE DIRECTOR'S, OFFICER'S, KEY EMPLOYEE'S, OR EMPLOYEE'S JUDGMENT OR ACTIONS IN PERFORMING HIS/HER DUTIES TOWARDS MERCY. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES SHALL FILE AN INITIAL CONFLICT OF INTEREST REPORT UPON HIRE AND SHALL BE REQUIRED TO FILE AN UPDATED REPORT IMMEDIATELY IF ANY CHANGES OCCUR WHICH RESULT IN A CONFLICT OF INTEREST OR FINANCIAL INTEREST. ALL DIRECTORS, OFFICERS, KEY EMPLOYEES, AND EMPLOYEES (SUPERVISOR AND ABOVE), PHYSICIANS, AND ANY EMPLOYEE IN A POSITION TO INFLUENCE A PURCHASE DECISION SHALL RE-SUBMIT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, WITH ANY NECESSARY CHANGES, EACH YEAR AND IMMEDIATELY IF ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE. ALL BOARD MEMBERS SHALL SUBMIT IN WRITING A CONFLICT OF INTEREST DISCLOSURE STATEMENT LISTING ALL FINANCIAL AND CONFLICTING INTERESTS. THE STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR AND AS ANY ADDITIONAL CONFLICTING OR FINANCIAL INTEREST ARISE.
Form 990, Part VI, Section B, line 15	COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT IS SET BY THE COMPENSATION COMMITTEE. THE COMMITTEE USES RSM MCGLADREY, INC. FOR THE REVIEW OF SALARIES AND COMPARES THEM TO COMPARABLE ENTITIES IN THE REGION. THIS PROCESS WAS LAST COMPLETED ON SEPTEMBER 10, 2010.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 2C	MERCY MEDICAL CENTER'S GOVERNING BOARD ENGAGES THE INDEPENDENT ACCOUNTANTS TO PERFORM THE AUDIT. IN ADDITION, THE AUDITORS REVIEW THE MANAGEMENT LETTER WITH THE GOVERNING BOARD.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Direct Controlling Entity NADirectControllingEntityNA
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION INC
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	510233180	FUNDRAISING FOR MERCY MEDICAL CENTER	IA	501(C)(3)	11B/II	MERCY MEDICAL CENTER
MERCYCARE SERVICE CORPORATION
701 10TH STREET SE	CEDAR RAPIDS	IA	52403	421199429	HEALTHCARE OVERSIGHT	IA	501(C)(3)	11C/III-FI		N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN	421260463	EIN
Primary Activity	MEDICAL IMAGING	PrimaryActivity
Legal Domicile State	IA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Predominant Income Type	RELATED	PredominantIncomeType
Share Of Total Income	1389329	ShareOfTotalIncome
Share Of EOY Assets	2304142	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MERCY CARE MANAGEMENT INC
PO BOX 786	CEDAR RAPIDS	IA	52406	421198970	MEDICAL CLINICS	IA	MERCYCARE SERVICE CORPORATION	C	3332471	80918807	1.00000
MERCY PHYSICIANS ASSOCIATES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442443	MEDICAL SERVICES	IA	MERCY CARE MANAGEMENT INC	C	16933838	134693616	1.00000
MERCY PHYSICIAN SERVICES (SUB OF MERCY CARE MANAGEMENTINC)
PO BOX 786	CEDAR RAPIDS	IA	52406	421442442	SUPPORT SERVICES	IA	MERCY CARE MANAGEMENT INC	C	-23596466	18968108	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
B	132788
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
C	2338686
MERCYCARE SERVICE CORPORATION
B	2500000
MERCY CARE MANAGEMENT INC
A	456000
MERCYCARE SERVICE CORPORATION
C	307056
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
P	439228
MERCY HOSPITAL CEDAR RAPIDS IA ENDOWMENT FOUNDATION
I	1