TY 2019 Form 990EZ

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? The purpose of the organization is:1.To render quality medical care to all patients admitted to or treated in any of the facilities, departments, or services of the Mercy Medical Center;2.To provide continuous performance improvement control mechanisms concerning patient care and to ensure that the interests and safety of the patients of the hospital are accorded the highest priority; 3.To promote a high level of professional performance in the Medical Center through the appropriate delineation of the clinical privileges that each practitioner may exercise in the Medical Center and through an ongoing review and evaluation of each practitioner's performance in the Medical Center;4. To conduct an on-going assessment, and at least biennial review and re-evaluation of each practitioner's performance in the hospital;5. To provide an appropriate educational setting that will maintain scientific standards and that will lead to continuous advancement in professional knowledge and skill;6.To de
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 to appoint, reappoint, or revoke appointment to Mercy Medical Center's ("the Hospital") Medical Staff. INITIAL FIRST YEAR APPOINTMENTS ARE ON A PROVISIONAL BASIS WITH CONTINUOUS REVIEW DURING THE FIRST SIX MONTHS AND RE-APPOINTMENTS ARE CONDUCTED ON A BIENNIAL BASIS. ACCORDINGLY, SUCH APPOINTMENTS ARE CONDUCTED THROUGHOUT THE YEAR. THE APPOINTMENT PROCESS IS CONDUCTED THROUGH EXAMINATION OF THE PROFESSIONAL'S COMPETENCE,ETHICS AND CHARACTER INCLUDING EXAMINATION OF REFERENCES, BACKGROUND CHECKS AND APPRAISAL'S FROM THE CLINICAL DEPARTMENT IN WHICH PRIVILEGES ARE SOUGHT. THIS PROCESS HELPS TO FURTHER THE COMPENTENCY AND CREDENTIALS OF THE MEDICAL STAFF THEREBY FURTHERING QUALITY MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL. (Grants $ 40,000) If this amount includes foreign grants, check here ...			28a
29 ARRANGES FOR GUEST SPEAKERS, WEBINARS, CONFERENCES, MEDICAL STAFF MEETINGS AND MEDICAL EDUCATION EVENTS. SUCH CONFERENCES, MEETINGS, WEBINARS, EVENTS ARE CONDUCTED THROUGHOUT THE YEAR. THIS PROCESS HELPS TO FURTHER THE COMPENTENCY OF THE MEDICAL STAFF THEREBY fURTHERING QUALITY MEDICAL CARE TO ALL PATIENTS TREATED IN THE HOSPITAL. (Grants $ 42,112) If this amount includes foreign grants, check here ...			29a
30 PROVIDE MASS CARDS, OBITUARY NOTICES, FLOWERS AND/OR GIFTS TO PATIENTS OF THE HOSPITAL AND/OR MEDICAL STAFF MEMBERS, AS APPLICABLE. THE ACTIVITY IS CONDUCTED THROUGHOUT THE YEAR. THIS PROCESS HELPS TO FURTHER THE QUALITY OF CARE AT THE HOSPITAL. (Grants $ 1,200) If this amount includes foreign grants, check here ...			30a
Provide for a Christmas party, TOYS, REFRESHMENTS AND SANTA DURING CHRISTMAS for medical staff. THE TOYS ARE DISTRIBUTED TO CHILDREN OF HOSPITAL STAFF. The above FURTHERS THE CHARITABLE NATURE OF THE ASSOCIATION AND HELPS WITH STAFF MORALE THEREBY FURTHERING THE QUALITY OF CARE AT THE HOSPITAL. (Grants $ 25,600) If this amount includes foreign grants, check here ...
Provide non-monetary awards / appreciation gifts to medical staff. Such awards / appreciation gifts are generally given to applicable medical staff members at year-end. The awarding of awards / gifts to the medical staff helps with staff morale thereby furthering the quality of care at the hospital. (Grants $ 9,047) If this amount includes foreign grants, check here ...
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	117,959

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)
ALEEM ALI MD Secretary	1.50	0
ERIC THALL MD President	2.00	40,000
NEAL BELLIN MD Vice President	1.50	0
DANIEL HALLER MD Treasurer	1.50	0

(a) Name and title

(b) Average
hours per week
devoted to position

(c) Reportable compensation
(Forms W-2/1099-MISC) (if not paid, enter -0-)

(d) Health benefits, contributions to employee benefit plans, and
deferred compensation

(e) Estimated amount
of other compensation

ALEEM ALI MD

Secretary

1.50

ERIC THALL MD

President

2.00

40,000

NEAL BELLIN MD

Vice President

1.50

DANIEL HALLER MD

Treasurer

1.50

Yes

Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II .......................

Is the organization a school as described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E ..

49a

Did the organization make any transfers to an exempt non-charitable related organization?......

49a

If "Yes," was the related organization a section 527 organization?................

49b

Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and title of each employee	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
NONE

Total number of other employees paid over $100,000 ............. bullet

Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter "None."

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Return Reference	Explanation
Other Revenue.1	EVENTS TICKETS & REVENUE $23410
Other Expenses.1002	Office Expenses $60
Other Expenses.1	MEDICAL MEETINGS/EVENTS $30675
Other Expenses.2	ANNUAL CHRISTMAS PARTY $25600
Other Expenses.3	AWARDS AND APPRECIATION GIFTS $9047
Other Expenses.4	CATERING AND MEETINGS EXPENSE $5937
Other Expenses.5	GUEST SPEAKERS & CONFERENCES $5500
Other Expenses.6	OBITUARY NOTICES, GIFTS, ETC. $1200

Return Reference

Explanation

Other Revenue.1

EVENTS TICKETS & REVENUE $23410

Other Expenses.1002

Office Expenses $60

Other Expenses.1

MEDICAL MEETINGS/EVENTS $30675

Other Expenses.2

ANNUAL CHRISTMAS PARTY $25600

Other Expenses.3

AWARDS AND APPRECIATION GIFTS $9047

Other Expenses.4

CATERING AND MEETINGS EXPENSE $5937

Other Expenses.5

GUEST SPEAKERS & CONFERENCES $5500

Other Expenses.6

OBITUARY NOTICES, GIFTS, ETC. $1200

1	Contributions, gifts, grants, and similar amounts received ....................	1
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3	99,275
4	Investment income ....................................	4
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8	23,410
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	122,685

10	Grants and similar amounts paid (list in Schedule O) ................	10	1,000
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12	40,000
13	Professional fees and other payments to independent contractors ............	13	3,373
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15
16	Other expenses (describe in Schedule O) ...................	16	78,019
17	Total expenses. Add lines 10 through 16 .................	17	122,392

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	293
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	104,102
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21	104,395

Sign Here

	Signature of officer	Date

	Type or print name and title

Software ID:	19009920
Software Version:	2019v5.0

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures