CATHOLIC HEALTH INITIATIVES-IOWA CORP: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTH INITIATIVES-IOWA CORP (EIN 42-0680448)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-11
IRS object ID: 201141319349302524
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-11T17:22:30-05:00	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	CATHOLIC HEALTH INITIATIVES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	198 INVERNESS DRIVE WEST	AddressLine1
City	ENGLEWOOD	City
State	CO	State
ZIP Code	80112	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	420680448	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Medical Center - Des Moines	BusinessNameLine1
Business Name Line2	A/K/A CHI-IOWA CORP	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	MERC	NameControl
Phone	5156437218	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1111 6TH AVENUE	AddressLine1
City	DES MOINES	City
State	IA	State
ZIP Code	50314	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Steven Kukla	Name
Title	SVP/CFO	Title
Date Signed	2011-05-10	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MARK STOCKI	Name
Phone	7208741500	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	David H Vellinga	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1111 6TH AVENUE	AddressLine1
City	DES MOINES	City
State	IA	State
ZIP Code	50314	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	691447105	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c	X	Organization501c
Web Site	WWW.MERCYDESMOINES.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1965	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	CHI-Iowa Corp is a not-for-profit Catholic healthcare organization creating healthier communities through the operation of a 917-bed acute care hospital.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	6501	TotalNbrEmployees
Total Nbr Volunteers	1000	TotalNbrVolunteers
Total Gross UBI	352528	TotalGrossUBI
Contributions Grants Prior Year	1370102	ContributionsGrantsPriorYear
Contributions Grants Current Year	1682618	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	575070611	ProgramServiceRevenuePriorYear
Program Service Revenue CY	652237109	ProgramServiceRevenueCY
Investment Income Prior Year	-4744747	InvestmentIncomePriorYear
Investment Income Current Year	15519256	InvestmentIncomeCurrentYear
Other Revenue Prior Year	21178058	OtherRevenuePriorYear
Other Revenue Current Year	22008122	OtherRevenueCurrentYear
Total Revenue Prior Year	592874024	TotalRevenuePriorYear
Total Revenue Current Year	691447105	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	13418553	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	27978996	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	251010417	SalariesEtcPriorYear
Salaries Etc Current Year	302924095	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	130634	TotalFundrsngExpCurrentYear
Other Expense Prior Year	294897348	OtherExpensePriorYear
Other Expenses Current Year	320570109	OtherExpensesCurrentYear
Total Expenses Prior Year	559326318	TotalExpensesPriorYear
Total Expenses Current Year	651473200	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	33547706	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	39973905	RevenuesLessExpensesCY
Total Assets BOY	690897937	TotalAssetsBOY
Total Assets EOY	706333263	TotalAssetsEOY
Total Liabilities BOY	268515739	TotalLiabilitiesBOY
Total Liabilities EOY	230227474	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	422382198	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	476105789	NetAssetsOrFundBalancesEOY
Mission Description	The organization's mission is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	619249009	Expense
Grants	27978996	Grants
Revenue	652237109	Revenue
Description	SEE SCHEDULE O	Description
Total Program Service Expense	619249009	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	6501	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Randall L Rubin	NamePerson
Telephone Number	5156437860	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1111 6th Avenue	AddressLine1
City	Des Moines	City
State	IA	State
ZIP Code	50314	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Reportable Comp From OrganizationReportableCompFromOrganization	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Steven Chapman
Chairman	1.0	X	X
Joyce Chapman
Director	1.0	X
Carolyn Coffey RSM
Director	1.0	X
Diana Diebler
Director	1.0	X
Kyle Galles MD
Director	1.0	X
Joseph Garcia
Director	1.0	X
Daniel Houston
Director	1.0	X
Corita Heid RSM
Director	1.0	X
Sharon Krause
Director	1.0	X
Kevin Prust
Director	1.0	X
Suku Radia
Vice Chairman	1.0	X	X
Michael Rowan
Director/COO EVP	1.0	X		1315743	184636
Theresa Wahlig MD
Secretary/Treasurer	1.0	X	X
William Wickemeyer MD
Director	1.0	X
William Young MD
Director	1.0	X				56626
David Vellinga
PRESIDENT CEO	40.0	X	X	794758	86636
Steve Kukla
SR VP & CFO	40.0		X		42510	454086
Daniel Aten
Senior Vice President	40.0				37610	404811	X
Leanne Drobnich
SR VP & ADMIN MCAP	40.0				37602	277180	X
Jacqueline Frost-Kunnen
SR VP HOSPITAL OPERATIONS	40.0				34030	457352	X
Joseph Levalley
SR VP PLANNING	40.0				44022	376840	X
Robyn Wilkinson
SR VP & CHIEF HR OFFICER	40.0				51416	328077	X
PHILIP COLLETIER
PHYSICIAN	40.0				43034	610376		X
Richard Deming
PHYSICIAN	40.0				30393	673816		X
Joseph Hwang
PHYSICIAN	40.0				42810	701850		X
John Martens
PHYSICIAN	40.0				43871	611706		X
Neil Mandsager
PHYSICIAN	40.0				42517	703550		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	5656270	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	2110501	TotalReportableCompFrmRltdOrgs
Total Other Compensation	721087	TotalOtherCompensation
Number Individuals GT100 K	159	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Pathology Associates of Central Iow
1111 6th Avenue	Des Moines	IA	503142610	Physician services	2192794
Iowa Orthopaedic Center PC
PO Box 1736	Des Moines	IA	503051736	Physician services	2144129
Ameritex Services
1321 S 20th St	Omaha	NE	681083406	Laundry services	1543049
RCG Des Moines Acute
PO Box 849976	Dallas	TX	752849976	Dialysis services	1462809
Medical Center Anesthesiologists
411 Laurel Suite 3170	Des Moines	IA	503143005	Physician services	1429811

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Related Organizations	822578	RelatedOrganizations
Government Grants	5292	GovernmentGrants
All Other Contributions	854748	AllOtherContributions
Total Contributions	1682618	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Services	900099	645894947	645894947
Equity changes of unconsolidated orgs	900099	3972178	3972178
Program Service Revenue	900099	2369984	2369984

Field	Value	IRS element (for citing)
Total Program Service Revenue	652237109	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4797492	TotalRevenueColumn
Unrelated Business Revenue	537	UnrelatedBusinessRevenue
Exclusion	$4,796,955	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	89726	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	89726	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	89726	TotalRevenueColumn
Exclusion	$89,726	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	5005090	Securities
Other	5716674	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5005090	Securities
Other	5716674	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	10721764	TotalRevenueColumn
Exclusion	$10,721,764	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
Pharmacy Services	446110	7287858	$7,287,858
Laboratory Services	621500	3524392	$3,172,401	351991
Cafeteria	722100	2870407	$2,870,407

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8235739	TotalRevenueColumn
Exclusion	$8,235,739	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	21918396	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	691447105	TotalRevenueColumn
Related Or Exempt Function Income	652237109	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	352528	UnrelatedBusinessRevenue
Exclusion	$37,174,850	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	27978996	Total
Program Services	27978996	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2612677	Total
Program Services	933249	ProgramServices
Management And General	1548794	ManagementAndGeneral
Fundraising	130634	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	240728590	Total
Program Services	232958792	ProgramServices
Management And General	7769798	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	11996140	Total
Program Services	11523679	ProgramServices
Management And General	472461	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30842133	Total
Program Services	29484746	ProgramServices
Management And General	1357387	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16744555	Total
Program Services	16183826	ProgramServices
Management And General	560729	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15000	Total
Management And General	15000	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	70747904	Total
Program Services	67607499	ProgramServices
Management And General	3140405	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	137027488	Total
Program Services	136172554	ProgramServices
Management And General	854933	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14885501	Total
Program Services	14625113	ProgramServices
Management And General	260388	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1317233	Total
Program Services	1171157	ProgramServices
Management And General	146076	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	94747	Total
Program Services	40845	ProgramServices
Management And General	53903	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	7850655	Total
Program Services	7850655	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	13676028	Total
Management And General	13676028	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	29147437	Total
Program Services	29006955	ProgramServices
Management And General	140482	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5862246	Total
Program Services	5829122	ProgramServices
Management And General	33124	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Bad debts	25948825	25948825
Repairs and maintenance	10580760	10082136	498624
Dues & subscriptions	1062760	574393	488367
Recruitment and relocation	458036	307269	150767
INCOME/SALES/PROPERTY TAXES	461694	461694

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1433794	Total
Program Services	507504	ProgramServices
Management And General	926291	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	651473200	Total
Program Services	619249009	ProgramServices
Management And General	32093557	ManagementAndGeneral
Fundraising	130634	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	18792	BOY
EOY	20005	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	23324210	BOY
EOY	24624375	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	112969704	BOY
EOY	103972757	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2834302	BOY
EOY	2823795	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	11320967	BOY
EOY	14600012	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2731723	BOY
EOY	3220918	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	677808928	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	324233891	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	349491439	BOY
EOY	353575037	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	171379589	BOY
EOY	179259373	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	5452485	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16827211	BOY
EOY	18784506	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	690897937	BOY
EOY	706333263	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	88904397	BOY
EOY	59714886	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	409846	BOY
EOY	500899	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	179201496	BOY
EOY	170011689	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	268515739	BOY
EOY	230227474	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	422382198	BOY
EOY	476105789	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	422382198	BOY
EOY	476105789	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	690897937	BOY
EOY	706333263	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Certification Checkbox	X	CertificationCheckbox

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)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Mailings Members	$1,000	MailingsMembersAmount
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$95,368	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	96368	TotalLobbyingExpendituresIIB
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	990 Sch C Supplemental	Identifier
Return Reference	Lobbying Activities Explanation	ReturnReference
Explanation	1b. A paid staff member spends a portion of their time coordinating lobbying activities; 1d) sponsored card and letter writing campaigns concerning proposed healthcare legislation; 1f) Pay dues to healthcare industry groups, a portion of which is identified as lobbying. Dues were paid to the Iowa Hospital Association of $137,199.50 of which $32,516.28 was lobbying, Polk County Medical Society of $17,645 of which $1,940.95 was lobbying, Iowa Alliance in Home Care of $3,125 of which $312.50 was lobbying and Iowa Assn of Homes & Services for the Aging of $945 of which $94.50 was lobbying. This also includes $46,000 as a portion of Mercy Health Network lobbying expenses, $6,059 to Catholic Hospital Association and $8,445 to American Hospital Association.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19456428	OtherCostOrOtherBasis
Book Value	19456428	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	387642717	OtherCostOrOtherBasis
Depreciation	142548935	Depreciation
Book Value	245093782	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	25163606	OtherCostOrOtherBasis
Depreciation	18692611	Depreciation
Book Value	6470995	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	245546177	OtherCostOrOtherBasis
Depreciation	162992346	Depreciation
Book Value	82553832	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	353575037	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CHI INVESTMENT PROGRAM, LP	Description
Book Value	179259373	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	179259373	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
CHI DEBT PROGRAM	$169,097,949
ENVIRONMENTAL REMEDIATION LIABILITY	$528,680
MISCELLANEOUS PAYABLES	$381,000
UNCLAIMED PROPERTY	$4,060

Field	Value	IRS element (for citing)
Total Of Amounts	170011689	TotalOfAmounts
Total Revenue	691447105	TotalRevenue
Total Expenses	651473200	TotalExpenses
Excess Or Deficit For Year	39973905	ExcessOrDeficitForYear
Net Unrealized GL On Investments	13299080	NetUnrealizedGLOnInvestments
Other	$450,605	OtherAmount
Total Adjustments	13749685	TotalAdjustments
Excess Or Deficit Per FS	53723590	ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Schedule D, Part X	FIN48 Footnote (Now known as ASC 740)	Mercy Medical Center, Inc aka CHI Iowa Corporation's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 footnote for the year ended June 30, 2010 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements."
Form 990, Schedule D, Part XIV	Detailed other changes in net assets	Other changes in net assets: ($ 5,363,808) Capital Resource Pool 800,000 CHI Connect Depreciation 1,336,800 Heart Partners equity beginning balance 757,253 Heart Partners equity additional paid in capital 12,400,140 Mercy West Endoscopy beginning balance ( 10,141,969) Mercy West Endoscopy additional paid in capital 662,189 CyberKnife, LLC additional paid in capital $ 450,605 Total - Schedule D, Part XI, Line 8

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	false	FPGReferenceFreeCare
FPG Reference Discounted Care	false	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9585364	TotalCommunityBenefitExpense
Net Community Benefit Expense	9585364	NetCommunityBenefitExpense
Percent Of Total Expense	0.01530	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13046845	TotalCommunityBenefitExpense
Net Community Benefit Expense	13046845	NetCommunityBenefitExpense
Percent Of Total Expense	0.02090	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22632209	TotalCommunityBenefitExpense
Net Community Benefit Expense	22632209	NetCommunityBenefitExpense
Percent Of Total Expense	0.03620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	60	NumberOfActivitiesOrPrograms
Persons Served	2094661	PersonsServed
Total Community Benefit Expense	500574	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9375	DirectOffsettingRevenue
Net Community Benefit Expense	491199	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	10	NumberOfActivitiesOrPrograms
Persons Served	339	PersonsServed
Total Community Benefit Expense	12467	TotalCommunityBenefitExpense
Net Community Benefit Expense	12467	NetCommunityBenefitExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	62150	PersonsServed
Total Community Benefit Expense	1888567	TotalCommunityBenefitExpense
Net Community Benefit Expense	1888567	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	22	NumberOfActivitiesOrPrograms
Persons Served	56444	PersonsServed
Total Community Benefit Expense	363190	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7612	DirectOffsettingRevenue
Net Community Benefit Expense	355578	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	97	NumberOfActivitiesOrPrograms
Persons Served	2213594	PersonsServed
Total Community Benefit Expense	2764798	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16987	DirectOffsettingRevenue
Net Community Benefit Expense	2747811	NetCommunityBenefitExpense
Percent Of Total Expense	0.00440	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	97	NumberOfActivitiesOrPrograms
Persons Served	2213594	PersonsServed
Total Community Benefit Expense	25397007	TotalCommunityBenefitExpense
Direct Offsetting Revenue	16987	DirectOffsettingRevenue
Net Community Benefit Expense	25380020	NetCommunityBenefitExpense
Percent Of Total Expense	0.04060	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	210	PersonsServed
Total Community Building Expense	1216	TotalCommunityBuildingExpense
Net Community Building Expense	1216	NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Total Community Building Expense	191	TotalCommunityBuildingExpense
Net Community Building Expense	191	NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	75	PersonsServed
Total Community Building Expense	4770	TotalCommunityBuildingExpense
Net Community Building Expense	4770	NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	4019	PersonsServed
Total Community Building Expense	875	TotalCommunityBuildingExpense
Net Community Building Expense	875	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	4304	PersonsServed
Total Community Building Expense	7052	TotalCommunityBuildingExpense
Net Community Building Expense	7052	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$25,948,825	BadDebtExpenseAmount
Amount Reimbursed By Medicare	177763300	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	199423354	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-21660054	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	Not Applicable	BusinessNameLine1

Form990 Schedule H Part V Form990ScheduleHPartV (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
Des Moines Medical Center
1111 6th Avenue	Des Moines	IA	50314	X	X	X
Mercy Franklin Center
1818 48th Street	Des Moines	IA	50310				Behaviorial Health
Mercy Medical Center - Westlakes
1601 60th Street	West Des Moines	IA	50266	X	X	X
Mercy North Ambulatory Surgery Center
800 E First Street	Ankeny	IA	50021				Ambulatory Hlth Care
Mercy West Endoscopy
1601 NW 114th Street	Clive	IA	50325				Ambulatory Hlth Care
Mercy Terrace Hill Surgery Center
3200 Grand Avenue	Des Moines	IA	50312				Ambulatory Hlth Care
West Lakes Surgery Center
12499 University Avenue	Clive	IA	50325				Ambulatory Hlth Care
Mercy Therapeutic Radiology
1111 6th Avenue	Des Moines	IA	50314				Physician Office
Perinatal Center of Iowa
330 Laurel Street	Des Moines	IA	50314				Physician Office
Renal Care Group Des Moines
6651 SW 9th Street	Des Moines	IA	50315				Chronic Dialysis
Mercy Riverside Rehabilitation Center
730 E 2nd Street	Des Moines	IA	50316				Rehabilitation Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	If applicable, describe the income-based criteria for determining eligibility for free or discounted care under the organization's charity care policy. Also describe whether the organization uses the asset test or other threshold regardless of income to determine eligibility for free or discounted care. When Catholic Health Initiatives (the parent organization to CHI Iowa Corp) established its charity care policy it was determined that establishing a household income scale based on the HUD very low income guidelines more accurately reflects the socioeconomic dispersions among the urban and rural communities in 20 states served by CHI hospitals and health care facilities. In comparing HUD guidelines to the Federal Poverty Guidelines (FPG), we find that on average HUD guidelines compute to approximately 200% to 250% (and sometimes 300%) of FPG. CHI Iowa, Corp bases its charity care eligibility on HUD's 130% of Very Low Income Guidelines based on geography, and affords the uninsured and underinsured the ability to obtain charity care write-offs, based on a sliding scale, ranging from 25%-100% of charges. An individual's income under the HUD guidelines is a significant factor in determining eligibility for charity care. However, in determining whether to extend discounted or free care to a patient, the patient's assets may also be taken into consideration. For example, a patient suffering a catastrophic illness may have a reasonable level of income, but a low level of liquid assets such that the payment of medical bills would be seriously detrimental to the patient's basic financial (and ultimately physical) well-being and survival. Such a patient may be extended discounted or free-care based upon the facts and circumstances.	IncomeBasedCriteria
Annual Community Benefit Expln	If the organization's community benefit report is contained in a report prepared by a related organization, rather than a separate report prepared by the organization, identify the related organization. CHI Iowa Corp prepares its own annual written community benefit report. Its community benefit report is not contained in that of a related organization.	AnnualCommunityBenefitExpln
Costing Method Used	Provide an explanation of the costing methodology used to calculate the amounts reported in the table. If a cost accounting system was used, indicate whether the cost accounting system addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured or self pay). Also indicate whether a cost-to-charge ratio was used for any of the figures reported in the table. Describe whether this cost-to-charge ratio was derived from Worksheet 2, and, if not, what kind of cost-to-charge ratio was used and how it was derived. If some other costing methodology was used besides a cost accounting system, cost-to-charge ratio, or a combination of the two, describe the method used. A cost accounting system was not used to compute amounts in the table; rather costs in the table were computed using the organization's cost-to-charge ratio. The cost-to-charge ratio covers all patient segments. Costs in the table were computed using the organization's cost to charge ratio that covers all patient segments. The cost-to-charge ratio for the year ended 6/30/10 was computed using the following formula: Operating expense (before restructuring, impairment and other losses) divided by gross patient revenue. Based on that formula, $583,034,217/$1,795,285,433 results in a 32.48% cost-to-charge ratio. Worksheet 2 was not used to derive the cost-to-charge ratio.	CostingMethodUsed
Subsidized Health Services Expln	To the extent that an organization includes any costs associated with physician clinics as subsidized health services in Part I, line 7g it must describe that it has done so and report in Part VI such costs included in part I, line 7g, line 1. There are no physician clinics included in subsidized health services.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	If applicable, state the bad debt expense included on Form 990 Part IX, line 25, column (A) but subtracted for purposes of calculating the percentage in this column. Total bad debt expense reported on Form 990 Part IX, line 25, Column A was $ 25,948,825.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Provide the rationale and the costing methodology used to determine the amount reported in Part III lines 2 and 3. Describe how the organization accounts for discounts and payments on patient accounts in determining bad debt expense. Also describe the method the organization uses to determine the amount that reasonably could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information has been available to make a determination as to their eligibility. Also, provide if applicable, the text of the footnote to the organization's financial statements that describes bad debt expense. If the organization's financial statements include a footnote on these issues that also includes other information, report only the relevant portions of the footnote. If the organization's financial statements do not contain such a footnote, state that the organization's financial statements do not include such a footnote and explain how the financial statements account for bad debt, if at all. Costing methodology for amounts reported on line 2 is determined using the organization's cost/charge ratio of 32.48% (attributable to CHI Iowa). When discounts are extended to self-pay patients, these patient account discounts are recorded as a reduction in revenue, not as a bad debt expense. CHI Iowa does not believe that any portion of bad debt expense could reasonably be attributed to patients who qualify for financial assistance since amounts due from individuals' accounts will be reclassified from bad debt expense to charity care within 30 days following the date the patient is determined to qualify for charity care. CHI Iowa's consolidated audited financial statements include the following footnote concerning bad debt expense. "The provision for bad debts is based upon management's assessment of historical and expected net collections considering historical business and economic conditions, trends in health care coverage, and other collection indicators. Management periodically assesses the adequacy of the allowances for uncollectible accounts based upon historical write-off experience by payor category. The results of this review are then used to make any modifications to the provision for bad debts to establish an appropriate allowance for uncollectible net patient accounts receivable. After satisfaction of amounts due from insurance, the Corporation follows established guidelines for placing certain patient balances with collection agencies, subject to the terms of certain restrictions on collection efforts as determined by the Corporation.	BadDebtFootnote
