2026-05-15T14:57:41-05:00 2025-06-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 462045108 990 2024-07-01 420680391 MHIC MHIC 3193390300 500 EAST MARKET STREET IOWA CITY IA 52245 MARC ROSS LIQUIDATING TRUSTEE ADVISOR 5166779740 2026-05-15 1 1 SHAWNA M JANSONS P01222873 3174648600 2024 2025-03-06 01:10:19Z X DAN CHILDERS C/O SHUTTLEWORTH INGERSOLL PLC 235 6TH STREET SE CEDAR RAPIDS IA 52401 11270597 0 0928 X WWW.MERCYIOWACITY.ORG X 1873 IA PRIOR TO CLOSURE, MERCY'S MISSION WAS TO HEAL AND COMFORT THE SICK AND IMPROVE THE HEALTH OF THE COMMUNITY IN THE SPIRIT OF JESUS CHRIST. X 1 0 0 0 0 0 0 0 82847239 3528937 -63344408 63395 197291 7678265 19700122 11270597 30000 0 0 0 40618329 0 0 0 0 83954104 4866854 124602433 4866854 -104902311 6403743 43990746 10346344 108425111 81109587 -64434365 -70763243 X PRIOR TO CLOSURE, MHIC HEALED AND COMFORTED THE SICK AND WORKED TO IMPROVE THE HEALTH OF THE COMMUNITY IN THE SPIRIT OF JESUS CHRIST AND THE CATHOLIC TRADITION OF THE SISTERS OF MERCY. 0 1 3990918 HOSPITAL SERVICES. IN KEEPING WITH OUR MISSION OF HEALING AND COMFORTING THE SICK, PROVIDING HOSPITAL MEDICAL SERVICES IS AT THE HEART OF WHAT WE DO. THESE SERVICES ARE PROVIDED IN INPATIENT AND OUTPATIENT SETTINGS, IN SITUATIONS THAT MAY BE EMERGENT, ACUTE OR CHRONIC. SERVICES INCLUDE A 24 HOUR EMERGENCY UNIT, INTENSIVE AND CARDIOVASCULAR CARE. WE ALSO SERVICE A MATERNITY UNIT AND NEWBORN NURSERY ALONG WITH OTHER SURGICAL SERVICES, CARDIAC CATH LAB, CANCER CARE, DIGESTIVE CARE, TELEMETRY MONITORED CARE, MEDICAL CARE, STROKE CARE. EFFECTIVE JANUARY 31, 2024, MHIC CEASED PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY AS A RESULT OF FILING FOR BANKRUPTCY AND THE ORGANIZATION'S ASSETS BEING ACQUIRED BY THE UNIVERSITY OF IOWA. 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 1 1 0 1 0 1 1 1 0 0 0 1 1 1 1 1 0 0 1 1 X DAN CHILDERS 5166779740 C/O SHUTTLEWORTH INGERSOLL PLC CEDAR RAPIDS IA 524062107 X DAN CHILDERS PRESIDENT/SECRETARY/TREASURER 1.00 14.00 X X 0 0 0 MARC ROSS FINANCIAL ADVISOR TO MHLT 1.00 20.00 X 0 0 0 0 0 0 0 0 0 0 0 PATIENT SERV. REVENUE 621400 2248249 2248249 ASC/DIC INCOME 900099 1280688 1280688 3528937 63395 63395 CANCELLATION OF DEBT 900099 7216284 7216284 461981 461981 7678265 11270597 3990918 0 7279679 274481 274481 435026 435026 BAD DEBT 3217069 3217069 940278 940278 4866854 0 4866854 0 30953791 1593588 302038 0 3217069 0 0 580000 0 4900047 4872291 27756 27756 1370092 1225000 7500000 7500000 40000 0 43990746 10346344 39410632 39605545 43219829 11505347 25794650 29998695 108425111 81109587 X -64434365 -70763243 -64434365 -70763243 43990746 10346344 