2026-05-11T13:38:13-05:00 2025-06-30 990 2024-07-01 420680448 CATHOLIC HEALTH INITIATIVES - IOWA CORP CATH 5152473121 1111 6TH AVENUE DES MOINES IA 50314 TERRI DONOVAN INTERIM VP FINANCE AND CFO 5152473121 2026-05-11 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O FOR LIST VANESSA FREITAG 1111 6TH AVENUE DES MOINES IA 50314 1050218989 0 0928 X WWW.MERCYONE.ORG/DESMOINES X 1965 IA TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 13 7 7996 37 7981296 0 7399695 4400508 928156509 1003393346 -1625504 -1102503 43117525 41899165 977048225 1048590516 2809272 8217761 0 0 370521033 358770164 0 0 0 627887460 678807677 1001217765 1045795602 -24169540 2794914 1094807010 1415294292 1072280340 1384464008 22526670 30830284 X WE, CATHOLIC HEALTH INITIATIVES - IOWA, CORP. AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. CATHOLIC HEALTH INITIATIVES - IOWA, CORP. IS A MEMBER OF TRINITY HEALTH. 0 0 971998473 8217761 1031770857 CATHOLIC HEALTH INITIATIVES - IOWA, CORP. (MERCYONE DES MOINES) IS THE LONGEST CONTINUALLY OPERATING HOSPITAL IN DES MOINES AND IOWA'S LARGEST MEDICAL CENTER, WITH 770 BEDS AVAILABLE. THE HOSPITAL IS ONE OF THE MIDWEST'S LARGEST REFERRAL CENTERS.MERCYONE DES MOINES HAS RECEIVED MANY ACCOLADES FOR QUALITY CARE AND EXCELLENCE, BOTH LOCALLY AND ON A NATIONAL LEVEL. TOGETHER WITH COMMUNITY PARTNERS, MERCYONE DES MOINES IS FOCUSING ITS EFFORTS TO IMPROVE THE HEALTH OF THOSE MOST IN NEED.PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES AND SPECIALTIES:WWW.MERCYONE.ORG/DESMOINES 971998473 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 1 1 0 1 397 0 1 7996 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 7 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X SUSAN MCLEAN 5153589200 1111 6TH AVENUE DES MOINES IA 50314 ROBERT RITZ DIRECTOR; CEO MERCY HEALTH NETWORK 1.00 54.00 X 0 2416873 54140 MICHAEL WEGNER FORMER OFFICER 0.00 0.00 X 0 1198272 455195 HIJINIO CARREON DO FORMER KEY EMPLOYEE; CCO, MERCYONE 0.00 50.00 X 0 1091878 90746 ATUL CHAWLA MD CARDIOLOGIST 50.00 0.00 X 923283 0 47437 MARK TANNENBAUM MD CARDIOLOGIST 50.00 0.00 X 895879 0 52204 MARNIX VERHOFSTE MD CARDIOTHORACIC SURGEON 50.00 0.00 X 882212 0 43439 YUICHI ISHIDA MD CARDIOTHORACIC SURGEON 50.00 0.00 X 896658 0 26883 MUDASSIR MALIK MD CARDIOLOGIST 50.00 0.00 X 833076 0 54004 MICHAEL FRAIZER MD DIRECTOR; CARDIOLOGIST 49.00 1.00 X 698220 0 52640 NEIL HORNING MD DIR; SEC;PULMONOLOGIST CRITICAL CARE 1.00 49.00 X X 619064 0 47246 VANESSA FREITAG DIRECTOR; CHIEF OPERATING OFFICER 47.00 3.00 X X 0 526825 99579 ERIN NETTELAND-SANDVIG DO DIRECTOR; PHYSICIAN FAMILY MEDICINE 1.00 49.00 X 552875 0 50085 JODIE ROETTGER FORMER OFFICER 0.00 0.00 X 0 428790 30461 DENNIS SZURKUS MD CHIEF MEDICAL OFFICER 50.00 0.00 X 0 383556 31770 STEPHEN NOWAK DO DIRECTOR; PHYSICIAN FAMILY MEDICINE 1.00 19.00 X 62033 0 0 THERESA MCCONEGHEY DIRECTOR; CHAIR 1.00 1.00 X X 0 0 0 EMILY ABBAS DIRECTOR; VICE CHAIR 1.00 1.00 X X 0 0 0 BRIAN JOHNSON DIRECTOR; TREASURER 1.00 1.00 X X 0 0 0 PATRICIA MCDERMOTT DIRECTOR 1.00 1.00 X 0 0 0 TIMOTHY MILLER DIRECTOR 1.00 1.00 X 0 0 0 CHRISTOPHER NELSON PHD DIRECTOR 1.00 1.00 X 0 0 0 MAURITA SOUKUP RSM DIRECTOR 1.00 4.00 X 0 0 0 TERRI DONOVAN PD BY MGMT CO INTERIM VP FINANCE & CFO, MERCYONE 1.00 49.00 X 0 0 0 6363300 6046194 1135829 865 1 1 0 GRAHAM CONSTRUCTION CO INC 421 GRAND AVE DES MOINES IA 50309 CONSTRUCTION SERVICES 7141092 MEDICAL CTR ANESTHESIOLOGISTS 411 LAUREL ST STE 3170 DES MOINES IA 50314 HEALTH CARE SERVICES 6814368 CCS CAPTURIS LLC 3131 TECHNOLOGY DR NW MANDAN ND 58554 INFORMATION TECHNOLOGY SERVICES 6772349 IOWA ORTHO 450 LAUREL STE STE A DES MOINES IA 50314 HEALTH CARE SERVICES 4907085 PRIMARY HEALTH CARE INC 1200 UNIVERSITY AVE DES MOIINES IA 50314 HEALTH CARE SERVICES 3579634 76 2162462 758771 1479275 4400508 NET PATIENT SERVICE REVENUE 622110 930021803 930021803 PHARMACY REVENUE 456110 44506560 44506560 LABORATORY REVENUE 621500 28864983 20883687 7981296 1003393346 1969061 0 1969061 1969061 1969061 299397 1386003 15897 -1386003 283500 -1102503 -1102503 289292 226573 62719 62719 OTHER OPERATING REVENUE 622110 36358807 36358807 CAFETERIA REVENUE 722514 3508578 3508578 39867385 1048590516 1031770857 7981296 4437855 X 8217761 8217761 1736812 750860 985952 1656935 1656935 290291190 260582091 29709099 20225900 18039779 2186121 25940819 23143191 2797628 18918508 16840141 2078367 144433495 132447363 11986132 351252 312664 38588 14948642 13306400 1642242 19791655 17617365 2174290 29575336 26326222 3249114 876259 779994 96265 389709 346896 42813 15681157 15681157 24544281 21847873 2696408 4745602 4224255 521347 MEDICAL SUPPLIES EXP 220571654 220571654 I/C PURCHASED SERVICES 82320202 73276594 9043608 BAD DEBT EXPENSE 53478557 53478557 HOSPITAL PROVIDER TAX 40773200 40773200 26326676 23434456 2892220 1045795602 971998473 73797129 0 5000 5700 5503794 3572740 79408 723476 190146960 136198932 115486 1250 21333261 19687099 412316 1225855 341866037 58188719 274342578 283677318 11530699 12901251 4941728 5529108 11163891 11163891 575231889 940607672 1094807010 1415294292 81793569 53617326 18150 990486771 1330828532 1072280340 1384464008 X 22526670 30830284 22526670 30830284 1094807010 1415294292 X 2794914 -3349258 8857958 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 33708 0 0 0 33708 0 PART II-B, LINE 1: CATHOLIC HEALTH INITIATIVES - IOWA (MERCYONE DES MOINES) 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 MERCYONE DES MOINES WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 33150858 33150858 171704561 21067101 150637460 8182289 4316881 3865408 113414354 32804737 80609617 15413975 15413975 283677318 INTERCOMPANY RECEIVABLES 805679425 INVESTMENT IN UNCONSOLIDATED AFFILIATES 58859692 OPERATING LEASE RIGHT-OF-USE ASSETS 14926098 MISCELLANEOUS RECEIVABLES 10112408 INTERCOMPANY OTHER ASSETS 51030049 940607672 INTERCOMPANY ACCOUNTS PAYABLE 745993044 INTERCOMPANY NOTES PAYABLE 419806524 OPERATING LEASE LIABILITIES 23834541 OTHER CURRENT LIABILITIES 28938517 ASSET RETIREMENT OBLIGATION 636155 OVERDRAFT IN POOLED INVESTMENT 111619751 1330828532 PART V, LINE 4: ENDOWMENTS HELD BY MERCY FOUNDATION OF DES MOINES, IA (MERCY FOUNDATION) FOR THE BENEFIT OF MERCYONE DES MOINES ARE REPORTED ON THE FORM 990 OF MERCY FOUNDATION. MERCY FOUNDATION USES THE ENDOWMENT FUNDS AS DIRECTED BY THE ENDOWMENT DOCUMENTS. THE ENDOWMENTS FUND EQUIPMENT PURCHASES FOR TAX-EXEMPT HEALTH CARE NEEDS AND FUND HOSPITAL TAX-EXEMPT OPERATIONS. 1 1 X 1 X 1 X 1 1 0 1 1 2740544 2740544 0.00280 150285067 219410210 0 0.00000 153025611 219410210 2740544 0.00280 27 7300 2213049 189524 2023525 0.00200 9 266 21391385 10478241 10913144 0.01100 4 23908495 21503442 2405053 0.00240 2 12082 12082 0.00000 18 1474 8382383 8382383 0.00840 60 9040 55907394 32171207 23736187 0.02380 60 9040 208933005 251581417 26476731 0.02660 2 132607 132607 0.00010 3 7457 7457 0.00000 1 434 434 0.00000 5 23096 23096 0.00000 1 495 495 0.00000 4 1659 51432 51432 0.00010 16 1659 215521 215521 0.00020 1 53478557 0 159068426 200511060 -41442634 X 1 1 1 MERCY TERRACE HILL SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.50000 0.50000 2 RCG MERCY DES MOINES LLC OUTPATIENT DIALYSIS CENTERS 0.20000 0.80000 3 WEST LAKES SURGERY CENTER LLC AMBULATORY SURGERY CENTER 0.60510 0.39490 3 1 MERCYONE DES MOINES MEDICAL CENTER 1111 6TH AVENUE DES MOINES IA 50314 WWW.MERCYONE.ORG/DESMOINES 770158H X X X X A 2 MERCY REHABILITATION HOSPITAL LLC 1401 CAMPUS DR CLIVE IA 50325 WWW.MERCYREHABDESMOINES.COM 770123H X REHABILITATION SERVICES A 3 CLIVE BEHAVIORAL HEALTH HOSPITAL 1450 NW 114TH ST CLIVE IA 50325 WWW.CLIVEBEHAVIORAL.COM 770124H X BEHAVIORAL HEALTH SERVICES A FACILITY REPORTING GROUP - A 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE SCHEDULE H, PART V, SECTION C X SEE SCHEDULE H, PART V, SECTION C X 1 24 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: MERCYONE DES MOINES MEDICAL CENTER, - FACILITY 2: MERCY REHABILITATION HOSPITAL, LLC, - FACILITY 3: CLIVE BEHAVIORAL HEALTH HOSPITAL GROUP A-FACILITY 1 -- MERCYONE DES MOINES MEDICAL CENTER PART V, SECTION B, LINE 3J: N/ALINE 3E:CATHOLIC HEALTH INITIATIVES - IOWA (MERCYONE DES MOINES), MERCY REHABILITATION HOSPITAL (MERCYONE CLIVE REHAB), AND CLIVE BEHAVIORAL HEALTH INCLUDED IN THEIR 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 CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH A COMMUNITY-INVOLVED SELECTION PROCESS: 1. MENTAL HEALTH2. SOCIAL DETERMINANTS OF HEALTH (ESPECIALLY HOUSING)3. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT4. SUBSTANCE USE5. DIABETES6. HEART DISEASE7. ACCESS TO HEALTH CARE SERVICES8. CANCER9. DISABLING CONDITIONS10. INJURY AND VIOLENCE11. SEXUAL HEALTH GROUP A-FACILITY 1 -- MERCYONE DES MOINES MEDICAL CENTER PART V, SECTION B, LINE 5: INPUT WAS COLLECTED FROM MARCH TO MAY 2024 FROM PERSONS WHO REPRESENT THE COMMUNITY THROUGH SURVEYS CONDUCTED VIA TELEPHONE (LANDLINE AND CELL PHONE), AS WELL AS THROUGH ONLINE QUESTIONNAIRES. IN TOTAL, 3,065 AREA ADULTS COMPLETED THE COMMUNITY HEALTH SURVEY. TO SOLICIT INPUT FROM INDIVIDUALS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THIS PROCESS. IN TOTAL, 111 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, INCLUDING FOUR PHYSICIANS, FOUR PUBLIC HEALTH REPRESENTATIVES (DALLAS COUNTY HEALTH DEPARTMENT, POLK COUNTY HEALTH DEPARTMENT, AND WARREN COUNTY PUBLIC HEALTH), 16 SOCIAL SERVICES PROVIDERS, 62 COMMUNITY LEADERS, AND 25 OTHER HEALTH CARE PROVIDERS. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. A COMPLETE LIST OF PARTICIPANTS IS AVAILABLE ON PAGE 15 OF THE CHNA. GROUP A-FACILITY 1 -- MERCYONE DES MOINES MEDICAL CENTER PART V, SECTION B, LINE 6A: MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, CLIVE BEHAVIORAL HEALTH, BROADLAWNS MEDICAL CENTER, DALLAS COUNTY HOSPITAL AND UNITYPOINT HEALTH-DES MOINES COLLABORATED ON A JOINT CHNA. GROUP A-FACILITY 1 -- MERCYONE DES MOINES MEDICAL CENTER PART V, SECTION B, LINE 6B: THE ASSESSMENT WAS CONDUCTED WITH POLK COUNTY HEALTH DEPARTMENT, DALLAS COUNTY HEALTH DEPARTMENT, EVERYSTEP, GREATER DES MOINES PARTNERSHIP, PRIMARY HEALTH CARE, INC., WARREN COUNTY HEALTH SERVICES, UNITED WAY OF CENTRAL IOWA, AND MID IOWA HEALTH FOUNDATION. GROUP A-FACILITY 1 -- MERCYONE DES MOINES MEDICAL CENTER PART V, SECTION B, LINE 11: MERCYONE DES MOINES ADDRESSED THE FOLLOWING SIGNIFICANT NEEDS IN FY25: MENTAL HEALTH:- CONTINUED TO OPERATE A PSYCHIATRY RESIDENCY PROGRAM AND A PSYCHIATRY RESIDENCY CLINIC, PROVIDING MEDICATION EVALUATION AND MANAGEMENT SERVICES;- PARTNERED WITH MERCYONE MEDICAL GROUP TO RECRUIT PSYCHIATRIC PROVIDERS AND OUTPATIENT THERAPISTS; - MERCYONE HOUSE OF MERCY PROVIDED THERAPY SERVICES, PSYCHIATRIC SERVICES, MEDICATION MANAGEMENT, AND BEHAVIORAL HEALTH INTERVENTION SERVICES, AND MERCYONE DES MOINES REFERRED PATIENTS TO THESE SERVICES AS APPROPRIATE; AND- FINANCIALLY CONTRIBUTED TO MERCYONE HOUSE OF MERCY TO ASSIST IN PROVIDING QUALITY SUBSTANCE USE DISORDER TREATMENT AND MENTAL HEALTH PROGRAMS TO INDIVIDUALS AND FAMILIES IN NEED OF THESE SERVICES.SOCIAL DETERMINANTS OF HEALTH (ESPECIALLY HOUSING):- CONTINUED TO HAVE A COMMUNITY HEALTH WORKER (CHW) EMBEDDED IN THE DES MOINES AND WEST DES MOINES EMERGENCY DEPARTMENTS TO ASSIST PATIENTS IN NAVIGATING COMMUNITY RESOURCES AND PUBLIC ASSISTANCE PROGRAMS;- CONTINUED TO PROVIDE CHW COVERAGE TO THE OBSTETRIC EMERGENCY DEPARTMENT TO ASSIST PATIENTS IN NAVIGATING COMMUNITY RESOURCES, APPLYING FOR PUBLIC ASSISTANCE PROGRAMS, AND IDENTIFYING A MEDICAL HOME THAT MEETS THEIR PRENATAL CARE NEEDS AND PREFERENCES;- SCREENED PATIENTS FOR SOCIAL NEEDS AT MERCYONE DES MOINES MEDICAL CENTER, MERCYONE WEST DES MOINES MEDICAL CENTER, AND MERCYONE PRIMARY CARE LOCATIONS;- UPON DISCHARGE OF PATIENTS, PROVIDED CAB VOUCHERS TO THOSE WHO COULD NOT AFFORD TRANSPORTATION;- ORGANIZED AN EMPLOYEE FOOD DRIVE, RESULTING IN 390 POUNDS OF FOOD BEING DONATED TO A LOCAL FOOD PANTRY;- FINANCIALLY CONTRIBUTED TO CATHOLIC CHARITIES TO ASSIST IN PROVIDING DIRECT ASSISTANCE TO FAMILIES EXPERIENCING HOMELESSNESS; AND- FINANCIALLY CONTRIBUTED TO CENTRAL IOWA SHELTER & SERVICES AND HOPE MINISTRIES TO ASSIST IN PROVIDING SHELTER AND SUPPORT TO MEN AND WOMEN EXPERIENCING HOMELESSNESS.ACCESS TO HEALTH CARE SERVICES:- AWARDED A GRANT TO PRIMARY HEALTH CARE, A FEDERALLY QUALIFIED HEALTH CENTER, TO FUND THE OTHERWISE UNCOMPENSATED COST OF CARE PROVIDED AT THE FAMILY MEDICINE RESIDENCY CENTER;- CONTINUED TO OPERATE A COMMUNITY PARAMEDICINE PROGRAM, SERVING AS AN EXTENSION OF PRIMARY CARE, FREE OF CHARGE, IN THE PATIENT'S HOME;- PROVIDED ENROLLMENT ASSISTANCE IN GOVERNMENTAL INSURANCE PLANS; - UPON DISCHARGE OF PATIENTS, PROVIDED PRESCRIPTION ASSISTANCE TO PATIENTS UNABLE TO PAY FOR NEEDED MEDICATION; - CONTINUED TO OFFER A MEDICATION ASSISTANCE PROGRAM AT THE IOWA HEART CENTER TO ASSIST THOSE UNABLE TO AFFORD THE COST OF THEIR MEDICATION;- MERCYONE INPATIENT PHARMACIES DISPENSED MEDICATIONS WITH SAFENET RX, A NON-PROFIT ORGANIZATION THAT COLLECTS DONATED, UNUSED MEDICATIONS TO DISTRIBUTE FREE OF CHARGE;- HOSTED A FREE MAMMOGRAM EVENT TO PROVIDE UNINSURED OR UNDER-INSURED ELIGIBLE PATIENTS WITH A SCREENING MAMMOGRAM; - LAUNCHED THE MERCYONE AIR MED MATERNAL TRANSPORT TEAM, WHICH PROVIDES SPECIALIZED EMERGENCY CARE 24/7 THROUGHOUT IOWA FOR MOTHERS WHO ARE EXPERIENCING DIFFICULT LABOR CONDITIONS;- IMPLEMENTED THE MERCYONE MEDICAL GROUP DISCHARGE NAVIGATOR PROGRAM, WHICH FOCUSES ON CONNECTING PATIENTS TO FOLLOW-UP CARE AND TESTING AFTER DISCHARGE; AND- MAINTAINED MATERNITY CARE, NEONATAL INTENSIVE CARE, AND PEDIATRIC SERVICES, DESPITE OPERATING AT A LOSS.MERCYONE DES MOINES DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THIS REASON, MERCYONE DES MOINES DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS IN FY25: NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT; SUBSTANCE USE; DIABETES; HEART DISEASE; CANCER; DISABLING CONDITIONS; INJURY AND VIOLENCE; AND SEXUAL HEALTH. HOWEVER, MERCY DES MOINES CONTINUED TO COLLABORATE WITH OTHER AGENCIES TO ADDRESS THESE NEEDS. GROUP A-FACILITY 1 -- MERCYONE DES MOINES 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. GROUP A-FACILITY 2 -- MERCY REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 3J: LINE 3E: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 2 -- MERCY REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 5: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 2 -- MERCY REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 6A: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 2 -- MERCY REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 6B: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 2 -- MERCY REHABILITATION HOSPITAL, LLC PART V, SECTION B, LINE 11: MERCYONE CLIVE REHAB ADDRESSED ACCESS TO HEALTH CARE SERVICES IN FY25 BY EDUCATING PATIENTS AND FACILITIES ON THE SKILLED NURSING FACILITY BRIDGE PROGRAM AND THE PROSTHETIC TRAINING PROGRAM AND IDENTIFIED PARTNER FACILITIES TO INCREASE ACCESS TO THESE PROGRAMS. MERCYONE CLIVE REHAB DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THIS REASON, MERCYONE CLIVE REHAB DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS: MENTAL HEALTH; SOCIAL DETERMINANTS OF HEALTH (ESPECIALLY HOUSING); NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT; SUBSTANCE USE; DIABETES; HEART DISEASE; CANCER; DISABLING CONDITIONS; INJURY AND VIOLENCE; AND SEXUAL HEALTH. GROUP A-FACILITY 3 -- CLIVE BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 3J: LINE 3E: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 3 -- CLIVE BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 5: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 3 -- CLIVE BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 6A: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 3 -- CLIVE BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 6B: SEE FACILITY 1 EXPLANATION. GROUP A-FACILITY 3 -- CLIVE BEHAVIORAL HEALTH HOSPITAL PART V, SECTION B, LINE 11: CLIVE BEHAVIORAL HEALTH ADDRESSED MENTAL HEALTH IN FY25 BY CONTINUING TO INCREASE CAPACITY FOR THEIR INPATIENT AND OUTPATIENT PROGRAMS. CLIVE BEHAVIORAL HEALTH FOCUSED ON INCREASING THEIR WORKFORCE IN ORDER TO OPEN ADDITIONAL INPATIENT BEDS TO INCREASE ACCESS. IN FY25, CLIVE BEHAVIORAL HEALTH OPENED 12 BEDS DESIGNED TO SERVE DUAL-DIAGNOSIS INPATIENTS. OUTPATIENT GROUP PROGRAMMING INCLUDED THE ADDITION OF AN EVENING INTENSIVE OUTPATIENT PROGRAM (IOP) TO PROVIDE A CONVENIENT OPTION FOR THOSE WHOSE SCHEDULES WON'T ACCOMMODATE A DAYTIME PROGRAM. ONLINE APPOINTMENT SCHEDULING FOR OUTPATIENT SERVICES WAS ADDED AS AN OPTION FOR INDIVIDUALS SEEKING NON-EMERGENCY CARE. CLIVE BEHAVIORAL HEALTH PARTNERED WITH