Shortfall As Community Benefit	Describe the costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare Cost Report, as reflected in the amount reported in Part III, line 6. Describe, if applicable, the extent to which any shortfall reported in Part III, line 7 should be treated as a community benefit, and the rationale for the organization's position. Using essentially the same Medicare cost report principles as to the allocation of general services costs and "apportionment" methods, the "CHI Workbook" calculates a payers gross allowable costs by service (so as to facilitate a corresponding comparison between gross allowable costs and ultimate payments received). The term "gross allowable costs" means costs before any deductibles or co-insurance are subtracted, although CHI Iowa Corporations's ultimate reimbursement will be reduced by any applicable copayment/deductible. Where Medicare is the secondary insurer, amounts due from the insured's primary payer were not subtracted from Medicare allowable costs because the amounts are typically immaterial. Further, although not presented on the Medicare cost report, and in order to facilitate a more accurate for the understanding of the "true" cost of services (for "shortfall" purposes) the CHI Workbook allows a health care facility not to offset costs that Medicare considers to be non-allowable, but for which the facility can legitimately argue are related to the care of the facility's patients. In addition, although not reportable on the Medicare cost report, the CHI Workbook includes the cost of services that are paid via a set fee-schedule rather than being reimbursed based on costs (e.g. outpatient clinical laboratory). Finally, the CHI Workbook allows a facility to include other health care services performed by a separate facility (such as a physician practice) that are maintained on separate books and records (as opposed to the main facility's books and records which has its costs of service included within a cost report). CHI Iowa believes that excluding Medicare losses makes the overall community benefit report more credible for these reasons: Unlike subsidized areas such as burn units or behavioral-health services, Medicare is not a differentiating feature of tax-exempt health care organizations. In fact, for-profit hospitals focus on attracting patients with Medicare coverage, especially in the case of well-paid services that include cardiac and orthopedics. Significant effort and resources are devoted to ensuring that hospitals are reimbursed appropriately by the Medicare program. The Medicare Payment Advisory Commission (MedPAC), and independent Congressional agency, carefully studies Medicare payment and the access to care that Medicare beneficiaries receive. The commission recommends payment adjustments to Congress accordingly. Though Medicare losses are not included by Catholic hospitals as community benefit, the Catholic Health Association guidelines allow hospitals to count as community benefit some programs that specifically serve the Medicare population. For instance, if hospitals operate programs for patients with Medicare benefits that respond to identified community needs, generate losses for the hospital, and meet other criteria, these programs can be included in the CHA framework in Category C as "subsidized health services." Medicare losses are different from Medicaid losses, which are counted in the CHA community benefit framework, because Medicaid reimbursements generally do not receive the level of attention paid to Medicare reimbursement. Medicaid payment is largely driven by what states can afford to pay.	ShortfallAsCommunityBenefit
Debt Collection Policy	If the organization has a written debt collection policy and answered "yes" to Part III, line 9b, describe the collection practices set forth in the policy that apply to patients who it knows qualify for charity care or financial assistance, whether or not such practices apply specifically to such patients or more broadly to also cover other types of patients. CHI Iowa's debt collection policy provides that CHI Iowa will perform a reasonable review of each inpatient account prior to turning an account over to a third-party collection agent and prior to instituting any legal action for non-payment, to assure that the patient and patient guarantor are not eligible for any assistance program (e.g. Medicaid) and do not qualify for coverage through CHI Iowa community assistance policy. After having been turned over to a third-party collection agent, any patient account that is subsequently determined to meet the CHI Iowa community assistance policy is required to be returned immediately by the third-party collection agent to CHI Iowa for appropriate follow-up. CHI Iowa requires its third-party collection agents to include a message on all statements indicating that if a patient of patient guarantor meets certain stipulated income requirements, the patient or patient guarantor may be eligible for financial assistance. All of Catholic Health Initiatives' hospital contracts with third party collection agencies include the following standards: Neither CHI hospitals nor their collection agencies will request bench or arrest warrants as a result of non-payment; Neither CHI hospitals nor their collection agencies will seek liens that would require the sale or foreclosure of a primary residence; and No Catholic Health Initiatives' collection agency may seek court action without hospital approval. Finally, collection agencies are trained on the Catholic Health Initiatives Mission, Core Values and Standard of Conduct to make sure all patients are treated with dignity and respect.	DebtCollectionPolicy
Number Of Facility Type Expln	List the number of each type of facility, other than those required to be licensed, registered or similarly recognized as a health care facility under state law (for example, 2 rehabilitation clinics, 4 diagnostic centers, 3 skilled nursing facilities, etc) NOT APPLICABLE	NumberOfFacilityTypeExpln
Needs Assessment	Describe how the organization assesses the health care needs of the communities it serves. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). INTRODUCTION: I. Organization's Mission, Vision, and Tax-Exempt Purpose Mission The Mission of Catholic Health Initiatives is to nurture the healing ministry of the Church by bringing it new life, energy and viability in the 21st century. Fidelity to the Gospel urges us to emphasize human dignity and social justice as we move toward the creation of healthier communities. Values - Reverence - Integrity - Compassion - Excellence Mercy Medical Center is strongly committed to diversity at all levels of the Mercy organization and in our community. Our mission, values and traditions firmly embrace inclusion, acceptance and compassion. Mercy is actively participating and responding to the unique and diverse needs of its patients, families, visitors, students and employees. - Mercy Medical Center - Des Moines is a 802-bed acute care, not-for-profit Catholic hospital situated on three campuses. - Mercy is Des Moines' longest continually operating hospital, founded by the Sisters of Mercy in 1893. - Mercy is one of the largest employers in the state, with more than 6,600 employees and a medical staff of more than 950 physicians and allied health professionals. - Mercy is one of the Midwest's largest referral centers, offering a variety of specialty services that are unique to Iowa and the region. - Mercy's areas of excellence include heart and heart surgical services, cancer services, birthing, neonatology, pediatric services, emergency and trauma services, medical imaging, surgery, women's health services, critical care, neurology, brain and spine services, rehabilitation services, orthopedics, behavioral medicine and a wide array of specialty and outpatient services. - Mercy is a member organization of Catholic Health Initiatives, headquartered in Denver, Colorado. Mercy is also a member of Mercy Health Network (a network of hospitals and health care organizations created through a partnership between Catholic Health Initiatives and Trinity Health, headquartered in Novi, Michigan). - Mercy is accredited by The Joint Commission - a seal of approval that indicates Mercy meets strict performance standards, provides high quality patient care and demonstrates accountability in the rapidly changing field of health care. - Mercy maintains a network of critical access hospitals and health care facilities (Mercy Health Network - Central Iowa) in 18 central Iowa communities, including Des Moines. The hospital's services are provided to the community on a non-discriminatory basis and include an emergency room that is open to all persons regardless of ability to pay. The hospital is governed by a board in which independent persons representative of the community comprise the majority. The hospital participates in government-sponsored health care programs like Medicaid and Medicare. The hospital sponsors the training and education of health care professionals through a physician residency program and support of the wholly-owned subsidiary, Mercy College of Health Sciences. The hospital is included in the Official Catholic Directory as a tax-exempt hospital. II. Community Benefit Approach Improving Quality of Life in the Communities We Serve Mercy Medical Center - Des Moines has a long-standing tradition of providing excellent health care to all people. We are equally committed to improving the quality of life in the communities we serve by partnering with individuals, organizations and elected officials to anticipate, identify and meet the changing health needs of central Iowans. As we work to transform health care delivery, we honor the legacy of the Sisters of Mercy, who founded Mercy Medical Center in 1893, and we keep their sacred promise to central Iowa's most vulnerable populations - including the economically disadvantaged, those who lack access to health care and health care education, the elderly and children. Care for the Uninsured and Underinsured More than 250,000 Iowans are uninsured. Of this number, nearly 50,000 are children. Mercy has always been committed to treating every patient who comes to us in need with dignity, compassion and respect - without regard to their financial circumstances. Through contributions to community health programs and our "Fulfilling the Mission" project - a special financial assistance program that helps offset the costs of physician fees, pharmaceuticals and ancillary services for the poor and uninsured - Mercy provided nearly more than $9.5 million in charity care in 2010. Mercy's promise is to offer programs and services that provide health care access to all - including indigent persons. Through the House of Mercy Free Clinic, Mercy provides outpatient primary health services, specialty services, immunizations, pregnancy testing and prenatal care services, eye exams and prescription drug assistance to children, adults and seniors. Mercy also provides advanced inpatient treatment to Medicaid enrollees when necessary to restore health. In 2010, Mercy absorbed more than $13 million when Medicaid did not cover the cost of providing care. Mercy Des Moines has financial assistance policies and programs for low-income persons like the Uninsured/Underinsured Patient Discount Policy and the Self-Pay and Third-Party Discounts Policy. Community Outreach Mercy has been an active member of the Des Moines community for 115 years and, as the city's longest continually operating hospital, takes its role as a good neighbor seriously. We know that reaching out to our community is essential to promoting health and wellness throughout central Iowa - whether it is by offering patient and family education, providing medical services at local events or supporting community-based projects. Some of the projects completed in 2009 include: - Mercy provided immunizations to more than 100 children in the Diocesan schools. - Mercy contributed nearly $165,000 to 45 local organizations and community events. - Mercy offered free prenatal, breastfeeding and infant care classes and counseling to more than 18,000 new and expecting parents. - Mercy was the official first aid provider for several major events - including the Des Moines Arts Festival, the Des Moines Komen Race for the Cure, and the Drake Relays. - Mercy partnered with local cable company OnMedia to participate in Shoes that Fit, a clothing drive that contributed more than 600 items to area children in need. - Mercy employees donated nearly 14,000 pounds of food for the Combat Hunger food drive to benefit the local food pantry. - Mercy, in conjunction with Dowling Catholic High School, provided flood relief clean-up for the citizens of Cedar Rapids, Iowa. More than 100 employees and students assisted the flood victims for two days. - Mercy and the Iowa Heart Hospital donated 9 AED units to schools, non-profits, community organizations and churches who met program qualifications. - The Iowa Heart Hospital at Mercy provided free vascular screenings to more than 420 individuals at high risk for carotid and peripheral arterial disease and abdominal aortic aneurysm. - Mercy Outpatient Pharmacy provided more than $5,000 in free prescriptions to those who were unable to pay. - Mercy employees donated more than 160 volunteers to Habitat for Humanity to assist with the construction of two homes for the low income. - Mercy Pathology Laboratory provided more than $16,000 in services to members of the Latino community who were without a physician. - Mercy employees donated more than 100 new and gently used winter coats to low income and underprivileged children at Hiatt Middle School. - Mercy assisted with the health and wellness components of the I'll Make Me a World in Iowa African American Festival and the Iowa Asian Festival. Providing Access to Care In Des Moines, an estimated one out of every 10 residents speaks a language other than English at home. Knowing that language barriers can dramatically impact access to medical care and impair health outcomes, Mercy provides free medical interpretation services to any patient or employee upon request. Promoting Health and Wellness Mercy's Workforce Health Initiative program was developed in partnership with local employers to provide preventive health services to the central Iowa community. By taking health screenings and follow-up advice into businesses throughout the Des Moines metro area, Mercy promotes health and wellnes	NeedsAssessment
Patient Education Assistance	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's charity care policy. CHI Iowa includes information concerning its financial assistance policy on its website. In addition, CHI Iowa prominently displays its charity care policy in both English and Spanish in obvious locations throughout the hospitals, including emergency rooms and other patient intake areas, as well as in CHI Iowa outpatient facilities. CHI Iowa registration clerks are trained to provide consultation to those who have no insurance, or potentially inadequate insurance, concerning their financial options including application for Medicaid and for financial assistance under CHI Iowa's charity care policy. Upon registration (and once all EMTALA requirements are met), patients who are identified as uninsured (and not covered by Medicare or Medicaid) are provided with a packet of information that addresses the financial assistance policy and procedures including an application for assistance. CHI Iowa registration clerks read the organization's medical assistance policy to those who appear to be incapable of reading, and provide translators for non English-speaking individuals. CHI Iowa staff will also assist the patient/guarantor with applying for other available coverage (such as Medicaid), if necessary. Counselors assist Medicare eligible patients in enrollment by providing referrals to the appropriate government agencies.	PatientEducationAssistance
Community Information	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityInformation
Community Building Activities	Describe how the organization's community building activities, as reported in Part II, promote the health of the communities the organization serves. Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	CommunityBuildingActivities
Other Information	Provide any other information important to describing how the organization's hospitals or other health care facilities further its exempt purpose by promoting health of the community (e.g. open medical staff, community board, use of surplus funds, etc). Please refer to the Needs Assessment Narrative, Part VI, Item 2. above.	OtherInformation
Affiliated Health Care System	If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served. CHI Iowa, along with its affiliated outpatient facilities are part of Catholic Health Initiatives. Catholic Health Initiatives (CHI) is a national faith-based nonprofit health care organization with headquarters in Denver, Colorado. CHI's exempt purpose is to serve as an integral part of its national system of hospitals and other charitable entities, which are described as market-based organizations, or MBOs. An MBO is a direct provider of care or services within a defined market area that may be an integrated health system and /or a stand-alone hospital or other facility or service provider. CHI serves as the parent corporation of its MBOs which are comprised of 73 hospitals, 40 long-term care, assisted- and residential-living facilities; and two community health-services organizations. Together, these facilities provided $590 million in charity care and community benefit in the 2010 fiscal year, including services for the poor, free clinics education and research. CHI provides strategic planning and management services as well as centralized "shared services" for the MBOs. The provision of centralized management and shared services - including areas such as accounting, human resources, payroll and supply chain -- provides economies of scale and purchasing power to the MBOs. Cost savings associated with centralized services for the fiscal year ended June 30, 2010 include more than $105 million in supply chain expense, approximately $30 million for insurance costs and more than $3.9 million as the result of a system-wide effort to coordinate and negotiate technology and equipment purchases. The cost savings achieved through CHI's centralization enable MBOs to dedicate additional resources to high-quality health care and community outreach services to the most vulnerable members of our society. CHI Iowa operates with its wholly owned affiliates and community partners, along with its fundraising arm, the Mercy Foundation of Des Moines, to serve the health care needs of the Des Moines, IA and 17 surrounding central Iowa communities.	AffiliatedHealthCareSystem
Reports Filed With States	IA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
March of Dimes
PO Box 932852	Atlanta	GA	31193	131846366	501(c)(3)	8500	Community Support
Catholic Charities of Iowa
601 Grand Avenue	Des Moines	IA	503092501	420680464	501(c)(3)	45000	Community Support
Civic Center of Greater Des Moines
221 Walnut St	Des Moines	IA	503092104	510138181	501(c)(3)	10000	Community Support
Des Moines University
3200 Grand Avenue	Des Moines	IA	50312	420730347	501(c)(3)	12500	Community Support
Dowling Catholic High School
1400 Buffalo Road	West Des Moines	IA	502651626	420788212	501(c)(3)	10850	Community Support
Community Foundation of Greater Des Moines
2771 104th St Suite 1	Urbandale	IA	50322	426139033	501(c)(3)	75000	Community Support
Komen Breast Cancer Foundation
PO Box 65664	West Des Moines	IA	50265	751835298	501(c)(3)	10000	Community Support
YMCA of Greater Des Moines
101 Locust St	Des Moines	IA	50309	420680438	501(c)(3)	1069483	Community Support
ChildServe Foundation
PO Box 707	Johnston	IA	50131	421157665	501(c)(3)	12500	Community Support
University of Iowa Foundation
PO Box 4550	Iowa City	IA	522444550	420796760	501(c)(3)	100000	Community Support
Central Iowa Honor Flight
PO Box 125	Council Bluffs	IA	51502	420869921	501(c)(19)	10000	Community Support
Greater Des Moines Livestrong Army
9304 Carmel Drive	Johnston	IA	50131	271042930	501(c)(3)	16000	Community Support
Mercy Medical Center - Centerville
One St Josephs Dr	Centerville	IA	52544	420680308	501(c)(3)	752964	Program Support
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	501(c)(3)	1000000	Program Support
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	501(c)(3)	3400000	Program Support
Mercy Professional Practice Associates LLC
1111 6th Avenue	Des Moines	IA	50314	421521367	501(c)(3)	18000000	Program Support
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	501(c)(3)	3350000	Program Support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	1	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule I Part I Q2	Identifier
Return Reference	Organization's procedures for monitoring the use of grant funds	ReturnReference
Explanation	Mercy Medical Center - Des Moines has the following grant monitoring procedures. All grants are reviewed and monitored by the grants manager. Each grant is assigned a grant administrator who coordinates grant compliance with the grants manager. Grant reimbursements are received through the financial operations department. Grant expenditures require the same approval as non-grant expenditures through the accounts payable approval matrix. All periodic reports to the granting agency for grants that require this are filed timely with the appropriate agency. In addition, Mercy Medical Center - Des Moines undergoes a federal A-133 grant audit annually by our independent auditor.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Daniel Aten
346429	50000	8382	37610	442421
PHILIP COLLETIER
341754	267092	1530	43034	653410
Leanne Drobnich
201441	30763	44976	37602	314782
Richard Deming
409213	258842	5761	30393	704209
Jacqueline Frost-Kunnen
356984	56259	44109	34030	491382
Joseph Hwang
668248	30500	3101	42810	744660
Steve Kukla
353779	54805	45501	42510	496596
Joseph Levalley
281810	43388	51642	44022	420862
John Martens
344354	266007	1345	43871	655577
Neil Mandsager
668248	30500	4802	42517	746067
Michael Rowan
					906783	262756	146204	138021	46615	1500379	98988
David Vellinga
					617071	139468	38219	42278	44358	881394
Robyn Wilkinson
228581	36521	62974	51416	379493

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule J, Part I, Q.3	Methods used for establishing CEO Compensation	Compensation for the top management official was established and paid by CHI-Iowa Corp, a related organization. The following methods were used to establish the top management official's compensation: (1) Compensation committee; (2) independent compensation consultant; (3) written employment contracts; (4) compensation survey or study; (5) approval by the board or compensation committee.
Schedule J, Part I, Q.4a	Severance Payment	Post-termination payments are addressed in the executive employment agreements for Catholic Health Initiative's ("CHI") MBO CEOs. These employment agreements require that in order for the executive to receive post-termination payments, these individuals must execute a general release and settlement agreement. Post-termination payment arrangements are periodically reviewed for overall reasonableness in light of the executive's overall compensation package. There were no reportable individuals who received severance payments from Catholic Health Initiatives (a Related Organization) during the 2009 calendar year.
Schedule J, Part I, Q.4b	Participation in supplemental nonqualified retirement plan	During the 2009 calendar year Catholic Health Initiatives ("CHI"), a related organization, maintained a supplemental non-qualified deferred compensation plan for MBO CEOs and other CHI employees at the level of Senior Vice President and above. The following reportable individuals were eligible to participate in that plan: Michael Rowan and David Vellinga. During 2009 the following contributions were made by CHI to the deferred compensation plan: Michael Rowan $ 138,021 David Vellinga $ 42,278 During 2009 the following distributions were made by CHI from the deferred compensation plan: Michael Rowan $ 98,988 The payments from the supplemental non-qualified deferred compensation plan were included in the individuals' reportable compensation for schedule J.
Schedule J, Part I, Q.7	Non-fixed payments provided	Mercy Medical Center - Des Moines maintains a variable pay program for directors and above that puts a certain amount of compensation at risk. Awards of incentive compensation under the variable pay program are made based upon achievement of organizational objectives including health outcomes, quality improvement, level of community benefit provided, and other measures as determined annually by the board of stewardship trustees. However, no award is payable under this program unless operating margin and charity care levels are achieved at a designated percent of budget.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part III, Q2	Significant program services acquired	CHI-Iowa acquired the operations of the Iowa Heart Center, a multi-location, physician services organization providing cardiac care services.
Form 990, Part VI, Q.1a	Executive Committee composition and authority:	PURSUANT TO SECTION 8.6 OF THE BYLAWS OF MERCY MEDICAL CENTER - DES MOINES, THE EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, THE BOARD VICE CHAIR AND THE PRESIDENT AND CEO, EACH OF WHOM SERVES AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE, AND SUCH OTHER VOTING MEMBERS AS MAY BE APPOINTED BY THE BOARD. PURSUANT TO SECTION 8.1 OF THE CORPORATION'S BYLAWS, COMMITTEES, SUCH AS THE EXECUTIVE COMMITTEE, THAT ARE GRANTED THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS MAY INCLUDE ONLY DIRECTORS OF THE CORPORATION. FURTHER, PURSUANT TO SECTION 8.6 OF THE CORPORATION'S BYLAWS, THE EXECUTIVE COMMITTEE HAS AND MAY EXERCISE SUCH POWERS AS MAY BE DELEGATED TO IT BY THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE ALSO POSSESSES THE POWER TO TRANSACT ROUTINE BUSINESS OF THE CORPORATION IN THE INTERIM PERIOD BETWEEN REGULARLY SCHEDULED MEETINGS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Q.6	The organization's corporate members/stockholders	The sole member of the corporation is Catholic Health Initiatives, a Colorado nonprofit corporation.
Form 990, Part VI, Q.7a	Members/stockholder electing governing body members	Catholic Health Initiatives has the power to appoint, remove or replace the members of the board of directors.
Form 990, Part VI, Q.7b	Governing Powers	The organization's corporate member is Catholic Health Initiatives ("CHI"). Pursuant to Section 5.4 of the organization's bylaws, the Corporate Member shall have the specific rights set forth in the governance matrix. Pursuant to the governance matrix the following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: - Substantial change in the mission or philosophy of Mercy Medical Center - Des Moines - Amendment of the corporate documents of Mercy Medical Center - Des Moines - Approve members of the Mercy Medical Center - Des Moines board - Removal of a member of the governing body of Mercy Medical Center - Des Moines - Approval of issuance of debt by Mercy Medical Center - Des Moines - Approval of participation of Mercy Medical Center - Des Moines in a joint venture - Approval of formation of a new corporation by Mercy Medical Center - Des Moines - Approval of a merger involving the Mercy Medical Center - Des Moines - Approval of the sale of all or substantially all of the assets of the Mercy Medical Center - Des Moines - To require the transfer of assets by Mercy Medical Center - Des Moines to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. - Adoption of long range and strategic plans for Mercy Medical Center - Des Moines Pursuant to Section 5.5 of the organization's bylaws, CHI may, in exercise of its approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and the President and Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.
Form 990, Part VI, Q.11a	Process, if any, the organization uses to review Form 990	The Mercy Medical Center - Des Moines Form 990 is reviewed by the CFO of Mercy Medical Center - Des Moines before filing the return with the Internal Revenue Service and the State of Iowa. The tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing. In addition, the 990 will be presented to the board at the next regularly scheduled board meeting.
Form 990, Part VI, Q.12c	Procedures for monitoring and enforcing the COI policy	Mercy Medical Center utilizes the CHI Governance Policy No 1: Conflict of interest; Stewardship Trustee's which covers all directors and employees holding the title of Vice President or above. Each Director or VP must promptly and fully report to the Board Chair situations that may create a conflict of interest when he or she becomes aware of such situations. In any situation when a Director or VP is in doubt, full disclosure should be made so as to permit an impartial and objective determination. A written record of the disclosure will be made. The Board Chair or a designee, at their discretion, further investigates disclosed conflicts of interest. In addition, all Directors and VPs and above annually complete, sign and return the Conflict of Interest statement to Mercy Medical Center - Des Moines' CEO. The completed statements are reviewed by the CEO. The CEO reports potential conflicts to the Board Chair. All Board members are required to acknowledge any potential conflict with items on the Board meeting agenda. The Board member with a conflict excuses himself/herself from discussions of the conflicted topic and refrains from voting on items relating to the conflict.
Form 990, Part VI, Q.15a	Process for determining compensation	The organization's CEO's compensation is paid by CHI. CHI uses the Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of CHI's senior most executives (including each MBO CEO) are reviewed on an individual basis annually. The Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Hay Group to the HR Committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September, 2010. In addition, in December 2009, Hay Group completed a comprehensive review of all CHI positions at the level of Vice President and above to determine and validate appropriate compensation levels.
Form 990, Part VI, Q.15b	Process for determining compensation	For officers and key employees, Mercy Medical Center - Des Moines uses a third-party consultant to annually survey compensation trends and recommend compensation ranges. These recommendations are presented to the board which makes the final compensation decisions.
Form 990, Part VI, Q.16a	Formal policies concerning participation in joint ventures	Mercy Medical Center - Des Moines has not formally adopted a written policy or written procedure regarding joint ventures. However CHI's system-wide joint venture model operating agreement incorporates controls over the venture sufficient to ensure that (1) the exempt organization at all times retains control over the venture sufficient to ensure that the partnership furthers the exempt purpose of the organization; (2) in any partnership in which the exempt organization is a partner, achievement of exempt purposes is prioritized over maximatation of profits for the partners; (3) the partnership does not engage in any activities that would jeopardize the exempt organization's exemption; (4) returns of capital, allocations, and distributions must be made in proportion to the partners' respective ownership interests; and (5) all contracts entered into by the partnership with the exempt organization must be at arm's-length, with prices set at fair market value. Any joint venture agreements that do not conform to the model agreement are generally reviewed by counsel.
Form 990, Part VI, Q.19	Governing documents - COI Policy - Financial Statements available	Mercy Medical Center- Des Moines' organizing documents are available at www.sos.state.ia.us. Mercy Medical Center- Des Moines' Conflicts of Interest Policy is not publicly available. Mercy Medical Center- Des Moines' financial statements are included in the Catholic Health Initiatives' consolidated audited financial statements available at www.catholichealthinit.org or at http://www.DacBond.com. Mercy Medical Center- Des Moines' financial statements are also included in the local consolidated audit of the CHI-Iowa Corporation group. These financial statements are not publicly available.
