Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 07-01-2024 , and ending 06-30-2025
BCheck if applicable:
CName of organization
MERCY HEALTH SERVICES - IOWA CORP
 
 
Doing business as
SEE SCHEDULE O FOR LIST
 
Number and street (or P.O. box if mail is not delivered to street address)
1000 4TH STREET SW
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MASON CITY, IA50401
D Employer identification number

31-1373080
E Telephone number

G Gross receipts $ 936,249,190
F Name and address of principal officer:
MICHAEL TAYLOR
411 LAUREL STSTE 200
DES MOINES,IA50314
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.MERCYONE.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number  
K Form of organization:  
L Year of formation: 1993
M State of legal domicile: DE
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 3
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 1
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 6,372
6 Total number of volunteers (estimate if necessary) ............. 6 215
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 26,366,427
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,050,294 9,543,132
9 Program service revenue (Part VIII, line 2g) ......... 904,324,657 865,707,039
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,815,200 8,506,231
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 56,490,124 50,144,796
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 972,680,275 933,901,198
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,364,001 1,668,901
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 396,581,858 415,892,028
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 801,751    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 595,214,654 598,641,727
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 993,160,513 1,016,202,656
19 Revenue less expenses. Subtract line 18 from line 12....... -20,480,238 -82,301,458
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 874,142,290 1,394,159,720
21 Total liabilities (Part X, line 26)............. 604,291,198 1,227,717,403
22 Net assets or fund balances. Subtract line 21 from line 20..... 269,851,092 166,442,317
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: WE, MERCY HEALTH SERVICES-IOWA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES.MERCY HEALTH SERVICES-IOWA IS A MEMBER OF TRINITY HEALTH.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 902,476,366 including grants of $ 1,668,901 ) (Revenue $ 885,497,556 )
MERCY HEALTH SERVICES-IOWA (MHS-IA) IS COMPRISED OF FOUR HOSPITAL DIVISIONS IN THE STATE OF IOWA THAT PROVIDED OVER 120,000 PATIENT DAYS OF HEALTH CARE SERVICES TO THEIR COMMUNITIES THROUGHOUT THE STATE OF IOWA AND SURROUNDING STATES.PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS, AND AWARDS: WWW.MERCYONE.ORG
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses902,476,366
Form 990 (2024)
Form 990 (2024)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. 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 IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
Yes
 
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....Click to see attachment
List of Attached Documents:
// Content
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
List of Attached Documents:
// Content
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
List of Attached Documents:
// Content
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
514
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
28
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
6,372
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
3
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
1
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filed
MN
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
SUSAN MCLEAN1000 4TH STREET SW   MASON CITY,IA50401 (515) 358-9200
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ROBERT RITZ......................................................................
DIRECTOR; REGIONAL PRESIDENT & CEO
1.00
.................
54.00
X   X       0 2,416,873 54,140
(2) MARY CORITA HEID RSM......................................................................
DIRECTOR AND CHAIR THROUGH 5/25
1.00
.................
1.00
X   X       0 0 0
(3) LINDA ROSS......................................................................
DIR; CHIEF LEGAL OFFICER TRINITY
1.00
.................
54.00
X           0 1,964,988 48,692
(4) MAURITA SOUKUP RSM......................................................................
DIRECTOR
1.00
.................
4.00
X           0 0 0
(5) TERRI DONOVAN PAID BY MGMT CO......................................................................
TREAS & INTERIM VP FINANCE MERCYONE
1.00
.................
49.00
    X       0 0 0
(6) HEATHER CAMPBELL......................................................................
SEC; CHIEF LEGAL OFFICER MERCYONE
1.00
.................
49.00
    X       0 584,069 57,759
(7) MICHELLE POSTEN......................................................................
COO E. IA REG AT 3/25; GENESIS ADMIN
49.00
.................
1.00
      X     0 450,207 10,352
(8) PAUL MANTERNACH......................................................................
SVP PHYS INTEGRATION/CMO NORTH IOWA
50.00
.................
0.00
      X     0 561,144 59,517
(9) KAY TAKES......................................................................
PRES EASTERN IOWA REGION THR 12/24
29.00
.................
26.00
      X     0 770,367 53,147
(10) THOMAS CLARK......................................................................
PRESIDENT WESTERN IOWA REGION
50.00
.................
5.00
      X     0 848,031 155,119
(11) JESICA HANSON......................................................................
VP FINANCE MERCYONE SIOUXLAND
45.00
.................
5.00
      X     0 434,258 49,713
(12) MARK TRAMMEL......................................................................
VP FINANCE MERCYONE N. IOWA THR 2/25
47.00
.................
3.00
      X     0 351,734 37,392
(13) KEITH VOLLSTEDT MD......................................................................
CMO MERCYONE SIOUXLAND
49.00
.................
1.00
      X     0 312,430 35,827
(14) CHAD BOORE......................................................................
COO MERCYONE NORTH IOWA THROUGH 3/25
50.00
.................
0.00
      X     0 580,285 128,460
(15) YEN LIU MD......................................................................
PHYSICIAN, DERMATOLOGY NORTH IOWA
50.00
.................
0.00
        X   1,627,523 0 52,429
(16) KEVIN ORCUTT MD......................................................................
PHYSICIAN, ONCOLOGY NORTH IOWA
50.00
.................
0.00
        X   1,224,247 0 58,438
(17) ALIREZA YARAHMADI MD......................................................................
PHYSICIAN, NEUROLOGY NORTH IOWA
50.00
.................
0.00
        X   1,044,239 0 40,513
Form 990 (2024)
Form 990 (2024)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MIR SUBLA MD........................................................................
PHYSICIAN, CARDIOLOGIST SIOUX CITY
50.00
.......................0.00
        X   0 954,784 26,073
(19) DANIEL LAMPTEY MD........................................................................
PHYS, INFECTIOUS DISEASE SIOUX CITY
50.00
.......................0.00
        X   0 894,960 33,263
(20) MICHAEL WEGNER........................................................................
FORMER OFFICER
0.00
.......................0.00
          X 0 1,198,272 455,195
(21) JODIE ROETTGER........................................................................
FORMER OFFICER
0.00
.......................0.00
          X 0 428,790 30,461
(22) RODNEY SCHLADER........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 0 298,515 13,414
(23) DOUGLAS STRONG........................................................................
FORMER KEY EMP; CEO HOLY CROSS HLTH
0.00
.......................55.00
          X 0 770,383 23,642














1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 3,896,009 13,820,090 1,423,546
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 572
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
MASON CITY CLINIC PC

250 S CRESCENT DRIVE
MASON CITY,IA50401
MEDICAL SERVICES 57,605,764
OWENS & MINOR

9120 LOCKWOOD BLVD
MECHANICSVILLE,VA23116
SERVICES & SOLUTIONS 12,315,891
HEALTH CAROUSEL LLC

1700 MADISON RD STE 100
CINCINNATI,OH45209
STAFFING SERVICES 8,494,447
CCS CAPTURIS LLC

3131 TECHNOLOGY DR NW
MANDAN,ND58554
PAYMENT PROCESSING 7,222,931
MEDICAL ASSOCIATES CLINIC PC

1500 ASSOCIATES DRIVE
DUBUQUE,IA52002
MEDICAL SERVICES 6,792,717
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 111
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 5,647,781
e Government grants (contributions)1e 3,817,599
f All other contributions, gifts, grants, and similar amounts not included above1f 77,752
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f....... 9,543,132
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622110 804,524,111 804,524,111    
b PHARMACY REVENUE 456110 57,083,348 39,204,866 17,878,482  
c LABORATORY REVENUE 621500 4,099,580   4,099,580  
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f ..... 865,707,039
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 6,584,786     6,584,786
4 Income from investment of tax-exempt bond proceeds        
5 Royalties...........        
(i) Real (ii) Personal
6a Gross rents 6a 1,548,503  
b Less: rental expenses 6b 853,584  
c Rental income or (loss) 6c 694,919  
d Net rental income or (loss)....... 694,919     693,711
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a 1,910,151 13,364
b Less: cost or other basis and sales expenses 7b 0 2,070
c Gain or (loss) 7c 1,910,151 11,294
d Net gain or (loss)......... 1,921,445     1,921,445
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 31,325
b Less: direct expenses ... 8b 19,389
c Net income or (loss) from fundraising events.. 11,936   11,936
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a 4,325,897
b Less: cost of goods sold .. 10b 1,472,949
c Net income or (loss) from sales of inventory.. 2,852,948   2,731,335 121,613
 OtherRevenueMiscAmt
Business Code
11a MANAGEMENT REVENUE 541618 5,509,511 4,129,910 1,379,601  
b INTERCOMPANY REVENUE 622110 3,549,534 3,549,534    
c CAFETERIA REVENUE 722514 3,160,592     3,160,592
d All other revenue .... 34,365,356 34,089,135 276,221  
e Total. Add lines 11a–11d ...... 46,584,993
12 Total revenue. See instructions..... 933,901,198 885,497,556 26,366,427 12,494,083
Form 990 (2024)
Form 990 (2024)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 1,624,562 1,624,562
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 44,339 44,339
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 4,202,445   4,202,445  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 311,929   311,929  
7 Other salaries and wages........ 334,749,564 313,918,592 20,320,040 510,932
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 19,965,688 18,619,067 1,316,317 30,304
9 Other employee benefits ....... 33,864,022 31,572,994 2,239,640 51,388
10 Payroll taxes ........... 22,798,380 21,448,526 1,318,326 31,528
11 Fees for services (non-employees):        
a Management ...... 16,202,725 16,202,725    
b Legal ......... 25,540   25,540  
c Accounting ........... 119,435   119,435  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 719,791   719,791  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 110,800,060 108,888,995 1,767,154 143,911
12 Advertising and promotion .... 923,924 229,038 689,548 5,338
13 Office expenses ....... 16,720,893 12,532,734 4,180,568 7,591
14 Information technology ...... 38,576,953 30,986,888 7,590,065  
15 Royalties ..        
16 Occupancy ........... 17,980,825 16,864,313 1,116,424 88
17 Travel ............ 2,062,391 1,915,554 144,077 2,760
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 634,822 416,150 218,672  
20 Interest ........... 15,549,380 15,549,380    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 32,486,371 21,742,083 10,736,983 7,305
23 Insurance ... 6,846,526 5,291,910 1,554,616  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 196,441,263 196,441,263    
b INTERCO. PURCHASED SVCS 64,606,569 12,812,403 51,794,166  
c HOSPITAL PROVIDER TAX 29,972,698 29,972,698    
d BAD DEBT EXPENSE 19,262,760 19,262,760    
e All other expenses 28,708,801 26,139,392 2,558,803 10,606
25 Total functional expenses. Add lines 1 through 24e 1,016,202,656 902,476,366 112,924,539 801,751
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 4,520,375 1 10,972,254
2 Savings and temporary cash investments .........   2  
3 Pledges and grants receivable, net ......   3 121,053
4 Accounts receivable, net ............. 156,148,661 4 101,235,148
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 2,790,505 7 2,311,922
8 Inventories for sale or use ............ 21,241,264 8 21,491,463
9 Prepaid expenses and deferred charges ...... 4,606,962 9 1,977,522
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 672,458,667
b Less: accumulated depreciation 10b 484,045,474 189,493,494 10c 188,413,193
11 Investments—publicly traded securities . 298,266,099 11 409,301,980
12 Investments—other securities. See Part IV, line 11 ..... 95,020,647 12 138,907,596
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 102,054,283 15 519,427,589
16 Total assets. Add lines 1 through 15 (must equal line 33)... 874,142,290 16 1,394,159,720
Liabilities 17 Accounts payable and accrued expenses ..... 89,576,218 17 78,666,622
18 Grants payable ...   18  
19 Deferred revenue ......... 193,754 19 132,396
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D 25,783 21 26,904
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 177,980 23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 514,317,463 25 1,148,891,481
26 Total liabilities. Add lines 17 through 25.. 604,291,198 26 1,227,717,403
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 269,770,133 27 166,388,253
28 Net assets with donor restrictions ........... 80,959 28 54,064
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 269,851,092 32 166,442,317
33 Total liabilities and net assets/fund balances ........ 874,142,290 33 1,394,159,720
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
933,901,198
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,016,202,656
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-82,301,458
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
269,851,092
5
Net unrealized gains (losses) on investments ...............
5
15,913,301
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-37,020,618
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
166,442,317
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2024)
Form 990 (2024)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(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
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. 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 .......................right arrow
b
33 1/3% support test—2023. 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 ..................... right arrow
17a
10%-facts-and-circumstances test—2024. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
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 ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. 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 ....... right arrow
b
33 1/3 % support tests—2023. 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 ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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 0.015 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 0.035 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
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2024
(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2025. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.  
Note:  Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number
31-1373080
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........right arrow

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(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? ...................................................................................................................

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) 2021 (b) 2022 (c) 2023 (d) 2024 (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          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
Yes
 
170,000
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
170,000
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: MERCY HEALTH SERVICES - IOWA (MHS-IA) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED MHS-IA WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. OUR FISCAL YEAR 2025 POLICY PRIORITIES INCLUDE: - NEW PAYMENT MODELS ADVANCE THE MISSION: PATIENT OUT-OF-POCKET HEALTH CARE SPEND CAN BE MINIMIZED WITH THE ADVANCEMENT OF REIMBURSEMENT MODELS THAT CREATE PROVIDER ACCOUNTABILITY AND KEEP THE PREMIUM DOLLAR CLOSEST TO THE PATIENT. - SUSTAIN OUR NOT-FOR-PROFIT FAITH-BASED MISSION: THE COST OF OPERATING HEALTH SYSTEMS IS INCREASING, YET PAYORS ARE DECREASING REIMBURSEMENT AND PRIVATE EQUITY IS CHERRY-PICKING SERVICES CRITICAL TO A POSITIVE MARGIN; MEDICARE AND MEDICAID REIMBURSEMENT SHOULD REFLECT THE COST OF DELIVERING CARE AND ADVANCE THE RIGHT CARE, IN THE RIGHT SETTING, AT THE RIGHT TIME. - IMPROVE COMMUNITY HEALTH: 80% OF OUR HEALTH IS ATTRIBUTED TO FACTORS OUTSIDE OF A HOSPITAL; WE MUST BRIDGE CLINICAL AND SOCIAL CARE TO REDUCE CHRONIC CONDITIONS AND HOSPITALIZATIONS; ACCESS TO CARE IS CRITICAL.
Schedule C (Form 990) 2024


Additional Data


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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 25,000 25,000 25,000 25,000 25,000
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 25,000 25,000 25,000 25,000 25,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow0 %
b
Permanent endowment right arrow100.000 %
c
Term endowment right arrow0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
Yes
 
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   7,216,037 7,216,037
b Buildings ....   319,254,667 218,196,879 101,057,788
c Leasehold improvements   914,540 655,957 258,583
d Equipment ....   342,842,838 264,895,149 77,947,689
e Other .....   2,230,585 297,489 1,933,096
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 188,413,193
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES
27,781,519 F

(B) EQUITY METHOD INVESTMENTS
97,235,317 C

(C) HEDGE FUNDS
13,890,760 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow 138,907,596
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)INTERCOMPANY ACCOUNTS RECEIVABLE 467,367,030
(2)INTERCOMPANY LT PREPAID INFO SYSTEMS 34,811,104
(3)INVESTMENT IN AFFILIATES 5,245,757
(4)OPERATING LEASE RIGHT-OF-USE ASSETS 9,255,793
(5)OTHER ASSETS 162,717
(6)OTHER RECEIVABLES 2,585,188
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 519,427,589
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
INTERCOMPANY ACCOUNTS PAYABLE 69,579,183
DEFERRED COMPENSATION 84,605,728
LONG TERM ASSET RETIREMENT OBLIGATION 5,113,093
INTERCOMPANY NOTES PAYABLE 368,673,707
OTHER CURRENT LIABILITIES 8,470,459
INTERCOMPANY OTHER LIABILITIES 386,441
OTHER LONG-TERM LIABILITIES 1,571,781
OPERATING LEASE LIABILITIES 9,747,976
OVERDRAFT IN POOLED INVESTMENT 600,743,113
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 1,148,891,481
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ........... 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART IV, LINE 2B: MERCYONE NORTH IOWA MEDICAL CENTER HOLDS A BANK ACCOUNT FOR THEIR MEDICAL STAFF WHICH IS FUNDED BY DUES AND IS FOR THE BENEFIT OF THE MEDICAL STAFF. THE BALANCE OF THESE FUNDS ARE REPORTED ON FORM 990, PART X, LINE 21.
PART V, LINE 4: THE ENDOWMENT FUNDS OF MERCY HEALTH SERVICES - IOWA INCLUDE $25,000 KNOWN AS THE VIANNA HOLSCHLAG SCHOLARSHIP FUND. INTEREST INCOME FROM THE FUND IS MADE AVAILABLE FOR NURSING SCHOLARSHIPS. PART V, LINE 3A: ENDOWMENTS HELD BY DUBUQUE MERCY HEALTH FOUNDATION FOR THE BENEFIT OF MERCY HEALTH SERVICES - IOWA ARE REPORTED ON THE FORM 990 OF THE FOUNDATION.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE G (Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

FUDGE SALE
(event type)
(b) Event #2

 
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

11,202

 

 

11,202

2

Less: Contributions . . . .

 

 

 

 
3 Gross income (line 1 minus
line 2) . . . . . .

11,202

 

 

11,202



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . . 6,525     6,525
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 6,525
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 4,677
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
YesNo
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
YesNo
b
If "Yes," explain:
 
Schedule G (Form 990) (Rev. 1-2025)
Schedule G (Form 990) (Rev. 1-2025)
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
YesNo
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
YesNo
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    14,256,499   14,256,499 1.430 %
b Medicaid (from Worksheet 3, column a) . . . . .     127,487,107 158,769,004 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     141,743,606 158,769,004 14,256,499 1.430 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 75 21,578 5,781,443 373,306 5,408,137 0.540 %
f Health professions education (from Worksheet 5) . . . 12 397 3,988,253 1,541,781 2,446,472 0.250 %
g Subsidized health services (from Worksheet 6) . . . . 18 23,049 36,597,672 18,112,175 18,485,497 1.850 %
h Research (from Worksheet 7) . 2   924   924 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 37 20,922 2,062,582 72,981 1,989,601 0.200 %
j Total. Other Benefits . . 144 65,946 48,430,874 20,100,243 28,330,631 2.840 %
k Total. Add lines 7d and 7j . 144 65,946 190,174,480 178,869,247 42,587,130 4.270 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 6 7,260 13,312   13,312 0 %
3 Community support 9 563 30,749   30,749 0 %
4 Environmental improvements 2 75 1,246   1,246 0 %
5 Leadership development and
training for community members
           
6 Coalition building 6   16,094   16,094 0 %
7 Community health improvement advocacy 5 1,170 5,429   5,429 0 %
8 Workforce development 9 1,012 96,318   96,318 0.010 %
9 Other            
10 Total 37 10,080 163,148   163,148 0.010 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
19,262,760
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
238,648,569
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
282,042,862
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-43,394,293
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 FOREST PARK IMAGING LLC
 
IMAGING SERVICES 52.890 %   47.110 %
22 MAGNETIC RESONANCE SERVICES LLC
 
MRI SERVICES 49.000 %   51.000 %
33 MASON CITY AMBULATORY SURGERY CENTER LLC
 
AMBULATORY SURGICAL SERVICES 51.000 %   49.000 %
44 MERCY HEART CENTER OUTPATIENT SERVICES LLC
 
OUTPATIENT ECHOCARDIOGRAPHY AND NUCLEAR MEDICINE SERVICES 51.000 %   49.000 %
55 SURGICAL CENTER BUILDING ASSOCIATES LLC
 
OWNS AND LEASES SURGICAL CENTER BUILDING 35.000 %   65.000 %
66 SIOUXLAND SURGERY CENTER LLP (DBA DUNES SURGICAL HOSPITAL)
 
AMBULATORY SURGICAL SERVICES 29.220 %   47.540 %
77 HEALTH MANAGEMENT SERVICES LLC
 
AMBULATORY SURGICAL SVCS, OCCUPATIONAL HLTH SVCS AND PRIMARY CARE PHYS SVCS 50.000 %   50.000 %
88 PREFERRED HEALTH CHOICES LLC
 