UNITYPOINT LUTHERAN HOSPITAL'S EMERGENCY DEPARTMENT AS AN INPATIENT OPTION FOR THEIR ER PATIENTS WHEN THEY DON'T HAVE BED AVAILABILITY.CLIVE BEHAVIORAL HEALTH DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH ARE THE MOST PRESSING, UNDER-ADDRESSED AND WITHIN ITS ABILITY TO INFLUENCE. FOR THIS REASON, CLIVE BEHAVIORAL HEALTH DID NOT DIRECTLY ADDRESS THE FOLLOWING NEEDS: SOCIAL DETERMINANTS OF HEALTH (ESPECIALLY HOUSING); NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT; SUBSTANCE USE; ACCESS TO HEALTH CARE SERVICES; DIABETES; HEART DISEASE; CANCER; DISABLING CONDITIONS; INJURY AND VIOLENCE; AND SEXUAL HEALTH. PART V, SECTION B, LINE 7A: COMMUNITY HEALTH NEEDS ASSESSMENT: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING PART V, SECTION B, LINE 7B: CLIVE BEHAVIORAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT:WWW.CLIVEBEHAVIORAL.COM/ABOUT-US/ PART V, SECTION B, LINE 10A: IMPLEMENTATION STRATEGY: WWW.MERCYONE.ORG/ABOUT-US/COMMUNITY-HEALTH-AND-WELL-BEING 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 18 1 - MERCY OUTPATIENT CARDIAC TESTING 5880 UNIVERSITY SUITE 211 WEST DES MOINES IA 50266 AMBULATORY HEALTH CARE 2 - MERCY AMBULATORY SURGERY CENTER 411 LAUREL STREET DES MOINES IA 50314 AMBULATORY HEALTH CARE 3 - MERCY FRANKLIN CENTER 1818 48TH STREET DES MOINES IA 50314 BEHAVIORAL HEALTH 4 - RCG MERCY DES MOINES LLC 920 WINTER STREET WALTHAM MA 02451 OUTPATIENT DIALYSIS CENTERS 5 - RIVER HILLS SURGERY CENTER 1111 6TH AVENUE DES MOINES IA 50314 SURGERY CENTER 6 - CENTRAL IOWA CYBERKNIFE 411 LAUREL STREET DES MOINES IA 50314 PHYSICIAN OFFICE 7 - MERCY WEIGHT LOSS & NUTRITION CENTER 12493 UNIVERSITY AVENUE SUITE 110 WEST DES MOINES IA 50235 AMBULATORY HEALTH CARE 8 - MERCY WEST ENDOSCOPY 1601 NW 114TH STREET SUITE 244 CLIVE IA 50325 AMBULATORY HEALTH CARE 9 - MERCY OUTPATIENT CARDIAC TESTING 411 LAUREL STREET DES MOINES IA 50314 AMBULATORY HEALTH CARE 10 - MERCY WEST RADIOLOGY 1601 NW 114TH STREET SUITE 149 CLIVE IA 50325 MEDICAL IMAGING 11 - MERCY CANCER CENTER 411 LAUREL STREET DES MOINES IA 50314 PHYSICIAN SERVICES 12 - WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVENUE SUITE 100 CLIVE IA 50325 SURGERY CENTER 13 - RADIOLOGY CENTER 12495 UNIVERSITY AVENUE CLIVE IA 50325 MEDICAL IMAGING 14 - MERCY SLEEP CENTER 1449 NW 128TH STREET SUITE 100 CLIVE IA 50325 AMBULATORY HEALTH CARE 15 - MERCY RIVERSIDE REHABILITATION CENTER 730 EAST 2ND STREET DES MOINES IA 50309 REHABILITATION CENTER 16 - MERCY CARDIAC & PULMONARY REHABILITATION 411 LAUREL STREET DES MOINES IA 50314 AMBULATORY HEALTH CARE 17 - MERCY ATRIUM IMAGING 411 LAUREL STREET DES MOINES IA 50314 MEDICAL IMAGING 18 - MERCY FAMILY MEDICINE RESIDENCY CENTER 250 LAUREL STREET DES MOINES IA 50314 PHYSICIAN OFFICE 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: CATHOLIC HEALTH INITIATIVES - IOWA, CORP. (MERCYONE DES MOINES) 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.MERCYONE DES MOINES 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 HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $53,478,557, 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: ECONOMIC DEVELOPMENT: MERCYONE DES MOINES FINANCIALLY CONTRIBUTED TO THE GREATER DES MOINES PARTNERSHIP TO HELP SPUR ECONOMIC DEVELOPMENT AND ATTRACT, RETAIN, AND DEVELOP TALENT. EXAMPLES OF INITIATIVES INCLUDED: GLOBAL TALENT STUDY, WHICH DEVELOPED A PILOT PROGRAM AIMED AT PROMOTING A REGIONAL APPROACH TO IMMIGRATION ISSUES; TEACHING FOR THE WORKFORCE, A CONFERENCE FOR K-12 EDUCATORS TO PREPARE THEM TO HELP STUDENTS BE MORE FUTURE READY IN THE REGIONAL ECONOMY; THE LEGACY PROJECT: CAREER READY COLLECTIVE, A CAREER DEVELOPMENT PROGRAM TO PREPARE YOUTH FOR THE FUTURE OF WORK; DSM FELLOWSHIP PROGRAM, A PROFESSIONAL DEVELOPMENT INITIATIVE FOR EMERGING LOCAL LEADERS; AND THE DSM WORKFORCE COLLABORATIVE, A GROUP FOCUSED ON ADVANCING REGIONAL WORKFORCE NEEDS. MERCYONE DES MOINES FINANCIALLY CONTRIBUTED TO 6TH AVENUE CORRIDOR TO SUPPORT THEIR EQUITABLE ENTREPRENEURIAL ECOSYSTEM (E3) PROGRAM, WHICH UPLIFTS ENTREPRENEURSHIP AND SUPPORTS SMALL BUSINESSES IN THE 6TH AVENUE CORRIDOR, FOSTERING A THRIVING ECONOMIC ECOSYSTEM AND ENSURING THE