Form 990, Part VII	Estimate of Hours Devoted to Related Organizations	Compensation reported on the form 990, Part VI, was paid to these individuals by related organizations in the fulfillment of their duties as full time, 60 hour per week employees of the related organizations.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Mercy Therapeutic Radiology Assoc LLC
1111 6th Avenue	Des Moines	IA	50314	421521367	Physician	IA	-5993782	8357557	CHI-IA Corp
Perinatal Center of Iowa LLC
1111 6th Avenue	Des Moines	IA	50314	830397103	Physician	IA	265601	353093	CHI-IA Corp
Mercy North ASC LLC
1111 6th Avenue	Des Moines	IA	50314	201703871	Ambulatory	IA	-529436	1656969	CHI-IA Corp
Mercy Pet Scanner LLC
1111 6th Avenue	Des Moines	IA	50314	420680448	Physician	IA			CHI-IA Corp
Mercy West Endoscopy LLC
1111 6th Avenue	Des Moines	IA	50314	900129077	Ambulatory	IA	9510	2433849	CHI-IA Corp
Heart Partners LLC
1111 6th Avenue	Des Moines	IA	50314	223876321	Physician	IA	142167	1861850	CHI-IA Corp
Central Iowa Cyberknife LLC
1111 6th Avenue	Des Moines	IA	50314	202618963	Ambulatory	IA	-83178	745367	CHI-UA Corp

Form990 Schedule R Part II Form990ScheduleRPartII (132 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
St Joseph Community Health Services
300 Central SW Suite 300	Albuquerque	NM	87102	710897107	Community	NM	501(c)(3)	11a	CHI
St Joseph Community Health Foundation
300 Central SW Suite 300	Albuquerque	NM	87102	850253087	Foundation	NM	501(c)(3)	7	SJCHS
St Francis of Baker City
3325 Pocahontas Road	Baker City	OR	97814	930412495	Hospital	OR	501(c)(3)	3	CHI
St Elizabeth Health Care Foundation
3325 Pocahontas Road	Baker City	OR	97814	943164869	Foundation	OR	501(c)(3)	7	SEHS
Flaget Memorial Hospital Foundation Inc
4305 New Shepherdsville Road	Bardstown	KY	40004	562351341	Fundraising	KY	501(c)(3)	11a	FH
Flaget Healthcare DBA Flaget Memorial
4305 New Shepherdsville Road	Bardstown	KY	40004	611345363	Hospital	KY	501(c)(3)	3	CHI
Lakewood Health Center
600 Main Avenue South	Baudette	MN	56623	410758434	LTerm Care	MN	501(c)(3)	3	CHI
Appletree Court
601 Oak Street	Breckenridge	MN	56520	411850500	Senior Homes	MN	501(c)(3)	9	SFH
Healthcare and Wellness Foundation
2400 St Francis Drive	Breckenridge	MN	56520	760761782	Foundation	MN	501(c)(3)	11a	SFMC
St Francis Home
2400 St Francis Drive	Breckenridge	MN	56520	410729978	LTerm Care	MN	501(c)(3)	9	CHI
St Francis Medical Center
2400 St Francis Drive	Breckenridge	MN	56520	410695598	Healthcare	MN	501(c)(3)	3	CHI
Carrington Health Center
800 North 4th Street	Carrington	ND	58421	450227311	Healthcare	ND	501(c)(3)	3	CHI
Saint Clare's Community Care
66 Ford Road	Denville	NJ	07834	222876836	Healthcare	NJ	501(c)(3)	11b	SCHS
Saint Clare's Foundation Inc
66 Ford Road	Denville	NJ	07834	222502997	Fundraising	NJ	501(c)(3)	7	SCHS
Good Samaritan College of Nursing & Heal
375 Dixmyth Ave	Cincinnati	OH	45220	311778403	Education	KY	501(c)(3)	2	GHS
Total Healthcare
PO Box 7021	Colorado Springs	CO	80933	840927232	Healthcare	CO	501(c)(3)	3	CHI Colorado
Memorial Health Care System Inc
2525 De Sales Avenue	Chattanooga	TN	37404	620532345	Hospital	TN	501(c)(3)	3	CHI
Memorial Health Care System Foundation
2525 De Sales Avenue	Chattanooga	TN	37404	621839548	Foundation	TN	501(c)(3)	7	MHCS
Memorial Health Partners Foundation Inc
6028 Shallowford Road	Chattanooga	TN	37421	030417049	Healthcare	TN	501(c)(3)	9	MHCS
The Community Limited Care Dialysis Cent
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	237419853	Dialysis	OH	501(c)(2)	none	GSH
Good Samaritan Foundation of Cincinnati
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311206047	Foundation	OH	501(c)(3)	11a	GSH
The Good Samaritan Hospital of Cincinnat
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	310537486	Hospital	OH	501(c)(3)	3	TRI-HEALTH
Saint Clare's Hospital
66 Ford Road	Denville	NJ	07834	223319886	Hospital	NJ	501(c)(3)	3	CHI
St Francis Life Care Corporation
19 Pocono Road	Denville	NJ	07834	222536017	Elderly Care	NJ	501(c)(3)	9	SCHS
TriHealth Physician Institute
619 Oak Street Accounting-3 West	Cincinnati	OH	45206	311074519	Physicians	OH	501(c)(3)	11a	GSH
Catholic Health Initiatives Colorado Fou
961 East Colorado Avenue	Colorado Springs	CO	80903	840902211	Foundation	CO	501(c)(3)	7	CHI Colorado
SET of Colorado Springs Inc
825 E Pikes Peak Avenue Bldg 29	Colorado Springs	CO	80903	841183335	LTerm Care	CO	501(c)(3)	7	CHI Colorado
Catholic Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	470617373	Healthcare	CO	501(c)(3)	9	CHI
Catholic Health Care Federation
1999 Broadway Suite 4000	Denver	CO	80202	208473567	Jurdic Person	CO	501(c)(3)	11a	CHI
Global Health Initiatives
1999 Broadway Suite 4000	Denver	CO	80202	201536108	Ministries	CO	501(c)(3)	11a	CHI
Health SET
4200 West Conejos Place 436	Denver	CO	80204	841102943	Low Inc.Care	CO	501(c)(3)	7	CHI Colorado
Bishop Drumm Retirement Center
1111 6th Avenue	Des Moines	IA	50314	420725196	LTerm Care	IA	501(c)(3)	9	CHI-IA Corp
Mercy Medical Center - Des Moines AKA
1111 6th Avenue	Des Moines	IA	50314	420680448	Hospital	IA	501(c)(3)	3	CHI-IA Corp
House of Mercy
1111 6th Avenue	Des Moines	IA	50314	421323808	Shelter	IA	501(c)(3)	7	CHI-IA Corp
Mercy Auxiliary of Central Iowa
1111 6th Avenue	Des Moines	IA	50314	426076069	Auxiliary	IA	501(c)(3)	11a	CHI-IA Corp
Mercy Clinics Inc
1111 6th Avenue	Des Moines	IA	50314	421193699	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy College of Health Sciences
1111 6th Avenue	Des Moines	IA	50314	421511682	Education	IA	501(c)(3)	2	CHI-IA Corp
Mercy Foundation of Des Moines IA
1111 6th Avenue	Des Moines	IA	50314	237358794	Foundation	IA	501(c)(3)	7	CHI-IA Corp
Mercy Medical Center - Centerville FKA
1 St Josephs Drive	Centerville	IA	52544	420680308	Hospital	IA	501(c)(3)	3	CHI-IA Corp
Mercy Professional Practice Associates
1111 6th Avenue	Des Moines	IA	50314	421470935	Physician	IA	501(c)(3)	9	CHI-IA Corp
Mercy Hospital of Devils Lake
1031 East Seventh Street	Devils Lake	ND	58301	450227012	Healthcare	ND	501(c)(3)	3	CHI
Saint Joseph's Hospital Foundation
30 West 7th Street	Dickinson	ND	58601	363418207	Foundation	ND	501(c)(3)	11a	SJHHC
St Joseph's Hospital and Health Center
30 West 7th Street	Dickinson	ND	58601	450226429	Healthcare	ND	501(c)(3)	3	CHI
Mercy Regional Medical Center of Durango
1010 Three Springs Blvd	Durango	CO	81301	840405515	Hospital	CO	501(c)(3)	3	CHI
CHI Kentucky Inc
3900 Olympic Blvd Suite 400	Erlanger	KY	41018	202741651	Healthcare	KY	501(c)(3)	11a	CHI
Villa Nazareth Inc
801 Page Drive	Fargo	ND	58103	450226714	LT Care	ND	501(c)(3)	9	CHI
St Catherine Hospital
401 East Spruce Street	Garden City	KS	67846	480543721	Hospital	KS	501(c)(3)	3	CHI
St Catherine Hospital Development Found
401 East Spruce Street	Garden City	KS	67846	200598702	Foundation	KS	501(c)(3)	11a	SCH
Saint Francis Medical Center Foundation
PO Box 9804	Grand Island	NE	68802	470630267	Foundation	NE	501(c)(3)	7	SFMC
Saint Francis Medical Center
PO Box 9804	Grand Island	NE	68802	470376601	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Central Kansas Medical Center
3515 Broadway	Great Bend	KS	67530	480543724	Hospital	KS	501(c)(3)	3	CHI
St Joseph Memorial Hospital
923 Carroll Ave	Larned	KS	67550	481253246	Hospital	KS	501(c)(3)	3	CKMC
MNMCH Inc
220 North Pennsylvania	Columbus	KS	66725	481216238	Hospital	KS	501(c)(3)	3	SJRMC
Mercy Lifecare Systems
2727 McClelland Blvd	Joplin	MO	64804	431305163	Property Mgmt	MO	501(c)(3)	11a	SJRMC
St John's Medical Group
2727 McClelland Blvd	Joplin	MO	64804	431882377	Phys Practice	MO	501(c)(3)	9	SJRMC
St John's Mercy Regional Foundation
2727 McClelland Blvd	Joplin	MO	64804	431308084	Foundation	MO	501(c)(3)	7	SJRMC
St John's Regional Medical Center
2727 McClelland Blvd	Joplin	MO	64804	440545809	Hospital	MO	501(c)(3)	3	CHI
Good Samaritan Hospital
PO Box 1990	Kearney	NE	68848	470379755	HealthCare	NE	501(c)(3)	3	CHI Nebraska
Good Samaritan Hospital Foundation