MANAGEMENT SERVICES 50.000 %   50.000 %
9
10
11
12
13
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?6Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 MERCYONE NORTH IOWA MEDICAL CENTER
1000 FOURTH STREET SW
MASON CITY,IA50401
WWW.MERCYONE.ORG/NORTHIOWA
170023H
X X   X   X X      
2 MERCYONE DUBUQUE MEDICAL CENTER
250 MERCY DRIVE
DUBUQUE,IA52001
WWW.MERCYONE.ORG/DUBUQUE
310003H
X X         X   REHAB,LAB,PHARM, X-RAY,HOME CARE  
3 MERCYONE SIOUXLAND MEDICAL CENTER
801 FIFTH STREET
SIOUX CITY,IA51101
WWW.MERCYONE.ORG/SIOUXLAND
970112H
X X         X   EMPLOYED PHYSICIANS, SKILLED CARE UNIT  
4 DUNES SURGICAL HOSPITAL
600 N SIOUX POINT ROAD
DAKOTA DUNES,SD57049
WWW.DUNESSURGICALHOSPITAL.COM
10580
X X                
5 MERCYONE NEW HAMPTON MEDICAL CENTER
308 NORTH MAPLE AVE
NEW HAMPTON,IA50659
WWW.MERCYONE.ORG/NEWHAMPTON
190022H
X       X   X   EMPLOYED PHYSICIANS  
6 MERCYONE DYERSVILLE MEDICAL CENTER
1111 THIRD STREET SW
DYERSVILLE,IA52040
WWW.MERCYONE.ORG/DUBUQUE/DYERSVILLE
310181H
X X     X   X   REHAB,LAB,PHARM, X-RAY,HOME CARE  
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCYONE NORTH IOWA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCYONE NORTH IOWA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCYONE NORTH IOWA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCYONE NORTH IOWA MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCYONE SIOUXLAND MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCYONE SIOUXLAND MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCYONE SIOUXLAND MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCYONE SIOUXLAND MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCYONE DUBUQUE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 23
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCYONE DUBUQUE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCYONE DUBUQUE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCYONE DUBUQUE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
DUNES SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
DUNES SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
DUNES SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
DUNES SURGICAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCYONE NEW HAMPTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCYONE NEW HAMPTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCYONE NEW HAMPTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCYONE NEW HAMPTON MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
MERCYONE DYERSVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 23
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SCHEDULE H, PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
MERCYONE DYERSVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, PAGE 8
b
SEE PART V, PAGE 8
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
MERCYONE DYERSVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
MERCYONE DYERSVILLE MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
MERCYONE NORTH IOWA MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE NORTH IOWA MEDICAL CENTER (MERCYONE NORTH IOWA) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS.THE FOLLOWING ARE THE PRIORITIZED SIGNIFICANT HEALTH NEEDS THAT WERE IDENTIFIED:1. MENTAL HEALTH2. FOOD ACCESS3. AGING SUPPORT
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE SIOUXLAND MEDICAL CENTER (MERCYONE SIOUXLAND) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. SUBSTANCE USE3. SEXUAL HEALTH4. CANCER PREVENTION5. NUTRITION & PHYSICAL ACTIVITY
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE DUBUQUE MEDICAL CENTER (MERCYONE DUBUQUE) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. BRAIN/MENTAL HEALTH (INCLUDING ALCOHOL AND DRUG MISUSE); 2. OBESITY (INCLUDING PHYSICAL ACTIVITY AND NUTRITION); 3. ACCESS TO DENTAL CARE; 4. ACCESS TO HEALTH CARE; 5. SEXUAL HEALTH AND BEHAVIOR; 6. FOOD INSECURITY; 7. LYME DISEASE; 8. ALZHEIMER'S DISEASE; AND 9. ASTHMA.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: THE DUNES SURGICAL HOSPITAL (DUNES) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. SUBSTANCE USE3. SEXUAL HEALTH4. CANCER PREVENTION5. NUTRITION & PHYSICAL ACTIVITY
MERCYONE NEW HAMPTON MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE NEW HAMPTON MEDICAL CENTER (MERCYONE NEW HAMPTON) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. CANCER 2. MENTAL HEALTH 3. IMMIGRANT POPULATION 4. OBESITY 5. HEART DISEASE/STROKE 6. DIABETES 7. LUNG DISEASE
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E: MERCYONE DYERSVILLE MEDICAL CENTER (MERCYONE DYERSVILLE) INCLUDED IN ITS CHNA WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. BRAIN/MENTAL HEALTH (INCLUDING ALCOHOL AND DRUG MISUSE); 2. OBESITY (INCLUDING PHYSICAL ACTIVITY AND NUTRITION); 3. ACCESS TO DENTAL CARE; 4. ACCESS TO HEALTH CARE; 5. SEXUAL HEALTH AND BEHAVIOR; 6. FOOD INSECURITY; 7. LYME DISEASE; 8. ALZHEIMER'S DISEASE; AND 9. ASTHMA.
MERCYONE NORTH IOWA MEDICAL CENTER PART V, SECTION B, LINE 5: MERCYONE NORTH IOWA WORKED TOGETHER WITH CERRO GORDO PUBLIC HEALTH TO DEVELOP THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT/IMPLEMENTATION STRATEGY AND IS A PARTICIPANT IN THE CERRO GORDO COUNTY HEALTH IMPROVEMENT PARTNERSHIP, WHICH IS COMPRISED OF 14 AREA ORGANIZATIONS AND RESIDENTS. WE FEEL THAT WE WILL HAVE THE MOST SUCCESS WHEN WE PARTNER AND WORK COLLABORATIVELY TOGETHER IN IDENTIFYING AND ADDRESSING THE COMMUNITY HEALTH NEEDS. SURVEYS WERE DISPERSED VIA EMAIL, WEBSITE AND IN PERSON STARTING JULY 2022 THROUGH OCTOBER 2022. IN ADDITION TO SURVEYS, FOCUS GROUPS WERE HELD WITH PROFESSIONALS AND CITIZENS UTILIZING SERVICES IN THE CERRO GORDO COMMUNITY THROUGHOUT JANUARY. ON JANUARY 23, 2023, A COMMUNITY HEALTH FORUM WAS HELD AT NORTH IOWA AREA COMMUNITY COLLEGE (NIACC), WHERE THE INFORMATION THAT WAS PROVIDED THROUGH THE SURVEYS AND FOCUS GROUPS WAS DISCUSSED. THE FOCUS GROUP IDENTIFIED SEVERAL COMMON THEMES AND FOCUS AREAS.THE STEERING TEAM UTILIZED THE MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) FRAMEWORK. BASED ON THE ASSESSMENTS, THEMES IN QUALITATIVE AND QUANTITATIVE DATA WERE ANALYZED AND STRATEGIC ISSUES WERE IDENTIFIED. THE STEERING TEAM UTILIZED THE BIG EASY METHOD OF VOTING WHERE MEMBERS PLACED THE HIGHEST IMPACT AND EASE ON EFFORTS FOCUSED TOWARDS IMPROVING FOOD ACCESS, MENTAL HEALTH SERVICES/SUPPORT, AND SERVICES FOR THE AGING POPULATION.IN ADDITION TO CERRO GORDO PUBLIC HEALTH, THE FOLLOWING AGENCIES CONTRIBUTED TO THE DEVELOPMENT AND INFORMATION USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT: NORTH IOWA COMMUNITY ACTION ORGANIZATION, PRAIRIE RIDGE INTEGRATED HEALTH CARE, UNITED WAY OF NORTH CENTRAL IOWA, NORTH IOWA CHILDREN'S ALLIANCE, MASON CITY YOUTH TASK FORCE, NORTH IOWA AREA COUNCIL OF GOVERNMENTS (NIACOG), RESIDENTS OF THE COMMUNITY, WRIGHT COUNTY PUBLIC HEALTH, PALO ALTO PUBLIC HEALTH, KOSSUTH PUBLIC HEALTH, AND HANCOCK PUBLIC HEALTH.
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 5: IN FEBRUARY 2024, A COMMUNITY HEALTH NEEDS ASSESSMENT KICK-OFF MEETING WAS HELD WITH 59 COMMUNITY PARTNERS COMING TOGETHER TO PARTICIPATE IN A VISIONING WORKSHOP. THE PURPOSE OF THIS MEETING WAS TO ENGAGE THE GROUP IN VISIONARY THINKING AND TO CREATE A SHARED LIST OF VISIONARY COMPONENTS.INPUT WAS ALSO COLLECTED IN APRIL AND MAY 2024 FROM PEOPLE WHO REPRESENT THE COMMUNITY THROUGH SURVEYS CONDUCTED VIA AN ONLINE QUESTIONNAIRE. IN ALL, 432 AREA ADULTS COMPLETED THE SURVEY. COMMUNITY INPUT WAS ALSO COLLECTED FROM 29 COMMUNITY MEMBERS THROUGH FIVE FOCUS GROUPS CONDUCTED IN APRIL AND MAY 2024. FOCUS GROUPS INCLUDED AN AGING POPULATION FOCUS GROUP AT SIOUXLAND CENTER FOR ACTIVE GENERATIONS, A NATIVE AMERICAN INDIVIDUAL INTERVIEW AT URBAN NATIVE CENTER, A MOTHER INPATIENT SUBSTANCE USE DISORDER TREATMENT FOCUS GROUP AT ROSECRANCE JACKSON CENTERS, A TEENAGE YOUTH FOCUS GROUP AT BOYS & GIRLS CLUB TEEN CENTER, AND A NEWCOMER/IMMIGRANT POPULATION FOCUS GROUP AT MARY J. TREGLIA COMMUNITY HOUSE. A COMMUNITY MEETING WAS ALSO HELD IN AUGUST 2024 WITH 44 LOCAL PARTNERS, INCLUDING LOCAL COLLEGES, COMMUNITY ACTION AGENCIES, HEALTH PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS, TO ASSIST IN PRIORITIZING COMMUNITY NEEDS.
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA ADVISORY COMMITTEE CONVENED ON DECEMBER 12, 2022, AND CONTINUED TO MEET ON A BIWEEKLY BASIS THROUGH NOVEMBER 6TH, 2023. THE ADVISORY COMMITTEE CONSISTED OF REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: - DUBUQUE COUNTY PUBLIC HEALTH DEPARTMENT - CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT - CITY OF DUBUQUE, OFFICE OF SHARED PROSPERITY & NEIGHBORHOOD SUPPORT - UNITYPOINT HEALTH-FINLEY HOSPITAL - DUBUQUE VISITING NURSES ASSOCIATION - CRESCENT COMMUNITY HEALTH CENTER - CITY OF DUBUQUE, PLANNING SERVICES DEPARTMENTTHE CHNA ADVISORY COMMITTEE CONSTRUCTED A COMMUNITY SURVEY WHICH WAS MADE AVAILABLE TO THE PUBLIC FROM MARCH 15, 2023, THROUGH MAY 24, 2023. THE CITY OF DUBUQUE'S OFFICE OF SHARED PROSPERITY AND NEIGHBORHOOD SUPPORT (OSPNS) ASSISTED WITH THE PROCESS OF ASSESSING COMMUNITY HEALTH NEEDS AND SOUGHT TO PROMOTE EQUITY THROUGHOUT THIS PROCESS. THE OSPNS ENCOURAGED THE COMMITTEE TO TRANSLATE SURVEYS INTO SPANISH AND MARSHALLESE TO INCREASE ACCESSIBILITY AND PARTICIPATION WITHIN HISPANIC, LATINO, AND MARSHALLESE COMMUNITIES. THE DEPARTMENT PARTNERED WITH THE CITY OF DUBUQUE'S OFFICE OF EQUITY AND HUMAN RIGHTS TO DIRECTLY ASSIST WITH THE SPANISH TRANSLATION. TRANSLATION OF THE SURVEY INTO MARSHALLESE WAS PERFORMED BY AN OUTSIDE AGENCY.IN ADDITION TO THE RESULTS OF THE COMMUNITY-WIDE SURVEY DEVELOPED BY THE ADVISORY COMMITTEE, DATA FROM SECONDARY SOURCES AND FINDINGS FROM THE COMMUNITY EQUITY PROFILE CONDUCTED BY COMMUNITY FOUNDATION OF GREATER DUBUQUE WERE USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY HEALTH NEEDS.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 5: IN FEBRUARY 2024, A COMMUNITY HEALTH NEEDS ASSESSMENT KICK-OFF MEETING WAS HELD WITH 59 COMMUNITY PARTNERS COMING TOGETHER TO PARTICIPATE IN A VISIONING WORKSHOP. THE PURPOSE OF THIS MEETING WAS TO ENGAGE THE GROUP IN VISIONARY THINKING AND TO CREATE A SHARED LIST OF VISIONARY COMPONENTS.INPUT WAS ALSO COLLECTED IN APRIL AND MAY 2024 FROM PEOPLE WHO REPRESENT THE COMMUNITY THROUGH SURVEYS CONDUCTED VIA AN ONLINE QUESTIONNAIRE. IN ALL, 432 AREA ADULTS COMPLETED THE SURVEY. COMMUNITY INPUT WAS ALSO COLLECTED FROM 29 COMMUNITY MEMBERS THROUGH FIVE FOCUS GROUPS CONDUCTED IN APRIL AND MAY 2024. FOCUS GROUPS INCLUDED AN AGING POPULATION FOCUS GROUP AT SIOUXLAND CENTER FOR ACTIVE GENERATIONS, A NATIVE AMERICAN INDIVIDUAL INTERVIEW AT URBAN NATIVE CENTER, A MOTHER INPATIENT SUBSTANCE USE DISORDER TREATMENT FOCUS GROUP AT ROSECRANCE JACKSON CENTERS, A TEENAGE YOUTH FOCUS GROUP AT BOYS & GIRLS CLUB TEEN CENTER, AND A NEWCOMER/IMMIGRANT POPULATION FOCUS GROUP AT MARY J. TREGLIA COMMUNITY HOUSE. A COMMUNITY MEETING WAS ALSO HELD IN AUGUST 2024 WITH 44 LOCAL PARTNERS, INCLUDING LOCAL COLLEGES, COMMUNITY ACTION AGENCIES, HEALTH PROVIDERS, AND COMMUNITY-BASED ORGANIZATIONS, TO ASSIST IN PRIORITIZING COMMUNITY NEEDS.
MERCYONE NEW HAMPTON MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA ADVISORY COMMITTEE MET FOR THE FIRST TIME ON JANUARY 22, 2025. REPRESENTATIVES FROM MERCYONE NEW HAMPTON MEDICAL CENTER, CHICKASAW COUNTY PUBLIC HEALTH, IOWA STATE EXTENSION OFFICE, COUNSELING & FAMILY CENTERED SERVICES, CITY OF NEW HAMPTON AND AREA BUSINESSES PARTICIPATED IN THE IN-PERSON MEETING. THE ADVISORY COMMITTEE DISCUSSED THE PURPOSE AND REQUIREMENTS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT, DEFINITION OF OUR COMMUNITY, AS WELL AS A BRIEF OVERVIEW OF THE CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IDENTIFIED COMMUNITY HEALTH NEEDS. A REVIEW OF THE TIMELINE WAS COMPLETED. DATA COLLECTED WAS SENT IN AN EMAIL PRIOR TO THE MEETING SO DISCUSSION ON PRIORITY NEEDS COULD TAKE PLACE.MERCYONE NEW HAMPTON COLLECTED COMMUNITY INPUT THROUGH A 23-QUESTION SURVEY. A TOTAL OF 180 RESPONSES WERE COLLECTED BETWEEN OCTOBER 1 AND DECEMBER 5, 2024. SURVEYS WERE DISTRIBUTED TO COMMUNITY MEMBERS AND ORGANIZATIONS THROUGHOUT CHICKASAW COUNTY INCLUDING, BUT NOT LIMITED TO, MASS EMAILS, SOCIAL MEDIA, MOBILE FOOD BANKS AND VACCINATION CLINICS. MERCYONE NEW HAMPTON ALSO COLLECTED COMMUNITY INPUT THROUGH FOUR FOCUS GROUPS HELD IN SEPTEMBER. THE FOCUS GROUPS CONSISTED OF COMMUNITY SERVICE ORGANIZATIONS, COUNTY MINISTERIAL ASSOCIATION, CHICKASAW COUNTY CHILD ABUSE PREVENTION COUNCIL, AND SCHOOL REPRESENTATIVES. THE COMMUNITY SERVICE ORGANIZATIONS GROUP INCLUDED REPRESENTATIVES FROM SALVATION ARMY, CHICKASAW COUNTY FOOD BANK AND NORTHEAST IOWA COMMUNITY ACTION. THE GROUP OF SCHOOL REPRESENTATIVES INCLUDED SCHOOL COUNSELORS, NURSES, AND ENGLISH AS A SECOND LANGUAGE TEACHERS. THIRTY-NINE COMMUNITY MEMBERS PARTICIPATED IN THESE FOCUS GROUPS.
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA ADVISORY COMMITTEE CONVENED ON DECEMBER 12, 2022, AND CONTINUED TO MEET ON A BIWEEKLY BASIS THROUGH NOVEMBER 6TH, 2023. THE ADVISORY COMMITTEE CONSISTED OF REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: - DUBUQUE COUNTY PUBLIC HEALTH DEPARTMENT - CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT - CITY OF DUBUQUE, OFFICE OF SHARED PROSPERITY & NEIGHBORHOOD SUPPORT - UNITYPOINT HEALTH-FINLEY HOSPITAL - DUBUQUE VISITING NURSES ASSOCIATION - CRESCENT COMMUNITY HEALTH CENTER - CITY OF DUBUQUE, PLANNING SERVICES DEPARTMENTTHE CHNA ADVISORY COMMITTEE CONSTRUCTED A COMMUNITY SURVEY WHICH WAS MADE AVAILABLE TO THE PUBLIC FROM MARCH 15, 2023, THROUGH MAY 24, 2023. THE CITY OF DUBUQUE'S OFFICE OF SHARED PROSPERITY AND NEIGHBORHOOD SUPPORT (OSPNS) ASSISTED WITH THE PROCESS OF ASSESSING COMMUNITY HEALTH NEEDS AND SOUGHT TO PROMOTE EQUITY THROUGHOUT THIS PROCESS. THE OSPNS ENCOURAGED THE COMMITTEE TO TRANSLATE SURVEYS INTO SPANISH AND MARSHALLESE TO INCREASE ACCESSIBILITY AND PARTICIPATION WITHIN HISPANIC, LATINO, AND MARSHALLESE COMMUNITIES. THE DEPARTMENT PARTNERED WITH THE CITY OF DUBUQUE'S OFFICE OF EQUITY AND HUMAN RIGHTS TO DIRECTLY ASSIST WITH THE SPANISH TRANSLATION. TRANSLATION OF THE SURVEY INTO MARSHALLESE WAS PERFORMED BY AN OUTSIDE AGENCY.IN ADDITION TO THE RESULTS OF THE COMMUNITY-WIDE SURVEY DEVELOPED BY THE ADVISORY COMMITTEE, DATA FROM SECONDARY SOURCES AND FINDINGS FROM THE COMMUNITY EQUITY PROFILE CONDUCTED BY COMMUNITY FOUNDATION OF GREATER DUBUQUE WERE USED TO IDENTIFY AND PRIORITIZE THE COMMUNITY HEALTH NEEDS.
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE SIOUXLAND CONDUCTED A JOINT CHNA WITH DUNES SURGICAL HOSPITAL AND UNITYPOINT HEALTH.
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE DUBUQUE CONDUCTED A JOINT CHNA WITH MERCYONE DYERSVILLE AND UNITYPOINT HEALTH-FINLEY HOSPITAL, DUBUQUE.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 6A: DUNES SURGICAL HOSPITAL CONDUCTED A JOINT CHNA WITH MERCYONE SIOUXLAND AND UNITYPOINT HEALTH.
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE DYERSVILLE CONDUCTED A JOINT CHNA WITH MERCYONE DUBUQUE AND UNITYPOINT HEALTH-FINLEY HOSPITAL, DUBUQUE.
MERCYONE NORTH IOWA MEDICAL CENTER PART V, SECTION B, LINE 6B: MERCYONE NORTH IOWA COLLABORATED WITH THE FOLLOWING ORGANIZATIONS TO CONDUCT THE MOST RECENT CHNA: CERRO GORDO PUBLIC HEALTH, NORTH IOWA COMMUNITY ACTION ORGANIZATION, MASON CITY YOUTH TASK FORCE, UNITED WAY OF NORTH CENTRAL, IOWA PRAIRIE RIDGE INTEGRATED BEHAVIORAL HEALTH CARE, NORTH IOWA AREA COUNCIL OF GOVERNMENTS, NORTH IOWA COMMUNITY COLLEGE, FLOYD COUNTY PUBLIC HEALTH, KOSSUTH REGIONAL HEALTH CENTER, HANCOCK COUNTY HEALTH SYSTEM, PALO ALTO COUNTY HEALTH SYSTEM, WINNEBAGO COUNTY PUBLIC HEALTH, WRIGHT COUNTY PUBLIC HEALTH, AND RESIDENTS OF THE COMMUNITY
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH BRIAR CLIFF UNIVERSITY, GROWING COMMUNITY CONNECTIONS, ROSECRANCE JACKSON BEHAVIORAL HEALTH, SIOUXLAND COMMUNITY HEALTH CENTER, SIOUXLAND DISTRICT HEALTH DEPARTMENT, AND SOURCE FOR SIOUXLAND.
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 6B: MERCYONE DUBUQUE CONDUCTED ITS CHNA WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: DUBUQUE COUNTY PUBLIC HEALTH DEPARTMENT; CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT; CITY OF DUBUQUE, OFFICE OF SHARED PROSPERITY & NEIGHBORHOOD SUPPORT; DUBUQUE VISITING NURSES ASSOCIATION; CRESCENT COMMUNITY HEALTH CENTER; AND CITY OF DUBUQUE, PLANNING SERVICES DEPARTMENT.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH BRIAR CLIFF UNIVERSITY, GROWING COMMUNITY CONNECTIONS, ROSECRANCE JACKSON BEHAVIORAL HEALTH, SIOUXLAND COMMUNITY HEALTH CENTER, SIOUXLAND DISTRICT HEALTH DEPARTMENT, AND SOURCE FOR SIOUXLAND.
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 6B: MERCYONE DYERSVILLE CONDUCTED ITS CHNA WITH THE FOLLOWING NON-HOSPITAL ORGANIZATIONS: DUBUQUE COUNTY PUBLIC HEALTH DEPARTMENT; CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT; CITY OF DUBUQUE, OFFICE OF SHARED PROSPERITY & NEIGHBORHOOD SUPPORT; DUBUQUE VISITING NURSES ASSOCIATION; CRESCENT COMMUNITY HEALTH CENTER; AND CITY OF DUBUQUE, PLANNING SERVICES DEPARTMENT.