X 6403743 -12732621 X 0 0 0 X X 1 SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY INC 262400800 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1483373 1455617 27756 3416674 3416674 0 27756 EQUITY INVESTMENT IN JOINT VENTURES 7500000 C 7500000 PENSION BENEFIT LIABILITY 27500000 PROFESSIONAL LIABILITY CLAIMS 2498695 29998695 A CITY OF HILLS IOWA 420920947 000000000 2018-05-10 40501771 REFUND BONDS ISSUED 04/29/08 0 0 0 B CITY OF HILLS IOWA 420920947 431669AW0 2011-11-30 44742571 BUILD AND EQUIP FACILITY; REFUND BONDS ISSUED 7/16/1998 0 0 0 A 35233402 40501771 2131594 34320000 2018 1 0 1 1 B 39636252 44743882 589874 20002570 24151438 2012 1 0 1 1 A 0 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 B 0 0 0 1 0 0 0 1 1 A 1 B 1 SCHEDULE K, PART IV, LINE 2C, COLUMN B: DATE THE REBATE COMPUTATION WAS FORMED: 11/30/2021 SCHEDULE K, PART II, LINE 3: SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED. SCHEDULE K, PART IV, LINE 2C, COLUMN A: THE ORGANIZATION IS IN BANKRUPTCY; NO REBATE CALCULATION HAS BEEN PERFORMED. SCHEDULE K, PART II, LINE 3: DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. TRANSFER OF CASH TO LIQUIDATION TRUST TO FULFILL TAX-EXEMPT BOND LIABILITIES PURSUANT TO BANKRUPTCY 2025-06-20 8528576 MARKET VALUE 996633146 MERCY HOSPITAL LIQUIDATION TRUST 235 6TH ST SE CEDAR RAPIDS CA 52401 TRUST 0 0 0 0 FORM 990, PART III, LINE 3 MHIC, F/K/A MERCY HOSPITAL, IOWA CITY, IOWA FILED FOR VOLUNTARY BANKRUPTCY IN AUGUST 2023. AS PART OF THE BANKRUPTCY PROCEEDINGS, THE ORGANIZATION'S ASSETS WERE ACQUIRED BY THE UNIVERSITY OF IOWA, WITH THE TRANSACTION FINALIZED ON JUNE 24, 2024. AS A RESULT, EFFECTIVE JANUARY 31, 2024, MERCY HOSPITAL CEASED PROVIDING HEALTHCARE SERVICES TO THE COMMUNITY. THE ORGANIZATION REMAINS IN EXISTENCE SOLELY TO MANAGE THE WINDING DOWN OF OPERATIONS, INCLUDING THE COLLECTION OF RECEIVABLES AND SETTLEMENT OF OUTSTANDING OBLIGATIONS. NO PROGRAM SERVICES OR HEALTHCARE OPERATIONS HAVE BEEN CONDUCTED BY THE ORGANIZATION SINCE JANUARY 31, 2024. FORM 990, PART VI, SECTION A, LINE 3 SHUTTLEWORTH & INGERSOLL PROVIDED CERTAIN MANAGEMENT OVERSIGHT AND WINDDOWN SERVICES PURSUANT TO THE DEBTOR'S FIRST AMENDED COMBINED DISCLOSURE STATEMENT AND JOINT PLAN OF LIQUIDATION DATED APRIL 3, 2024, AS MODIFIED BY THE FINDINGS OF FACT, CONCLUSIONS OF LAW AND ORDER CONFIRMING DEBTORS' JOINT CHAPTER 11 PLAN OF LIQUIDATION DATED JUNE 7, 2024. DAN CHILDERS, TRUSTEE OF THE MERCY HOSPITAL LIQUIDATION TRUST, IS NOT AN EMPLOYEE OF MHIC, BUT RATHER AN EMPLOYEE OF SHUTTLEWORTH & INGERSOLL, A MANAGEMENT COMPANY. FOR HIS ROLE AS TRUSTEE OF MHIC, DAN CHILDERS