Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY COLLEGE OF HEALTH SCIENCES
Employer identification number
42-1511682
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000248
Software Version:
2013v3.1
-
TIN:
SCHEDULE E(Form 990 or 990-EZ) Department of the Treasury Internal Revenue Service
SchoolsComplete if the organization answered "Yes" to Form 990, Part IV, line 13, or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ. Information about Schedule E (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY COLLEGE OF HEALTH SCIENCES
Employer identification number
42-1511682
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
......................
1
Yes
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
......................................
2
Yes
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II.
.............................
3
Yes
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff?
..........
4a
Yes
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
Other extracurricular activities?
.....................................
5h
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6a
Does the organization receive any financial aid or assistance from a governmental agency?
...........
6a
Yes
b
Has the organization's right to such aid ever been revoked or suspended?
...................
6b
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2013
Schedule E (Form 990 or 990EZ) 2013
Page 2
Part II
Supplemental Information. Provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Return Reference
Explanation
Schedule E, Part I, Line 3, Racially nondiscriminatory policy
THE COLLEGE CATALOG, VIEWBOOK, STUDENT HANDBOOK AND WEBSITE ALL CONTAIN A STATEMENT OF THE COLLEGE'S NON-DISCRIMINATORY POLICY.
Schedule E, Part I, Line 6a, Financial aid or assistance from a governmental agency
THE COLLEGE RECEIVES FINANCIAL AID FOR STUDENTS THROUGH THE U.S. DEPARTMENT OF EDUCATION. THE COLLEGE RECEIVES THE FEDERAL FINANCIAL AID ON BEHALF OF STUDENTS EACH YEAR. THE REVENUE IS REPORTED AS TUITION REVENUE SINCE THE FEDERAL AID IS DIRECTLY APPLIED TO THE STUDENTS' ACCOUNTS RECEIVABLE.
Schedule E (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000248
Software Version:
2013v3.1
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
MERCY COLLEGE OF HEALTH SCIENCES
Employer identification number
42-1511682
Return Reference
Explanation
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS
I. INTRODUCTION: ORGANIZATION'S MISSION, VISION, AND TAX-EXEMPT PURPOSE FOUNDED MERCY HOSPITAL OPENED ITS FORMAL NURSING SCHOOL IN 1899. MERCY SCHOOL OF HEALTH SCIENCES, A CERTIFICATE- AND DIPLOMA-GRANTING INSTITUTION COMPRISED OF MERCY SCHOOL OF NURSING, MERCY SCHOOL OF RADIOLOGY AND MERCY SCHOOL OF EMERGENCY MEDICAL SERVICES WAS OPERATED AS A DEPARTMENT OF MERCY HOSPITAL UP UNTIL JULY 1995. ON JULY 14, 1995 PURSUANT TO MERCY HOSPITAL BOARD RESOLUTION THE PROCESS OF BECOMING A DEGREE-GRANTING INSTITUTION WITH FORMAL ACCREDITATION THROUGH THE HIGHER LEARNING COMMISSION BEGAN. ON OCTOBER 31, 2000 MERCY COLLEGE OF HEALTH SCIENCES WAS OFFICIALLY FORMED AS A CORPORATION UNDER IOWA LAW AND BECAME A SUBSIDIARY OF MERCY MEDICAL CENTER. OUR VISION TO BE A NATIONAL LEADER FOR EXCELLENCE IN THE DELIVERY AND INNOVATION OF HEALTH SCIENCES EDUCATION. OUR MISSION MERCY COLLEGE OF HEALTH SCIENCES PREPARES GRADUATES FOR SERVICE AND LEADERSHIP IN THE HEALTHCARE COMMUNITY BY INTEGRATING ITS CORE VALUES WITH A PROFESSIONAL AND LIBERAL ARTS AND SCIENCES EDUCATION. OUR VALUE STATEMENT MERCY COLLEGE OF HEALTH SCIENCES IS A CATHOLIC INSTITUTION OF HIGHER EDUCATION ROOTED IN THE HERITAGE OF THE SISTERS OF MERCY, GUIDED BY OUR CORE VALUES OF KNOWLEDGE, REVERENCE, INTEGRITY, COMPASSION AND EXCELLENCE. OUR CORE VALUES *KNOWLEDGE - THE ABILITY TO INSTILL IN OUR COLLEGE COMMUNITY A THIRST TO CONTINUALLY STUDY, OBSERVE, AND INVESTIGATE THE WORLD FOR FACTS AND IDEAS THAT CAN IMPROVE THE HEALTH AND WELL-BEING OF HUMANKIND, AS WELL AS CREATE A LOVE FOR LEARNING. *REVERENCE - PROFOUND SPIRIT OF AWE AND RESPECT FOR ALL CREATION, SHAPING RELATIONSHIPS TO SELF, TO ONE ANOTHER, AND TO GOD, AS WELL AS ACKNOWLEDGING THAT WE HOLD IN TRUST ALL THAT HAS BEEN GIVEN TO US. *INTEGRITY - MORAL WHOLENESS, SOUNDNESS, UPRIGHTNESS, HONESTY AND SINCERITY AS THE BASIS OF TRUSTWORTHINESS. *COMPASSION - FEELING WITH OTHERS, BEING ONE WITH OTHERS IN THEIR SORROWS AND JOY, ROOTED IN THE SENSE OF SOLIDARITY AS MEMBERS OF THE HUMAN COMMUNITY. *EXCELLENCE - OUTSTANDING ACHIEVEMENT, MERIT AND VIRTUE; CONTINUALLY SURPASSING STANDARDS TO ACHIEVE AND MAINTAIN QUALITY. INSTITUTIONAL OUTCOMES MERCY COLLEGE OF HEALTH SCIENCES, GUIDED BY ITS CORE VALUES SUPPORTS THE FOLLOWING FOUR INSTITUTIONAL OUTCOMES AND EACH ASSOCIATED SUCCESS CRITERION FOR ALL STUDENTS AND EMPLOYEES IN ORDER TO ACHIEVE SUCCESS IN THE CHANGING HEALTHCARE ENVIRONMENT. 1. KNOWLEDGE ACQUISITION, CONSTRUCTION, INTEGRATION AND APPLICATION *GAIN CORE KNOWLEDGE AND SKILLS NECESSARY TO BUILD CAPACITY FOR LIFE-LONG LEARNING *APPLY KNOWLEDGE TO A NEW SITUATION OR SETTING *DEMONSTRATE CRITICAL THINKING 2. COMMUNICATION *WRITE EFFECTIVELY IN A VARIETY OF FORMS AND SETTINGS *SPEAK EFFECTIVELY IN A VARIETY OF FORMS AND SETTINGS *LISTEN TO COMPREHEND *READ TO COMPREHEND *COLLABORATE RESPECTFULLY WITH OTHERS TO ACCOMPLISH A COMMON GOAL 3. SERVANT LEADERSHIP *EXHIBIT PERSONAL ACCOUNTABILITY AS A SERVANT LEADER *EXHIBIT SOCIAL ACCOUNTABILITY AS A SERVANT LEADER *ADDRESS COMMUNITY, NATIONAL, AND GLOBAL NEEDS THROUGH SERVICE 4. EVIDENCE-BASED CONTINUOUS IMPROVEMENT *GAIN INSIGHTS THROUGH ASSESSMENT OF DATA. *MAKE DATA-INFORMED DECISIONS TO IMPROVE OUTCOMES *ATTAIN PURPOSEFUL CHANGE TO IMPROVE OUTCOMES *MONITOR OUTCOME PROGRESS MERCY COLLEGE OF HEALTH SCIENCES IS INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AS A TAX-EXEMPT ORGANIZATION. A BOARD OF DIRECTORS PRIMARILY COMPRISED OF INDEPENDENT COMMUNITY REPRESENTATIVES GOVERNS THE COLLEGE. THE COLLEGE SUPPORTS THE MISSION OF MERCY MEDICAL CENTER-DES MOINES, A TAX-EXEMPT HOSPITAL, BY PREPARING GRADUATES FOR SERVICE AND LEADERSHIP IN THE HEALTH CARE COMMUNITY. II. QUALITATIVE DESCRIPTION OF COMMUNITY BENEFIT MERCY COLLEGE HAS SERVED CENTRAL IOWA WITH MANY ONGOING COMMUNITY BENEFITS SINCE ITS BEGINNING. MANY OF OUR EMPLOYEES VOLUNTEER THEIR TIME AND ENERGY IN VARIOUS COMMUNITY ACTIVITIES THROUGHOUT THE GREATER DES MOINES AREA. TRUE TO ITS MISSION, MERCY COLLEGE EMPLOYEES PARTICIPATED IN 49 COMMUNITY SERVICE EVENTS AND PROVIDED OVER 3,860 HOURS OF SERVICE DURING FISCAL YEAR 2014 THAT IMPACTED THE LIVES OF OVER 25,000 INDIVIDUALS. THE ESTIMATED VALUE OF THE SERVICE HOURS IS $93,000.
Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee
THE EXECUTIVE COMMITTEE CONSISTS OF ONLY DIRECTORS OF THE CORPORATION AND IS COMPOSED OF THE CHAIRPERSON OF THE BOARD, THE VICE CHAIRPERSON OF THE BOARD, THE PRESIDENT, AND THE CHAIRPERSON OF EACH OF THE FOLLOWING COMMITTEES: ACADEMIC AFFAIRS, STUDENT AFFAIRS, FINANCIAL AFFAIRS AND ADVANCEMENT, EACH OF WHOM SERVES AS AN EX OFFICIO VOTING MEMBER OF THE EXECUTIVE COMMITTEE. THE PURPOSE OF THE EXECUTIVE COMMITTEE IS TWOFOLD: 1) IT SERVES AT THE PLEASURE OF THE BOARD OF DIRECTORS AS ITS AGENT IN HELPING THE PRESIDENT TO ADDRESS BUSINESS BETWEEN REGULAR BOARD OF DIRECTORS MEETINGS, TO CONSERVE TIME; AND 2) IT ASSISTS THE CHAIRPERSON OF THE BOARD AND THE PRESIDENT IN THEIR JOINT RESPONSIBILITY TO HELP THE BOARD OF DIRECTORS TO FUNCTION EFFECTIVELY AND EFFICIENTLY SUGGESTING BOARD OF DIRECTORS MEETING AGENDA ITEMS AND PERIODICALLY ASSESSING THE QUALITY OF COMMITTEE WORK. TO THE EXTENT PERMITTED BY LAW, THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT FOR THE BOARD OF DIRECTORS ON ALL MATTERS EXCEPT FOR THE FOLLOWING WHICH ARE RESERVED FOR THE BOARD OF DIRECTORS: -PRESIDENTIAL SELECTION AND TERMINATION -BOARD OFFICER SELECTION -CHANGES IN INSTITUTIONAL MISSION AND PURPOSES -CHANGES TO THE ARTICLES OF INCORPORATION -INCURRING OF CORPORATE INDEBTEDNESS -SALE OR TRANSFER OF CORPORATION ASSETS OR TANGIBLE PROPERTY -ADOPTION OF THE ANNUAL BUDGET -CONFERRAL OF DEGREES -ANY ACTION INCONSISTENT WITH A PRIOR ACT OF THE BOARD OF DIRECTORS -AND ANY ACTION IN THE BYLAWS THAT REQUIRES THE SPECIFIED VOTE OF THE MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION TO ITS AUTHORITY TO TAKE ACTION ON EMERGENCY MATTERS WHICH CANNOT BE DEFERRED TO THE NEXT SCHEDULED BOARD OF DIRECTORS MEETING, THE EXECUTIVE COMMITTEE OVERSEES THE WORK OF THE COMMITTEES, THE CORPORATION'S PLANNING PROCESS OR PROGRESS ON PLANNING GOALS, THE BOARD OF DIRECTORS' RESPONSIBILITY TO SUPPORT THE PRESIDENT AND ASSESS THE PRESIDENT'S PERFORMANCE, AND REVIEW ANNUALLY THE PRESIDENT'S COMPENSATION AND CONDITIONS OF EMPLOYMENT. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE PROMPTLY REPORTED TO THE BOARD OF DIRECTORS AT THE NEXT REGULAR OR ANNUAL MEETING OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEETS AT SUCH TIMES AS DETERMINED BY THE CHAIRPERSON. THE EXECUTIVE COMMITTEE KEEPS REGULAR MINUTES OF ITS PROCEEDINGS AND REPORTS THE SAME TO THE BOARD OF DIRECTORS AT THE EARLIEST REGULAR MEETING OF THE BOARD.
Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders
THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), AN IOWA NONPROFIT CORPORATION.
Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body
THE ORGANIZATION'S SOLE CORPORATE MEMBER HAS THE POWER TO APPOINT, REPLACE OR REMOVE THE MEMBERS OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Sec A, Line 7b, Decisions requiring approval by members or stockholders
THE ORGANIZATION'S SOLE CORPORATE MEMBER IS CATHOLIC HEALTH INITIATIVES - IOWA CORP D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"). PURSUANT TO SECTION 5.4 OF THE ORGANIZATION'S BYLAWS, BOTH MMC AND CATHOLIC HEALTH INITIATIVES ("CHI") (MMC'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE CHI GOVERNANCE MATRIX. PURSUANT TO THE GOVERNANCE MATRIX THE FOLLOWING RIGHTS ARE HELD BY THE MMC BOARD: - APPROVE MEMBERS OF THE MERCY COLLEGE OF HEALTH SCIENCES ("MCHS") BOARD - AMENDMENT OF THE CORPORATE DOCUMENTS OF MCHS - APPROVE REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MCHS - ADOPTION OF LONG RANGE AND STRATEGIC PLANS FOR MCHS 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 MCHS - REMOVAL OF A MEMBER OF THE GOVERNING BODY OF MCHS - APPROVAL OF ISSUANCE OF DEBT BY MCHS - APPROVAL OF PARTICIPATION OF MCHS IN A JOINT VENTURE - APPROVAL OF FORMATION OF A NEW CORPORATION BY MCHS - APPROVAL OF A MERGER INVOLVING MCHS - APPROVAL OF THE SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF MCHS - TO REQUIRE THE TRANSFER OF ASSETS BY MCHS TO CHI TO ACCOMPLISH CHI'S GOALS AND OBJECTIVES, AND TO SATISFY CHI DEBTS PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, MMC OR CHI MAY, IN EXERCISE OF THEIR APPROVAL POWERS, GRANT OR WITHHOLD APPROVAL IN WHOLE OR IN PART, OR MAY, IN ITS COMPLETE DISCRETION, AFTER CONSULTATION WITH THE BOARD AND ITS PRESIDENT AND THE CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, RECOMMEND SUCH OTHER OR DIFFERENT ACTIONS AS IT DEEMS APPROPRIATE.
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
THE ORGANIZATION'S ACCOUNTING PERSONNEL WORK WITH THE CHI TAX DEPARTMENT PERSONNEL TO PREPARE THE FORM 990. ONCE COMPLETED, THE CFO OF CATHOLIC HEALTH INITIATIVES - IOWA CORP D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), THE ORGANIZATION'S SOLE CORPORATE MEMBER, 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 MMC'S CFO, 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 FILING, THE FINAL FORM 990, AS E-FILED WITH THE IRS, IS PRESENTED TO THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
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. 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, LINE 15, PROCESS USED TO DETERMINE COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES
DURING THE TAX YEAR ENDED 6/30/14, NO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES BY CATHOLIC HEALTH INITIATIVES - IOWA CORP D/B/A MERCY MEDICAL CENTER - DES MOINES ("MMC"), A RELATED ORGANIZATION, WAS SET BY MMC'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THIS QUESTION IS MORE APPROPRIATELY ANSWERED AS "N/A" BUT HAS BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public
THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.COM. THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE ON THE IOWA SECRETARY OF STATE WEBSITE. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE.
Form 990, Part IX, Line 11g, Other Expenses
OTHER FEES FOR SERVICES - TOTAL EXPENSE: 201303, PROGRAM SERVICE EXPENSE: 197366, MANAGEMENT AND GENERAL EXPENSES: 2115, FUNDRAISING EXPENSES: 1822; OTHER SALARIES AND WAGES - TOTAL EXPENSE: 6941689, PROGRAM SERVICE EXPENSE: 6341637, MANAGEMENT AND GENERAL EXPENSES: 600051, FUNDRAISING EXPENSES: ; PENSION PLAN CONTRIBUTIONS - TOTAL EXPENSE: 169816, PROGRAM SERVICE EXPENSE: 169816, MANAGEMENT AND GENERAL EXPENSES: 0, FUNDRAISING EXPENSES: ; OTHER EMPLOYEE BENEFITS - TOTAL EXPENSE: 920196, PROGRAM SERVICE EXPENSE: 824930, MANAGEMENT AND GENERAL EXPENSES: 95266, FUNDRAISING EXPENSES: ; PAYROLL TAXES - TOTAL EXPENSE: 519139, PROGRAM SERVICE EXPENSE: 482446, MANAGEMENT AND GENERAL EXPENSES: 36693, FUNDRAISING EXPENSES: ;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.