MERCYONE NORTH IOWA MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE NORTH IOWA CONTINUED TO FOCUS ON MENTAL HEALTH SUPPORT IN FY25. THE HOSPITAL HAS A VARIETY OF PROGRAMS AND SERVICES TO ASSIST INDIVIDUALS AND FAMILIES WHO HAVE BEHAVIORAL HEALTH CONCERNS. THE PROGRAMS AND SERVICES ARE OFFERED ON BOTH AN INPATIENT AND OUTPATIENT BASIS AND INCLUDE INDIVIDUAL THERAPY, FAMILY, AND GROUP THERAPY AS WELL AS VARIOUS KINDS OF PSYCHOLOGICAL TESTING. MERCYONE NORTH IOWA HAS CONTINUED TO PROVIDE PSYCHIATRIC TRIAGE IN ITS EMERGENCY ROOM FOR ALL PATIENTS PRESENTING WITH PSYCHIATRIC OR SUBSTANCE USE CONCERNS. THE PSYCHIATRIC TRIAGE PROCESS IS CARRIED OUT BY REGISTERED NURSES WITH A BACKGROUND IN BEHAVIORAL HEALTH WHO HELP TO ASSESS PATIENTS AND HELP INITIATE ADMISSION TO THE BEHAVIORAL HEALTH UNIT IF NEEDED OR PROVIDE REFERRAL INFORMATION ON COMMUNITY RESOURCES/AGENCIES IF THEY ARE ABLE TO BE DISCHARGED. IN FY25, 2,039 PSYCHIATRIC NURSE ASSESSMENTS WERE COMPLETED IN THE EMERGENCY ROOM. WE CONTINUE TO ASK ALL PATIENTS THE SOCIAL DETERMINANTS OF HEALTH QUESTIONS AND IF A PATIENT HAS IDENTIFIED NEEDS, THEY ARE REFERRED TO OUR COMMUNITY HEALTH WORKERS TO ASSIST WITH RESOURCES. DR. BURKLEY CONTINUED TO COMPLETE TESTING AT THE RESIDENCY CLINIC. DR. BURKLEY AND HER STAFF ARE IN THE RESIDENCY CLINIC ONCE A MONTH TO CONDUCT ADHD TESTING. THIS ALLOWS PATIENTS TO HAVE A MORE TIMELY APPOINTMENT WITH THE RESIDENTS TO GO OVER THE FINDINGS, A PLAN OF CARE, AND RECOMMENDATIONS. DR. HARRELL JOINED THE DEPARTMENT IN JUNE 2023 AND CONTINUES TO CONDUCT PSYCHOLOGICAL TESTING, HELPING TO ADDRESS THE SIGNIFICANT NEED FOR SPECIFIC TYPES OF TESTING INCLUDING TESTING FOR CHILDREN AND AUTISM TESTING. MERCYONE NORTH IOWA CONTINUES TO HAVE A PSYCHOLOGIST AT KOSSUTH COUNTY REGIONAL HEALTH WHO OFFERS PSYCHOLOGICAL TESTING. THIS HAS ADDED ADDITIONAL ACCESS TO TESTING IN A MORE RURAL REGION AND HELPED THE TEAM AS IT CONTINUES TO ADDRESS THE LONG WAIT LIST FOR TESTING. MERCYONE NORTH IOWA EMPLOYS A CHEMICAL DEPENDENCY COUNSELOR WHO PROVIDES AMERICAN SOCIETY OF ADDICTION MEDICINE ASSESSMENTS AND SUBSTANCE USE COUNSELING. THIS CHEMICAL DEPENDENCY COUNSELOR WORKS ON SITE AND ASSESSES PATIENTS WITH CURRENT OR HISTORY OF SUBSTANCE USE. MERCYONE NORTH IOWA COLLEAGUES PARTICIPATE IN THE COUNTY MENTAL HEALTH COALITION WHERE COLLABORATIVE WORK IS BEING DONE IN THE COMMUNITY TO ADDRESS MENTAL HEALTH.MERCYONE NORTH IOWA BEHAVIORAL HEALTH DEPARTMENT HAS BEEN ENGAGED IN SEVERAL COMMUNITY EVENTS IN FY25, SUCH AS THE 'MAKE IT OK' EVENT AND 'NATIONAL NIGHT OUT'. INFORMATION AND RESOURCES ARE PROVIDED TO RESIDENTS AT THESE EVENTS. MERCYONE NORTH IOWA EMERGENCY DEPARTMENT CONTINUED TO COLLABORATE WITH THE MASON CITY POLICE DEPARTMENT, HEALTHIM, 43 NORTH IOWA, CERRO GORDO COUNTY SHERIFF'S, LOCAL MAGISTRATES/JUDGES, AND PRAIRIE RIDGE TO IDENTIFY AND ADDRESS BARRIERS IN ORDER TO BEST SERVE INDIVIDUALS IN THE COMMUNITY WHO ARE EXPERIENCING MENTAL HEALTH ISSUES. IN FY25, A TOTAL OF $70,000 RESTRICTED CASH DONATIONS WERE PROVIDED TO 43 NORTH IOWA AND NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS SHELTER TO ASSIST THOSE INDIVIDUALS WHO WERE STRUGGLING WITH MENTAL HEALTH. MERCYONE NORTH IOWA ALSO SPONSORED AND ATTENDED THE MENTAL HEALTH SUMMIT LOCATED AT NIACC.MERCYONE NORTH IOWA ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THAT REASON, MERCYONE NORTH IOWA DID NOT ADDRESS THE FOLLOWING NEEDS:FOOD ACCESS - MERCYONE NORTH IOWA CONTINUED TO COLLABORATE WITH THE HEALTHIEST STATE INITIATIVE AND THE NORTH IOWA FOOD COALITION WHO ARE ALREADY LEADING INITIATIVES TO ADDRESS THIS NEED.AGING SUPPORT - MERCYONE NORTH IOWA CONTINUED TO PROVIDE SERVICES TO SUPPORT THE AGING POPULATION WITH PROGRAMS SUCH AS SENIOR HEALTH INSURANCE INFORMATION PROGRAM (SHIIP) AND WILL CONTINUE TO PARTICIPATE IN THE AGING SUPPORT WORK TEAM.
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE ADDRESSED BY MERCYONE SIOUXLAND IN FY25:MENTAL HEALTH:RECRUITMENT CONTINUED FOR ADDITIONAL MENTAL HEALTH PROVIDERS. MERCYONE SINGING HILLS FAMILY MEDICINE CLINIC HIRED A PEDIATRIC NURSE PRACTITIONER TO INCREASE ACCESS TO MENTAL HEALTH CARE FOR CHILDREN. PROVIDERS CONTINUED TO SCREEN AND EDUCATE COMMUNITY MEMBERS ABOUT MENTAL HEALTH AND MADE REFERRALS TO MENTAL HEALTH PROFESSIONALS AS NEEDED. TELEMEDICINE WAS USED TO IMPROVE ACCESS FOR MENTAL HEALTH CARE. THE HOSPITAL CONTINUED TO OPERATE AN INPATIENT MENTAL HEALTH UNIT. MERCYONE CHILD ADVOCACY CENTER PROVIDED MENTAL HEALTH SERVICES TO CHILDREN WHO HAD BEEN ABUSED, HIRED A THERAPIST TO INCREASE ACCESS, AND EDUCATED COMMUNITY PROFESSIONALS ON TRAUMA-INFORMED RESPONSE IN ABUSE INVESTIGATIONS. MERCYONE SIOUXLAND CONTINUED TO COLLABORATE WITH OTHER MENTAL HEALTH PROVIDERS TO COORDINATE MENTAL HEALTH CARE. MERCYONE SIOUXLAND, WITH COALITION PARTNERS, PARTICIPATED IN THE MENTAL HEALTH ROUNDTABLE, TO CREATE AND MAINTAIN A MENTAL HEALTH PROVIDER LOCATION GUIDE FOR THE COMMUNITY. IN FY25, PLANNING BEGAN TO DEVELOP STRATEGIES TO INCREASE ENGAGEMENT WITH ADDITIONAL COMMUNITY PARTNERS AND TO DELIVER EDUCATIONAL TRAINING SESSIONS TO THE COMMUNITY OVER THE NEXT THREE YEARS.MERCYONE SIOUXLAND FINANCIALLY CONTRIBUTED TO CATHOLIC CHARITIES, HEARTLAND COUNSELING, AND BOYS & GIRLS HOME TO SUPPORT MENTAL HEALTH PROGRAMMING AND SERVICES. THE HOSPITAL FINANCIALLY CONTRIBUTED TO AND PROVIDED COMMUNITY OUTREACH AND EDUCATION AT THE MENTAL HEALTH AND WELLNESS EXPO, A FREE COMMUNITY EVENT AIMED AT CREATING A SUPPORTIVE SPACE FOR FAMILIES TO BOND, LEARN, AND FOCUS ON HEALTH AND MENTAL WELLNESS. LASTLY, MERCYONE SIOUXLAND PROVIDED COMMUNITY EDUCATION ON MILITARY MEMBER AND VETERAN MENTAL HEALTH.SUBSTANCE USE: MERCYONE SIOUXLAND PARTICIPATED IN COMMUNITY EFFORTS OF THE TOBACCO FREE SIOUXLAND COALITION. PROVIDERS AND HEALTH COACHES CONTINUED TO EDUCATE COMMUNITY MEMBERS ON HEALTHY LIFESTYLE CHOICES, INCLUDING THE CESSATION OF SMOKING AND ELIMINATING SUBSTANCE MISUSE. CARE SITES SCREENED PREGNANT PATIENTS FOR SUBSTANCE USE AS A STANDARD OF CARE AND PROVIDED COUNSELING AND REFERRALS TO SPECIALISTS AS NEEDED. MERCYONE SIOUXLAND, THROUGH MERCYONE SIOUXLAND BUSINESS HEALTH, CONTINUED TO PROVIDE HEALTH COACHING FOR TOBACCO CESSATION. LASTLY, MERCYONE SIOUXLAND FINANCIALLY CONTRIBUTED TO HEARTLAND COUNSELING TO SUPPORT SUBSTANCE ABUSE PROGRAMMING AND SERVICES. CANCER PREVENTION: MERCYONE SIOUXLAND PARTICIPATED IN COMMUNITY EFFORTS OF THE COMMUNITY CANCER COALITION, FOCUSED ON INCREASING SCREENING RATES FOR COLON, CERVICAL, AND BREAST CANCER. IN FY25, PLANNING BEGAN TO DEVELOP STRATEGIES TO LAUNCH EDUCATIONAL CAMPAIGNS RELATED TO SCREENINGS AND PARTNER WITH LOCAL BUSINESSES TO PROVIDE EMPLOYEE INCENTIVES FOR SCREENINGS.PROVIDERS CONTINUED TO EDUCATE PATIENTS ON CANCER SCREENING RECOMMENDATIONS AND REFER AS NEEDED. MERCYONE DAKOTA DUNES BREAST CARE CENTER PROVIDED MAMMOGRAPHY AND RELATED WOMEN'S IMAGING AND BEGAN OFFERING WALK-IN APPOINTMENTS FOR ANNUAL SCREENING MAMMOGRAMS TO INCREASE ACCESS.MERCYONE SIOUXLAND DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS DUE TO COMPETING PRIORITIES, LACK OF RESOURCES, AND BECAUSE OTHER AGENCIES ARE ALREADY ADDRESSING THESE ISSUES: SEXUAL HEALTH AND NUTRITION & PHYSICAL ACTIVITY.
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE DUBUQUE MEDICAL CENTER ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS IN FY25: BRAIN HEALTH:- MERCYONE DUBUQUE CONTINUED TO OFFER MANY SERVICE LINES RELATED TO BRAIN HEALTH AND SUBSTANCE MISUSE DESPITE FINANCIAL LOSS. THIS INCLUDED THEIR INPATIENT AND OUTPATIENT PSYCHIATRIC UNITS, AND OUTPATIENT SUBSTANCE USE DISORDER TREATMENT CENTER.- HOSTED SEVERAL SUPPORT GROUPS TO PROMOTE BRAIN HEALTH THAT WERE FREE TO THE PUBLIC AND THOSE SEEKING SUPPORT FOR CANCER, GRIEF, AND BREASTFEEDING.- MERCYONE DUBUQUE AND MERCYONE DYERSVILLE PARTNERED WITH CHALLENGE TO CHANGE TO CONDUCT A RESEARCH STUDY TO EVALUATE THE IMPACT OF A MINDFULNESS PROGRAM THROUGH CHALLENGE TO CHANGE ON EMOTIONAL REGULATION AND MINDFULNESS. THE TITLE OF THIS PROJECT IS: THE IMPACT OF MINDFULNESS ON EMOTIONAL REGULATION IN HEALTHCARE WORKERS II. OVER THE COURSE OF SIX WEEKS THE GOAL WAS TO DETERMINE WHETHER THIS INTERVENTION IMPROVED EMOTIONAL REGULATION WHEN ENCOUNTERING STRESSORS IN HEALTH CARE WORKERS WHILE AT WORK OR IN THEIR PERSONAL LIVES.- PROVIDED A GRANT TO ENHANCE NAMI'S (NATIONAL ALLIANCE ON MENTAL ILLNESS) PEER SUPPORT SERVICES IN BOTH DUBUQUE AND DELAWARE COUNTY AT OUR PEER-RUN WELLNESS CENTERS AS WELL AS SUPPORT FOR MERCYONE DUBUQUE RESOURCE SHARING ON THE INPATIENT UNIT OR PHP AND TURNING POINT. THE GRANT FUNDING WILL BE ALLOCATED TO EDUCATIONAL AND WELLNESS CENTER PROGRAM DELIVERY FOR: FACILITATOR PROGRAM DELIVERY FOR SUBSTANCE USE AND BRAIN HEALTH CONDITIONS, 1:1 PEER SUPPORT FOR SUBSTANCE USE/BRAIN HEALTH SERVICES, VOLUNTEER SUPPORT GROUP FACILITATOR STIPENDS, PROGRAM COORDINATION AND DIRECT MARKETING EFFORTS AS WELL AS MATERIAL AND NAMI PROGRAM INFORMATION FOR CO-OCCURRING DIAGNOSIS FOR SUBSTANCE USE AND BRAIN HEALTH EXPERIENCES.- PROVIDED A GRANT TO ASSIST CATHOLIC CHARITIES IN HIRING A NEW TELEHEALTH COUNSELOR TO PROVIDE MENTAL HEALTH COUNSELING SERVICES TO LIMITED-INCOME INDIVIDUALS, COUPLES, CHILDREN, AND FAMILIES.- PROVIDED A GRANT TO ALMOST HOME TO FUND HEALTH-RELATED EXPENSES FOR HOMELESS FATHERS AND THEIR CHILDREN.- SUBSTANCE ABUSE COALITION PARTICIPATION: MERCYONE DUBUQUE COLLEAGUES DONATED IN-KIND TIME TO PARTICIPATE IN THE DUBUQUE COUNTY WELLNESS COALITION AND DUBUQUE AREA SUBSTANCE ABUSE COALITION, WHICH BOTH PRIMARILY ADDRESS SUBSTANCE MISUSE IN THE COMMUNITY.OBESITY:- PROVIDED FUNDING TO THE MISSION SCHOOL OF PRESERVATION OF THE DUBUQUE RESCUE MISSION FOR THEIR PART-TIME ASSISTANT KITCHEN MANAGER WHO TRAINED MEN IN CULINARY SKILLS AND PREPARED AND PRESERVED 5,000 POUNDS OF FRESH PRODUCE TO SERVE AT THEIR FREE MEAL MINISTRY.- FOOD AND EMPLOYEE TIME WAS DONATED TO PREPARE AND SERVE MEALS TO PEOPLE EXPERIENCING HOMELESSNESS AT THE DUBUQUE RESCUE MISSION.- KEPT A FOOD PANTRY ONSITE AT MERCYONE DUBUQUE TO HELP ALLEVIATE FOOD INSECURITY FOR PATIENTS. ACCESS TO DENTAL CARE:- PROVIDED A GRANT TO DUBUQUE FOR REFUGEE CHILDREN, WHICH ASSISTED AND EMPOWERED OVER 60 UNACCOMPANIED IMMIGRANT MINORS PER YEAR WITH THEIR LEGAL, EDUCATIONAL, MEDICAL, AND DENTAL NEEDS.A WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES EMERGED FROM THE CHNA PROCESS. MERCYONE DUBUQUE DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH WERE MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. THE NEEDS THAT WERE NOT ADDRESSED IN FY25 INCLUDE: ACCESS TO HEALTH CARE, SEXUAL HEALTH AND BEHAVIOR, FOOD INSECURITY, LYME DISEASE, ALZHEIMER'S DISEASE, AND ASTHMA.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 11: THE FOLLOWING NEEDS WERE ADDRESSED BY DUNES SURGICAL HOSPITAL IN FY25:MENTAL HEALTH: DUNES PROVIDERS CONTINUED TO SCREEN AND EDUCATE COMMUNITY MEMBERS ABOUT MENTAL HEALTH. REFERRALS WERE MADE TO MENTAL HEALTH PROFESSIONALS AS NEEDED. RECRUITMENT CONTINUED FOR ADDITIONAL MENTAL HEALTH PROVIDERS FOR THE SIOUXLAND AREA. SUBSTANCE USE: THE PROVIDERS AT DUNES CONTINUED TO EDUCATE PATIENTS ON THE HEALTH RISKS OF SMOKING AND USING ALCOHOL. WRITTEN MATERIALS ON SMOKING/VAPING CESSATION WERE DISSEMINATED TO THE COMMUNITY. CANCER PREVENTION: DUNES PARTICIPATED IN COMMUNITY EFFORTS OF THE COMMUNITY CANCER COALITION. THIS COALITION WAS FOCUSED ON INCREASING SCREENING RATES FOR COLON, CERVICAL, AND BREAST CANCER. IN FY25, PLANNING BEGAN TO DEVELOP STRATEGIES TO LAUNCH EDUCATIONAL CAMPAIGNS RELATED TO SCREENINGS AND PARTNER WITH LOCAL BUSINESSES TO PROVIDE EMPLOYEE INCENTIVES FOR SCREENINGS.DUNES SURGICAL HOSPITAL DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS DUE TO COMPETING PRIORITIES, LACK OF RESOURCES, AND BECAUSE OTHER AGENCIES ARE ALREADY ADDRESSING THESE ISSUES: SEXUAL HEALTH AND NUTRITION & PHYSICAL ACTIVITY.
MERCYONE NEW HAMPTON MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE NEW HAMPTON ADDRESSED THE FOLLOWING COMMUNITY HEALTH NEEDS IN FY25:CANCER:IN AN EFFORT TO IMPROVE COMMUNITY HEALTH OUTCOMES AND REDUCE THE BURDEN OF CANCER IN CHICKASAW COUNTY, MERCYONE NEW HAMPTON IS IN THE MIDST OF LAUNCHING A COMPREHENSIVE INITIATIVE FOCUSED ON EARLY DETECTION AND PREVENTION AND GUIDED BY THREE CORE STRATEGIES THAT ALIGN WITH OUR CHNA PRIORITIES: INCREASING ACCESS TO PREVENTIVE CARE, ENHANCING CANCER SCREENING RATES, AND EXPANDING COMMUNITY EDUCATION.IN FY25, MERCYONE NEW HAMPTON DISTRIBUTED FREE SUNSCREEN AND SKIN CANCER EDUCATION TO TWO AREA SWIMMING POOLS, PARKS AND RECREATION PROGRAMS AND AREA DAY CARE CENTERS. MERCYONE NEW HAMPTON FAMILY MEDICINE IMPLEMENTED EPIC DASHBOARD UPDATES TO HELP CLINICIANS QUICKLY IDENTIFY OVERDUE SCREENINGS AND CLOSE CARE GAPS. MERCYONE NEW HAMPTON ALSO CONDUCTED AUTOMATED REMINDER CAMPAIGNS AND DIRECT PATIENT CALLS, RESULTING IN INCREASED SCHEDULING FOR MEDICARE ANNUAL WELLNESS VISITS, MAMMOGRAMS AND COLONOSCOPIES.MENTAL HEALTH:MERCYONE NEW HAMPTON IS COMMITTED TO IMPROVING MENTAL HEALTH OUTCOMES AND PROMOTING EMOTIONAL WELL-BEING ACROSS CHICKASAW COUNTY. RECOGNIZING THE GROWING NEED FOR MENTAL HEALTH SUPPORT, MERCYONE NEW HAMPTON IS FOCUSING ON INCREASING AWARENESS, ENHANCING ACCESS TO RESOURCES, AND FOSTERING A SUPPORTIVE COMMUNITY ENVIRONMENT WHERE INDIVIDUALS FEEL CONNECTED AND EMPOWERED.IN FY25, MERCYONE PARTNERED WITH SENIOR LIFE SOLUTIONS AND OTHER LOCAL ORGANIZATIONS FOR MENTAL HEALTH AWARENESS MONTH OUTREACH AND SOCIAL MEDIA EDUCATION. MERCYONE NEW HAMPTON'S SENIOR LIFE SOLUTIONS PROGRAM INCREASES AWARENESS OF AVAILABLE MENTAL HEALTH RESOURCES FOR ADULTS OVER 65. THIS OPEN HOUSE AIMED TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES BY BUILDING TRUST, ENCOURAGING HELPSEEKING, AND CONNECTING INDIVIDUALS WHO MAY BE RELUCTANT OR ISOLATED WITH APPROPRIATE CARE.WITH THE IMPLEMENTATION OF THE EPIC ELECTRONIC HEALTH RECORD SYSTEM IN JUNE 2025, THE CLINIC ADDED STANDARDIZED SCREENING QUESTIONS ADDRESSING MENTAL HEALTH AND SOCIAL DRIVERS OF HEALTH (SDOH). THESE INCLUDE QUESTIONS RELATED TO DEPRESSIVE SYMPTOMS, SUBSTANCE OR ALCOHOL USE, PHYSICAL INACTIVITY, AND OTHER BEHAVIORAL HEALTH RISKS INTEGRATED INTO EPIC'S WORKFLOW. THE EPIC SDOH MODULE ALSO ADDS SOCIAL NEEDS QUESTIONS COVERING KEY AREAS SUCH AS HOUSING STABILITY, FOOD ACCESS, TRANSPORTATION CHALLENGES, FINANCIAL STRAIN, EMPLOYMENT STATUS, CAREGIVING RESPONSIBILITIES, AND LEVELS OF SOCIAL CONNECTION OR ISOLATION. THESE ADDITIONAL QUESTIONS SUPPORT EARLY IDENTIFICATION OF PSYCHOSOCIAL NEEDS AND STRENGTHEN CARE COORDINATION BY ENABLING REFERRALS TO COMMUNITY RESOURCES DIRECTLY WITHIN THE SYSTEM.IMMIGRANT POPULATION:MERCYONE NEW HAMPTON IS FOSTERING A HEALTH CARE ENVIRONMENT THAT IS WELCOMING, INCLUSIVE, AND RESPONSIVE TO THE NEEDS OF IMMIGRANT POPULATIONS IN CHICKASAW COUNTY. RECOGNIZING THE UNIQUE CHALLENGES FACED BY NON-ENGLISH-SPEAKING AND CULTURALLY DIVERSE PATIENTS, THE HOSPITAL SEEKS TO IMPROVE ACCESS, UNDERSTANDING, AND TRUST THROUGH TARGETED STRATEGIES THAT PROMOTE LANGUAGE ACCESS, CULTURAL SENSITIVITY, AND HEALTH CARE NAVIGATION SUPPORT.THROUGHOUT FY25, MERCYONE NEW HAMPTON'S FINANCIAL COUNSELOR FOCUSED ON PROVIDING ASSISTANCE TO IMMIGRANT POPULATIONS WITH INSURANCE ENROLLMENT AND FINANCIAL ASSISTANCE PROGRAMS. DURING THESE FINANCIAL COUNSELING APPOINTMENTS, WE WERE ALSO ABLE TO CONNECT PATIENTS TO SOCIAL SERVICE RESOURCES SUCH AS HOUSING, FOOD ASSISTANCE, OR LEGAL AID WHEN BARRIERS TO CARE WERE IDENTIFIED. MERCYONE NEW HAMPTON ALSO INCREASED THE AVAILABILITY OF TRANSLATED PATIENT EDUCATION MATERIALS AND SIGNAGE. OBESITY:IN FY25, MERCYONE NEW HAMPTON COLLABORATED WITH AREA SCHOOLS, COMMUNITY ORGANIZATIONS, AND PUBLIC HEALTH PARTNERS TO PROMOTE HEALTHY FOOD ENVIRONMENTS AND PHYSICAL ACTIVITY INITIATIVES. TO SUPPORT OBESITY PREVENTION AND PROMOTE HEALTHIER LIFESTYLES, MERCYONE NEW HAMPTON HOSTED ITS EXERCISE AND ENERGIZE COMMUNITY EVENT IN PARTNERSHIP WITH IOWA STATE UNIVERSITY EXTENSION OFFICE, OFFERING RESIDENTS AN OPPORTUNITY TO PARTICIPATE IN GUIDED PHYSICAL ACTIVITY AND LEARN STRATEGIES FOR INCLUDING MOVEMENT IN THEIR DAILY ROUTINES. THE EVENT ALSO FEATURED A COLLABORATION WITH A LOCAL COFFEE SHOP TO HIGHLIGHT TO PARTICIPANTS HEALTHIER, LOWERSUGAR, NUTRIENT-FOCUSED CAFFEINE AND BEVERAGE OPTIONS, AS WELL AS WAYS TO IMPROVE MORNING ENERGY WITHOUT HIGH-CALORIE OR HIGH-SUGAR CHOICES.GIVEN THE STRONG LINK BETWEEN OBESITY AND HIGH BLOOD PRESSURE, AS EXCESS WEIGHT SIGNIFICANTLY INCREASES THE HEART'S WORKLOAD AND CONTRIBUTES TO MOST PRIMARY HYPERTENSION CASES. BECAUSE HIGH BLOOD PRESSURE OFTEN HAS NO SYMPTOMS AND AFFECTS NEARLY HALF OF U.S. ADULTS, EARLY DETECTION IS ESSENTIAL. TO SUPPORT PREVENTION AND WELLNESS, MERCYONE NEW HAMPTON PROVIDED ONSITE BLOOD PRESSURE SCREENINGS AT AREA INDUSTRIES, GIVING EMPLOYEES CONVENIENT ACCESS TO MONITORING AND EDUCATION ABOUT HOW WEIGHT, SODIUM INTAKE, AND PHYSICAL ACTIVITY INFLUENCE BLOOD PRESSURE AND OVERALL HEALTH.AS PART OF EFFORTS TO ADDRESS OBESITY AND REDUCE CHRONIC DISEASE RISK, MERCYONE NEW HAMPTON BEGAN OFFERING GROUP DIABETES EDUCATION IN ADDITION TO PRIVATE SESSIONS. THE GROUP SETTING FOSTERED SHARED LEARNING, ACCOUNTABILITY, AND EMOTIONAL SUPPORT, WHICH ARE IMPORTANT FACTORS IN SUSTAINING LIFESTYLE CHANGES. PARTICIPANTS DISCUSSED CHALLENGES, CELEBRATED MILESTONES, AND LEARNED FROM ONE ANOTHER'S EXPERIENCES.MERCYONE NEW HAMPTON MEDICAL CENTER ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THOSE REASONS, MERCYONE NEW HAMPTON MEDICAL CENTER DID NOT ADDRESS THE FOLLOWING NEEDS IN FY25: HEART DISEASE/STROKE, DIABETES, AND LUNG DISEASE.
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE DYERSVILLE MEDICAL CENTER ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS IN FY25: MERCYONE DYERSVILLE ADDRESSED BRAIN HEALTH, OBESITY AND ACCESS TO DENTAL CARE BY COLLABORATING WITH MERCYONE DUBUQUE'S MOBILE MEDICAL UNIT AT THE DYERSVILLE DOWNTOWN MARKET TO PROVIDE INFLUENZA (FLU) VACCINES, NUTRITION EDUCATION, AND BRAIN HEALTH PROMOTION.A WIDE RANGE OF PRIORITY HEALTH AND SOCIAL ISSUES EMERGED FROM THE CHNA PROCESS. MERCYONE DYERSVILLE DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE NEEDS WHICH WERE MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. THE NEEDS THAT WERE NOT ADDRESSED IN FY25 INCLUDE: ACCESS TO HEALTH CARE, SEXUAL HEALTH AND BEHAVIOR, FOOD INSECURITY, LYME DISEASE, ALZHEIMER'S DISEASE, AND ASTHMA.
MERCYONE NORTH IOWA MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
MERCYONE SIOUXLAND MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
MERCYONE DUBUQUE MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
DUNES SURGICAL HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
MERCYONE NEW HAMPTON MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
MERCYONE DYERSVILLE MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS.
PART V, SECTION B, LINE 7A AND 10A WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING
DUNES SURGICAL HOSPITAL - PART V, SECTION B, LINE 7A AND 10A WWW.DUNESSURGICALHOSPITAL.COM/COMMUNITY-BENEFIT
MERCYONE SIOUXLAND MEDICAL CENTER - PART V, SECTION B, LINE 7B WWW.DUNESSURGICALHOSPITAL.COM/COMMUNITY-BENEFITWWW.SIOUXLANDDISTRICTHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-STATISTICSWWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
DUNES SURGICAL HOSPITAL - PART V, SECTION B, LINE 7B WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEINGWWW.SIOUXLANDDISTRICTHEALTH.ORG/COMMUNITY/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-STATISTICSWWW.UNITYPOINT.ORG/ABOUT-UNITYPOINT-HEALTH/COMMUNITY-BENEFITS/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
MERCYONE NEW HAMPTON MEDICAL CENTER - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
MERCYONE NORTH IOWA MEDICAL CENTER - PART V, SECTION B, LINE 9 AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC.
PART V, SECTION B, LINE 16A-C: FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.MERCYONE.ORG/FOR-PATIENTS/BILLING-AND-FINANCIAL-INFORMATION/FINANCIAL-ASSISTANCE-RHM
DUNES SURGICAL HOSPITAL, PART V, SECTION B, LINE 16A-C: FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.DUNESSURGICALHOSPITAL.COM/FINANCIAL-ASSISTANCE-AND-CHARITY-CARE
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address Type of Facility (describe)
1 1 - MEDICAL ASSOCIATES WEST CAMPUS
1500 ASSOCIATES DRIVE
DUBUQUE,IA52001
OCC. HEALTH, PHYS THER, AMBULATORY SURGERY
2 2 - MEDICAL ASSOCIATES CLINIC
1240 BIG JACK ROAD
PLATTEVILLE,WI53818
X-RAY, LAB, EMPLOYED PHYSICIANS
3 3 - TRI-STATE OCCUPATIONAL HEALTH
1920 ELM STREET
DUBUQUE,IA52001
PHYS THERAPY,EMPLOYED PHYSICIANS
4 4 - MEDICAL ASSOCIATES CLINIC
10988 BARTELL BLVD
GALENA,IL61036
HOME CARE,LAB, EMPLOYED PHYSICIANS
5 5 - MERCYONE DYERSVILLE MEDICAL CENTER
1121 THIRD STREET SW
DYERSVILLE,IA52040
CLINIC
6 6 - MEDICAL ASSOCIATES CLINIC
208 N 12TH STREET
BELLEVUE,IA52031
CLINIC
7 7 - MEDICAL ASSOCIATES CLINIC
911 NW CARTER
ELKADER,IA52043
CLINIC
8 8 - CASCADE FAMILY HEALTH CENTER
805 JOHNSON STREET SW
CASCADE,IA52033
EMPLOYED PHYSICIANS, LAB, X-RAY, PT
9 9 - MEDICAL ASSOCIATES CLINIC
117 SOUTH MADISON
CUBA CITY,WI53807
X-RAY, LAB, EMPLOYED PHYSICIANS
10 10 - MEDICAL ASSOCIATES CLINIC
560 PLEASANT ST
ELIZABETH,IL61028
CLINIC
11 11 - MEDICAL ASSOCIATES CLINIC
107 S PAGE
MONONA,IA52159
CLINIC
12 12 - MEDICAL ASSOCIATES EAST CAMPUS
1000 LANGWORTHY
DUBUQUE,IA52001
OCC. HEALTH, PHYSICAL THERAPY
13 13 - MERCYONE DAKOTA DUNES MEDICAL LAB
101 TOWER RD SUITE 220
DAKOTA DUNES,SD57049
REFERENCE LABORATORY
14 14 - MASON CITY SURGERY CENTER
990 4TH STREET
MASON CITY,IA50401
AMBULATORY SURGERY
15 15 - TRI-STATE SURGERY CENTER
1500 ASSOCIATES DRIVE
DUBUQUE,IA52002
OUTPATIENT CLINIC, OPHTHALMOLOGY, ORTHOPEDICS
16 16 - FKC NORTH IOWA LLC
920 WINTER ST
WALTHAM,MA02451
DIALYSIS CENTER
17 17 - MAGNETIC RESONANCE SERVICES PARTNERSHIP
1416 SIXTH STREET SW
MASON CITY,IA50401
DIAGNOSTIC IMAGING
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS.
PART I, LINE 6A: MERCY HEALTH SERVICES - IOWA (MHS-IA) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.MHS-IA ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING.
PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS.
PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $19,262,760, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES: MERCYONE NORTH IOWA MEDICAL CENTER (MERCYONE NORTH IOWA):ECONOMIC DEVELOPMENT: MERCYONE NORTH IOWA LEADERS SERVED ON BOARDS AND COMMITTEES FOCUSED ON ECONOMIC AND COMMUNITY DEVELOPMENT.COMMUNITY SUPPORT: MERCYONE NORTH IOWA WAS ACTIVE IN PARTICIPATING IN COMMUNITY EMERGENCY PREPAREDNESS.COALITION BUILDING: MERCYONE NORTH IOWA LEADERS AND COLLEAGUES PARTICIPATED IN COMMUNITY COALITIONS AND BOARDS FOCUSED ON ADDRESSING HEALTH AND SAFETY.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY: MERCYONE NORTH IOWA LEADERS ATTENDED COMMUNITY MEETINGS FOCUSED ON ENHANCING ADVOCACY STRATEGIES FOR VARIOUS HEALTH AND SOCIAL NEEDS.WORKFORCE DEVELOPMENT: MERCYONE NORTH IOWA DONATED TO WORKFORCE DEVELOPMENT INITIATIVES SUCH AS HIGH SCHOOL PARTNERSHIPS, COLLEGE BOARD PARTICIPATION, AND PRESENTATIONS TO AREA SCHOOLS. MERCYONE DUBUQUE MEDICAL CENTER (MERCYONE DUBUQUE):ECONOMIC DEVELOPMENT: MERCYONE DUBUQUE LEADERS SERVED ON BOARDS AND COMMITTEES FOCUSED ON ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES. COMMUNITY SUPPORT: MERCYONE DUBUQUE LEADERS SERVED ON LOCAL BOARDS AND PROVIDED MENTORSHIP TO STUDENTS. ADDITIONALLY, A MERCYONE DUBUQUE COLLEAGUE PARTICIPATED ON THE BOARD AND EXECUTIVE COMMITTEE FOR A LOCAL DUPACO COMMUNITY CREDIT UNION BOARD, A NOT-FOR-PROFIT FINANCIAL COOPERATIVE, TO LEAD EFFORTS TO HELP THOSE IN NEED LEARN MONEY-SAVING SKILLS; AND COMMUNITY-BASED EMERGENCY PREPAREDNESS EXERCISES.COALITION BUILDING: MERCYONE DUBUQUE LEADERS PARTICIPATED IN COMMUNITY COALITIONS AND BOARDS FOCUSED ON ADDRESSING HEALTH AND SAFETY ISSUES. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY: MERCYONE DUBUQUE LEADERS ATTENDED COMMUNITY MEETINGS FOCUSED ON ENHANCING ADVOCACY STRATEGIES FOR VARIOUS HEALTH AND SOCIAL NEEDS. WORKFORCE DEVELOPMENT: MERCYONE DUBUQUE PROVIDED AREA HIGH SCHOOL STUDENTS OPPORTUNITIES TO WORK ALONGSIDE CLINICAL STAFF THROUGH AN INTERNSHIP PROGRAM; ATTENDED HIGH SCHOOL CAREER FAIRS; AND PROVIDED TOURS AND OBSERVATION OPPORTUNITIES TO EXPOSE YOUNG STUDENTS TO THE HEALTH CARE FIELD AND INSPIRE INTEREST AND INFORM THEM OF THE EDUCATIONAL PATHS REQUIRED TO ENTER THE FIELD.MERCYONE SIOUXLAND MEDICAL CENTER (MERCYONE SIOUXLAND):COALITION BUILDING: MERCYONE SIOUXLAND LEADERS PARTICIPATED IN COMMUNITY COALITIONS AND BOARDS FOCUSED ON ADDRESSING HEALTH AND SAFETY ISSUES.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: MERCYONE SIOUXLAND LEADERS PARTICIPATED IN ADVOCACY EFFORTS BY ATTENDING COMMUNITY MEETINGS FOCUSED ON ENHANCING ADVOCACY STRATEGIES FOR VARIOUS HEALTH AND SOCIAL NEEDS.COMMUNITY SUPPORT: MERCYONE SIOUXLAND LEADERS PARTICIPATED IN LOCAL COMMUNITY BOARDS AND COMMUNITY COLLABORATIONS, INCLUDING HOLY SPIRIT RETIREMENT HOME AND IOWA DONOR NETWORK. THESE ORGANIZATIONS PROVIDE NEEDED SERVICES TO THE COMMUNITY AND MERCYONE SIOUXLAND LEADERS PROVIDED HEALTH CARE AND LEADERSHIP PERSPECTIVES TO HELP FURTHER THEIR MISSIONS AND ENHANCE COMMUNITY COLLABORATION. MERCYONE SIOUXLAND LEADERS ALSO PROVIDED MENTORSHIP OPPORTUNITIES TO STUDENTS.ECONOMIC DEVELOPMENT: MERCYONE SIOUXLAND LEADERS SERVED ON BOARDS AND COMMITTEES FOCUSED ON ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES.ENVIRONMENTAL IMPROVEMENTS: MERCYONE SIOUXLAND LEADERS PARTICIPATED IN THE NORTHWEST IOWA FOOD SAFETY TASKFORCE, AN INITIATIVE TO ENHANCE FOOD SAFETY STANDARDS AND PRACTICES ACROSS THE REGION AND IDENTIFY FOOD SAFETY RISKS, WITH THE GOAL OF PREVENTING FOODBORNE ILLNESS.WORKFORCE DEVELOPMENT: MERCYONE SIOUXLAND LEADERS PARTICIPATED IN THE IOWA MEDICAL SOCIETY HEALTHCARE WORKFORCE SUMMIT, WHICH FOCUSED ON DEVELOPING IOWA'S HEALTH CARE WORKFORCE. MERCYONE SIOUXLAND LEADERS SPENT TIME ON WORKFORCE DEVELOPMENT INITIATIVES SUCH AS COLLEGE BOARD PARTICIPATION AND HEALTH CARE CAREER EXPLORATION AND AWARENESS EVENTS. MERCYONE SIOUXLAND STAFF ALSO SERVED ON THE UNIVERSITY OF SOUTH DAKOTA DEPARTMENT OF PUBLIC HEALTH SCIENCES ADVISORY BOARD TO HELP SHAPE PROGRAM OFFERINGS TO GROW AND SUPPORT THE LOCAL WORKFORCE. MERCYONE NEW HAMPTON MEDICAL CENTER (MERCYONE NEW HAMPTON):WORKFORCE DEVELOPMENT: THE HOSPITAL HOSTED A CAREER EXPLORATION EVENT IN PARTNERSHIP WITH NORTHEAST IOWA COMMUNITY COLLEGE (NICC) AND ALLEN COLLEGE. AREA HIGH SCHOOL STUDENTS LEARNED ABOUT EMS, OCCUPATIONAL THERAPY, SPEECH THERAPY AND NURSING. THROUGHOUT THE YEAR, MERCYONE NEW HAMPTON WORKS CLOSELY WITH NICC AND THE NEW HAMPTON COMMUNITY SCHOOL DISTRICT ON 8TH GRADE CAREER WEEK, ADULTING 101 DAY FOR SENIORS, AND JOB SHADOWING OPPORTUNITIES AT MERCYONE NEW HAMPTON. MERCYONE NEW HAMPTON ALSO ADVOCATED FOR AREA SCHOOLS TO INCREASE THE NUMBER OF COLLEGE HEALTH CARE CAREER CLASSES OFFERED TO HIGH SCHOOL SENIORS AND IS WORKING WITH NEW HAMPTON COMMUNITY SCHOOL DISTRICT TO HAVE A LOCAL CERTIFIED NURSING ASSISTANT LAB.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT: MERCYONE NEW HAMPTON'S PUBLIC RELATIONS MANAGER IS THE PANTRY COORDINATOR FOR CHICKASAW PRIDE PANTRY LOCATED AT NEW HAMPTON MIDDLE/HIGH SCHOOL. THE PANTRY IS A PROJECT OF THE NEW HAMPTON ROTARY CLUB AND THE NEW HAMPTON HIGH SCHOOL INTERACT CLUB, WHICH MERCYONE NEW HAMPTON'S PUBLIC RELATIONS MANAGER ALSO ADVISES. THE PANTRY DISTRIBUTES FRESH FRUIT AND VEGETABLES, EASY TO OPEN SHELF-STABLE ITEMS, A COMBINATION OF GRAINS, PERSONAL CARE/HYGIENE ITEMS AND PAPER PRODUCTS. THE AGENCY PARTNER IS NORTHEAST IOWA FOOD BANK. IN FY25, 1,387 POUNDS OF FOOD AND PERSONAL CARE ITEMS WERE DISTRIBUTED. MERCYONE NEW HAMPTON ALSO PARTNERED WITH NEW HAMPTON ROTARY TO SPONSOR AND DISTRIBUTE 50 CHRISTMAS MEALS FOR FAMILIES IN NEED. COMMUNITY SUPPORT: MERCYONE NEW HAMPTON HAS DEDICATED TIME, RESOURCES, AND LINEN SERVICES TO THE CHICKASAW COUNTY EMS PROGRAM. MERCYONE NEW HAMPTON'S ATHLETIC TRAINERS ALSO PARTNERED WITH CHICKASAW COUNTY EMS TO HOLD A TRAINING ON HELMET AND PAD REMOVAL SINCE THEY COVER AREA FOOTBALL GAMES TOGETHER. ECONOMIC DEVELOPMENT: AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, MERCYONE NEW HAMPTON TAKES ITS CIVIC RESPONSIBILITY VERY SERIOUSLY. SUPPORT OF, AND CONTRIBUTIONS TO, COMMUNITY ORGANIZATIONS, EVENTS, AND PROGRAMS, SUCH AS THE INDUSTRIAL DEVELOPMENT CORPORATION HELP IMPROVE THE ECONOMY OF THE HOSPITAL'S SERVICE AREA. ECONOMIC STABILITY IS INTRINSICALLY LINKED TO THE PREVENTION OF HEALTH PROBLEMS ASSOCIATED WITH POVERTY, HOMELESSNESS, AND ENVIRONMENTAL CHALLENGES, AND IS CRUCIAL IF THE COMMUNITY HOPES TO MAINTAIN A VIABLE HOSPITAL COMPLEX WITH A BROAD SPECTRUM OF ESSENTIAL SERVICES. IN FY25, MERCYONE NEW HAMPTON'S PUBLIC RELATIONS MANAGER SERVED AS THE PRESIDENT OF NEW HAMPTON'S INDUSTRIAL DEVELOPMENT CORPORATION BOARD. MERCYONE NEW HAMPTON'S CEO WAS ALSO A MEMBER OF THE BOARD. PROJECTS INCLUDED INCREASING ACCESS TO DAY CARE, AVAILABILITY OF AFFORDABLE HOUSING, TRADE/SKILL EDUCATION PROGRAMING AND OFFERING FINANCIAL ASSISTANCE TO NEW OR EXPANDING BUSINESSES.MERCYONE NEW HAMPTON HAS TWO COLLEAGUES WHO ARE MEMBERS OF NEW HAMPTON ROTARY CLUB, WHOSE AREAS OF FOCUS INCLUDES: BASIC EDUCATION AND LITERARY; DISEASE PREVENTION AND MANAGEMENT; WATER, SANITATION AND HYGIENE; ECONOMIC EMPOWERMENT AND COMMUNITY DEVELOPMENT ENVIRONMENTAL PROTECTION; MATERNAL AND CHILD HEALTH; PEACE AND CONFLICT PREVENTION. IN FY25, OUR COLLEAGUES WITH NEW HAMPTON ROTARY WORKED TO IMPROVE FOOD INSECURITY WITHIN OUR COMMUNITY, YOUTH PROGRAMS, SCHOLARSHIP OPPORTUNITIES, LEADERSHIP TRAINING AND ECONOMIC DEVELOPMENT. ENVIRONMENTAL IMPROVEMENTS: MERCYONE NEW HAMPTON CONTINUES TO PROVIDE MEMBERS OF THE COMMUNITY A PLACE TO SAFELY DISPOSE OF THEIR SHARPS AND CONTAINERS TO REDUCE ENVIRONMENTAL HAZARDS. THE HOSPITAL COLLABORATES WITH PHARMACIES IN NEW HAMPTON TO COLLECT THEIR CONTAINERS AS WELL.
PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS.
PART III, LINE 3: MHS-IA USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, MHS-IA IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MHS-IA IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL.
PART III, LINE 4: MHS-IA IS IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION.
PART III, LINE 8: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION. PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 26, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT.
PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS.
PART VI, LINE 2: NEEDS ASSESSMENT - MHS-IA HOSPITALS ASSESS THE HEALTH STATUS OF THEIR COMMUNITIES, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORT TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THEIR COMMUNITIES, OUR HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. MERCYONE NORTH IOWA AND MERCYONE NEW HAMPTON EACH HAVE A LOCAL BOARD OF GOVERNANCE COMPOSED OF AREA RESIDENTS, EMPLOYERS, AND REPRESENTATIVES OF DEMOGRAPHIC GROUPS. THESE HOSPITALS ALSO COMMUNICATE WITH OTHER AGENCIES ABOUT WHAT SERVICES ARE NEEDED LOCALLY. IN PARTICULAR OUR PRIMARY CARE PHYSICIANS HAVE A STRONG AWARENESS OF PATIENT NEEDS. A COMMITTEE MEETS QUARTERLY THAT IS COMPRISED OF COMMUNITY MEMBERS AND HOSPITAL PERSONNEL THAT WORK DIRECTLY WITH THE UNINSURED, UNDERINSURED AND UNDERSERVED. THE COMMUNITY BENEFIT MINISTRY OFFICER INTERFACES REGULARLY WITH COMMUNITY HUMAN SERVICE AGENCIES AND COALITIONS.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MHS-IA HOSPITALS COMMUNICATE EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL SUPPORT PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. THE HOSPITALS OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITALS.
PART VI, LINE 4: COMMUNITY INFORMATION MERCYONE NORTH IOWA: TRINITY HEALTH DATA HUB ESTIMATES POPULATION IN IOWA AT 3.2 MILLION WITH CERRO GORDO COUNTY'S ESTIMATED POPULATION AT 43,185, WHICH IS SLIGHTLY HIGHER THAN THE LAST CHNA REPORTING CYCLE. THE COUNTY HAS A VERY LOW DIVERSITY INDEX, .006 COMPARED TO IOWA AT .40. MOST OF THE RESIDENTS ARE WHITE, MAKING UP 90.74% OF THE POPULATION, WHILE BLACK MAKES UP 2.03%, HISPANIC, 5.38%, AND NON-HISPANIC ASIAN 1.28%. CERRO GORDO'S POPULATION OF UNDER 18-YEAR-OLDS IS 21.04%, 18-64-YEAR-OLDS, 57.58% AND 65 AND OLDER IS 21.38%. CERRO GORDO COUNTY HAS 87 MENTAL HEALTH PROVIDERS LOCATED AT FOUR DIFFERENT FACILITIES AND 201.73 PROVIDERS/100,000 POPULATION. THERE IS A 90.43:100,000 RATIO FOR SUBSTANCE ABUSE PROVIDERS IN THE COUNTY. THERE ARE 22.81% OF THE CERRO GORDO POPULATION WHO CURRENTLY RECEIVE MEDICAID. THIS IS HIGHER THAN BOTH THE STATE (20.47%) AND NATIONALLY (22.19%). FOOD INSECURITY CONTINUES TO BE AN ISSUE IN CERRO GORDO COUNTY WITH 8.30% OF THE POPULATION FOOD INSECURE, WHICH IS HIGHER THAN THE STATE AVERAGE OF 7.30%. STUDENTS ELIGIBLE FOR FREE OR REDUCED LUNCH IS 42.1%. THE MEDIAN HOUSEHOLD INCOME IN CERRO GORDO COUNTY IS $58,271. THE POPULATION UNDER AGE 18 WHO ARE BELOW 200% FEDERAL POVERTY LEVEL IS 36.43%. MOST CERRO GORDO COUNTY RESIDENTS HAVE A HIGH SCHOOL DIPLOMA (93.51%), WITH 23.89% OF THESE INDIVIDUALS HAVING OBTAINED A BACHELOR'S DEGREE OR HIGHER.MERCYONE DUBUQUE AND MERCYONE DYERSVILLE MEDICAL CENTER (MERCYONE DYERSVILLE):THE PRIMARY SERVICE AREA OF MERCYONE DUBUQUE AND MERCYONE DYERSVILLE IS DUBUQUE COUNTY, IOWA, WHICH IS A FEDERALLY DESIGNATED MEDICALLY UNDERSERVED AREA. THERE IS ONE OTHER HOSPITAL, AND ONE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTER LOCATED IN DUBUQUE, IOWA.DUBUQUE COUNTY IS IN NORTHEASTERN IOWA, BORDERED BY THE MISSISSIPPI RIVER AND IS COMPRISED OF TWENTY-ONE UNINCORPORATED COMMUNITIES AND THEIR SURROUNDING RURAL AREAS. SPANNING 608 SQUARE MILES, THE COUNTY HAS A UNIQUE BLEND OF RURAL AND METROPOLITAN CHARACTERISTICS. AS OF THE 2020 CENSUS, THE POPULATION WAS 99,266 MAKING IT THE EIGHTH MOST POPULATED COUNTY IN IOWA. THE MEDIAN AGE OF DUBUQUE COUNTY RESIDENTS IS 39.5 YEARS, SLIGHTLY ABOVE THE STATE AND NATIONAL MEDIAN AGES OF APPROXIMATELY 38 YEARS. THE SHARE OF THE DUBUQUE COUNTY POPULATION THAT IS 65 AND OLDER INCREASED FROM 15.3% IN 2010 TO 18.7% IN 2021, REPRESENTING AN AGING POPULATION. ACCORDING TO THE US CENSUS BUREAU POPULATION ESTIMATES AS OF 2022, DUBUQUE COUNTY'S POPULATION WAS PREDOMINATELY WHITE (91.9%) THOUGH THERE HAS BEEN A SLOW INCREASE IN THE DIVERSITY OF THE POPULATION SINCE 2000. THE DUBUQUE COMMUNITY HAS EXPERIENCED AN INCREASE IN THE PACIFIC ISLANDER POPULATION IN RECENT YEARS.MERCYONE SIOUXLAND AND DUNES SURGICAL HOSPITAL:THE PRIMARY SERVICE AREA FOR MERCYONE SIOUXLAND AND DUNES SURGICAL HOSPITAL INCLUDES WOODBURY COUNTY, IOWA, PLYMOUTH COUNTY, IOWA, DAKOTA COUNTY, NEBRASKA, AND UNION COUNTY, SOUTH DAKOTA. A TOTAL OF 169,155 PEOPLE LIVE IN THE 2,460.76 SQUARE MILE SERVICE AREA DEFINED FOR THIS ASSESSMENT ACCORDING TO LATEST CENSUS ESTIMATES, WITH A POPULATION DENSITY ESTIMATED AT 69 PERSONS PER SQUARE MILE. THE MAJORITY OF THE POPULATION IS URBAN (72.5%), RESIDING IN THE SIOUX CITY METRO AREA. OF THE POPULATION, 25.8% ARE UNDER 18 YEARS, AND 16.0% OF THE POPULATION IS OVER THE AGE OF 65 YEARS. THE MAJORITY OF THE POPULATION IS WHITE (77.5%), AND 17.6% OF THE POPULATION IS HISPANIC OR LATINO. IN THE SERVICE AREA, 29.32% OF INDIVIDUALS ARE LIVING IN HOUSEHOLDS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL (US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY. 2018-22).MERCYONE NEW HAMPTON:MERCYONE NEW HAMPTON SERVES PATIENTS IN CHICKASAW COUNTY AND BORDERING COUNTIES. DUE TO OVER 80% OF MERCYONE NEW HAMPTON'S MARKET SHARE COMING FROM PATIENTS IN CHICKASAW COUNTY, AND FOR ACCURACY IN DATA COLLECTION, CHICKASAW COUNTY WAS THE FOCUS OF THIS ASSESSMENT. THIS SERVICE AREA DOES NOT EXCLUDE LOW-INCOME OR UNDERSERVED POPULATIONS.THE TOTAL POPULATION OF CHICKASAW COUNTY, AS ESTIMATED BY THE U.S. CENSUS BUREAU FOR 2022, IS 11,957. CHICKASAW COUNTY IS CONSIDERED 100% RURAL, WITH NO TOWNS HAVING OVER 5,000 RESIDENTS. THE COUNTY'S ESTIMATED POPULATION DROPPED 2.9% BETWEEN 2020 AND 2023; BY COMPARISON, IOWA'S POPULATION ONLY GREW 0.5% OVER THE SAME TIME. AS AN INDICATOR, POPULATION TRENDS ARE RELEVANT BECAUSE A SHRINKING POPULATION BASE AFFECTS HEALTH CARE PROVIDERS AND THE UTILIZATION OF COMMUNITY RESOURCES. IN GENERAL, RURAL POPULATIONS TEND TO HAVE POPULATIONS THAT ARE OLDER AND LESS EDUCATED THAN THEIR URBAN COUNTERPARTS, WITH HIGHER PREVALENCE OF CHRONIC DISEASES. CHICKASAW COUNTY IS NO EXCEPTION. THE COUNTY'S POPULATION IS PREDOMINATELY WHITE (97.1 %) WITH 23.4% BEING OVER THE AGE OF 65. ONLY 19.1% OF PEOPLE OVER THE AGE OF 25 HAVE A BACHELOR'S DEGREE OR HIGHER. ACCORDING TO THE U.S. CENSUS BUREAU, AMERICAN COMMUNITY SURVEY; 2018-22 AND HEALTHY PEOPLE 2030, THE MEDIAN HOUSEHOLD INCOME IN CHICKASAW COUNTY WAS ESTIMATED AT $72,734 IN 2022. MORE THAN A QUARTER (25.82%) OF CHICKASAW COUNTY RESIDENTS LIVE IN HOUSEHOLDS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL (FPL). THE POPULATION UNDER 18 LIVING IN HOUSEHOLDS BELOW 200% FPL IS 32.92%. FOR MERCYONE NEW HAMPTON, THE PAYER MIX AT POINT OF REGISTRATION INCLUDES 55.5% COVERED BY MEDICARE, 8.3% COVERED BY MEDICAID, BLUE CROSS BLUE SHIELD 22.8%, COMMERCIAL WAS 10.9% AND 2.4% SELF-PAY.