PO Box 1810	Kearney	NE	68848	470659443	Foundation	NE	501(c)(3)	7	GSH
St Joseph Health Ministries
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232342997	Health	PA	501(c)(3)	11a	CHI
St Joseph Health Ministries Foundation
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	232605579	Fundraising	PA	501(c)(3)	11a	SJHM
St Joseph Health Services Inc
1929 Lincoln Hwy E Ste 150	Lancaster	PA	17602	201425375	Dental care	PA	501(c)(3)	11a	SJHM
Continuing Care Hospital
150 North Eagle Creek Drive	Lexington	KY	40509	611400619	LTACH	KY	501(c)(3)	3	SJHS
Saint Joseph Berea Hospital Foundation
305 Estill Street	Berea	KY	40403	260152877	Foundation	KY	501(c)(3)	7	SJHS
Saint Joseph Health System Inc
150 N Eagle Creek Dr	Lexington	KY	40509	611334601	Hospital	KY	501(c)(3)	3	CHI
St Joseph Hospital Foundation Inc
One St Joseph Drive	Lexington	KY	40504	611159649	Foundation	KY	501(c)(3)	11a	SJHS
Saint Joseph Medical Foundation Inc
One St Joseph Drive	Lexington	KY	40504	311539059	Phy Practices	KY	501(c)(3)	3	SJHS
Visiting Nurse Association of Saint Clar
191 Woodport Road	Sparta	NJ	07871	221768334	Home Health	NJ	501(c)(3)	9	SCHS
Saint Elizabeth Foundation
555 South 70th Street	Lincoln	NE	68510	470625523	Foundation	NE	501(c)(3)	7	SERMC
Saint Elizabeth Health Services
555 South 70th Street	Lincoln	NE	68510	363233120	Healthcare	NE	501(c)(3)	3	SERMC
CHI Nebraska
555 South 70th Street	Lincoln	NE	68510	363233121	Healthcare	NE	501(c)(3)	11a	CHI
Saint Elizabeth Regional Medical Center
555 South 70th Street	Lincoln	NE	68510	470379836	Healthcare	NE	501(c)(3)	3	CHI Nebraska
The Physician Network
8055 O Street Suite 300	Lincoln	NE	68510	470780857	Healthcare	NE	501(c)(3)	11a	CHI Nebraska
Lisbon Area Health Services
905 Main Street	Lisbon	ND	58054	820558836	Healthcare	ND	501(c)(3)	3	CHI
Alverna Apartments
300 SE 8th Avenue	Little Falls	MN	56345	411351177	Lterm Care	MN	501(c)(3)	9	CHI
Unity Family Healthcare
815 2nd Street SE	Little Falls	MN	56345	410721642	Healthcare	MN	501(c)(3)	3	CHI
St Anthony's Hospital Association
4 Hospital Drive	Morrilton	AR	72110	710245507	Healthcare	AR	501(c)(3)	3	SVIMC
St Vincent Infirmary Medical Center
2 St Vincent Circle	Little Rock	AR	72205	710236917	Healthcare	AR	501(c)(3)	3	CHI
St Vincent Medical Group
2 St Vincent Circle	Little Rock	AR	72205	710830696	Healthcare	AR	501(c)(3)	9	SVIMC
Maria-Joseph Center
4830 Salem Avenue	Dayton	OH	45416	310935118	Healthcare	OH	501(c)(3)	9	SHP
Saint Joseph London Foundation Inc
310 East Ninth Street	London	KY	40741	260438748	Foundation	KY	501(c)(3)	11a	SJHS
Samaritan Behavioral Health
601 S Edwin C Moses Blvd	Dayton	OH	45408	020633634	Hospital	OH	501(c)(3)	3	SHP
Mercy Medical Center
1512 12th Avenue Road	Nampa	ID	83686	820200896	Hospital	ID	501(c)(3)	3	CHI
Mercy Medical Center Foundation
1512 12th Avenue Road	Nampa	ID	83686	261737256	Foundation	ID	501(c)(3)	11a	Mercy Med Ct
Mercy Physician Group Inc
1512 12th Avenue Road	Nampa	ID	83686	208192593	Phys Group	ID	501(c)(3)	9	Mercy Med Ct
St Mary's Hospital
1314 3rd Avenue	Nebraska City	NE	68410	470443636	Hospital	NE	501(c)(3)	3	CHI Nebraska
St Mary's Hospital Foundation
1314 3rd Avenue	Nebraska City	NE	68410	470707604	Foundation	NE	501(c)(3)	7	SMH
Oakes Community Hospital
314 South 8th Street	Oakes	ND	58474	450231675	Hospital	ND	501(c)(3)	3	CHI
Oakes Community Hospital Foundation
314 South 8th Street	Oakes	ND	58474	710966606	Foundation	ND	501(c)(3)	11a	OCH
St Dominic at Ontario
351 SW 9th Street	Ontario	OR	97914	930433692	Hospital	OR	501(c)(3)	3	CHI
Holy Rosary Medical Center Foundation
351 SW 9th Street	Ontario	OR	97914	202683560	Foundation	OR	501(c)(3)	11a	HRMC
St Joseph's Area Health Services
600 Pleasant Avenue	Park Rapids	MN	56470	410695603	Hospital	MN	501(c)(3)	3	CHI
St Anthony Hospital
1601 SE Court Avenue	Pendleton	OR	97801	930391614	Hospital	OR	501(c)(3)	3	CHI
St Anthony Hospital Foundation
1601 SE Court Avenue	Pendleton	OR	97801	930992727	Foundation	OR	501(c)(3)	11a	SA Hospital
Gettysburg Medical Center
606 East Garfield Avenue	Gettysburg	SD	57442	460234354	Hospital	SD	501(c)(3)	3	SMHC
St Mary's Healthcare Center
801 East Sioux Avenue	Pierre	SD	57501	460230199	Healthcare	SD	501(c)(3)	3	CHI
Mt St Joseph Inc
3060 SE Stark Street	Portland	OR	97214	930386870	Nursing Care	OR	501(c)(3)	9	CHI
Pueblo Stepup
1925 East Orman Avenue Suite G52	Pueblo	CO	81004	841234295	Community	CO	501(c)(3)	7	CHI
Bornemann Healthcare Corporation
2500 Bernville Road PO Box 316	Reading	PA	19603	232187242	Healthcare	PA	501(c)(3)	11a	CHI
St Joseph Medical Center Foundation
2500 Bernville Road PO Box 316	Reading	PA	19603	232649362	Foundation	PA	501(c)(3)	11a	SJRHN
St Joseph Medical Group
2500 Bernville Road PO Box 316	Reading	PA	19603	208544021	Healthcare	PA	501(c)(3)	9	BHC
St Joseph Regional Health Network
2500 Bernville Road PO Box 316	Reading	PA	19603	231352211	Healthcare	PA	501(c)(3)	3	CHI
Linus Oakes Inc
2700 Stewart Parkway	Roseburg	OR	97470	930821381	Senior Living	OR	501(c)(3)	9	MMC
Mercy Foundation Inc
2700 Stewart Parkway	Roseburg	OR	97470	936088946	Foundation	OR	501(c)(3)	7	MMC
Mercy Medical Center
2700 Stewart Parkway	Roseburg	OR	97470	930386868	Hospital	OR	501(c)(3)	3	CHI
Franciscan Villa of South Milwaukee Inc
3601 South Chicago Avenue	South Milwaukee	WI	53172	391093829	Healthcare	WI	501(c)(3)	9	CHI
Enumclaw Community Hospital
1450 Battersby Avenue	Enumclaw	WA	98022	910715805	Hospital	WA	501(c)(3)	3	FHS
Franciscan Foundation
1717 South J Street	Tacoma	WA	98405	911145592	Fundraising	WA	501(c)(3)	9	FHS
Franciscan Health System FKA Franciscan
1717 South J Street	Tacoma	WA	98405	910564491	Healthcare	WA	501(c)(3)	3	CHI
Franciscan Medical Group
1708 South Yakima Avenue	Tacoma	WA	98405	911939739	Healthcare	WA	501(c)(3)	9	FHS
St Joseph Medical Center Foundation In
7601 Osler Drive	Towson	MD	21204	521681044	Fundraising	MD	501(c)(3)	7	SJMC
St Joseph Medical Center Inc
7601 Osler Drive	Towson	MD	21204	520591461	Hospital	MD	501(c)(3)	3	CHI
St Joseph Physician Enterprises
7601 Osler Drive	Towson	MD	21204	521311775	Physicians	MD	501(c)(3)	11a	CHI
Samaritan Health Foundation
2222 Philadelphia Drive	Dayton	OH	45406	237296923	Foundation	OH	501(c)(3)	7	SHP
Mercy Hospital of Valley City
570 Chautauqua Boulevard	Valley City	ND	58072	450226553	Hospital	ND	501(c)(3)	3	CHI
Mercy Medical Center
1301 15th Avenue West	Williston	ND	58801	450231183	Healthcare	ND	501(c)(3)	3	CHI
Mercy Medical Foundation
1301 15th Avenue West	Williston	ND	58801	450381803	Foundation	ND	501(c)(3)	11a	MMC
Samaritan Health Partners
2222 Philadelphia Drive	Dayton	OH	45406	311107411	Healthcare	OH	501(c)(3)	11a	CHI
St Vincent Foundation
Two St Vincent Circle	Little Rock	AR	72205	510169537	Fundraising	AR	501(c)(3)	11a	SVIMC
Auxiliary of Holy Rosary Hospital Inc
351 SW 9th Street	Ontario	OR	97914	943059469	Hospital	OR	501(c)(3)	9	HRMC
The Mercy Hospital of Devils Lake Fdn
1031 East Seventh Street	Devils Lake	ND	58301	352367360	Foundation	ND	501(c)(3)	11a	MHDL
Alegent Health - Bergan Mercy Health Sys
7500 Mercy Road	Omaha	NE	68124	470484764	Hospital	NE	501(c)(3)	3	CHI
Alegent Health - Mercy Hospital Corning
PO Box 368	Corning	IA	50841	420782518	Hospital	IA	501(c)(3)	3	AHBMHS
Mercy Health Care Foundation
PO Box 368	Corning	IA	50841	421461064	Foundation	NE	501(c)(3)	11a	AHMH
Mercy Hospital Foundation Council Bluff
800 Mercy Drive	Council Bluffs	IA	51503	421178204	Foundation	IA	501(c)(3)	11a	AHBMHS
CHI Institute For Research and Innovatio
198 Inverness Drive West	Englewood	CO	80112	271050565	Healthcare	CO	501(c)(3)	11a	CHI
CHI Colorado
188 Inverness Drive West	Englewood	CO	80112	840405257	Healthcare	CO	501(c)(3)	3	CHI
Saint Joseph Mount Sterling Foundation
50 Sterling Avenue	Mount Sterling	KY	40353	272884584	Foundation	KY	501(c)(3)	7	SJHS
Centennial Medical Group Inc
2700 Stewart Parkway	Roseburg	OR	97470	900433062	Physicians	OR	501(c)(3)	9	MMC
CHI National Foundation