WELL-BEING OF COMMUNITY MEMBERS. MERCYONE LEADERSHIP ALSO SERVED ON THE 6TH AVENUE CORRIDOR BOARD AS WELL AS OTHER BOARDS AND COMMITTEES FOCUSED ON ECONOMIC AND COMMUNITY DEVELOPMENT INITIATIVES.COMMUNITY SUPPORT: MERCYONE LEADERS SERVED ON LOCAL BOARDS AND PROVIDED MENTORSHIP TO STUDENTS. THE MERCYONE FLIGHT TEAM PARTNERED WITH RURAL HOSPITALS, EMS, AND BUSINESSES TO PROVIDE EMERGENCY PREPAREDNESS TRAINING.LEADERSHIP DEVELOPMENT: MERCYONE HEALTH & FITNESS CENTER DONATED SPACE TO JACK AND JILL OF AMERICA DES MOINES, A LEADERSHIP ORGANIZATION FOCUSED ON PROMOTING PUBLIC AWARENESS AND INTERESTS OF CHILDREN INCLUDING CHILD DEVELOPMENT, CHILD GROWTH, CHILD QUALITY OF LIFE, CHILDCARE, AND THE PROMOTION OF CHILDREN'S RIGHTS.COALITION BUILDING: MERCYONE DES MOINES' LEADERS ACTIVELY PARTICIPATED IN LOCAL COMMUNITY BOARDS AND COMMUNITY COLLABORATIONS, INCLUDING NAACP, ONE ECONOMY, AND RACI. THESE ORGANIZATIONS PROVIDE NEEDED SERVICES TO THE COMMUNITY AND LEADERS PROVIDED HEALTH CARE AND LEADERSHIP PERSPECTIVES TO HELP FURTHER THEIR MISSIONS AND ENHANCE COMMUNITY COLLABORATION. COMMUNITY HEALTH IMPROVEMENT: MERCYONE LEADERS PARTICIPATED IN COMMUNITY COALITIONS AND BOARDS FOCUSED ON ADDRESSING HEALTH AND SAFETY ISSUES. MERCYONE LEADERS PARTICIPATED IN ADVOCACY EFFORTS BY ATTENDING COMMUNITY MEETINGS FOCUSED ON ENHANCING ADVOCACY STRATEGIES FOR VARIOUS HEALTH AND SOCIAL NEEDS.WORKFORCE DEVELOPMENT: TO ADDRESS WORKFORCE SHORTAGES IN THE HEALTH CARE FIELD, MERCYONE DES MOINES CONDUCTED AWARENESS AND EXPLORATION ACTIVITIES PROVIDING EXPOSURE TO A VARIETY OF HEALTH CARE CAREERS. EVENTS INCLUDED SPEAKING TO HIGH SCHOOL AND COLLEGE STUDENTS ABOUT CAREERS IN HEALTH CARE AND CAREER FAIRS SHOWCASING DIFFERENT HEALTH CARE OPPORTUNITIES TO STUDENTS AND THE COMMUNITY. STAFF ALSO PARTICIPATED IN MOCK INTERVIEWS, PROVIDING THEIR EXPERTISE TO STUDENTS TO PREPARE THEM FOR THE WORKFORCE. MERCYONE DES MOINES ALSO PROVIDED STUDENTS WITH OPPORTUNITIES TO SHADOW CLINICIANS TO GAIN EXPOSURE TO THE HEALTH CARE FIELD. MERCYONE LEADERS SPENT TIME ON WORKFORCE DEVELOPMENT INITIATIVES SUCH AS COLLEGE BOARD PARTICIPATION AND HEALTH CARE CAREER EXPLORATION AND AWARENESS EVENTS. MERCYONE DES MOINES WAS A PARTNER IN PROJECT SEARCH, A PROGRAM THAT EMPOWERS YOUNG ADULTS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES TO ACHIEVE COMPETITIVE EMPLOYMENT. THROUGH THIS PARTNERSHIP, THE HOSPITAL PROVIDED UNPAID INTERNSHIPS FOR STUDENTS TO GAIN EMPLOYMENT SKILLS. THE HOSPITAL ALSO PROVIDED SPACE FOR THE PROGRAM TO OPERATE AS WELL AS STAFF TO COORDINATE PLACEMENT AND SUPERVISE STUDENTS. 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: MERCYONE DES MOINES 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, MERCYONE DES MOINES IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCYONE DES MOINES IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: MERCYONE DES MOINES 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 -MERCYONE DES MOINES MEDICAL CENTER, MERCYONE CLIVE REHABILITATION HOSPITAL, AND CLIVE BEHAVIORAL HEALTH HOSPITAL ASSESS THE HEALTH STATUS OF THEIR COMMUNITY, IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITALS 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. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCYONE DES MOINES COMMUNICATES 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.MERCYONE DES MOINES OFFERS 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 HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION -THE PRIMARY SERVICE AREA FOR MERCYONE DES MOINES, MERCYONE CLIVE REHAB, AND CLIVE BEHAVIORAL HEALTH INCLUDES POLK, WARREN, AND DALLAS COUNTIES IN IOWA. POLK, WARREN, AND DALLAS COUNTIES TOGETHER ENCOMPASS 1,730 SQUARE MILES AND HOUSE A TOTAL POPULATION OF 644,482 RESIDENTS, ACCORDING TO LATEST CENSUS ESTIMATES. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES IN THE SERVICE AREA, 25.1% OF THE POPULATION ARE CHILDREN AGE 0-17, 60.8% ARE AGE 18 TO 64, AND 14.1% ARE AGE 65 AND OLDER. IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 78.5% OF RESIDENTS ARE WHITE AND 6.0% ARE BLACK. A TOTAL OF 8.7% OF RESIDENTS ARE HISPANIC OR LATINO. ADULTS AGED 18 TO 64 REPORT THE FOLLOWING INSURANCE STATUS: 66.8% HAVE HEALTH CARE COVERAGE THROUGH PRIVATE INSURANCE, 27.9% HAVE COVERAGE THROUGH A GOVERNMENT-SPONSORED PROGRAM (E.G., MEDICAID, MEDICARE, MILITARY BENEFITS) AND 5.3% REPORT HAVING NO INSURANCE COVERAGE FOR HEALTH CARE EXPENSE (2024 PRC COMMUNITY HEALTH SURVEY, PRC, INC). THE LATEST CENSUS ESTIMATE SHOWS 9.3% OF THE SERVICE AREA POPULATION LIVE BELOW THE FEDERAL POVERTY LEVEL. AMONG THE SERVICE AREA POPULATION AGE 25 AND OLDER, AN ESTIMATED 6.5% DO NOT HAVE A HIGH SCHOOL EDUCATION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH -MERCYONE DES MOINES OPERATES TWO MEDICAL CENTERS IN DES MOINES AND WEST DES MOINES AND TWO SPECIALTY HOSPITALS - MERCYONE CHILDREN'S HOSPITAL IN DES MOINES AND MERCYONE REHABILITATION HOSPITAL IN CLIVE. MERCYONE MEDICAL GROUP IOWA OPERATES ONE OF IOWA'S LARGEST MULTISPECIALTY CLINIC SYSTEMS, WITH MORE THAN 50 PRIMARY CARE, PEDIATRIC, INTERNAL MEDICINE AND SPECIALTY CLINICS LOCATED THROUGHOUT DALLAS, JASPER, POLK, WAPELLO, WARREN AND WEBSTER COUNTIES. MERCYONE CENTRAL IOWA OPERATES SEVERAL ADDITIONAL MINISTRIES INCLUDING MERCYONE HOUSE OF MERCY, MERCY COLLEGE OF HEALTH SCIENCES, MERCYONE DES MOINES FOUNDATION, MERCYONE HEALTH & FITNESS CENTER AND MERCYONE POPULATION HEALTH SERVICE ORGANIZATION. ADDITIONALLY, MERCYONE DES MOINES PARTNERED WITH CLIVE BEHAVIORAL HEALTH TO PROVIDE INPATIENT CARE FOR PEOPLE WITH BEHAVIORAL HEALTH DISORDERS OR CO-OCCURRING DISORDERS. THE ORGANIZATION'S HOSPITAL FACILITIES HAVE AN OPEN MEDICAL STAFF. THE BOARD OF DIRECTORS REPRESENT DIVERSE PROFESSIONAL EXPERTISE AND LIFE EXPERIENCE IN THE COMMUNITY. ALL PATIENTS PRESENTING AT THE HOSPITAL FOR EMERGENCY AND OTHER MEDICALLY NECESSARY CARE ARE TREATED REGARDLESS OF THEIR ABILITY TO PAY FOR SUCH TREATMENT.MERCYONE DES MOINES COLLABORATES WITH HEALTH EDUCATION PROGRAMS IN THE AREA INCLUDING MERCY COLLEGE, INDIAN HILLS COMMUNITY COLLEGE, SOUTHWESTERN COMMUNITY COLLEGE, WESTERN GOVERNORS UNIVERSITY, WILLIAM PENN UNIVERSITY, DES MOINES UNIVERSITY, DRAKE UNIVERSITY, UNIVERSITY OF IOWA, SIMPSON COLLEGE, IOWA STATE UNIVERSITY, AND DES MOINES AREA COMMUNITY COLLEGE. MERCYONE DES MOINES OFFERS RESIDENCY PROGRAMS IN FAMILY MEDICINE, INTERNAL MEDICINE, GENERAL SURGERY, PHARMACY, AND PSYCHIATRY, AS WELL AS A CARDIOLOGY FELLOWSHIP. MERCYONE DES MOINES OPERATES AN INSTITUTIONAL REVIEW BOARD THAT REVIEWS THE VARIOUS RESEARCH STUDIES CONDUCTED AT MERCYONE FACILITIES. MERCYONE DES MOINES OFFERS A MEDICAL ASSISTANT TRAINING PROGRAM, WHICH TRAINS AND PREPARES FULL-TIME EMPLOYEES TO TRANSITION TO A MEDICAL ASSISTANT ROLE.MERCYONE DES MOINES SUPPORTS THE COMMUNITY BY HAVING LEADERS ACTIVELY PARTICIPATE IN LOCAL COMMUNITY BOARDS AND COALITIONS AND PARTICIPATES IN REGULAR BLOOD DRIVES THROUGHOUT THE YEAR. MERCYONE DES MOINES CONTINUES TO PARTNER WITH POLK COUNTY'S SEXUAL ASSAULT RESPONSE TEAM PROGRAM TO PROVIDE QUALITY, COMPASSIONATE AND CONSISTENT CARE TO VICTIMS OF SEXUAL ASSAULT. THE HOSPITAL PROVIDES COMMUNITY EDUCATION COURSES SUCH AS STOP THE BLEED, WHICH PROVIDES TRAINING ON HOW TO STOP A LIFE-THREATENING HEMORRHAGE, AND IMPACT TEEN DRIVER EDUCATION. MERCYONE DES MOINES DISTRIBUTES BIKE HELMETS TO CHILDREN IN NEED AND INSTALLED A SAFE HAVEN BABY BOX, WHICH ALLOWS MOTHERS TO SAFELY AND ANONYMOUSLY SURRENDER THEIR NEWBORNS.MERCYONE FITNESS CENTER ALSO HOSTS MULTIPLE COMMUNITY EDUCATION EVENTS FOCUSED ON HEALTH PREVENTION BEHAVIORS AND NAVIGATING COMMUNITY RESOURCES. THE MERCYONE FITNESS CENTER REGULARLY DONATES SPACE FOR COMMUNITY ORGANIZATIONS TO UTILIZE FOR COMMUNITY EDUCATION AND COALITION MEETINGS AND PROVIDES DISCOUNTED MEMBERSHIPS BASED ON FINANCIAL NEED.MERCYONE DES MOINES PROVIDES EDUCATIONAL COURSES TO COMMUNITY EMS, PARAMEDICS, NURSES, AND PROVIDERS ON VARIOUS TOPICS, INCLUDING AIRWAY MANAGEMENT, ADVANCED TRAUMA LIFE SUPPORT, RURAL TRAUMA TEAM DEVELOPMENT, LANDING ZONE TRAINING, AND MULTI-CASUALTY INCIDENT DRILLS. MERCYONE DES MOINES PROVIDES BASIC FIRST AID SERVICES AND A STANDBY AMBULANCE AT VARIOUS COMMUNITY EVENTS. MERCYONE DES MOINES CREATED FREE MEDICAL CONTENT FOR MI SALUD TOTAL EN IOWA TO SUPPORT HEALTH EDUCATION IN THE LATINO COMMUNITY AND PARTICIPATED IN NATIONAL LATINO PHYSICIAN DAY TO BRING AWARENESS TO UNDERREPRESENTATION OF MINORITIES IN THE FIELD OF MEDICINE. MERCYONE CHILDREN'S HOSPITAL PROVIDES FAMILIES IN NEED WITH CAR SEATS WHEN THEY ARE UNABLE TO AFFORD THEM OR NEED SPECIALIZED SEATS DUE TO CERTAIN DIAGNOSES. 