PART VI, LINE 5: OTHER INFORMATION - MERCYONE NORTH IOWA HAS PROVIDED MANAGEMENT SERVICES FOR RURAL HOSPITALS SINCE 1978. THESE COMMUNITY HOSPITALS OFFER QUALITY HEALTH CARE AND YET ARE STILL ABLE TO TAKE ADVANTAGE OF ALL THE RESOURCES WE HAVE TO OFFER AS A MAJOR REFERRAL CENTER. WE EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY HEALTH CARE PROVIDERS TO MEET THE NEEDS OF THOSE WHO LIVE IN OUR COMMUNITIES. MERCYONE NORTH IOWA IS INTENTIONAL IN DEVELOPING TRIPLE-AIM ACCOUNTABLE CARE ORGANIZATION RELATIONSHIPS AND WORKS COLLABORATIVELY WITH MANY COMMUNITY HEALTH PROVIDERS, SOCIAL SERVICES, AND AGENCIES IN CREATING A SYSTEM OF CARE COORDINATION PROCESS AND WORK TO IDENTIFY AND REDUCE/ELIMINATE THE SOCIAL DETERMINANTS OF HEALTH. AS A TEACHING HOSPITAL, MERCYONE NORTH IOWA HOSTS A FAMILY MEDICINE RESIDENCY PROGRAM, PHARMACY RESIDENCY, INTERNAL MEDICINE RESIDENCY, CARDIOLOGY FELLOWSHIP, NURSE RESIDENCY, AND A SCHOOL OF RADIOLOGIC TECHNOLOGY. MERCYONE NORTH IOWA'S CARDIOLOGY FELLOWSHIP PROGRAM HAS TRIPLED IN SIZE SINCE IT ORIGINATED IN 2002. IN ADDITION, MERCYONE NORTH IOWA OFFERS A 12-MONTH PROGRAM FOR NEWLY LICENSED REGISTERED NURSES AS THEY TRANSITION FROM THEIR STUDENT ROLE INTO A PROFESSIONAL ROLE, OFFERING THEM MORE SUPPORT TO EMPOWER AND BUILD CONFIDENCE IN THEIR NURSING CAREERS. MERCYONE NORTH IOWA OFFERS SPECIALIZED SERVICES INCLUDING HEART AND VASCULAR INSTITUTE, CANCER, DIABETES, STOKE, BARIATRIC, WOUND, REHABILITATION, LEVEL II BIRTH CENTER, AND LEVEL III TRAUMA CENTER. OUR EMERGENCY ROOM'S PSYCH TRIAGE NURSES ASSIST BEHAVIORAL HEALTH PATIENTS IN THE EMERGENCY ROOM BY PROVIDING REFERRALS AND INFORMATION ON COMMUNITY RESOURCES. MERCYONE NORTH IOWA HAS MATERNAL HEALTH OUTREACH IN NEW HAMPTON AND HAMPTON, AS WELL AS THE FAMILY MEDICINE RESIDENCY CLINIC WHERE AN INTERPRETER IS AVAILABLE. PATIENTS ARE ALSO ASSISTED IN OBTAINING MEDICAID. MERCYONE NORTH IOWA WORKS CLOSELY WITH CERRO GORDO PUBLIC HEALTH AND NUMEROUS AGENCIES IN IDENTIFYING AND COLLABORATIVELY ADDRESSING COMMUNITY NEEDS.MERCYONE NORTH IOWA CONTINUES TO INVEST IN THE COMMUNITY WE SERVE TO ENHANCE THE HEALTH AND WELL-BEING OF RESIDENTS BY:- ASSISTING MERCYONE NORTH IOWA COLLEAGUES MAKE A MEANINGFUL IMPACT IN THE LOCAL COMMUNITY BY ALLOWING FOR CONTRIBUTIONS TO THE LOCAL UNITED WAY DIRECTLY FROM THEIR PAYROLL.- CONTINUING PARTICIPATION IN THE AWARDED MISSION LIFELINE STROKE GRANT.- SCREENING FOR AND ADDRESSING NEEDS FOR THOSE IDENTIFIED TO HAVE SOCIAL NEEDS THROUGH TWO FULL-TIME COMMUNITY HEALTH WORKERS; SPREADING AWARENESS OF FINDHELP, THE ON-LINE COMMUNITY RESOURCE DIRECTORY. - CONTINUING TO PROVIDE THE MEALS ON WHEELS PROGRAM.- CONDUCTING SEVERAL FOOD DRIVES FOR THE HAWKEYE HARVEST FOOD BANK.- FUNDING A GRANT FOR THE PHLEBOTOMY YOUTH INTERNSHIP.- HOSTING SEVERAL BLOOD DRIVES.- IMPLEMENTING BABY-FRIENDLY INITIATIVES INCLUDING BREAST FEEDING SUPPORT GROUPS AND INFANT EDUCATION GROUPS.- PARTNERING WITH HEALTHIEST STATE INITIATIVES FOR THE PRODUCE PRESCRIPTION PROGRAM. - PARTICIPATING IN NORTH IOWA ADDICTION PREVENTION ALLIANCE TO PREVENT UNDERAGE DRINKING. - PARTICIPATING IN THE AGING SERVICES COALITION TO ADVOCATE FOR AND CONNECT ELDERLY INDIVIDUALS TO COMMUNITY RESOURCES. - PARTICIPATING IN NORTH CENTRAL IOWA COMMUNITY COLLABORATION HOUSING COALITION.- ENCOURAGING COLLEAGUE PARTICIPATION IN THE MONSOON TRAINING, SPECIFICALLY REGARDING PACIFIC ISLANDER CULTURE.- PROVIDING RURAL OUTREACH PROGRAM AND PROVIDING FREE MEDICATIONS TO QUALIFYING RESIDENTS.- PARTICIPATING IN EVENTS SURROUNDING MENTAL HEALTH AWARENESS AND REDUCING STIGMA, SUCH AS MAKE IT OK WALK AND EVENT.- APPLYING FOR, AND BEING AWARDED, A $60,000 GRANT FROM VARIETY-THE CHILDREN'S CHARITY. THIS GRANT FUNDED THE INSTALLATION OF A CENTRAL MONITORING SYSTEM AND SEVEN BEDSIDE MONITORS, ENHANCING SAFETY AND CONNECTIVITY FOR VULNERABLE NEWBORNS AND THEIR FAMILIES. - COLLABORATING WITH COMMUNITY ORGANIZATIONS, AGENCIES, AND COALITIONS. - PROVIDING A RESTRICTED $450,000 CASH DONATION TO THE YMCA TO GO TOWARD THE AIR HANDLER UNIT SERVING THE SWIMMING POOL. IN ADDITION, MERCYONE NORTH IOWA DIVESTED ITS 50% OWNERSHIP IN YMCA REHABILITATION CENTER, TRANSFERRING FULL OWNERSHIP TO THE YMCA.- OFFERING MEDICAL ASSISTANT TRAINING PROGRAM, A 16-WEEK PROGRAM WITH 3 COHORTS.IN FY25, MERCYONE NORTH IOWA ALSO PROVIDED CASH DONATIONS/SPONSORSHIPS TO SUPPORT:- HANCOCK COUNTY HEALTH SYSTEM FOUNDATION - KOSSUTH REGIONAL HEALTH CENTER FOUNDATION- MITCHELL COUNTY REGIONAL HEALTH CENTER FOUNDATION- NORTH IOWA COMMUNITY ACTION- NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS- HEALTHY HARVEST- 43 NORTH IOWAMERCYONE DUBUQUE AND MERCYONE DYERSVILLE:MERCYONE DUBUQUE IS THE LEADING HOSPITAL IN THE TRI-STATES, OFFERING THE ONLY COMPREHENSIVE CARDIOLOGY CENTER AND LEVEL II REGIONAL NEONATAL INTENSIVE CARE UNIT IN THE AREA AS WELL AS THE NEWLY CONSTRUCTED MERCYONE DUBUQUE CANCER CENTER. OTHER SERVICES INCLUDE A TRAUMA CENTER, A CARF-ACCREDITED INPATIENT REHABILITATION UNIT, HOME HEALTH CARE, ORTHOPEDICS, RETAIL PHARMACIES, PALLIATIVE CARE, AND A WIDE RANGE OF OUTPATIENT AND COMMUNITY SERVICES. MERCYONE OPERATES TWO HOSPITAL-BASED SKILLED NURSING UNITS AND A 40-BED NURSING HOME. THE MERCYONE DUBUQUE MATERNAL HEALTH CLINIC OPENED IN 1991 AND PROVIDES PRENATAL, POSTPARTUM AND YEARLY WELL WOMEN VISIT FOR UNDERSERVED WOMEN IN THE DUBUQUE COMMUNITY AND SURROUNDING AREA. MERCYONE DYERSVILLE MEDICAL CENTER IS A 20-BED CRITICAL ACCESS HOSPITAL SERVING 17 RURAL COMMUNITIES IN WESTERN DUBUQUE COUNTY, OFFERING THE FOLLOWING SERVICES: EMERGENCY/TRAUMA, ACUTE AND SKILLED CARE, REHABILITATION SERVICES (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH THERAPY), AMBULATORY SURGERY, HOME CARE, AND SPECIALTY CLINICS.MERCYONE DUBUQUE AND MERCYONE DYERSVILLE ARE ADVISED BY LOCAL BOARDS AND OPERATE EMERGENCY ROOMS, WHICH ARE AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY. MERCYONE DUBUQUE ALSO PROVIDED SEVERAL UNIQUE SERVICES, INCLUDING OPEN-HEART SURGERY, NEONATAL INTENSIVE CARE, AND INPATIENT COMMUNITY PSYCHIATRIC SERVICES.MERCYONE DUBUQUE AND MERCYONE DYERSVILLE RECOGNIZE THE IMPORTANCE OF SCREENING FOR AND ADDRESSING SOCIAL INFLUENCES OF HEALTH, SUCH AS AFFORDABLE HOUSING, ACCESS TO EDUCATION, PUBLIC SAFETY, AVAILABILITY OF HEALTHY FOODS, LOCAL EMERGENCY/HEALTH SERVICES, AND ENVIRONMENTS FREE OF LIFE-THREATENING TOXINS. THE MERCYONE COMMUNITY RESOURCE DIRECTORY POWERED BY FINDHELP.ORG WAS USED TO CONNECT PATIENTS WITH IDENTIFIED SOCIAL NEEDS. MERCYONE DUBUQUE EMPLOYEES SERVE ON VARIOUS EXTERNAL COMMITTEES AND BOARDS SUCH AS STONEHILL COMMUNITIES BOARD OF DIRECTORS.MERCYONE DUBUQUE PROVIDED EDUCATIONAL OPPORTUNITIES TO LOCAL VOLUNTEER EMS AGENCIES IN THE TRI-STATE AREA ON TOPICS INCLUDING TRAUMA, STROKE, AND CARDIAC CARE. THE AGENCIES ASSISTED WITH POLICY DEVELOPMENT AND CASE REVIEWS USING REAL LIFE SITUATIONS TO IMPROVE PRE-HOSPITAL CARE. THE EMERGENCY DEPARTMENT TRAUMA COORDINATOR ALSO SERVED ON THE DUBUQUE COUNTY EMS ASSOCIATION BOARD AND PARAMOUNT EMS ADVISORY COMMITTEE. THESE GROUPS SOUGHT TO ENHANCE THE KNOWLEDGE AND SKILLS NECESSARY TO SERVE THE PUBLIC WITH COMPETENT PROFESSIONAL EMS PROFESSIONALS.THE MOBILE UNIT ALSO HAD A REGULAR PRESENCE AT THE DUBUQUE FARMER'S MARKETS WHERE IT PROVIDED EDUCATION ON BRAIN HEALTH, FALL PREVENTION, STROKE AWARENESS, BREAST CANCER AWARENESS, AND RESOURCES FOR MILITARY MEMBERS AND VETERANS IN ADDITION TO FREE PREVENTATIVE CARE SERVICES SUCH AS SKIN CANCER SCREENINGS. MERCYONE DYERSVILLE STAFF ALSO PARTNERED WITH THE MOBILE MEDICAL TEAM TO PROVIDE FLU SHOTS AND OTHER PREVENTATIVE CARE AT THE DYERSVILLE DOWNTOWN MARKET....CONTINUED AFTER PART VI, LINE 6.
PART VI, LINE 6: MHS-IA IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES WE SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG.
PART VI, LINE 5 CONTINUED: MERCYONE SIOUXLAND:MERCYONE SIOUXLAND OPERATES THE ONLY LEVEL II TRAUMA CENTER IN WESTERN IOWA AND PROVIDES A VITAL, LIFESAVING LINK TO RURAL AREAS VIA A HELICOPTER AMBULANCE SERVICE. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. MERCYONE SIOUXLAND OPERATES A PRIMARY CARE CLINIC NETWORK, SPECIALTY CLINICS, AND HOME HEALTH SERVICES. WE CONTINUED TO PARTNER WITH OTHER COMMUNITY HEALTH CARE PROVIDERS TO SPONSOR A REGIONAL CANCER CENTER, HOSPICE SERVICES, AND A FREESTANDING SURGERY CENTER TO MEET THE NEEDS OF RESIDENTS IN IOWA, NEBRASKA, AND SOUTH DAKOTA. MERCYONE SIOUXLAND CONTINUED TO HAVE AN OPEN MEDICAL STAFF.THE HOSPITAL OPERATES THE MERCYONE SIOUXLAND CHILD ADVOCACY CENTER, THE ONLY ONE IN NORTHWEST IOWA, DEDICATED TO SERVING SUSPECTED VICTIMS OF CHILD ABUSE AND PROVIDES MEDICAL EXAMS, FORENSIC INTERVIEWS, ADVOCACY SERVICES, THERAPY SERVICES, PREVENTION AND PROFESSIONAL EDUCATION, AND EXPERT WITNESS TESTIMONY. THE CHILD ADVOCACY CENTER HOSTED THE PROTECTING FAMILIES CONFERENCE, WHICH FOCUSED ON A MULTI-DISCIPLINARY APPROACH TO PREVENTING AND ADDRESSING CHILD ABUSE. THE CENTER ALSO DONATED FURNITURE TO THE FBI AND CRITTENTON CENTER. MERCYONE SIOUXLAND LEADERS PARTICIPATED IN LOCAL COMMUNITY BOARDS AND COMMUNITY COLLABORATIONS, INCLUDING THE WARMING SHELTER AND SIOUXLAND STREET PROJECT, TO ADDRESS HOMELESSNESS. TO FURTHER ADDRESS HOMELESSNESS, THE HOSPITAL FINANCIALLY CONTRIBUTED TO THE WARMING SHELTER IN FY25. MERCYONE SIOUXLAND PARTICIPATED IN REGULAR BLOOD DRIVES THROUGHOUT THE YEAR. IN ADDITION, MERCYONE SIOUXLAND COLLABORATED WITH HEALTH EDUCATION PROGRAMS INCLUDING ST. LUKE'S COLLEGE OF NURSING, WESTERN IOWA TECH COMMUNITY COLLEGE SCHOOL OF NURSING, NORTHEAST COMMUNITY COLLEGE, NORTHWESTERN COLLEGE, NORTHWEST IOWA COMMUNITY COLLEGE, DORDT UNIVERSITY, MORNINGSIDE UNIVERSITY, AND BRIAR CLIFF UNIVERSITY SCHOOL OF NURSING. MERCYONE SIOUXLAND PARTNERED WITH THE SIOUXLAND MEDICAL EDUCATION FOUNDATION TO ASSIST IN TRAINING MEDICAL STUDENTS DURING THEIR FAMILY MEDICINE RESIDENCY. MERCYONE SIOUXLAND'S VOLUNTEER AMBASSADOR PROGRAM HAD EIGHT VOLUNTEERS IN FY25 WHO PROVIDED HOSPITALITY SERVICES AND PET VISITATIONS TO PATIENTS. EXTRAORDINARY MINISTERS OF HOLY COMMUNION WAS ALSO PART OF THE VOLUNTEER PROGRAM. MERCYONE SIOUXLAND AIDED COMMUNITY MEMBERS WHO WERE UNABLE TO OBTAIN PRESCRIPTIONS NECESSARY TO MAINTAIN THEIR HEALTH STATUS AND AVOID HOSPITALIZATIONS. TRANSPORTATION WAS ALSO PROVIDED WHEN COMMUNITY MEMBERS WERE UNABLE TO AFFORD BUS OR TAXI SERVICES TO ACCESS HEALTH MAINTENANCE SERVICES. MERCYONE SIOUXLAND PURCHASED A MEDICAL TRANSPORT VAN AND BRODA CHAIR TO PROVIDE TRANSPORTATION FOR PERSONS TO RETURN TO A LESSER LEVEL OF CARE. MERCYONE SIOUXLAND PROVIDED ENROLLMENT ASSISTANCE IN GOVERNMENTAL INSURANCE PLANS AND THE HOSPITAL'S CHARITY CARE PROGRAM ALLOWING FOR FREE OR DISCOUNTED CARE. PREVENTATIVE TELEMONITORING WAS PROVIDED FOR THE CONGESTIVE HEART FAILURE POPULATION. MERCYONE SIOUXLAND FINANCIALLY CONTRIBUTED TO THE IOWA DENTAL FOUNDATION TO SUPPORT THE ANNUAL IOWA MISSION OF MERCY CLINIC, WHICH PROVIDES FREE ORAL HEALTH CARE TO INDIVIDUALS WHO FACE BARRIERS TO RECEIVING DENTAL CARE. DUNES SURGICAL HOSPITAL:DUNES SURGICAL HOSPITAL SUPPORTED HEALTH EDUCATION IN THE AREAS OF NURSING, SURGICAL TECHNOLOGY, AND RESPIRATORY THERAPY IN COLLABORATION WITH BRIAR CLIFF UNIVERSITY, MORNINGSIDE UNIVERSITY, WESTERN IOWA TECH COMMUNITY COLLEGE SCHOOL OF NURSING, AND UNIVERSITY OF SOUTH DAKOTA. DUNES SURGICAL HOSPITAL ACTIVELY PARTICIPATED IN A CEREAL DRIVE FOR THE LOCAL SIOUXLAND FOOD BANK AS WELL AS A UNITED WAY CAMPAIGN THAT WILL GREATLY BENEFIT THE COMMUNITY. IN ADDITION, EMERGENCY MEDICAL PREPAREDNESS WORK CONTINUED WITH THE SOUTH DAKOTA HEALTH CARE COALITION. DUNES SURGICAL HOSPITAL CONTINUED TO OFFER FINANCIAL ASSISTANCE, ALLOWING THOSE WHO MEET FINANCIAL NEED CRITERIA TO RECEIVE ASSISTANCE FOR NECESSARY SERVICES. AT THE TIME OF PATIENTS' DISCHARGE, THE HOSPITAL STAFF SCHEDULE FOLLOW UP APPOINTMENTS WITH PRIMARY CARE PHYSICIANS TO AID IN THE MAINTENANCE OR IMPROVEMENT OF OVERALL HEALTH STATUS.MERCYONE NEW HAMPTON:MERCYONE NEW HAMPTON OFFERED THE FOLLOWING COMMUNITY BASED EDUCATION OPPORTUNITIES IN FY25: - TO PROMOTE SAFETY, FIRST AID COMPREHENSION, AND TO EMPHASIZE THE QUALITY CHARACTERISTICS OF A GOOD BABYSITTER, BABYSITTING 101 WAS HELD IN APRIL 2025. STUDENTS WERE TAUGHT THE BASICS OF CHILDCARE WITH SPECIAL PRESENTATIONS BY CHICKASAW COUNTY SHERIFF'S DEPARTMENT, NEW HAMPTON FIRE DEPARTMENT, MERCYONE NEW HAMPTON NURSING STAFF AND MERCYONE NEW HAMPTON'S WELLNESS COORDINATOR. - MERCYONE NEW HAMPTON'S ATHLETIC TRAINER AND WELLNESS COORDINATOR IS A CERTIFIED CHILD PASSENGER SAFETY TECHNICIAN. EXPECTING PARENTS CAN RECEIVE CHILD AND INFANT CAR SEAT INSPECTION AND SAFETY CHECK SERVICES TO ENSURE THAT INSTALLATION HAS BEEN CARRIED OUT CORRECTLY AND THAT THEIR CHILD WILL BENEFIT FROM THE PROTECTION THESE SEATS ARE DESIGNED TO PROVIDE.- MERCYONE NEW HAMPTON OFFERED EDUCATIONAL OPPORTUNITIES THROUGHOUT FY25 TO OUR COLLEAGUES AND AREA HEALTH CARE PROVIDERS. CLASSES INCLUDED: BASIC LIFE SUPPORT, ADVANCED CARDIAC LIFE SUPPORT HEARTCODE, PEDIATRIC ADVANCED LIFE SUPPORT, TRAUMA NURSING CORE COURSE, AMERICAN HEART ASSOCIATION INSTRUCTOR RENEWAL, HAZMAT/DECONTAMINATION, A.L.I.C.E. AND FOSTERING POSITIVE AND SAFE INTERACTIONS. MERCYONE NEW HAMPTON ALSO SUPPORTS HEALTH PROFESSIONALS' EDUCATION BY HOSTING PRECEPTORS. IN FY25, TWO PHYSICAL THERAPY, ONE SPEECH LANGUAGE PATHOLOGIST AND THREE NURSES WERE PRECEPTED.IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. MERCYONE'S REGIONAL COMMUNITY IMPACT IN FY25 TOTALED $357.3 MILLION.
Schedule H (Form 990) 2024
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Schedule I
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number
31-1373080
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) CATHOLIC CHARITIES DIOCESE OF SIOUX CITY
1601 MILITARY ROAD
SIOUX CITY,IA51103
42-0681062 501(C)(3) 10,000 0     MENTAL HEALTH THERAPY FOR LOW-INCOME CLIENTS
(2) DIOCESE OF SIOUX CITY
1821 JACKSON STREET
SIOUX CITY,IA51105
42-0680296 501(C)(3) 6,000 0     SPONSORSHIP - BISHOP ORDINATION
(3) HEARTLAND COUNSELING SERVICES INC
PO BOX 355
SOUTH SIOUX CITY,NE68776
47-0763769 501(C)(3) 13,000 0     MENTAL HEALTH AND SUBSTANCE USE SERVICES
(4) IOWA DENTAL FOUNDATION
666 GRAND AVE SUITE 901
DES MOINES,IA50309
42-1405188 501(C)(3) 10,000 0     SUPPORT OF A FREE DENTAL CLINIC IN SIOUX CITY
(5) THE WARMING SHELTER INC
601 PIERCE STREET
SIOUX CITY,IA51101
47-1257560 501(C)(3) 12,000 0     SUPPORT FOR PROVIDING SHELTER TO HOMELESS
(6) CATHOLIC CHARITIES OF THE ARCHDIOCESE OF DUBUQUE
1229 MT LORETTA AVE
DUBUQUE,IA52003
42-0680493 501(C)(3) 7,500 0     BEHAVIORAL HEALTH COUNSELING PROGRAM
(7) COMMUNITY FOUNDATION GREATER DUBUQUE
700 LOCUST ST SUITE 195
DUBUQUE,IA52001
42-1526614 501(C)(3) 15,000 0     EASTERN IOWA CERTIFIED MEDICAL INTERPRETER PILOT PROJECT
(8) DUBUQUE COMMUNITY SCHOOLS
2300 CHANEY ROAD
DUBUQUE,IA52001
42-6001531 PUBLIC SCHOOL 15,000 0     SUPPORT OF ATHLETIC TRAINER PROGRAM FOR TWO HIGH SCHOOLS
(9) DUBUQUE FOR REFUGEE CHILDREN
1199 MAIN STREET
DUBUQUE,IA52004
47-3092234 501(C)(3) 8,000 0     MEDICAL AND DENTAL CARE FOR YOUNG IMMIGRANTS
(10) DUBUQUE RESCUE MISSION
398 MAIN ST
DUBUQUE,IA52001
42-0844836 501(C)(3) 7,000 0     SUPPORT FOR MISSION SCHOOL OF PRESERVATION
(11) NAMI DUBUQUE
225 W 6TH STREET
DUBUQUE,IA52001
31-1492256 501(C)(3) 10,000 0     PEER SUPPORT SERVICES PROGRAMS AND WALK SPONSORSHIP
(12) ST JOHN'S EVANGELICAL LUTHERAN CHURCH
1296 WHITE ST
DUBUQUE,IA52001
23-7421408 501(C)(3) 19,500 0     SUPPORT FOR HOMELESS SHELTER PROGRAMS
(13) WAHLERT CATHOLIC HIGH SCHOOL
2005 KANE ST
DUBUQUE,IA52001
42-0792429 501(C)(3) 7,500 0     SUPPORT OF ATHLETIC TRAINER PROGRAM
(14) GREATER DUBUQUE DEVELOPMENT
900 JACKSON ST SUITE 109
DUBUQUE,IA52001
42-1263173 501(C)(6) 18,000 0     SUPPORT FOR GREATER DUBUQUE INVESTMENT FUND
(15) NORTHEAST IOWA COMMUNITY ACTION CORP
305 MONTGOMERY ST
DECORAH,IA52101
42-6092713 501(C)(3) 6,000 0     COMMUNITY SUPPORT
(16) 43 NORTH IOWA
109 2ND ST NE
MASON CITY,IA50401
42-0951757 501(C)(3) 40,000 0     CRISIS SERVICES AND TRANSITION LIVING CENTER
(17) HEALTHY HARVEST OF NORTH IA
PO BOX 52
HAMPTON,IA50441
47-2868649 501(C)(3) 30,000 0     COOKING UP A HEALTHIER NORTH IOWA PROGRAM
(18) NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS
202 1ST ST NW
MASON CITY,IA50401
42-1501295 501(C)(3) 30,000 0     COMMUNITY SUPPORT FOR HOMELESS SHELTERS
(19) BOY SCOUTS OF AMERICA
2929 AIRPORT BLVD
WATERLOO,IA50703
44-6008841 501(C)(3) 11,379 0     FUNDING SUPPORT
(20) YMCA AND REHABILITATION CENTER
1840 S MONROE AVE
MASON CITY,IA50401
42-1491491 501(C)(3) 450,000 0     AIR HANDLER UNIT SUPPORT
(21) DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE
DUBUQUE,IA52001
26-2227941 501(C)(3) 364,194 0     FUNDING SUPPORT
(22) DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW
DYERSVILLE,IA52040
20-5383271 501(C)(3) 94,971 0     FUNDING SUPPORT
(23) MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
1000 4TH STREET SW
MASON CITY,IA50401
14-1880022 501(C)(3) 239,054 0     FUNDING SUPPORT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
22
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) TRANSPORTATION ASSISTANCE 899 16,779      
(2) HOUSING 7 4,473      
(3) MEDICAL BILLS AND MEDICATION ASSISTANCE 76 18,055      
(4) FOOD ASSISTANCE 10 120      
(5) UTILITIES 5 1,879      
(6) OTHER SERVICES/ITEMS 5 3,033      
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: DONATIONS MADE BY MERCY HEALTH SERVICES - IOWA TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H.
Schedule I (Form 990) Rev. 1-2025