198 Inverness Drive West	Englewood	CO	80112	270930004	Foundation	CO	501(c)(3)	11a	CHI
Saint Clare's Health Services Inc
25 Pocono Road	Denville	NJ	07834	223639733	Management	NJ	501(c)(3)	7	CHI
Good Samaritan Hospital
2222 Philadelphia Drive	Dayton	OH	45406	310536981	Hospital	OH	501(c)(3)	3	SHP

Form990 Schedule R Part III Form990ScheduleRPartIII (17 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner
Superior Medical Imaging LLC
5000 North 26th Street	Lincoln	NE	68521	262884555	OP Diagnostics	NE	SERMC	Related	-155495	993429	false	$272	false
Central Nebraska Rehab Services
3004 W Faidley Ave	Grand Island	NE	68802	810653461	Physical Therapy	NE	CHI	Related	1816979	2933623	false	$5,050	false
Mercy West Endoscopy LLC
1601 NW 114th St Suite 244	Clive	IA	50325	900129077	Ambulatory Surg	IA	CHI-IA Corp	Related	1917716	1695121	false		false
Audubon Land Company LLC
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	841513085	Real Estate	CO	THC	Related	67577	9001605	false		false
Breckenridge Medical Clinic LLC
555 South Park Avenue Plaza 11	Breckenridge	CO	80424	651295958	Medical Clinic	CO	THC	Related			false		false
Penrad Imaging
1390 Kelly Johnson Blvd	Colorado Springs	CO	80920	841072619	Medical Imaging	CO	THC	Related	1922441	8248492	false		false
St Anthony Regional Mtn Cancer Center
4231 W 16th Avenue	Denver	CO	80112	371568013	Cancer Center	CO	THC	Related	60513	318803	false		false
St Francis Land Company
5390 N Academy Blvd Suite 300	Colorado Springs	CO	80918	263134100	Real Estate	CO	THC	Related	-180979	14886022	false		false
OrthoColorado LLC
11650 West 2nd Place	Lakewood	CO	80255	371577105	Ortho Hospital	CO	THC	Related	-5375165	15265510	false		false
Mercy Outpatient Surgery Center LLC
1512 12th Avenue Road	Nampa	ID	83686	841380439	Surgery Center	ID	MMC	Related	-812036	949357	false	$4,620	true
Peninsula Radiation Oncology
314 Martin Luther King Jr Way 11	Tacoma	WA	98405	870808610	Healthcare Srvc	WA	FHS	Related	-516076	3860362	false		false
Healthcare Support Services LLC
PO Box 9804	Grand Island	NE	68802	721546196	Laundry	NE	CHI	Related	199968	3913481	false	$58,436	false
Bluegrass Regional Imaging Center
1218 South Broadway Suite 310	Lexington	KY	40504	611386736	Diagnostic	KY	SJ HospitalLex	Related	242456	3773725	false		false
North River Surgery Center LLC
2209 Wildwood Avenue	Sherwood	AR	72120	710799771	Ambul Surg Ctr	AR	SVIMC	Related	213989	1696001	false		false
CHI Operating Investment Program LP
198 Inverness Drive West	Englewood	CO	80112	470727942	Investments	CO	CHI	Investment	58022	4069968	false	$14,031	true
Ruxton Surgicenter LLC
8322 Bellona Avenue Suite 201	Baltimore	MD	21204	522095835	Surgery Center	MD	SJMC	Related	-75716	3421084	false		true
Central Nebraska Home Care Services
PO Box 1146-4510 Second Avenue	Kearney	NE	68848	470692112	Healthcare Srvc	NE	HSEINC	Related	-102982	1021500	false		true

Form990 Schedule R Part IV Form990ScheduleRPartIV (30 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	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Mercy Health Services Corporation
2727 McClelland Blvd	Joplin	MO	64804	431457881	DME	MO	St John's RMC	C Corp	-1033832	2093683	1.00000
Mountain Management Services Inc
6028D Shallowford Road	Chattanooga	TN	37422	621570739	mgmt svc org	TN	MHCS	C Corp	348642	4530845	1.00000
MedQuest
1301 15th Avenue West	Williston	ND	58801	450392137	Sale of DME	ND	MHof Williston	C Corp	-16794	911494	1.00000
St Anthony Development Company
1415 Southgate	Pendleton	OR	97801	931216943	Athletic Club	OR	St Anthony H	C Corp	41861	3047938	1.00000
GOOD SAMARITAN OUTREACH SERVICES
PO BOX 1990	KEARNEY	NE	68848	470659440	MEDICAL CLINIC	NE	CHI Nebraska	C Corp	-2491623	840232	1.00000
HEALTH SYSTEMS ENTERPRISES INC
PO BOX 1990	KEARNEY	NE	68848	470664558	MANAGEMENT	NE	GSH	C Corp	10957	1559747	1.00000
Mercy Park Apartments Ltd
1111 6th Avenue	Des Moines	IA	50314	421202422	Housing	IA	CHI-IA Corp	C Corp	227244	1806199	1.00000
Des Moines Medical Center Inc
1111 6th Avenue	Des Moines	IA	50314	420837382	Real Estate	IA	CHI-IA Corp	C Corp		1123173	0.92980
Comcare Services
4231 W 16th Avenue	Denver	CO	80204	840904813	Inactive	CO	CHIC	C Corp			1.00000
Mednow Inc
1512 12th Avenue Road	Nampa	ID	83686	820389927	Outpat Pharmacy	ID	Mercy Med Ctr	C Corp	-672954	5348476	1.00000
Saint Clare's Primary Care Inc
66 Ford Road	Denville	NJ	07834	222441202	Billing Services	NJ	SCCC	C Corp	-350630	2590487	1.00000
Healthcare Mgmt Services Org Inc
1149 Market St	Tacoma	WA	98402	911865474	Health Org.	WA	FHS	C Corp			1.00000
Physician Health System Network
1149 Market St	Tacoma	WA	98402	911746721	Health Org.	WA	FHS	C Corp			1.00000
Mercy Services Corp
2700 Stewart Parkway	Roseburg	OR	97470	930824308	Retail Sales	OR	Mercy Medical	C Corp	-499409	1403001	1.00000
Caduceus Medical Associates Inc
6028 Shallowford Road Suite D	Chattanooga	TN	37422	621570736	Healthcare	TN	MHCS	C Corp		1008	1.00000
CENTRAL KANSAS HEALTH SERVICES ASSOCIATI
3515 Broadway	Great Bend	KS	67530	481042853	MEDICAL EQUIPMENT	KS	CKMC	C Corp		110125	1.00000
St Vincent Community Health Services In
Two St Vincent Circle	Little Rock	AR	72205	710710785	Healthcare	AR	SVIMC	C Corp	2404944	10195000	1.00000
Alternative Insurance Management Service
3900 Olympic Boulevard Suite 400	Erlanger	KY	41018	841112049	Management Servic	CO	CHI	C Corp		3272176	1.00000
Nazareth Assurance Company
76 St Paul Street Suite 500	Burlington	VT	05401	030304831	Insurance	VT	CHI	C Corp			1.00000
Franciscan Services Inc
198 Inverness Drive West	Englewood	CO	80112	232487967	Healthcare	CO	CHI	C Corp	194756	12598258	1.00000
SJH Services Corporation
198 Inverness Drive West	Englewood	CO	80112	232307408	Healthcare	CO	FSI	C Corp	314346	3423012	1.00000
St Joseph Development Company Inc
1717 South J Street	Tacoma	WA	98405	911480569	Rental	WA	FSI	C Corp	1677122	11984725	1.00000
Towson Management Inc
7601 Osler Drive	Towson	MD	21204	521710750	Management Servic	MD	FSI	C Corp	99315	498383	1.00000
Captive Management Initiatives
7601 Osler Drive	Towson	MD	21204	980663022	Captive Managemen		CHI	C Corp			1.00000	CJ
First Initiatives Insurance Ltd
7601 Osler Drive	Towson	MD	21204	980203038	Insurance		CHI	C Corp			1.00000	CJ
Center for Translational Research
198 Inverness Drive West	Englewood	CO	80112	272269511	Healthcare	CO	CHI	C Corp	-840949	1746201	1.00000
Samaritan Family Care Inc
40 W Fourth St 1700	Dayton	OH	45402	311299450	Healthcare	OH	SHP	LLC	-1199836	4894397	1.00000
SJL Physician Management Services Inc
424 Lewis Hargett Cr 160	Lexington	KY	40503	999999999	Management	KY	SJHS	C Corp			1.00000
CGH Realty Company Inc
215 N 12th St	Reading	PA	19603	232326801	Real Estate	PA	SJHM	C Corp	1007	42415	1.00000
St Joseph Office Park Association
1401 HarrodsBurg Road Bldg B70	Lexington	KY	40504	611079899	Management	KY	SJHS	C Corp	10217	572843	0.85000

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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (30 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Mercy Park Apartments
a	26300
Bishop Drumm Retirement
a	143838
Mercy Clinics
a	428944
House of Mercy
a	82884
MMC-Centerville
b	752964
Mercy Foundation
b	1000000
Mercy Clinics
b	3400000
Mercy Professional Practice Associates
b	18000000
House of Mercy
b	3350000
Mercy Foundation
c	825978
Mercy Park Apartments
j	17320
Mercy Park Apartments
n	337541
Mercy Foundation
n	957083
Mercy Auxiliary
n	695973
House of Mercy
n	3725420
Mercy Professional Practice Associates
a	107669
Mercy Auxiliary
o	53390
Mercy Clinics
o	1948157
Mercy Professional Practice Associates
o	30900
Bishop Drumm Retirement
p	53417
House of Mercy
p	23889
Mercy Clinics
p	1773492
MMC-Centerville
p	68931
Mercy Park Apartments
p	33019
Mercy Professional Practice Associates
p	6482
Mercy College of Health Sciences
a	30000
Catholic Health Initiatives
c	26500
Catholic Health Initiatives
l	95959942
Catholic Health Initiatives
o	8542324
Catholic Health Initiatives
q	18112966