Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (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 | |||||
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Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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| 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) |
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| 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): |
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| 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 | ||||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| SCHEDULE E, PART I, LINE 3 | 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 | 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: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| PART III, LINE 4A: | 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. IN ADDITION, THE COLLEGE SERVES THE COMMUNITY BY EDUCATING THE NEXT GENERATION OF NURSING AND MEDICAL TECHNOLOGY PROFESSIONALS. |
| FORM 990, PART VI, SECTION A, LINE 1 | 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, SECTION A, LINE 2 | DOUG FIORE AND GLENN LYONS - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 6 | 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, SECTION A, LINE 7A | ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS SHALL BE APPOINTED OR REFUSED BY THE CORPORATE MEMBER. THE CORPORATE MEMBER MAY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS, AND MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS. ACCORDING TO THE ORGANIZATION'S BYLAWS, DIRECTORS OF THE CORPORATION SHALL BE APPOINTED BY THE CORPORATE MEMBER NO LATER THAN JUNE 30 OF EACH YEAR. THE NAMES AND QUALIFICATIONS OF EACH INDIVIDUAL ACCEPTED BY THE BOARD OF DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER, WHO SHALL APPOINT OR REFUSE EACH NOMINEE IN ACCORDANCE WITH THE CORPORATE MEMBER'S BYLAWS AND WITH ENDORSEMENT OF THE SENIOR VICE PRESIDENT OF OPERATIONS. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT ONE OR MORE INDIVIDUALS TO THE BOARD OF DIRECTORS SHOULD THE BOARD FAIL TO FURNISH THE CORPORATE MEMBER WITH A LIST OF INDIVIDUALS QUALIFIED TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION A, LINE 7B | 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 COMMONSPIRIT HEALTH (MMC'S SOLE CORPORATE MEMBER) HAVE RESERVED POWERS AS OUTLINED IN THE COMMONSPIRIT HEALTH 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 COMMONSPIRIT HEALTH BOARD DIRECTLY OR THROUGH POWERS DELEGATED TO THE COMMONSPIRIT HEALTH 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 COMMONSPIRIT HEALTH TO ACCOMPLISH COMMONSPIRIT HEALTH'S GOALS AND OBJECTIVES, AND TO SATISFY COMMONSPIRIT HEALTH'S DEBTS PURSUANT TO SECTION 5.5.2 OF THE ORGANIZATION'S BYLAWS, MMC OR COMMONSPIRIT HEALTH 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. (CHCF RESERVED RIGHTS) EXCEPT AS OTHERWISE PROVIDED IN THE CORPORATION'S ARTICLES OF INCORPORATION OR THE LAWS OF THE STATE OF ORGANIZATION, CATHOLIC HEALTH CARE FEDERATION ("CHCF") SHALL HAVE SUCH RIGHTS AS ARE RESERVED TO THE CORPORATE MEMBER, ACTING IN ITS CAPACITY AS THE MEMBERSHIP BODY OF CHCF, UNDER THE GOVERNANCE MATRIX. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER THE RETURN IS PREPARED, 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, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICTS OF INTEREST ("COI") POLICY (THE "POLICY") IN PLACE TO MAINTAIN THE INTEGRITY OF ITS ACTIVITIES. THE POLICY APPLIES TO THE FOLLOWING PERSONS ("COVERED PERSONS"): MEMBERS OF THE COMMONSPIRIT HEALTH ("COMMONSPIRIT") BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES; COMMONSPIRIT HEALTH CORPORATE OFFICERS; MEMBERS OF THE DIGNITY HEALTH BOARD OF STEWARDSHIP TRUSTEES AND ITS COMMITTEES. IN ADDITION, THE POLICY APPLIES TO ORGANIZATIONS THAT WERE AFFILIATES AND SUBSIDIARIES OF COMMONSPIRIT HEALTH PRIOR TO ITS AFFILIATION WITH DIGNITY HEALTH ("CHI ENTITIES"). COVERED PERSONS OF CHI ENTITIES INCLUDE: MEMBERS OF ANY CHI ENTITY DIRECT AFFILIATE OR SUBSIDIARY BOARD AND THEIR COMMITTEES; EMPLOYEES OF CHI ENTITIES; AND CHI ENTITY RESEARCHERS (AS DEFINED BY THE POLICY). DISCLOSURE, REVIEW AND MANAGEMENT OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ACCOMPLISHED THROUGH A DEFINED COI DISCLOSURE REVIEW PROCESS. ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS AND MUST DISCLOSE THAT CONFLICT TO HIS/HER DIRECT MANAGER (OR OTHER PERSON AS IS APPROPRIATE PER POLICY). SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON (E.G. UPON HIRING OR BOARD APPOINTMENT), AND ANNUALLY THEREAFTER. DISCLOSURES OF PERCEIVED, POTENTIAL OR ACTUAL CONFLICTS ARE INITIALLY REVIEWED BY NATIONAL OR REGIONAL LEGAL OR CORPORATE RESPONSIBILITY TEAM MEMBERS TO DETERMINE WHETHER AN ACTUAL OR POTENTIAL CONFLICT MAY EXIST. IF IT IS DETERMINED THAT A POTENTIAL OR ACTUAL CONFLICT EXISTS, ISSUES ARE ELEVATED TO THE BOARD EXECUTIVE COMMITTEE OR BOARD CHAIR (FOR BOARD OR OFFICER CONFLICTS), OR THE CONFLICTS OF INTEREST REVIEW COMMITTEE (FOR ANY OTHER CONFLICT). THE PROCEDURES FOR ADDRESSING A CONFLICT RELATED TO A PROPOSED TRANSACTION IN THE CASE OF GOVERNING BODIES OR A CORPORATE OFFICER INCLUDE, BUT ARE NOT LIMITED TO 1) DISCLOSURE TO THE BOARD, 2) THE TRUSTEE OR CORPORATE OFFICER BEING EXCUSED FROM THE MEETING DURING DISCUSSION AND VOTE ON THE CONFLICT OF INTEREST (ALTHOUGH HE OR SHE MAY RESPOND TO PERTINENT QUESTIONS IF THE KNOWLEDGE IS RELEVANT), AND 3) BOARD APPROVAL OF THE TRANSACTION BY A MAJORITY OF DISINTERESTED MEMBERS. IN ADDITION, BOARDS CAREFULLY REVIEW AND SCRUTINIZE ANY NON-TRANSACTIONAL CONFLICTS OF INTEREST. IN SUCH CIRCUMSTANCES, BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES, THE BOARD TAKES WHATEVER ACTION IS DEEMED APPROPRIATE. FOR CONFLICTS NOT INVOLVING A BOARD MEMBER OR OFFICER, THE CONFLICTS OF INTEREST REVIEW COMMITTEE ("C-CIRC") WILL FACILITATE A COI MANAGEMENT PLAN TO MITIGATE THE CONFLICT IF ADEQUATE CONTROLS AREN'T ALREADY IN PLACE. NOTWITHSTANDING THE FOREGOING, AT ITS SOLE DISCRETION, AN 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 CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | DURING THE TAX YEAR ENDED 6/30/2020, NO OFFICERS, DIRECTORS OR TRUSTEES RECEIVED COMPENSATION FROM THE ORGANIZATION. ANY EXECUTIVE COMPENSATION PAID TO OFFICERS, DIRECTORS OR TRUSTEES BY RELATED ORGANIZATIONS WAS SET BY THE RELATED ORGANIZATION'S COMPENSATION COMMITTEE UTILIZING BOTH AN INDEPENDENT CONSULTANT AND COMPARABILITY STUDIES TO DETERMINE COMPENSATION. THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED AS N/A. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN COMMONSPIRIT HEALTH'S CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.COMMONSPIRIT.ORG. 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 FOR SERVICES: PROGRAM SERVICE EXPENSES 21,945. MANAGEMENT AND GENERAL EXPENSES 1,155. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,100. CONSULTING: PROGRAM SERVICE EXPENSES 36,850. MANAGEMENT AND GENERAL EXPENSES 1,939. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,789. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 1,440. MANAGEMENT AND GENERAL EXPENSES 160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,600. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,078,650. MANAGEMENT AND GENERAL EXPENSES 560,951. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,639,601. |
| FORM 990, PART XI, LINE 9: | ASC 842 ADJUSTMENT -216,169. |
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