Additional Data


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Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1ROBERT RITZ
DIRECTOR; REGIONAL PRESIDENT & CEO
(i)

(ii)
0
-------------
1,322,575
0
-------------
725,980
0
-------------
368,318
0
-------------
20,425
0
-------------
33,715
0
-------------
2,471,013
0
-------------
0
2LINDA ROSS
DIR; CHIEF LEGAL OFFICER TRINITY
(i)

(ii)
0
-------------
948,701
0
-------------
696,601
0
-------------
319,686
0
-------------
20,425
0
-------------
28,267
0
-------------
2,013,680
0
-------------
0
3YEN LIU MD
PHYSICIAN, DERMATOLOGY NORTH IOWA
(i)

(ii)
1,526,013
-------------
0
0
-------------
0
101,510
-------------
0
22,511
-------------
0
29,918
-------------
0
1,679,952
-------------
0
0
-------------
0
4MICHAEL WEGNER
FORMER OFFICER
(i)

(ii)
0
-------------
16,232
0
-------------
202,370
0
-------------
979,670
0
-------------
452,451
0
-------------
2,744
0
-------------
1,653,467
0
-------------
0
5KEVIN ORCUTT MD
PHYSICIAN, ONCOLOGY NORTH IOWA
(i)

(ii)
1,172,325
-------------
0
0
-------------
0
51,922
-------------
0
23,625
-------------
0
34,813
-------------
0
1,282,685
-------------
0
0
-------------
0
6ALIREZA YARAHMADI MD
PHYSICIAN, NEUROLOGY NORTH IOWA
(i)

(ii)
976,761
-------------
0
0
-------------
0
67,478
-------------
0
22,886
-------------
0
17,627
-------------
0
1,084,752
-------------
0
0
-------------
0
7THOMAS CLARK
PRESIDENT WESTERN IOWA REGION
(i)

(ii)
0
-------------
524,981
0
-------------
303,686
0
-------------
19,364
0
-------------
121,486
0
-------------
33,633
0
-------------
1,003,150
0
-------------
0
8MIR SUBLA MD
PHYSICIAN, CARDIOLOGIST SIOUX CITY
(i)

(ii)
0
-------------
947,108
0
-------------
0
0
-------------
7,676
0
-------------
20,425
0
-------------
5,648
0
-------------
980,857
0
-------------
0
9DANIEL LAMPTEY MD
PHYS, INFECTIOUS DISEASE SIOUX CITY
(i)

(ii)
0
-------------
892,444
0
-------------
0
0
-------------
2,516
0
-------------
20,425
0
-------------
12,838
0
-------------
928,223
0
-------------
0
10KAY TAKES
PRES EASTERN IOWA REGION THR 12/24
(i)

(ii)
0
-------------
452,296
0
-------------
223,470
0
-------------
94,601
0
-------------
20,425
0
-------------
32,722
0
-------------
823,514
0
-------------
0
11DOUGLAS STRONG
FORMER KEY EMP; CEO HOLY CROSS HLTH
(i)

(ii)
0
-------------
732,915
0
-------------
0
0
-------------
37,468
0
-------------
20,425
0
-------------
3,217
0
-------------
794,025
0
-------------
0
12CHAD BOORE
COO MERCYONE NORTH IOWA THROUGH 3/25
(i)

(ii)
0
-------------
430,728
0
-------------
138,142
0
-------------
11,415
0
-------------
94,343
0
-------------
34,117
0
-------------
708,745
0
-------------
0
13HEATHER CAMPBELL
SEC; CHIEF LEGAL OFFICER MERCYONE
(i)

(ii)
0
-------------
430,194
0
-------------
142,505
0
-------------
11,370
0
-------------
20,425
0
-------------
37,334
0
-------------
641,828
0
-------------
0
14PAUL MANTERNACH
SVP PHYS INTEGRATION/CMO NORTH IOWA
(i)

(ii)
0
-------------
428,395
0
-------------
120,970
0
-------------
11,779
0
-------------
20,425
0
-------------
39,092
0
-------------
620,661
0
-------------
0
15JESICA HANSON
VP FINANCE MERCYONE SIOUXLAND
(i)

(ii)
0
-------------
314,036
0
-------------
116,973
0
-------------
3,249
0
-------------
16,675
0
-------------
33,038
0
-------------
483,971
0
-------------
0
16MICHELLE POSTEN
COO E. IA REG AT 3/25; GENESIS ADMIN
(i)

(ii)
0
-------------
265,489
0
-------------
182,595
0
-------------
2,123
0
-------------
5,857
0
-------------
4,495
0
-------------
460,559
0
-------------
0
17JODIE ROETTGER
FORMER OFFICER
(i)

(ii)
0
-------------
8,323
0
-------------
50,800
0
-------------
369,667
0
-------------
18,398
0
-------------
12,063
0
-------------
459,251
0
-------------
0
18MARK TRAMMEL
VP FINANCE MERCYONE N. IOWA THR 2/25
(i)

(ii)
0
-------------
270,772
0
-------------
75,579
0
-------------
5,383
0
-------------
20,425
0
-------------
16,967
0
-------------
389,126
0
-------------
0
19KEITH VOLLSTEDT MD
CMO MERCYONE SIOUXLAND
(i)

(ii)
0
-------------
215,954
0
-------------
90,311
0
-------------
6,165
0
-------------
16,646
0
-------------
19,181
0
-------------
348,257
0
-------------
0
20RODNEY SCHLADER
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
298,515
0
-------------
0
0
-------------
13,414
0
-------------
311,929
0
-------------
262,175
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 3 MERCY HEALTH SERVICES - IOWA (MHS-IA) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MHS-IA HOSPITAL CEO'S ARE PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MHS-IA CEO'S: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2024. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JODIE ROETTGER - $357,966 RODNEY SCHLADER - $262,175 MICHAEL WEGNER - $827,852 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/24: JODIE ROETTGER - $14,262 (PAID IN 2025) MICHAEL WEGNER - $441,521 (PAID IN 2025) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ROBERT RITZ - $324,571 LINDA ROSS - $245,175 RODNEY SCHLADER - $31,325 KAY TAKES - $78,245 MICHAEL WEGNER - $147,715 THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: CHAD BOORE - $73,918 THOMAS CLARK - $101,061 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUTS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: HEATHER CAMPBELL - $8,301 JESICA HANSON - $1,645 PAUL MANTERNACH - $5,605 JODIE ROETTGER - $4,801 DOUGLAS STRONG - $0 MARK TRAMMEL - $0 THE FOLLOWING ARE PARTICIPANTS IN A MHS-IA NON-QUALIFIED ELECTIVE DEFERRED COMPENSATION PLAN. THE FOLLOWING DEFERRALS FOR 2024 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: YEN LIU, MD - $89,436 KEVIN ORCUTT, MD - $47,287 ALIREZA YARAHMADI, MD - $62,031
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 MERCY HEALTH NETWORK (MERCYONE), A RELATED ORGANIZATION, CONTRACTED WITH HEALTHSOURCE PARTNERS FOR THE PROVISION OF MANAGEMENT SERVICES BY TERRI DONOVAN TO MERCYONE AND RELATED IOWA ORGANIZATIONS. IN CALENDAR YEAR 2024, MERCYONE PAID $697,535 TO HEALTHSOURCE PARTNERS FOR THESE MANAGEMENT SERVICES. MERCY HEALTH SERVICES - IOWA DOES NOT KNOW HOW MUCH TERRI DONOVAN RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS IN CALENDAR 2024.
FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCY HEALTH SERVICES - IOWA (MHS-IA) IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION.
FORM 990, PART VI, SECTION A, LINE 7A TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF MHS-IA. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MHS-IA.
FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS AND MODIFICATIONS TO GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MHS-IA IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C MHS-IA HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF MHS-IA, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MHS-IA AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF MHS-IA (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MHS-IA OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MHS-IA (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF MHS-IA. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MHS-IA IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING CEO AND VICE PRESIDENT FINANCE COMPENSATION, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THE HOSPITAL CEO'S AND VICE PRESIDENTS FINANCE OF MHS-IA ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19 MHS-IA IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MHS-IA INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MHS-IA'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 139,700. MANAGEMENT AND GENERAL EXPENSES 938,778. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,078,478. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 685,605. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 685,605. BILLING SERVICES: PROGRAM SERVICE EXPENSES 151,908. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,908. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 74,783,964. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 74,783,964. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 72,633. MANAGEMENT AND GENERAL EXPENSES 828,376. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 901,009. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 26,438,625. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,438,625. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,896,265. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,896,265. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,720,295. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 143,911. TOTAL EXPENSES 4,864,206.
FORM 990, PART XI, LINE 9: NET EQUITY TRANSFERS TO/FROM AFFILIATES -23,226,396. OTHER TRANSACTIONS 6,948. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 1,210,071. INDIGENT CARE AGREEMENT REVENUE, NET OF CONTRIBUTIONS 1,059. ASSET IMPAIRMENT -16,292,291. NET ASSETS RELEASED FROM RESTRICTIONS FOR CAPITAL ACQUISITIONS 1,279,991.
FORM 990, PART XII, LINE 2: MHS-IA'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM.
FORM 990, PAGE 1, DOING BUSINESS AS NAMES: DUNES MEDICAL LABORATORIES, FOREST PARK PHARMACY, HEALTHWORKS, MARIAN HEALTH CENTER, MERCY FAMILY PHARMACY, MERCY HEALTH CENTER-DUBUQUE (ST. JOSEPH'S), MERCY HEALTH CENTER-DYERSVILLE (ST. MARY'S),MERCY HEART CENTER & VASCULAR INSTITUTE, MERCY HOME CARE-NORTH IOWA, MERCY HOME HEALTHCARE DUBUQUE, MERCY MEDICAL CENTER-DUBUQUE, MERCY MEDICAL CENTER-DYERSVILLE, MERCY MEDICAL CENTER-NEW HAMPTON, MERCY MEDICAL CENTER-NORTH IOWA, MERCY MEDICAL CENTER-SIOUX CITY, MERCY VASULAR MEDICINE CLINIC, MHC ANESTHESIA SERVICES, NORTH IOWA MERCY CLINICS, NORTH IOWA MERCY HEALTH CENTER, NORTH IOWA MERCY HOME HEALTHCARE, NORTH IOWA TEXTILE SERVICES, SHEFFIELD PHARMACY, SIOUXLAND PATHOLOGY GROUP-SMHC, SIOUXLAND RADIOLOGY-SMHC, ST. JOSEPH COMMUNITY HOSPITAL, MERCY SOFT GOODS, MERCYONE DUBUQUE MEDICAL CENTER, MERCYONE DYERSVILLE MEDICAL CENTER, MERCYONE NEW HAMPTON MEDICAL CENTER, MERCYONE NORTH IOWA CLINICS, MERCYONE NORTH IOWA MEDICAL CENTER, MERCYONE SIOUXLAND MEDICAL CENTER, MARIAN HEALTH CENTER - SMHC, MERCY HOME CARE-DUBUQUE, MERCYONE MEDICAL GROUP NORTH IOWA
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
Open to Public Inspection
Name of the organization
MERCY HEALTH SERVICES - IOWA CORP
 
Employer identification number

31-1373080
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) MHN ACO LLC
411 LAUREL STREET SUITE 200
DES MOINES,IA50314
42-1521367
ACCOUNTABLE CARE ORGANIZATION IA 0 0 MERCY HEALTH SERVICES-IOWA CORP
 










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP
200 JEFFERSON AVE SE

GRAND RAPIDS,MI49503
27-2491974
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(2)ALLEGANY FRANCISCAN MINISTRIES INC
33920 US HIGHWAY 19 NORTH SUITE 269

PALM HARBOR,FL34684
58-1492325
GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(3)ASYLUM HILL FAMILY MEDICINE CENTER INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450170
HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(4)BAUM HARMON MERCY HOSPITAL
1000 4TH STREET SW

MASON CITY,IA50401
42-1500277
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(5)BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION
1000 4TH STREET SW

MASON CITY,IA50401
26-2973307
FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL
 
Yes
 
(6)BEECHWOOD INC
2212 BURDETT AVE

TROY,NY12180
14-1651563
TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC
 
Yes
 
(7)BETHLEHEM HAVEN OF PITTSBURGH
905 WATSON STREET

PITTSBURGH,PA15219
25-1436685
HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(8)BEVERWYCK INC
40 AUTUMN DRIVE

SLINGERLANDS,NY12159
14-1717028
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(9)BRIGHTSIDE INC
114 WOODLAND STREET

HARTFORD,CT06105
04-2182395
HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC
 
Yes
 
(10)CAPITAL REGION GERIATRIC CENTER INC
421 WEST COLUMBIA STREET

COHOES,NY12047
14-1701597
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(11)CATHERINE MCAULEY HEALTH SERVICE CORP
5315 ELLIOTT DR 102

YPSILANTI,MI48197
38-2507173
HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(12)CATHOLIC HEALTH INITIATIVES - IOWA CORP
1111 6TH AVENUE

DES MOINES,IA50314
42-0680448
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC
 
Yes
 
(13)CATHOLIC HEALTH MINISTRIES
20555 VICTOR PARKWAY

LIVONIA,MI48152
GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A
 
No
(14)CENTRAL COMMUNITY HOSPITAL
901 DAVIDSON ST NW

ELKADER,IA52043
42-0818642
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC
 
Yes
 
(15)COVENANT FOUNDATION INC
3421 WEST NINTH STREET

WATERLOO,IA50702
42-1295784
FOUNDATION IA 501(C)(3) LINE 7 COVENANT MEDICAL CENTER INC
 
Yes
 
(16)COVENANT MEDICAL CENTER INC
3421 WEST NINTH STREET

WATERLOO,IA50702
42-1264647
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC
 
Yes
 
(17)DILEY RIDGE MEDICAL CENTER
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
34-2032340
HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(18)DUBUQUE MERCY HEALTH FOUNDATION
250 MERCY DRIVE

DUBUQUE,IA52001
26-2227941
FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(19)DYERSVILLE HEALTH FOUNDATION INC
1111 3RD STREET SW

DYERSVILLE,IA52040
20-5383271
FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(20)EDDY LICENSED HOME CARE AGENCY
433 RIVER ST SUITE 3000

TROY,NY12180
14-1818568
HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(21)EMBRACING AGE INC
333 BUTTERNUT DRIVE

DEWITT,NY13214
46-1051881
PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(22)EMPIRE HOME INFUSION SERVICE INC
10 BLACKSMITH DRIVE

MALTA,NY12020
14-1795732
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 HOME AIDE SERVICE OF EASTERN NEW YORK INC
 
Yes
 
(23)FARREN CARE CENTER INC
PO BOX 9184

FARMINGTON HILLS,MI48333
04-2501711
LONG TERM CARE MA 501(C)(3) LINE 3 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(24)FRANCISCAN ELDERCARE CORPORATION
PO BOX 2500

WILMINGTON,DE19805
22-3008680
LONG TERM CARE (INACTIVE) DE 501(C)(3) LINE 10 ST FRANCIS HOSPITAL INC
 
Yes
 
(25)GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET

DAVENPORT,IA52803
42-1421670
FOUNDATION IA 501(C)(3) LINE 7 GENESIS HEALTH SYSTEM
 
Yes
 
(26)GENESIS HEALTH SYSTEM
1227 E RUSHOLME STREET

DAVENPORT,IA52803
42-1418847
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC
 
Yes
 
(27)GENESIS HEALTH SYSTEM (IL)
801 ILLINI DRIVE

SILVIS,IL61282
36-3616314
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC
 
Yes
 
(28)GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST
1227 E RUSHOLME STREET

DAVENPORT,IA52803
39-1905171
EMPLOYEE BENEFIT TRUST IA 501(C)(3) LINE 12A, I GENESIS HEALTH SYSTEM
 
Yes
 
(29)GENESIS MEDICAL CENTER ALEDO
409 NW 9TH AVENUE

ALEDO,IL61231
45-4475683
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (IL)
 
Yes
 
(30)GLACIER HILLS FOUNDATION
PO BOX 530009

LIVONIA,MI48152
20-8072723
FOUNDATION MI 501(C)(3) LINE 12A, I GLACIER HILLS INC
 
Yes
 
(31)GLACIER HILLS INC
PO BOX 500039

LIVONIA,MI48152
38-1891500
SENIOR LIVING COMMUNITY MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(32)GLEN EDDY INC
1 GLEN EDDY DRIVE

NISKAYUNA,NY12309
14-1794150
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(33)GLOBAL HEALTH MINISTRY
20555 VICTOR PARKWAY

LIVONIA,MI48152
42-1253527
HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(34)GOOD SAMARITAN HOSPITAL INC
5401 LAKE OCONEE PARKWAY

GREENSBORO,GA30642
26-1720984
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(35)GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
701 W NORTH AVE

MELROSE PARK,IL60160
36-3332852
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(36)GOTTLIEB MEMORIAL FOUNDATION
701 WEST NORTH AVENUE

MELROSE PARK,IL60160
74-3260011
FOUNDATION IL 501(C)(3) LINE 12D, III-O N/A
 
No
(37)GOTTLIEB MEMORIAL HOSPITAL
701 W NORTH AVE

MELROSE PARK,IL60160
36-2379649
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(38)HAWTHORNE RIDGE INC
30 COMMUNITY WAY

EAST GREENBUSH,NY12061
80-0102840
SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(39)HEARTWOOD LODGE TRINITY HEALTH
PO BOX 530009

LIVONIA,MI48152
38-2602971
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(40)HERITAGE HOUSE NURSING CENTER INC
2920 TIBBITS AVE

TROY,NY12180
14-1725101
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(41)HOLY CROSS CARENET INC
PO BOX 530009

LIVONIA,MI48152
52-1945054
LONG TERM CARE MD 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(42)HOLY CROSS HEALTH FOUNDATION INC
1500 FOREST GLEN ROAD

SILVER SPRING,MD20910
20-8428450
FOUNDATION MD 501(C)(3) LINE 7 HOLY CROSS HEALTH INC
 
Yes
 
(43)HOLY CROSS HEALTH INC
1500 FOREST GLEN ROAD

SILVER SPRING,MD20910
52-0738041
HEALTH CARE AND HOSPITAL SERVICES MD 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(44)HOLY CROSS HOSPITAL INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
59-0791028
HEALTH CARE AND HOSPITAL SERVICES FL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(45)HOLY CROSS OUTPATIENT SERVICES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
46-5421068
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(46)HOLY CROSS PRIMARY CARE INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
81-2531495
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(47)HOLY CROSS SENIOR SERVICES INC
4725 NORTH FEDERAL HIGHWAY

FT LAUDERDALE,FL33308
83-2256461
HEALTH CARE SERVICES FL 501(C)(3) LINE 10 HOLY CROSS HOSPITAL INC
 
Yes
 
(48)HOME AIDE SERVICE OF EASTERN NEW YORK INC
433 RIVER ST SUITE 3000

TROY,NY12180
14-1514867
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(49)HOSPICE OF NORTH IOWA
232 SECOND STREET SE

MASON CITY,IA50401
42-1173708
HOSPICE SERVICES IA 501(C)(3) LINE 10 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(50)HOSPICE OF NORTH OTTAWA COMMUNITY INC
PO BOX 532020

LIVONIA,MI48153
38-2370192
HOSPICE SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(51)HOUSE OF MERCY
1111 6TH AVENUE

DES MOINES,IA50314
42-1323808
HEALTH CARE SERVICES IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(52)IHA HEALTH SERVICES CORPORATION
24 FRANK LLOYD WRIGHT DR LOBBY J

ANN ARBOR,MI48105
38-3316559
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(53)JOHNSON MEMORIAL HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
47-5676956
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(54)LANGHORNE MRI INC
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2519529
HEALTH CARE SERVICES (INACTIVE) PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(55)LIFE AT LOURDES INC
2475 MCCLELLAN AVENUE

PENNSAUKEN,NJ08109
26-1854750
PACE PROGRAM NJ 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(56)LIFE AT ST FRANCIS HEALTHCARE INC
1072 JUSTISON STREET

WILMINGTON,DE19801
45-2569214
PACE PROGRAM DE 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(57)LIFE ST JOSEPH OF THE PINES INC
4900 RAEFORD ROAD

FAYETTEVILLE,NC28304
27-2159847
PACE PROGRAM NC 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(58)LIFE ST MARY
2500 NORTHGATE ROAD

TREVOSE,PA19053
26-2976184
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(59)LOYOLA MEDICINE TRANSPORT LLC
905 W NORTH AVE

MELROSE PARK,IL60160
47-4147171
TRANSPORTATION SERVICES IL 501(C)(3) LINE 10 LOYOLA UNIVERSITY MEDICAL CENTER
 
Yes
 
(60)LOYOLA UNIVERSITY HEALTH SYSTEM
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3342448
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(61)LOYOLA UNIVERSITY MEDICAL CENTER
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-4015560
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 LOYOLA UNIVERSITY HEALTH SYSTEM
 
Yes
 
(62)LTC (EDDY) INC
2212 BURDETT AVE

TROY,NY12180
22-2564710
MANAGEMENT SERVICES FOR LONG TERM CARE NY 501(C)(3) LINE 12B, II ST PETER'S HEALTH PARTNERS
 
Yes
 
(63)MAXIS HEALTH SYSTEM
20555 VICTOR PARKWAY

LIVONIA,MI48152
91-1940902
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(64)MCAULEY CENTER INC
PO BOX 530009

LIVONIA,MI48152
06-1058086
SENIOR LIVING COMMUNITY CT 501(C)(3) LINE 10 MERCY COMMUNITY HEALTH INC
 
Yes
 
(65)MCAULEY MINISTRIES
3333 FIFTH AVENUE

PITTSBURGH,PA15213
94-3436142
GRANT MAKING PA 501(C)(3) LINE 12B, II PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(66)MERCY AUXILARY
814 13TH AVE N UNIT 6A

CLINTON,IA53732
42-1348035
VOLUNTEER SERVICE AUXILIARY IA 501(C)(3) LINE 12A, I N/A
 
No
(67)MERCY AUXILIARY OF CENTRAL IOWA
1111 6TH AVENUE

DES MOINES,IA50314
42-6076069
VOLUNTEER SERVICE AUXILIARY IA 501(C)(3) LINE 12A, I MERCY FOUNDATION OF DES MOINES IOWA
 
Yes
 
(68)MERCY CARE CENTER
3753 SOUTH COTTAGE GROVE AVE

CHICAGO,IL60653
85-3904921
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(69)MERCY CARE FOUNDATION INC
424 DECATUR STREET

ATLANTA,GA30312
58-1448522
FOUNDATION GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(70)MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA
3805 W CHESTER PIKE STE 100

NEWTOWN SQUARE,PA19073
23-1352191
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(71)MERCY CLINICS INC
1111 6TH AVENUE

DES MOINES,IA50314
42-1193699
HEALTH CARE SERVICES IA 501(C)(3) LINE 10 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(72)MERCY COLLEGE OF HEALTH SCIENCES
928 6TH AVENUE

DES MOINES,IA50309
42-1511682
COLLEGE OF HEALTH SCIENCE IA 501(C)(3) LINE 2 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(73)MERCY COMMUNITY HEALTH INC
PO BOX 530009

LIVONIA,MI48152
06-1492707
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY CONTINUING CARE SERVICES
 
Yes
 
(74)MERCY FAMILY SUPPORT
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2325059
HOME HEALTH SERVICES PA 501(C)(3) LINE 10 MERCY HOME HEALTH SERVICES
 
Yes
 
(75)MERCY FOUNDATION OF DES MOINES IOWA
1111 6TH AVENUE

DES MOINES,IA50314
23-7358794
FOUNDATION IA 501(C)(3) LINE 7 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(76)MERCY FOUNDATION INC
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3227350
FOUNDATION IL 501(C)(3) LINE 7 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(77)MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE
PO BOX 532020

LIVONIA,MI48153
38-3321856
HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(78)MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2829864
FOUNDATION PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(79)MERCY HEALTH NETWORK INC
411 LAUREL STREET SUITE 200

DES MOINES,IA50314
42-1478417
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT DE 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(80)MERCY HEALTH PARTNERS
1500 E SHERMAN BLVD

MUSKEGON,MI49444
38-2589966
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(81)MERCY HEALTH SERVICES - IOWA CORP
1000 4TH STREET SW

MASON CITY,IA50401
31-1373080
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
 
No
(82)MERCY HEALTH SYSTEM OF CHICAGO
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-3163327
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IL 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(83)MERCY HEALTHCARE FOUNDATION - CLINTON
1410 N 4TH ST

CLINTON,IA52732
42-1316126
FOUNDATION IA 501(C)(3) LINE 7 MERCY MEDICAL CENTER - CLINTON INC
 
Yes
 
(84)MERCY HOME HEALTH
PO BOX 532020

LIVONIA,MI48153
23-1352099
HOME HEALTH SERVICES PA 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(85)MERCY HOME HEALTH SERVICES
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2325058
MANAGEMENT SERVICES FOR HOME HEALTH PA 501(C)(3) LINE 12B, II TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(86)MERCY HOSPITAL AND MEDICAL CENTER
2160 SOUTH FIRST AVENUE

MAYWOOD,IL60153
36-2170152
HEALTH CARE AND HOSPITAL SERVICES IL 501(C)(3) LINE 3 MERCY HEALTH SYSTEM OF CHICAGO
 
Yes
 
(87)MERCY HOSPITAL CADILLAC FOUNDATION
318 RIVER RIDGE DR NW SUITE 100

WALKER,MI49544
20-3357131
FOUNDATION MI 501(C)(3) LINE 12A, I TRINITY HEALTH-MICHIGAN
 
Yes
 
(88)MERCY HOSPITAL OF FRANCISCAN SISTERS INC
201 8TH AVENUE SE

OELWEIN,IA50662
42-1178403
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC
 
Yes
 
(89)MERCY LIFE
1930 SOUTH BROAD STREET

PHILADELPHIA,PA19145
23-2840137
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(90)MERCY LIFE CENTER CORPORATION
1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1604115
COMMUNITY OUTREACH PA 501(C)(3) LINE 10 PITTSBURGH MERCY HEALTH SYSTEM INC
 
Yes
 
(91)MERCY LIFE OF ALABAMA
PO BOX 7957

MOBILE,AL36670
27-3163002
PACE PROGRAM AL 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(92)MERCY LIFE INC
200 HILLSIDE CIRCLE

WEST SPRINGFIELD,MA01089
45-3086711
PACE PROGRAM MA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(93)MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2627944
HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(94)MERCY MEDICAL CENTER - CENTERVILLE
1 ST JOSEPHS DRIVE

CENTERVILLE,IA52544
42-0680308
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(95)MERCY MEDICAL CENTER - CLINTON INC
1410 NORTH 4TH ST

CLINTON,IA52732
42-1336618
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(96)MERCY MEDICAL CENTER - NEWTON
204 N 4TH AVE E

NEWTON,IA50208
42-1470935
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 CATHOLIC HEALTH INITIATIVES - IOWA CORP
 
Yes
 
(97)MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION
1000 4TH STREET SW

MASON CITY,IA50401
14-1880022
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(98)MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA
1000 4TH STREET SW

MASON CITY,IA50401
42-1229151
FOUNDATION IA 501(C)(3) LINE 7 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(99)MERCY MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
45-4884805
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(100)MERCY SENIOR CARE INC
424 DECATUR STREET

ATLANTA,GA30312
58-1366508
COMMUNITY OUTREACH GA 501(C)(3) LINE 7 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(101)MERCY SERVICES DOWNTOWN INC
424 DECATUR STREET

ATLANTA,GA30312
27-2046353
TITLE HOLDING COMPANY GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(102)MERCY SERVICES FOR AGING NONPROFIT HOUSING CORPORATION
PO BOX 530009

LIVONIA,MI48152
38-2719605
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(103)MERCY SPECIALIST PHYSICIANS INC
114 WOODLAND STREET

HARTFORD,CT06105
26-4033168
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(104)MERCY SUBURBAN HOSPITAL
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-1396763
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(105)MOUNT CARMEL COLLEGE OF NURSING
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1308555
COLLEGE OF NURSING OH 501(C)(3) LINE 2 MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(106)MOUNT CARMEL HEALTH INSURANCE COMPANY
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
25-1912781
HEALTH INSURANCE OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(107)MOUNT CARMEL HEALTH PLAN OF CONNECTICUT INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
87-3948434
MEDICARE HMO CT 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(108)MOUNT CARMEL HEALTH PLAN OF IDAHO INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
83-1422704
MEDICARE HMO ID 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(109)MOUNT CARMEL HEALTH PLAN OF NEW YORK INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
83-3278543
MEDICARE HMO NY 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(110)MOUNT CARMEL HEALTH PLAN INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1471229
MEDICARE HMO OH 501(C)(4) N/A MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(111)MOUNT CARMEL HEALTH SYSTEM
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1439334
HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(112)MOUNT CARMEL HEALTH SYSTEM FOUNDATION
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1113966
FOUNDATION OH 501(C)(3) LINE 12A, I MOUNT CARMEL HEALTH SYSTEM
 
Yes
 
(113)MOUNT SINAI HOSPITAL FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
22-2584082
FOUNDATION CT 501(C)(3) LINE 12A, I N/A
 
No
(114)MOUNT SINAI REHABILITATION HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1422973
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(115)MOUNT ST JOSEPH
PO BOX 530009

LIVONIA,MI48152
01-0274998
LONG TERM CARE ME 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(116)MUSKEGON COMMUNITY HEALTH PROJECT
1675 LEAHY ST SUITE 210

MUSKEGON,MI49442
91-1932918
COMMUNITY OUTREACH MI 501(C)(3) LINE 7 MERCY HEALTH PARTNERS
 
Yes
 
(117)NAZARETH HOSPITAL
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2794121
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(118)NAZARETH PHYSICIAN SERVICES INC
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
20-3261266
HEALTH CARE SERVICES PA 501(C)(3) LINE 3 MERCY PHYSICIAN NETWORK
 
Yes
 
(119)NORTH OTTAWA HOSPITAL AUXILIARY INC
1309 SHELDON ROAD

GRAND HAVEN,MI49417
38-6088836
FUNDRAISING MI 501(C)(3) LINE 12D, III-O N/A
 
No
(120)NORTHEAST IOWA REAL ESTATE INVESTMENTS LTD
3421 WEST NINTH STREET

WATERLOO,IA50702
42-1207432
TITLE HOLDING COMPANY IA 501(C)(2) N/A WHEATON FRANCISCAN HEALTHCARE-IOWA INC
 
Yes
 
(121)OAKLAND MERCY HOSPITAL
1000 4TH STREET SW

MASON CITY,IA50401
20-8072234
HEALTH CARE AND HOSPITAL SERVICES NE 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP
 
Yes
 
(122)OAKLAND MERCY HOSPITAL FOUNDATION
1000 4TH STREET SW

MASON CITY,IA50401
31-1678345
FOUNDATION NE 501(C)(3) LINE 12A, I OAKLAND MERCY HOSPITAL
 
Yes
 
(123)OSUMOUNT CARMEL HEALTH ALLIANCE
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
31-1654603
COOPERATIVE HEALTH CARE DELIVERY SYSTEM OH 501(C)(3) LINE 12A, I N/A
 
No
(124)OUR LADY OF MERCY LIFE CENTER
2 MERCYCARE LANE

GUILDERLAND,NY12084
14-1743506
LONG TERM CARE NY 501(C)(3) LINE 3 LTC (EDDY) INC
 
Yes
 
(125)PIONEER VALLEY CARDIOLOGY ASSOCIATES INC
114 WOODLAND STREET

HARTFORD,CT06105
45-4208896
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(126)PITTSBURGH MERCY HEALTH SYSTEM INC
1200 REEDSDALE STREET

PITTSBURGH,PA15233
25-1464211
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(127)PROBILITY THERAPY SERVICES
2058 S STATE STREET

ANN ARBOR,MI48104
20-2020239
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN
 
Yes
 
(128)PROFESSIONAL MED TEAM
965 FORK STREET

MUSKEGON,MI49442
38-2638284
HEALTH CARE SERVICES MI 501(C)(3) LINE 10 MERCY HEALTH PARTNERS
 
Yes
 
(129)RIVERBEND MEDICAL GROUP INC
114 WOODLAND STREET

HARTFORD,CT06105
81-1807730
HEALTH CARE SERVICES MA 501(C)(3) LINE 3 THE MERCY HOSPITAL INC
 
Yes
 
(130)SJ MANAGEMENT COMPANY OF SYRACUSE INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-1763712
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(131)SAINT AGNES MEDICAL CENTER
1303 EAST HERNDON AVE

FRESNO,CA93720
94-1437713
HEALTH CARE AND HOSPITAL SERVICES CA 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(132)SAINT AGNES MEDICAL FOUNDATION
1303 EAST HERNDON AVE

FRESNO,CA93720
94-2839324
HEALTH CARE SERVICES CA 501(C)(3) LINE 12A, I SAINT AGNES MEDICAL CENTER
 
Yes
 
(133)SAINT ALPHONSUS FOUNDATION-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
94-3164869
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -BAKER CITY INC
 
Yes
 
(134)SAINT ALPHONSUS FOUNDATION-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
20-2683560
FOUNDATION OR 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -ONTARIO INC
 
Yes
 
(135)SAINT ALPHONSUS HEALTH SYSTEM INC
1055 NORTH CURTIS ROAD

BOISE,ID83706
27-1929502
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT ID 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(136)SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC
3325 POCAHONTAS ROAD

BAKER CITY,OR97814
27-1790052
HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(137)SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC
4300 E FLAMINGO AVENUE

NAMPA,ID83687
26-1737256
FOUNDATION ID 501(C)(3) LINE 7 SAINT ALPHONSUS MEDICAL CENTER -NAMPA INC
 
Yes
 
(138)SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC
4300 E FLAMINGO AVENUE

NAMPA,ID83687
82-0200896
HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(139)SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC
351 SW 9TH STREET

ONTARIO,OR97914
27-1789847
HEALTH CARE AND HOSPITAL SERVICES OR 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(140)SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC
1055 NORTH CURTIS ROAD

BOISE,ID83706
82-0200895
HEALTH CARE AND HOSPITAL SERVICES ID 501(C)(3) LINE 3 SAINT ALPHONSUS HEALTH SYSTEM INC
 
Yes
 
(141)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0646813
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(142)SAINT FRANCIS HOSPITAL AND MEDICAL CENTER FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1008255
FOUNDATION CT 501(C)(3) LINE 7 SAINT FRANCIS HOSPITAL AND MEDICAL CENTER
 
Yes
 
(143)SAINT JOSEPH PACE INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3129127
PACE PROGRAM IN 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(144)SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46563
35-1142669
HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(145)SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-0868157
HEALTH CARE AND HOSPITAL SERVICES IN 501(C)(3) LINE 3 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(146)SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-1568821
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(147)SAINT JOSEPH'S HEALTH SYSTEM INC
424 DECATUR STREET

ATLANTA,GA30312
58-1744848
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12C, III-FI TRINITY HEALTH CORPORATION
 
Yes
 
(148)SAINT JOSEPH'S MERCY CARE SERVICES INC
424 DECATUR STREET

ATLANTA,GA30312
58-1752700
HEALTH CARE SERVICES GA 501(C)(3) LINE 10 SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(149)SAINT JOSEPH'S TOWER INC
PO BOX 530009

LIVONIA,MI48152
31-1040468
SENIOR LIVING COMMUNITY IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES-INDIANA INC
 
Yes
 
(150)SAINT MARY HOME INCORPORATED
PO BOX 530009

LIVONIA,MI48152
06-0646843
LONG TERM CARE CT 501(C)(3) LINE 3 MERCY COMMUNITY HEALTH INC
 
Yes
 
(151)SAINT MARY'S AMICARE HOME HEALTHCARE
PO BOX 532020

LIVONIA,MI48153
38-3320700
HOME HEALTH SERVICES MI 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(152)SAINT MARY'S FOUNDATION
200 JEFFERSON ST SE

GRAND RAPIDS,MI49503
38-1779602
FOUNDATION MI 501(C)(3) LINE 7 TRINITY HEALTH-MICHIGAN
 
Yes
 
(153)ST MARY'S HOSPITAL FOUNDATION INC
114 WOODLAND STREET

HARTFORD,CT06105
22-2528400
FOUNDATION CT 501(C)(3) LINE 7 SAINT MARY'S HOSPITAL INC
 
Yes
 
(154)SAINT MARY'S HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
06-0646844
HEALTH CARE AND HOSPITAL SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(155)SAMARITAN HOSPITAL
2215 BURDETT AVE

TROY,NY12180
14-1338544
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(156)SAMARITAN HOSPITAL AND THE EDDY FOUNDATION
310 SOUTH MANNING BLVD

ALBANY,NY12208
22-2743478
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(157)SARTORI HEALTH CARE FOUNDATION INC
3421 WEST NINTH STREET

WATERLOO,IA50702
42-1240996
FOUNDATION IA 501(C)(3) LINE 7 SARTORI MEMORIAL HOSPITAL INC
 
Yes
 
(158)SARTORI MEMORIAL HOSPITAL INC
515 COLLEGE STREET

CEDAR FALLS,IA50613
42-0758901
HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC
 
Yes
 
(159)SENIOR CARE CONNECTION INC
1938 CURRY ROAD

SCHENECTADY,NY12303
14-1708754
PACE PROGRAM NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(160)SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE
ONE ABELE BLVD

CLIFTON PARK,NY12065
14-1756230
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(161)SJHSJOC HOLDINGS INC
424 DECATUR STREET

ATLANTA,GA30312
47-2299757
HEALTH CARE SYSTEM SUPPORT GA 501(C)(3) LINE 12B, II SAINT JOSEPH'S HEALTH SYSTEM INC
 
Yes
 
(162)ST FRANCIS HOSPITAL INC
PO BOX 2500

WILMINGTON,DE19805
51-0064326
HEALTH CARE AND HOSPITAL SERVICES DE 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(163)ST JAMES MERCY HEALTH SYSTEM INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
22-3127184
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT (INACTIVE) NY 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION
 
Yes
 
(164)ST JOSEPH MERCY CHELSEA INC
775 SOUTH MAIN ST

CHELSEA,MI48118
82-4757260
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN
 
Yes
 
(165)ST JOSEPH OF THE PINES INC
PO BOX 530009

LIVONIA,MI48152
56-0694200
LONG TERM CARE NC 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(166)ST JOSEPH'S COLLEGE OF NURSING AT ST JOSEPH'S HOSPITAL HEALTH CENTER
206 PROSPECT AVENUE

SYRACUSE,NY13203
20-2497520
COLLEGE OF NURSING NY 501(C)(3) LINE 2 ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(167)ST JOSEPH'S HEALTH AT HOME INC
PO BOX 532020

LIVONIA,MI48153
87-1012253
HOME HEALTH SERVICES NY 501(C)(3) LINE 10 TRINITY HOME HEALTH SERVICES
 
Yes
 
(168)ST JOSEPH'S HEALTH CENTER PROPERTIES INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
23-7219294
BUILDING MANAGEMENT SERVICES NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(169)ST JOSEPH'S HEALTH INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
47-4754987
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(170)ST JOSEPH'S HOSPITAL HEALTH CENTER
301 PROSPECT AVENUE

SYRACUSE,NY13203
15-0532254
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST JOSEPH'S HEALTH INC
 
Yes
 
(171)ST JOSEPH'S HOSPITAL HEALTH CENTER FOUNDATION INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
22-2149775
FOUNDATION NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC
 
Yes
 
(172)ST JOSEPH'S MEDICAL PC
301 PROSPECT AVENUE

SYRACUSE,NY13203
27-3899821
HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST JOSEPH'S HOSPITAL HEALTH CENTER
 
Yes
 
(173)ST JOSEPH'S PHYSICIAN HEALTH PC
315 SOUTH MANNING BLVD

ALBANY,NY12208
16-1516863
HEALTH CARE SERVICES NY 501(C)(3) LINE 12A, I ST PETER'S HEALTH PARTNERS
 
Yes
 
(174)ST MARY BUILDING AND DEVELOPMENT
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-1827502
TITLE HOLDING COMPANY PA 501(C)(2) N/A ST MARY MEDICAL CENTER
 
Yes
 
(175)ST MARY EMERGENCY MEDICAL SERVICES
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
46-5354512
HEALTH CARE SERVICES PA 501(C)(3) LINE 10 ST MARY MEDICAL CENTER
 
Yes
 
(176)ST MARY MEDICAL CENTER
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-1913910
HEALTH CARE AND HOSPITAL SERVICES PA 501(C)(3) LINE 3 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(177)ST MARY'S FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
58-2544232
FOUNDATION GA 501(C)(3) LINE 7 TRINITY HEALTH GEORGIA INC
 
Yes
 
(178)ST MARY'S GOOD SAMARITAN FOUNDATION INC
1230 BAXTER STREET

ATHENS,GA30606
81-1660088
FOUNDATION GA 501(C)(3) LINE 7 TRINITY HEALTH GEORGIA INC
 
Yes
 
(179)ST MARY'S HIGHLAND HILLS INC
1230 BAXTER STREET

ATHENS,GA30606
02-0576648
SENIOR LIVING COMMUNITY GA 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(180)ST MARY'S HOSPITAL INC
1230 BAXTER STREET

ATHENS,GA30606
58-0566223
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(181)ST MARY'S MEDICAL GROUP INC
1230 BAXTER STREET

ATHENS,GA30606
26-1858563
HEALTH CARE SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(182)ST MARY'S SACRED HEART HOSPITAL INC
367 CLEAR CREEK PARKWAY

LAVONIA,GA30553
47-3752176
HEALTH CARE AND HOSPITAL SERVICES GA 501(C)(3) LINE 3 TRINITY HEALTH GEORGIA INC
 
Yes
 
(183)ST PETER'S HEALTH PARTNERS
315 SOUTH MANNING BLVD

ALBANY,NY12208
45-3570715
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NY 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(184)ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC
315 SOUTH MANNING BLVD

ALBANY,NY12208
46-1177336
HEALTH CARE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(185)ST PETER'S HOSPITAL
315 SOUTH MANNING BLVD

ALBANY,NY12208
14-1348692
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(186)ST PETER'S HOSPITAL FOUNDATION INC
310 SOUTH MANNING BLVD

ALBANY,NY12208
22-2262982
FOUNDATION NY 501(C)(3) LINE 7 ST PETER'S HEALTH PARTNERS
 
Yes
 
(187)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
1270 BELMONT AVENUE

SCHENECTADY,NY12308
14-1338386
HEALTH CARE AND HOSPITAL SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(188)SUNNYVIEW HOSPITAL AND REHABILITATION CENTER FOUNDATION INC
1270 BELMONT AVE

SCHENECTADY,NY12308
22-2505127
FOUNDATION NY 501(C)(3) LINE 7 SUNNYVIEW HOSPITAL AND REHABILITATION CENTER
 
Yes
 
(189)THE AUXILIARY OF ST JOSEPH'S HOSPITAL HEALTH CENTER INC
301 PROSPECT AVENUE

SYRACUSE,NY13203
20-3018640
VOLUNTEER SERVICE AUXILIARY NY 501(C)(3) LINE 12C, III-FI ST JOSEPH'S HOSPITAL HLTH CTR FOUNDATION INC
 
Yes
 
(190)THE COMMUNITY HOSPICE FOUNDATION INC
445 NEW KARNER RD

ALBANY,NY12205
22-2692940
FOUNDATION NY 501(C)(3) LINE 7 THE COMMUNITY HOSPICE INC
 
Yes
 
(191)THE COMMUNITY HOSPICE INC
445 NEW KARNER RD

ALBANY,NY12205
14-1608921
HOSPICE SERVICES NY 501(C)(3) LINE 3 ST PETER'S HEALTH PARTNERS
 
Yes
 
(192)THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER INC
5215 HOLY CROSS PARKWAY

MISHAWAKA,IN46545
35-1654543
FOUNDATION IN 501(C)(3) LINE 7 SAINT JOSEPH REGIONAL MEDICAL CENTER INC
 
Yes
 
(193)THE JAMES A EDDY MEMORIAL GERIATRIC CENTER INC
2256 BURDETT AVE

TROY,NY12180
22-2570478
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(194)THE MARJORIE DOYLE ROCKWELL CENTER INC
421 WEST COLUMBIA ST

COHOES,NY12047
14-1793885
LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC
 
Yes
 
(195)THE MERCY HOSPITAL INC
114 WOODLAND STREET

HARTFORD,CT06105
04-3398280
HEALTH CARE AND HOSPITAL SERVICES MA 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(196)THE WOMEN'S AUXILIARY OF ST FRANCIS HOSPITAL & MEDICAL CENTER
114 WOODLAND STREET

HARTFORD,CT06105
06-0660403
VOLUNTEER SERVICE AUXILIARY CT 501(C)(3) LINE 12A, I N/A
 
No
(197)TRI-HOSPITAL EMERGENCY MEDICAL SERVICES
309 GRAND RIVER

PORT HURON,MI48060
38-2485700
HEALTH CARE SERVICES MI 501(C)(3) LINE 12A, I N/A
 
No
(198)TRINITY CONTINUING CARE SERVICES
PO BOX 530009

LIVONIA,MI48152
38-2559656
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(199)TRINITY CONTINUING CARE SERVICES - INDIANA
PO BOX 530009

LIVONIA,MI48152
93-0907047
LONG TERM CARE IN 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(200)TRINITY CONTINUING CARE SERVICES - MASSACHUSETTS
PO BOX 530009

LIVONIA,MI48152
82-4005577
LONG TERM CARE MI 501(C)(3) LINE 10 TRINITY CONTINUING CARE SERVICES
 
Yes
 
(201)TRINITY HEALTH - MICHIGAN
20555 VICTOR PARKWAY

LIVONIA,MI48152
38-2113393
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH CORPORATION
 
Yes
 
(202)TRINITY HEALTH CORPORATION
20555 VICTOR PARKWAY

LIVONIA,MI48152
35-1443425
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IN 501(C)(3) LINE 12B, II CATHOLIC HEALTH MINISTRIES
 
Yes
 
(203)TRINITY HEALTH GEORGIA INC
1230 BAXTER STREET

ATHENS,GA30606
88-0878641
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT GA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(204)TRINITY HEALTH GRAND HAVEN HOSPITAL (FKA NORTH OTTAWA COMMUNITY HOSPITAL)
1309 SHELDON ROAD

GRAND HAVEN,MI49417
38-3330803
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(205)TRINITY HEALTH LIFE PENNSYLVANIA INC
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-5244984
PACE PROGRAM PA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(206)TRINITY HEALTH MID-ATLANTIC MEDICAL GROUP
1201 LANGHORNE-NEWTOWN ROAD

LANGHORNE,PA19047
23-2571699
HEALTH CARE SERVICES PA 501(C)(3) LINE 10 TRINITY HEALTH OF THE MID-ATLANTIC REGION
 
Yes
 
(207)TRINITY HEALTH OF NEW ENGLAND CORPORATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1491191
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT CT 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(208)TRINITY HEALTH OF NEW ENGLAND EMERGENCY MEDICAL SERVICES INC
114 WOODLAND STREET

HARTFORD,CT06105
83-3546613
HEALTH CARE SERVICES CT 501(C)(3) LINE 10 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(209)TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
114 WOODLAND STREET

HARTFORD,CT06105
06-1450168
HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC
 
Yes
 
(210)TRINITY HEALTH OF THE MID-ATLANTIC REGION
3805 WEST CHESTER PIKE SUITE 100

NEWTOWN SQUARE,PA19073
23-2212638
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT PA 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(211)TRINITY HEALTH PACE
20555 VICTOR PARKWAY

