Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |
| 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 6(a) FINANCIAL AID OR ASSISTANCE FROM A GOVERNMENT | 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. |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| 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. |
| Form 990, Part VI, Line 15 PROCESS USED TO DETERMINE COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES | DURING THE TAX YEAR ENDED 6/30/15, 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, 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, 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, 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, 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, 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, Line 12c Conflict of interest policy | Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and the manager do not agree with the review decision, interpretation of the Policy, or seek exemption or exception, the manager shall consult with the manager's Vice President (or higher if the manager is a Vice President) to reach a determination. If the matter remains unresolved, it shall be referred to the CHI Vice President of Human Resources and the CHI Corporate Responsibility Officer. If they are unable to reach agreement, the matter shall be referred to the CHI General Counsel, whose decision shall be final. Reviews and determinations involving board and board committee members and corporate officers will be the responsibility of the board, board executive committee, or board chair, with guidance from the Legal Services Group (LSG). Annual COI disclosures of all trustee and corporate officers will be reviewed by the CHI Senior Vice President, Legal Services, and General Counsel or his or her designee who will report potential conflicts to the applicable Board Chair. The Board Chair or designee shall make such further investigation of any conflict of interest disclosures as he or she may deem appropriate. If the conflict involves the Board Chair, the Vice Chair will assume the Chair's role. Based on review and evaluation of the relevant facts and circumstances, the Board Chair will make an initial determination as to whether a conflict of interest exists and whether, pursuant to the COI Policy, review and approval or other action by the Board is required. A written record of the Board Chair's determination, including relevant facts and circumstances, will be made. The Board Chair shall then make an appropriate report to the Executive Committee of the Board concerning such review, evaluation and determination. If a difference of opinion exists between the Board Chair and another Trustee as to whether the facts and circumstances of a given situation constitute a conflict of interest or whether Board review and approval or other action is required within the COI Policy, the matter shall be submitted to the Board's Executive Committee, which shall make a final determination as to the matter presented. Such determination, including relevant facts and circumstances, will be reflected in the Executive Committee minutes and will be reported to the Board. When any conflict of interest is considered by the board, the trustee or corporate officer, as appropriate, must disclose all of the material facts to the Board. The trustee shall not vote and the trustee or corporate officer shall not use his or her personal influence on the matter. The trustee or corporate officer shall be excused from the meeting during discussion and vote on the conflict of interest. In reviewing such transactions between CHI or CHI Entities and vendors or other contractors who are, or are affiliated with, Trustees or Corporate Officers, the Board will act as it would in reviewing transactions with unrelated third parties. The transaction is not be approved unless the Board determines that the transaction is fair to CHI or the CHI Entity. The Board must approve the transaction by a majority of the Trustees on the Board, without counting the vote of any individual who has an interest in the transaction. All determinations of conflicts of interest are reported as required by law, regulations, and CHI policy. |
| Form 990, Part VI, 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 Fees | Other Fees for Services - Total Expense: 267412, Program Service Expense: 262107, Management and General Expenses: 2842, Fundraising Expenses: 2463; E-Other salaries and wages - Total Expense: 7016269, Program Service Expense: 6410063, Management and General Expenses: 606206, Fundraising Expenses: 0; E-Pension plan contributions - Total Expense: 349642, Program Service Expense: 349642, Management and General Expenses: 0, Fundraising Expenses: 0; E-Other employee benefits - Total Expense: 723128, Program Service Expense: 648284, Management and General Expenses: 74844, Fundraising Expenses: 0; E-Payroll taxes - Total Expense: 509502, Program Service Expense: 473480, Management and General Expenses: 36022, Fundraising Expenses: 0; |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |