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        <Identifier>POST-TERMINATION PAYMENTS</Identifier>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, Q. 4A</ReturnReference>
        <Explanation>INTRODUCTION: I.Organization's Mission, Vision, and Tax-Exempt Purpose Mercy Professional Practice Associates is a multi-specialty physician practice located in Des Moines, IA. The mission of the group is to provide healthcare services to the community on a non-discriminatory basis. These services include managing the emergency room that is open to all persons regardless of ability to pay, for Mercy Medical Center-Des Moines, a tax-exempt hospital. In addition, the group provides specialty services in pediatric medicine, endocrinology, psychiatry, breast health and sedation to the community based on need. Mercy Professional Practice Associates is guided by the values of Reverence, Integrity, Compassion, and Excellence and we hold ourselves to a high standard of giving to the poor and broader community. Mercy Professional Practice Associates is included in the Official Catholic Directory as a tax-exempt organization. The group participates in government-sponsored health care programs like Medicaid and Medicare. II. Community Benefit Approach Mercy Professional Practice Associates has a 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. Mercy Professional Practice Associates 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. QUANTITATIVE DESCRIPTION OF COMMUNITY BENEFIT: COMMUNITY BENEFIT COST Community Benefit Provided to the Poor: Cost of charity care provided 321,856 Unpaid cost of public programs, Medicaid, and other indigent care programs 1,400,518 Cost of community benefit provided to the Poor 1,722,374 Total Cost of Community Benefit 1,722,374 Unpaid Costs of Medicare* 5,962,374 Total Cost of Community Benefit and the Unpaid Cost of Medicare 7,684,748 * The unpaid cost of Medicare is not included in total community benefit.</Explanation>
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      <GeneralExplanation>
        <Identifier>MEMBERS OR STOCKHOLDERS</Identifier>
        <ReturnReference>FORM 990, PART VI, Q.6</ReturnReference>
        <Explanation>THE ENTITY'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP. D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION.</Explanation>
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      <GeneralExplanation>
        <Identifier>MEMBER ELECT ONE OR MORE MEMBERS OF GOVERNING BOARD</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 7A</ReturnReference>
        <Explanation>THE SOLE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
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        <ReturnReference>FORM 990, PART VI, Q. 7B</ReturnReference>
        <Explanation>THE ORGANIZATION'S CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA, CORP., D/B/A MERCY MEDICAL CENTER - DES MOINES, AN IOWA NONPROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S BYLAWS, MERCY MEDICAL CENTER HAS THE RIGHT TO: - INITIATE AND APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE ORGANIZATION - INITIATE AND APPROVE SUBSTANTIAL CHANGES TO THE MISSION AND PHILOSOPHICAL DIRECTION OF THE ORGANIZATION - INITIATE AND APPROVE JOINT VENTURES IN WHICH THE ORGANIZATION PROPOSES TO PARTICIPATE, PURSUANT TO GUIDELINES ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER - APPROVE AND REMOVE WITH OR WITHOUT CAUSE MEMBERS OF THE GOVERNING BODY OF THE CORPORATION - APPROVE THE INCURRENCE OF ANY DEBT BY THE ORGANIZATION THAT IS IN EXCESS OF A THRESHOLD ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER - RECOMMEND TO THE SOLE CORPORATE MEMBER OF THE CORPORATE MEMBER THE ALIENATION OF PROPERTY, WITHIN THE MEANING OF THE CANON LAW, OF THIS ORGANIZATION, AS REQUIRED, AND - APPOINT AND TERMINATE WITH OR WITHOUT CAUSE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION.</Explanation>
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      <GeneralExplanation>
        <Identifier>PROCESS, IF ANY, THE ORGANIZATION USES TO REVIEW FORM 990</Identifier>
        <ReturnReference>FORM 990, PART VI, Q.11</ReturnReference>
        <Explanation>The CFO reviews the return and any necessary revisions are included in the final version which is approved for filing with the IRS. Subsequent to review by the chief financial officer, the tax department files the return with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing. Subsequent to e-filing, the final e-filed form 990 is presented to the board at a regularly scheduled board meeting.</Explanation>
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        <Identifier>PROCEDURES FOR MONITORING AND ENFORCING THE COI POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 12C</ReturnReference>
        <Explanation>ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, ANY BOARD MEMBER WITH A CONFLICT IS REQUIRED TO DECLARE THE CONFLICT BEFORE THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING. THE ENTIRE BOARD OR COMMITTEE DETERMINES WHETHER THE AFFECTED BOARD MEMBER SHOULD BE EXCLUDED FROM THE MEETING DUE TO THE DISCLOSED CONFLICT.</Explanation>