LIVONIA,MI48152
47-3073124
PACE PROGRAM MI 501(C)(3) LINE 12B, II TRINITY HEALTH CORPORATION
 
Yes
 
(212)TRINITY HEALTH PACE ALEXANDRIA INC
3403 GOVERNMENT STREET

ALEXANDRIA,LA71302
92-3433625
PACE PROGRAM LA 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(213)TRINITY HEALTH PACE OF MONTGOMERY COUNTY INC
200 PERRY PARKWAY

GAITHERSBURG,MD20877
92-3450659
PACE PROGRAM MD 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(214)TRINITY HEALTH PACE OF PENSACOLA INC
5020 COMMERCE PARK CIRCLE

PENSACOLA,FL32505
92-2940854
PACE PROGRAM FL 501(C)(3) LINE 10 TRINITY HEALTH PACE
 
Yes
 
(215)TRINITY HEALTH PLAN OF MICHIGAN INC
3100 EASTON SQUARE PL STE 300

COLUMBUS,OH43219
84-3836552
MEDICARE HMO MI 501(C)(4) N/A MOUNT CARMEL HEALTH PLAN INC
 
Yes
 
(216)TRINITY HEALTH SPECIALTY HOSPITAL - GRAND HAVEN
1309 SHELDON ROAD

GRAND HAVEN,MI49417
93-3727867
HEALTH CARE AND HOSPITAL SERVICES MI 501(C)(3) LINE 3 MERCY HEALTH PARTNERS
 
Yes
 
(217)TRINITY HEALTH WELFARE BENEFIT TRUST
20555 VICTOR PARKWAY

LIVONIA,MI48152
20-8151733
RETIREE MEDICAL AND RETIREE LIFE INSURANCE MI 501(C)(9) N/A TRINITY HEALTH CORPORATION
 
Yes
 
(218)TRINITY HOME HEALTH SERVICES
PO BOX 532020

LIVONIA,MI48153
38-2621935
MANAGEMENT SERVICES FOR HOME HEALTH SYSTEM MI 501(C)(3) LINE 10 TRINITY HEALTH CORPORATION
 
Yes
 
(219)VILLA MARY IMMACULATE
301 HACKETT BLVD

ALBANY,NY12208
14-1438749
LONG TERM CARE NY 501(C)(3) LINE 3 ST PETER'S HOSPITAL
 
Yes
 
(220)WHEATON FRANCISCAN HEALTHCARE-IOWA INC
3421 WEST NINTH STREET

WATERLOO,IA50702
42-1177001
HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT IA 501(C)(3) LINE 12B, II MERCY HEALTH NETWORK INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVENT REHABILITATION LLC

625 KENMOOR AVE SE SUITE 100
GRAND RAPIDS,MI49546
38-3306673
REHABILITATION THERAPY SERVICES MI N/A
        No   Yes    
(2) BH VENTURE ONE LP

905 WATSON STREET
PITTSBURGH,PA15219
38-4098074
REAL ESTATE PA N/A
        No   Yes    
(3) BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP

6150 EAST BROAD STREET
COLUMBUS,OH48213
31-1608125
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(4) CENTER FOR DIGESTIVE CARE LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
03-0447062
PROVIDE GASTROINTESTINAL SERVICES MI N/A
        No     No  
(5) CONVENIENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
72-1439481
URGENT CARE CENTER LA N/A
        No   Yes    
(6) DIAGNOSTIC IMAGING OF SOUTHBURY LLC

385 MAIN STREET SOUTH
SOUTHBURY,CT06488
06-1487582
IMAGING CENTER CT N/A
        No   Yes    
(7) EVERETT ROAD ASC LLC

30 CENTURY HILL DRIVE
LATHAM,NY12110
83-3542382
MEDICAL SERVICES NY N/A
        No   Yes    
(8) FOREST PARK IMAGING LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4365966
X-RAY AND MAMMOGRAPHY SERVICES IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 1,232,792 522,210   No   Yes   52.890 %
(9) GENGASTRO LLC

2222 53RD AVENUE
BETTENDORF,IA52722
56-2315623
AMBULATORY SURGERY CENTER IA N/A
        No     No  
(10) GENRAD IMAGING ILLINOIS LLC

1970 E 53RD STREET
DAVENPORT,IA52807
47-3785124
DIAGNOSTIC IMAGING CENTER IL N/A
        No   Yes    
(11) GENRAD IMAGING LLC

1970 E 53RD STREET
DAVENPORT,IA52807
45-3571628
DIAGNOSTIC IMAGING CENTER IA N/A
        No   Yes    
(12) HAWARDEN REGIONAL HEALTH CLINICS LLC

1111 11TH ST
HAWARDEN,IA51023
20-1444339
MEDICAL CLINIC IA N/A
        No   Yes    
(13) HEALTHRISE BUSINESS INTELLIGENCE LLC

31700 MIDDLEBELT
FARMINGTON HILLS,MI48334
84-5053960
REVENUE CYCLE MANAGEMENT DE N/A
        No     No  
(14) HURON GASTRO ENDOSCOPY CENTER LLC

5300 ELLIOTT DRIVE
YPSILANTI,MI48197
85-3580801
MEDICAL SERVICES MI N/A
        No     No  
(15) INTERMOUNTAIN MEDICAL IMAGING LLC

877 WEST MAIN ST STE 603
BOISE,ID83702
82-0514422
IMAGING CENTER ID N/A
        No   Yes    
(16) LANGHORNE MOB PARTNERS LP

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2622772
MEDICAL OFFICE BUILDING RENTAL PA N/A
        No   Yes    
(17) LCMC URGENT CARE LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
30-0951534
URGENT CARE CENTER DE N/A
        No   Yes    
(18) LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP

1 WESTBROOK CORP CTR
WESTCHESTER,IL60154
36-4119522
SURGICAL SERVICES IL N/A
        No   Yes    
(19) MAGNETIC RESONANCE SERVICES PARTNERSHIP

1416 SIXTH STREET SW
MASON CITY,IA50401
42-1328388
MRI SERVICES IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 440,574 107,005   No   Yes   49.000 %
(20) MASON CITY AMBULATORY SURGERY CENTER LLC

990 4TH STREET SW
MASON CITY,IA50401
20-1960348
SURGERY-SAME DAY IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 2,487,442 3,875,281   No   Yes   51.000 %
(21) MCE MOB IV LIMITED PARTNERSHIP

3100 EASTON SQUARE PL SUITE 300
COLUMBUS,OH43219
42-1544707
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(22) MERCY HEART CTR OP SERVICES LLC

1000 4TH STREET SW
MASON CITY,IA50401
13-4237594
CARDIOVASCULAR SERVICES IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 140,161 -86,975   No     No 51.000 %
(23) MERCY REHABILITATION HOSPITAL LLC

330 SEVEN SPRINGS WAY
BRENTWOOD,TN37027
81-4437201
HEALTH CARE SERVICES IA N/A
        No     No  
(24) MERCYMANOR PARTNERSHIP

PO BOX 10086
TOLEDO,OH43699
52-1931012
NURSING HOME PA N/A
        No   Yes    
(25) MERCYUSP HEALTH VENTURES LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
47-1290300
OUTPATIENT SURGERY IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 9,285,635 18,746,668   No     No 55.710 %
(26) MERCYONE - HFH HOME MEDICAL SHOP LLC

1000 4TH STREET SW
MASON CITY,IA50401
85-4007472
MEDICAL EQUIPMENT SALES IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 138,795 509,495   No     No 51.000 %
(27) MERCYONE - KRHC HOME MEDICAL SHOP LLC

1000 4TH STREET SW
MASON CITY,IA50401
92-3276114
MEDICAL EQUIPMENT SALES IA MERCY HEALTH SERVICES-IOWA CORP
 
RELATED 173,661 397,793   No     No 51.000 %
(28) NAUGATUCK VALLEY MRI LLC

385 MAIN STREET SOUTH
SOUTHBURY,CT06488
06-1239526
IMAGING CENTER CT N/A
        No     No  
(29) NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP

2601 HOLME AVE
PHILADELPHIA,PA19152
23-2388040
MEDICAL OFFICE BUILDING PA N/A
        No   Yes    
(30) NUCO HEALTH LLC

31700 MIDDLEBELT RD STE 175
FARMINGTON HILLS,MI48334
46-0951661
REVENUE CYCLE MANAGEMENT DE N/A
        No     No  
(31) PHYSICIANS OUTPATIENT SURGERY CENTER LLC

1000 NE 56TH STREET
OAKLAND PARK,FL33334
35-2325646
AMBULATORY SURGERY CENTER FL N/A
        No   Yes    
(32) PREMIER HEALTH HOLDINGS LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
47-2665226
URGENT CARE CENTERS DE N/A
        No     No  
(33) PRIMARY CARE PHYSICIAN CENTER LLC

2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-4038505
OFFICE BUILDING RENTAL IL N/A
        No   Yes    
(34) RAPIDES AFTER HOURS CLINIC LLC

10319 JEFFERSON HIGHWAY
BATON ROUGE,LA70809
45-1772383
URGENT CARE CENTER LA N/A
        No   Yes    
(35) SAINT AGNESDIGNITYUSP SURGERY CENTERS LLC

14201 DALLAS PARKWAY
DALLAS,TX75254
84-3522377
OUTPATIENT SURGERY CA N/A
        No     No  
(36) SAINT ALPHONSUS CALDWELL CANCER CENTER LLC

3123 MEDICAL DR
CALDWELL,ID83605
82-0526861
HEALTH CARE SERVICES ID N/A
        No   Yes    
(37) SIXTY FOURTH STREET LLC

2373 64TH ST STE 2200
BYRON CENTER,MI49315
20-2443646
PROVIDE OUTPATIENT SURGICAL CARE MI N/A
        No     No  
(38) SJLS LLC

920 WINTER ST
WALTHAM,MA02451
20-1796650
HEALTH CARE SERVICES NY N/A
        No     No  
(39) SMMC MOB II LP

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
36-4559869
INVESTMENT AND OPERATION OF A MEDICAL BUILDING PA N/A
        No     No  
(40) ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP

3100 EASTON SQUARE PLACE SUITE 300
COLUMBUS,OH43219
31-1603660
MEDICAL OFFICE BUILDING RENTAL OH N/A
        No   Yes    
(41) ST JOSEPH'S IMAGING ASSOCIATES PLLC

104 UNION AVE SUITE 905
SYRACUSE,NY13203
16-1104293
HEALTH CARE SERVICES NY N/A
        No   Yes    
(42) ST MARY REHABILITATION HOSPITAL LLP

330 SEVEN SPRINGS WAY
BRENTWOOD,TN37027
27-3938747
HEALTH CARE SERVICES DE N/A
        No     No  
(43) ST PETER'S AMBULATORY SURGERY CENTER LLC

1375 WASHINGTON AVE 201
ALBANY,NY12206
46-0463892
OUTPATIENT SURGERY NY N/A
        No   Yes    
(44) TEN MILE SURGERY CENTER LLC

875 S VANGUARD WAY STE 120
MERIDIAN,ID83642
84-5119941
OUTPATIENT SURGERY ID N/A
        No     No  
(45) THE AMBULATORY SURGERY CENTER AT ST MARY LLC

1203 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
27-2871206
OUTPATIENT SURGERY PA N/A
        No   Yes    
(46) THPH URGENT CARE LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
85-2464958
URGENT CARE CENTERS DE N/A
        No     No  
(47) WEST LAKES SURGERY CENTER LLC

12499 UNIVERSITY AVENUE SUITE 100
CLIVE,IA50325
20-5345295
OUTPATIENT SURGERY IA N/A
        No     No  
(48) WOODLAND PARTNERS REAL ESTATE LLC

129 WOODLAND STREET
HARTFORD,CT06105
83-3371094
REAL ESTATE CT N/A
        No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BH VENTURE MGMT LLC

905 WATSON STREET
PITTSBURGH,PA15219
83-2416426
ASSET MANAGEMENT COMPANY PA N/A
C       Yes  
(2) CENTRAL VALLEY HEALTH PLAN INC

1303 E HERNDON AVE
FRESNO,CA93720
61-1846844
HEALTH INSURANCE CA N/A
C       Yes  
(3) DES MOINES MEDICAL CENTER INC

1111 6TH AVENUE
DES MOINES,IA50314
42-0837382
REAL ESTATE IA N/A
C       Yes  
(4) FHS SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
27-2995699
MEDICAL SERVICES NY N/A
C       Yes  
(5) FRANCISCAN ASSOCIATES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
20-2991688
MEDICAL SERVICES NY N/A
C       Yes  
(6) FRANCISCAN HEALTH SUPPORT INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1236354
MEDICAL SERVICES NY N/A
C       Yes  
(7) FRANCISCAN MANAGEMENT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1351193
MANAGEMENT SERVICES NY N/A
C       Yes  
(8) GENESIS HEART INSTITUTE OWNER'S ASSOCIATION INC

1227 E RUSHOLME STREET
DAVENPORT,IA52803
86-3949369
PROPERTY MANAGEMENT IA N/A
C       Yes  
(9) GENVENTURES INC

1227 E RUSHOLME STREET
DAVENPORT,IA52803
42-1269171
HOSPITAL SERVICES IA N/A
C       Yes  
(10) HACKLEY HEALTH VENTURES INC

318 RIVER RIDGE DR NW SUITE 100
WALKER,MI49544
38-2589959
OTHER MEDICAL SERVICES MI N/A
C       Yes  
(11) HACKLEY PROFESSIONAL PHARMACY INC

318 RIVER RIDGE DR NW SUITE 100
WALKER,MI49544
38-2447870
PHARMACY MI N/A
C       Yes  
(12) HEALTH CARE MANAGEMENT ADMINISTRATORS INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1450960
HEALTH CARE MANAGEMENT NY N/A
C       Yes  
(13) HURON ARBOR CORPORATION

5301 EAST HURON RIVER DR
ANN ARBOR,MI48106
38-2475644
OFFICE RENTAL MI N/A
C       Yes  
(14) IHA AFFILIATION CORPORATION

24 FRANK LLOYD WRIGHT DR LOBBY J
ANN ARBOR,MI48106
38-3188895
MEDICAL MANAGEMENT MI N/A
C       Yes  
(15) LANGHORNE SERVICES II INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
26-3795549
GENERAL PARTNER OF LMOB PARTNERS, II PA N/A
C       Yes  
(16) LANGHORNE SERVICES INC

1201 LANGHORNE-NEWTOWN ROAD
LANGHORNE,PA19047
23-2625981
GENERAL PARTNER OF LMOB PARTNERS PA N/A
C       Yes  
(17) MACNEAL HEALTH PROVIDERS INC

2160 SOUTH FIRST AVENUE
MAYWOOD,IL60153
36-3361297
MEDICAL SERVICES IL N/A
C       Yes  
(18) MARYLAND CARE GROUP INC

1500 FOREST GLEN RD
SILVER SPRING,MD20910
52-1815313
HEALTH CARE HOLDING MD N/A
C       Yes  
(19) MAXIS HEALTH TRENTON INC

20555 VICTOR PKWY
LIVONIA,MI48152
88-4267557
PROPERTY HOLDINGS NJ N/A
C       Yes  
(20) MEDNOW INC

4300 E FLAMINGO AVE
NAMPA,ID83687
82-0389927
MEDICAL SERVICES ID N/A
C       Yes  
(21) MERCY EASTWICK INC

3805 WEST CHESTER PIKE SUITE 100
NEWTOWN SQUARE,PA19073
23-2184261
MEDICAL OFFICE BUILDINGS PA N/A
C       Yes  
(22) MERCY INPATIENT MEDICAL ASSOCIATES INC

114 WOODLAND STREET
HARTFORD,CT06105
04-3029929
MEDICAL SERVICES MA N/A
C       Yes  
(23) MERCY MEDICAL SERVICES

1000 4TH STREET SW
MASON CITY,IA50401
42-1283849
PRIMARY CARE PHYSICIANS IA MERCY HEALTH SERVICES-IOWA CORP
 
C -18,035,248 2,616,780 100.000 % Yes  
(24) MOB 1 OWNERS' ASSOCIATION

1227 E RUSHOLME STREET
DAVENPORT,IA52803
27-0865075
PROPERTY MANAGEMENT IA N/A
C       Yes  
(25) MOUNT CARMEL HEALTHPROVIDERS INC

3100 EASTON SQUARE PL STE 300
COLUMBUS,OH43219
31-1382442
MEDICAL SERVICES OH N/A
C       Yes  
(26) NURSING NETWORK INC

4725 NORTH FEDERAL HIGHWAY
FORT LAUDERDALE,FL33308
59-1145192
MEDICAL SERVICES FL N/A
C       Yes  
(27) SAINT ALPHONSUS HEALTH ALLIANCE INC

1055 NORTH CURTIS ROAD
BOISE,ID83706
82-0524649
ACCOUNTABLE CARE ORGANIZATION ID N/A
C       Yes  
(28) SAINT FRANCIS CARE MEDICAL GROUP PC

114 WOODLAND STREET
HARTFORD,CT06105
06-1432373
MEDICAL SERVICES CT N/A
C       Yes  
(29) SAINT JOSEPH'S MCAULEY PARK I LLC

424 DECATUR ST
ATLANTA,GA30312
88-0592157
PROPERTY MANAGEMENT GA N/A
C       Yes  
(30) SAMARITAN MEDICAL OFFICE BUILDING INC

2212 BURDETT AVENUE
TROY,NY12180
14-1607244
REAL ESTATE NY N/A
C       Yes  
(31) SCOVILL STREET MEDICAL BUILDING ASSOCIATION INC

114 WOODLAND STREET
HARTFORD,CT06105
06-1232868
PROPERTY MANAGEMENT CT N/A
C       Yes  
(32) SJM PROPERTIES INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
16-1294991
PROPERTY HOLDINGS NY N/A
C       Yes  
(33) SJPE PRACTICE MANAGEMENT SERVICES INC

301 PROSPECT AVE
SYRACUSE,NY13203
45-4164964
MANAGEMENT SERVICES NY N/A
C       Yes  
(34) SJRMC HOLDINGS INC

5215 HOLY CROSS PARKWAY
MISHAWAKA,IN46545
47-4763735
PROPERTY HOLDINGS IN N/A
C       Yes  
(35) ST ELIZABETH HEALTH SUPPORT SERVICES INC

333 BUTTERNUT DRIVE SUITE 100
DEWITT,NY13214
16-1540486
MEDICAL SERVICES NY N/A
C       Yes  
(36) SYNANON INC

1309 SHELDON ROAD
GRAND HAVEN,MI49417
38-2715568
URGENT CARE MI N/A
C       Yes  
(37) SYSTEM COORDINATED SERVICES INC

114 WOODLAND STREET
HARTFORD,CT06105
04-2938161
LAB SERVICES MA N/A
C       Yes  
(38) THRE SERVICES LLC

20555 VICTOR PARKWAY
LIVONIA,MI48152
45-2603654
REAL ESTATE BROKERAGE SERVICES MI N/A
C       Yes  
(39) TRINITY ASSURANCE LTD

GOV SQ BLDG 4 34 LIME TREE BAY
GRAND CAYMAN    
CJ
98-0453602
SELF-INSURANCE CJ N/A
C       Yes  
(40) TRINITY HEALTH ACO INC

20555 VICTOR PARKWAY
LIVONIA,MI48152
47-3794666
ACCOUNTABLE CARE ORGANIZATION DE N/A
C       Yes  
(41) TRINITY HEALTH EMPLOYEE BENEFIT TRUST

20555 VICTOR PARKWAY
LIVONIA,MI48152
38-3410377
GRANTOR TRUST MI N/A
T       Yes  
(42) TRINITY SENIOR SERVICES MANAGEMENT INC

PO BOX 530009
LIVONIA,MI48153
37-1572595
SENIOR SERVICES PA N/A
C       Yes  
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) BAUM HARMON MERCY HOSPITAL

C 894,804 PER BOOKS
(2) BAUM HARMON MERCY HOSPITAL

Q 73,374 PER BOOKS
(3) CATHOLIC HEALTH INITIATIVES - IOWA CORP

M 4,283,146 PER BOOKS
(4) CATHOLIC HEALTH INITIATIVES - IOWA CORP

Q 13,644,448 PER BOOKS
(5) CATHOLIC HEALTH INITIATIVES - IOWA CORP

S 6,902,840 PER BOOKS
(6) CENTRAL COMMUNITY HOSPITAL

P 93,712 PER BOOKS
(7) CENTRAL COMMUNITY HOSPITAL

Q 466,604 PER BOOKS
(8) COVENANT MEDICAL CENTER INC

Q 2,974,957 PER BOOKS
(9) DUBUQUE MERCY HEALTH FOUNDATION

C 964,819 PER BOOKS
(10) DUBUQUE MERCY HEALTH FOUNDATION

B 364,194 PER BOOKS
(11) DYERSVILLE HEALTH FOUNDATION INC

C 243,701 PER BOOKS
(12) DYERSVILLE HEALTH FOUNDATION INC

B 94,971 PER BOOKS
(13) FOREST PARK IMAGING LLC

A 46,189 PER BOOKS
(14) FOREST PARK IMAGING LLC

C 1,252,317 PER BOOKS
(15) FOREST PARK IMAGING LLC

L 134,705 PER BOOKS
(16) FOREST PARK IMAGING LLC

Q 1,044,601 PER BOOKS
(17) GENESIS HEALTH SYSTEM

P 53,688 PER BOOKS
(18) GENESIS HEALTH SYSTEM

Q 2,604,672 PER BOOKS
(19) GENESIS HEALTH SYSTEM (IL)

P 327,351 PER BOOKS
(20) HOSPICE OF NORTH IOWA

L 224,415 PER BOOKS
(21) HOSPICE OF NORTH IOWA

M 79,106 PER BOOKS
(22) MAGNETIC RESONANCE SERVICES PARTNERSHIP

C 452,765 PER TAX RETURN
(23) MASON CITY AMBULATORY SURGERY CENTER LLC

C 2,229,955 PER BOOKS
(24) MASON CITY AMBULATORY SURGERY CENTER LLC

Q 215,064 PER BOOKS
(25) MERCY HEALTH NETWORK INC

M 8,956,531 PER BOOKS
(26) MERCY HEALTH NETWORK INC

P 296,337 PER BOOKS
(27) MERCY HEALTH NETWORK INC

Q 2,828,135 PER BOOKS
(28) MERCY HEART CTR OP SERVICES LLC

C 165,649 PER BOOKS
(29) MERCY HEART CTR OP SERVICES LLC

L 147,424 PER BOOKS
(30) MERCY HEART CTR OP SERVICES LLC

Q 113,617 PER BOOKS
(31) MERCY MEDICAL CENTER - CLINTON INC

L 161,456 PER BOOKS
(32) MERCY MEDICAL CENTER - CLINTON INC

P 77,311 PER BOOKS
(33) MERCY MEDICAL CENTER - CLINTON INC

Q 1,662,014 PER BOOKS
(34) MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA

C 1,325,343 PER BOOKS
(35) MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION

A 3,512 PER BOOKS
(36) MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION

B 239,054 PER BOOKS
(37) MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION

C 3,021,714 PER BOOKS
(38) MERCY MEDICAL SERVICES

A 24,159 PER BOOKS
(39) MERCY MEDICAL SERVICES

B 17,700,984 PER BOOKS
(40) MERCY MEDICAL SERVICES

L 3,289,991 PER BOOKS
(41) MERCY MEDICAL SERVICES

M 3,341,282 PER BOOKS
(42) MERCY MEDICAL SERVICES

P 6,650,150 PER BOOKS
(43) MERCY MEDICAL SERVICES

R 198,362 PER BOOKS
(44) MERCYUSP HEALTH VENTURES LLC

C 10,402,238 PER BOOKS
(45) MOUNT CARMEL HEALTH INSURANCE COMPANY

L 1,076,845 PER BOOKS
(46) MOUNT CARMEL HEALTH PLAN

L 1,596,726 PER BOOKS
(47) MOUNT CARMEL HEALTH SYSTEM

P 128,900 PER BOOKS
(48) TRINITY CONTINUING CARE SERVICES

M 276,000 PER BOOKS
(49) TRINITY HEALTH CORPORATION

B 19,642,682 PER BOOKS
(50) TRINITY HEALTH CORPORATION

C 92,204 PER BOOKS
(51) TRINITY HEALTH CORPORATION

M 91,173,989 PER BOOKS
(52) TRINITY HEALTH CORPORATION

P 32,148,364 PER BOOKS
(53) TRINITY HEALTH CORPORATION

Q 8,434,677 PER BOOKS
(54) TRINITY HEALTH CORPORATION

R 20,700,466 PER BOOKS
(55) TRINITY HOME HEALTH SERVICES

A 31,194 PER BOOKS
(56) TRINITY HOME HEALTH SERVICES

Q 50,124 PER BOOKS
(57) WHEATON FRANCISCAN HEALTHCARE-IOWA INC

Q 196,464 PER BOOKS
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


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