WAS COMPENSATED BY SHUTTLEWORTH & INGERSOLL. FORM 990, PART VI, SECTION A, LINE 4 DURING THE TAX YEAR, THE ORGANIZATION ADOPTED AMENDED AND RESTATED BYLAWS THAT REFLECT A COMPREHENSIVE RESTRUCTURING OF ITS PURPOSE, GOVERNANCE, AND OPERATIONS IN CONNECTION WITH ITS TRANSITION FROM OPERATING A HEALTHCARE FACILITY TO ADMINISTERING A COURT-APPROVED PLAN OF LIQUIDATION. THE ORGANIZATION ADOPTED AMENDED AND RESTATED BYLAWS EFFECTIVE APRIL 3, 2025, REPLACING ITS PRIOR BYLAWS (LAST REVISED JANUARY 21, 2020). THE RESTATEMENT REFLECTS SIGNIFICANT CHANGES TO THE ORGANIZATION'S PURPOSE AND GOVERNANCE STRUCTURE IN CONNECTION WITH ITS TRANSITION UNDER A CONFIRMED CHAPTER 11 PLAN OF LIQUIDATION. KEY CHANGES INCLUDE: CHANGE IN ORGANIZATIONAL PURPOSE/MISSION: THE BYLAWS WERE REVISED TO PROVIDE THAT THE ORGANIZATION'S SOLE PURPOSE IS TO CARRY OUT THE ACTIVITIES DESCRIBED IN THE CONFIRMED CHAPTER 11 PLAN OF LIQUIDATION, REPLACING THE PRIOR PURPOSE OF OPERATING A HOSPITAL AND PROVIDING HEALTHCARE SERVICES. CONSISTENT WITH THIS CHANGE IN PURPOSE, THE ORGANIZATION WILL REPORT ON FORM 990, SCHEDULE A, PART I AS A TYPE I SUPPORTING ORGANIZATION DESCRIBED IN LINE 12A (SUPPORTING THE SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY, INC.), RATHER THAN AS A HOSPITAL ORGANIZATION DESCRIBED IN LINE 3. CHANGES TO THE GOVERNING BODY (BOARD COMPOSITION AND AUTHORITY): THE PRIOR BOARD STRUCTURE OF BETWEEN 5 AND 15 DIRECTORS WAS ELIMINATED AND REPLACED WITH A SINGLE DIRECTOR, WHO SERVES AS THE LIQUIDATION TRUSTEE. AUTHORITY FOR MANAGEMENT OF THE ORGANIZATION IS NOW VESTED IN THIS SOLE DIRECTOR, CONSISTENT WITH THE LIQUIDATION PLAN. CHANGES TO OFFICERS: THE PRIOR OFFICER STRUCTURE (INCLUDING CHAIRMAN, VICE CHAIRMAN, PRESIDENT/CEO, ADMINISTRATOR, AND OTHER OFFICERS) WAS SIMPLIFIED. UNDER THE AMENDED BYLAWS, THE SOLE DIRECTOR SERVES SIMULTANEOUSLY AS PRESIDENT, SECRETARY, AND TREASURER, AND OFFICER ROLES, DUTIES, AND SUCCESSION PROVISIONS WERE REVISED ACCORDINGLY. CHANGES TO COMMITTEES: THE PRIOR STANDING COMMITTEE STRUCTURE (INCLUDING EXECUTIVE, FINANCE, AUDIT, QUALITY, AND MISSION COMMITTEES) WAS ELIMINATED AND REPLACED WITH A MORE LIMITED FRAMEWORK PERMITTING THE BOARD (I.E., THE SOLE DIRECTOR) TO ESTABLISH COMMITTEES AS NEEDED, REFLECTING THE ORGANIZATION'S STREAMLINED OPERATIONS. CHANGES TO MEMBER AND GOVERNANCE PROVISIONS: WHILE MEMBERS CONTINUE TO BE DESIGNATED BY THE SISTERS OF MERCY, GOVERNANCE PROVISIONS WERE CONFORMED TO THE REVISED STRUCTURE UNDER THE LIQUIDATION PLAN, INCLUDING THE ROLE OF MEMBERS IN RATIFYING THE APPOINTMENT OF THE DIRECTOR. CHANGES TO FISCAL AND OPERATIONAL PROVISIONS: CERTAIN OPERATIONAL PROVISIONS WERE UPDATED TO REFLECT THE ORGANIZATION'S CURRENT STATUS, INCLUDING A CHANGE IN THE FISCAL YEAR (FROM JULY 1-JUNE 30 TO A CALENDAR YEAR) AND REMOVAL OF PROVISIONS RELATED TO HOSPITAL ADMINISTRATION, MEDICAL STAFF, AND HEALTHCARE OPERATIONS. CHANGES TO AMENDMENT PROVISIONS: THE BYLAWS AMENDMENT PROVISIONS WERE REVISED, INCLUDING UPDATES TO NOTICE REQUIREMENTS AND PROCEDURES FOR APPROVAL BY THE DIRECTOR AND MEMBERS. THESE CHANGES COLLECTIVELY REFLECT A FUNDAMENTAL RESTRUCTURING OF THE ORGANIZATION'S GOVERNANCE, MANAGEMENT, AND PURPOSE IN CONNECTION WITH ITS TRANSITION FROM OPERATING A HEALTHCARE FACILITY TO ADMINISTERING AND IMPLEMENTING A PLAN OF LIQUIDATION AS A SUPPORTING ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 MHIC'S SOLE MEMBER IS THE SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY, INC. FORM 990, PART VI, SECTION A, LINE 7B MHIC'S SOLE MEMBER, SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY, INC., MAINTAINS A NUMBER OF "RESERVED POWERS" INCLUDING BUT NOT LIMITED TO APPROVAL OF AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS AND APPROVAL OF BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY MERCY HOSPITAL LIQUIDATION TRUST'S FINANCIAL ADVISOR AND AN OUTSIDE INDEPENDENT ACCOUNTING AND TAX FIRM PRIOR TO SUBMISSION TO THE IRS. THE FORM 990 WAS NOT REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE SUBMISSION, AS THE ORGANIZATION IS NO LONGER OPERATING AND HAS EMERGED FROM BANKRUPTCY. FORM 990, PART VI, SECTION B, LINE 12C A CONFLICT OF INTEREST CHECK IS PERFORMED BY THE SOLE BOARD MEMBER AND ALL PROFESSIONALS UTILIZED BY MHIC ON A REGULAR BASIS. FORM 990, PART VI, SECTION B, LINE 15 THERE ARE NO LONGER ANY EMPLOYEES OF MHIC FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER OF CASH TO MERCY HOSPITAL LIQUIDATION TRUST -8,528,576. CHANGE IN UNRECOGNIZED PENSION -4,204,045. SISTERS OF MERCY OF THE AMERICAS WEST MIDWEST COMMUNITY INC 7262 MERCY ROAD OMAHA NE 68124 262400800 RELIGIOUS ORDER NE 501(C)(3) RELIGIOUS ORDER N/A 0 MERCY HOSPITAL IOWA CITY IOWA SELF INSURANCE PLAN AND TRUST 500 EAST MARKET STREET IOWA CITY IA 52245 426591803 SELF INSURANCE IA 501(C)(3) 12A, I MHIC 1 IOWA CITY AMBULATORY SURGICAL CENTER LLC 2963 NORTHGATE DRIVE IOWA CITY IA 52245 208503424 OUTPATIENT SURGERY IA N/A RELATED 0 1 0.37500 MERCY SERVICES IOWA CITY INC 500 EAST MARKET STREET IOWA CITY IA 52245 421241044 HEALTH CARE IA N/A C 78915 25865 1.00000 1 MERCY HOSPITAL LIQUIDATION TRUST (MHLT) 235 6TH ST SE CEDAR RAPIDS CA 52401 996633146 DISSOLUTION IA N/A T 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0