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      <GeneralExplanation>
        <Identifier>PROCESS FOR DETERMINING EXECUTIVE COMPENSATION</Identifier>
        <ReturnReference>FORM 990, PART VI, Q. 15A</ReturnReference>
        <Explanation>THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY CHI-IOWA CORP, A RELATED ORGANIZATION, WHO USED A THIRD-PARTY CONSULTANT TO SURVEY COMPENSATION TRENDS ANNUALLY AND RECOMMEND COMPENSATION RANGES FOR THE TOP MANAGEMENT OFFICIAL. THESE RECOMMENDATIONS ARE PRESENTED TO THE BOARD FOR FINAL DETERMINATION AND APPROVAL. THE SALARIES ARE COMPARED TO INDUSTRY STANDARDS AND GUIDELINES FOR APPROPRIATENESS.</Explanation>
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        <ReturnReference>FORM 990, PART VI, Q. 15B</ReturnReference>
        <Explanation>The organization referenced industry compensation comparability studies and surveys when setting top management compensation amounts which were reviewed by an independent compensation consultant, approved by a compensation committee, and paid in accordance with a written employment contract. The organization's board of directors oversees the compensation setting process to ensure reasonableness and compliance with Mercy Professional Practice Associates, Inc.'s compensation philosophy.</Explanation>
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        <ReturnReference>FORM 990, PART VI, Q.19</ReturnReference>
        <Explanation>MERCY PROFESSIONAL PRACTICE ASSOCIATES' FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. The organization's conflict of interest policy IS NOT PUBLICLY AVAILABLE. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE IOWA SECRETARY OF STATE'S WEBSITE.</Explanation>
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        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>COMPENSATION REPORTED ON FORM 990, PART VII WAS PAID TO THESE INDIVIDUALS BY RELATED ORGANIZATIONS IN EXCHANGE FOR THE FULFILLMENT OF THEIR DUTIES AS FULL-TIME, 40 HOUR-PER-WEEK EMPLOYEES.</Explanation>
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          <AddressLine1>300 Central SW Suite 300</AddressLine1>
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          <State>NM</State>
          <ZIPCode>87102</ZIPCode>
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          <BusinessNameLine1>St Francis of Baker City</BusinessNameLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Elizabeth Health Care Foundation</BusinessNameLine1>
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          <AddressLine1>3325 Pocahontas Road</AddressLine1>
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          <BusinessNameLine1>Flaget Memorial Hospital Foundation Inc</BusinessNameLine1>
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          <ZIPCode>40004</ZIPCode>
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          <BusinessNameLine1>Flaget Healthcare DBA Flaget Memorial</BusinessNameLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Lakewood Health Center</BusinessNameLine1>
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          <AddressLine1>600 Main Avenue South</AddressLine1>
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          <ZIPCode>56623</ZIPCode>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Appletree Court</BusinessNameLine1>
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          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
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          <BusinessNameLine1>SFH</BusinessNameLine1>
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          <BusinessNameLine1>Healthcare and Wellness Foundation</BusinessNameLine1>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <State>MN</State>
          <ZIPCode>56520</ZIPCode>
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          <BusinessNameLine1>SFMC</BusinessNameLine1>
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          <BusinessNameLine1>St Francis Home</BusinessNameLine1>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>St Francis Medical Center</BusinessNameLine1>
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          <AddressLine1>2400 St Francis Drive</AddressLine1>
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          <BusinessNameLine1>CHI</BusinessNameLine1>
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          <BusinessNameLine1>Carrington Health Center</BusinessNameLine1>
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          <BusinessNameLine1>Saint Clare's Community Care</BusinessNameLine1>
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          <BusinessNameLine1>Good Samaritan College of Nursing &amp; Heal</BusinessNameLine1>
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