2011-05-11T17:22:30-05:00 2010-06-30 CATHOLIC HEALTH INITIATIVES 198 INVERNESS DRIVE WEST ENGLEWOOD CO 80112 990 2009-07-01 420680448 Mercy Medical Center - Des Moines A/K/A CHI-IOWA CORP MERC 5156437218 1111 6TH AVENUE DES MOINES IA 50314 Steven Kukla 2011-05-10 MARK STOCKI 7208741500 2009 2016-02-24 21:20:13Z David H Vellinga 1111 6TH AVENUE DES MOINES IA 50314 691447105 false 0928 X WWW.MERCYDESMOINES.ORG X 1965 IA CHI-Iowa Corp is a not-for-profit Catholic healthcare organization creating healthier communities through the operation of a 917-bed acute care hospital. 16 13 6501 1000 352528 1370102 1682618 575070611 652237109 -4744747 15519256 21178058 22008122 592874024 691447105 13418553 27978996 0 0 251010417 302924095 0 0 130634 294897348 320570109 559326318 651473200 33547706 39973905 690897937 706333263 268515739 230227474 422382198 476105789 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. true false 619249009 27978996 652237109 SEE SCHEDULE O 619249009 true true false true false false false false false true false true false false false false false false false false true true false true false false false false false false false false false false false false true true true false false true 3 0 6501 true true true false false false false false false false false 16 13 false false false false true true true true true false false false true true true true true true true true false IA X Randall L Rubin 5156437860 1111 6th Avenue Des Moines IA 50314 Steven Chapman 1.0 X X Joyce Chapman 1.0 X Carolyn Coffey RSM 1.0 X Diana Diebler 1.0 X Kyle Galles MD 1.0 X Joseph Garcia 1.0 X Daniel Houston 1.0 X Corita Heid RSM 1.0 X Sharon Krause 1.0 X Kevin Prust 1.0 X Suku Radia 1.0 X X Michael Rowan 1.0 X 1315743 184636 Theresa Wahlig MD 1.0 X X William Wickemeyer MD 1.0 X William Young MD 1.0 X 56626 David Vellinga 40.0 X X 794758 86636 Steve Kukla 40.0 X 454086 42510 Daniel Aten 40.0 X 404811 37610 Leanne Drobnich 40.0 X 277180 37602 Jacqueline Frost-Kunnen 40.0 X 457352 34030 Joseph Levalley 40.0 X 376840 44022 Robyn Wilkinson 40.0 X 328077 51416 PHILIP COLLETIER 40.0 X 610376 43034 Richard Deming 40.0 X 673816 30393 Joseph Hwang 40.0 X 701850 42810 John Martens 40.0 X 611706 43871 Neil Mandsager 40.0 X 703550 42517 5656270 2110501 721087 159 false true false 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 42 822578 5292 854748 1682618 Patient Services 900099 645894947 645894947 Equity changes of unconsolidated orgs 900099 3972178 3972178 Program Service Revenue 900099 2369984 2369984 652237109 4797492 537 4796955 0 0 89726 89726 89726 89726 5005090 5716674 5005090 5716674 10721764 10721764 0 0 0 Pharmacy Services 446110 7287858 7287858 Laboratory Services 621500 3524392 351991 3172401 Cafeteria 722100 2870407 2870407 8235739 8235739 21918396 691447105 652237109 352528 37174850 27978996 27978996 0 0 0 2612677 933249 1548794 130634 0 240728590 232958792 7769798 11996140 11523679 472461 30842133 29484746 1357387 16744555 16183826 560729 0 0 15000 15000 0 0 0 70747904 67607499 3140405 0 137027488 136172554 854933 0 0 14885501 14625113 260388 1317233 1171157 146076 0 94747 40845 53903 7850655 7850655 13676028 13676028 29147437 29006955 140482 5862246 5829122 33124 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 1433794 507504 926291 651473200 619249009 32093557 130634 18792 20005 23324210 24624375 112969704 103972757 2834302 2823795 11320967 14600012 2731723 3220918 677808928 324233891 349491439 353575037 171379589 179259373 5452485 16827211 18784506 690897937 706333263 88904397 59714886 409846 500899 179201496 170011689 268515739 230227474 X 422382198 476105789 422382198 476105789 690897937 706333263 X false true true X true true X X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 1000 false true 95368 false false false 96368 false 990 Sch C Supplemental Lobbying Activities 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 $8,445 to American Hospital Association. 19456428 19456428 387642717 142548935 245093782 25163606 18692611 6470995 0 245546177 162992346 82553832 353575037 CHI INVESTMENT PROGRAM, LP 179259373 F 179259373 0 CHI DEBT PROGRAM 169097949 ENVIRONMENTAL REMEDIATION LIABILITY 528680 MISCELLANEOUS PAYABLES 381000 UNCLAIMED PROPERTY 4060 170011689 691447105 651473200 39973905 13299080 450605 13749685 53723590 Form 990, Schedule D, Part X FIN48 Footnote (Now known as ASC 740) Mercy Medical Center, Inc aka CHI Iowa Corporation's financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 footnote for the year ended June 30, 2010 reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements." Form 990, Schedule D, Part XIV Detailed other changes in net assets Other changes in net assets: ($ 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 true true X false false true true false true true 9585364 9585364 0.01530 13046845 13046845 0.02090 22632209 22632209 0.03620 60 2094661 500574 9375 491199 0.00080 10 339 12467 12467 5 62150 1888567 1888567 0.00300 22 56444 363190 7612 355578 0.00060 97 2213594 2764798 16987 2747811 0.00440 97 2213594 25397007 16987 25380020 0.04060 2 210 1216 1216 1 191 191 2 75 4770 4770 2 4019 875 875 7 4304 7052 7052 true 25948825 177763300 199423354 -21660054 X true true Not Applicable 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 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. 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. 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. 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. 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. 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. 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. 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. 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 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 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. 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. 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. 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. 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. IA true 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 17 1 Schedule I Part I Q2 Organization's procedures for monitoring the use of grant funds 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. false true false false false false false true false 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 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. 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. 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 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 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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 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