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. IN FY25, THE REGIONAL COMMUNITY IMPACT FOR MERCYONE TOTALED $357.3 MILLION. PART VI, LINE 6: MERCYONE DES MOINES 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. 1 PRIMARY HEALTH CARE INC 1200 UNIVERSITY AVENUE DES MOINES IA 50314 421350092 501(C)(3) 2093998 0 COMMUNITY SUPPORT PRINCIPAL CHARITY CLASSIC 655 9TH STREET DES MOINES IA 50393 812651226 501(C)(3) 250000 0 COMMUNITY SUPPORT GREATER DES MOINES PARTNERSHIP 700 LOCUST ST STE 100 DES MOINES IA 50309 421489668 501(C)(6) 131250 0 COMMUNITY SUPPORT COUNTY OF POLK IOWA 111 COURT AVENUE DES MOINES IA 50309 426004519 GOVERNMENT ORG 94908 0 COMMUNITY SUPPORT HEALTHY BIRTH DAY INC 1820 NW 118TH ST STE 220 CLIVE IA 50325 263998964 501(C)(3) 37500 0 COMMUNITY SUPPORT UNITYPOINT HEALTH PO BOX 843151 KANSAS CITY MO 64184 420680452 501(C)(3) 25000 0 COMMUNITY SUPPORT COMMUNITY FOUNDATION OF GREATER DES MOINES 1915 GRAND AVENUE DES MOINES IA 50309 426139033 501(C)(3) 20870 0 COMMUNITY SUPPORT CATHOLIC CHARITIES OF IOWA 601 GRAND AVENUE DES MOINES IA 50309 420680464 501(C)(3) 20000 0 COMMUNITY SUPPORT RATHBUN LAKE AREA YMCA 708 S MAIN STREET CENTERVILLE IA 52544 262927214 501(C)(3) 20000 0 COMMUNITY SUPPORT 10-15 TRANSIT 612 S MADISON AVENUE OTTUMWA IA 52501 421386703 GOVERNMENT ORG 16627 0 COMMUNITY SUPPORT CENTRAL IOWA SHELTER & SERVICES 1420 MULBERRY STREET DES MOINES IA 50309 421394212 501(C)(3) 8496 0 COMMUNITY SUPPORT HOPE MINISTRIES PO BOX 862 DES MOINES IA 50304 421512992 501(C)(3) 8496 0 COMMUNITY SUPPORT DISCOVER HOPE 517 733 1ST AVENUE NEWTON IA 50208 473987667 501(C)(3) 5732 0 COMMUNITY SUPPORT INNOVATIVEVENTS INC 4302 COCHRANE PKWY AMES IA 50014 201431353 19500 0 COMMUNITY SUPPORT HOUSE OF MERCY 1111 6TH AVENUE DES MOINES IA 50314 421323808 501(C)(3) 4150665 0 COMMUNITY SUPPORT 13 2 PART I, LINE 2: DONATIONS MADE BY CATHOLIC HEALTH INITIATIVES - IOWA (MERCYONE DES MOINES) 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. 1 1 0 0 0 0 0 0 0 ROBERT RITZ DIRECTOR; CEO MERCY HEALTH NETWORK 0 1322575 0 725980 0 368318 0 20425 0 33715 0 2471013 0 0 MICHAEL WEGNER FORMER OFFICER 0 16232 0 202370 0 979670 0 452451 0 2744 0 1653467 0 0 HIJINIO CARREON DO FORMER KEY EMPLOYEE; CCO, MERCYONE 0 736938 0 255762 0 99178 0 52491 0 38255 0 1182624 0 89610 ATUL CHAWLA MD CARDIOLOGIST 919965 0 0 0 3318 0 20425 0 27012 0 970720 0 0 0 MARK TANNENBAUM MD CARDIOLOGIST 886080 0 0 0 9799 0 20425 0 31779 0 948083 0 0 0 MARNIX VERHOFSTE MD CARDIOTHORACIC SURGEON 875868 0 0 0 6344 0 20425 0 23014 0 925651 0 0 0 YUICHI ISHIDA MD CARDIOTHORACIC SURGEON 895811 0 0 0 847 0 16675 0 10208 0 923541 0 0 0 MUDASSIR MALIK MD CARDIOLOGIST 831301 0 0 0 1775 0 20425 0 33579 0 887080 0 0 0 MICHAEL FRAIZER MD DIRECTOR; CARDIOLOGIST 696445 0 0 0 1775 0 20425 0 32215 0 750860 0 0 0 NEIL HORNING MD DIR; SEC;PULMONOLOGIST CRITICAL CARE 567072 0 50000 0 1992 0 20425 0 26821 0 666310 0 0 0 VANESSA FREITAG DIRECTOR; CHIEF OPERATING OFFICER 0 362844 0 74525 0 89456 0 71997 0 27582 0 626404 0 0 ERIN NETTELAND-SANDVIG DO DIRECTOR; PHYSICIAN FAMILY MEDICINE 522048 0 29549 0 1278 0 20425 0 29660 0 602960 0 0 0 JODIE ROETTGER FORMER OFFICER 0 8323 0 50800 0 369667 0 18398 0 12063 0 459251 0 0 DENNIS SZURKUS MD CHIEF MEDICAL OFFICER 0 260770 0 0 0 122786 0 11538 0 20232 0 415326 0 0 PART I, LINE 3 MERCYONE DES MOINES IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCYONE DES MOINES' CHIEF OPERATING OFFICER IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCYONE DES MOINES' CHIEF OPERATING OFFICER: - 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 MICHAEL WEGNER - $827,852 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: HIJINIO CARREON, DO - $89,610 ROBERT RITZ - $324,571 MICHAEL WEGNER - $147,715 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2024 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: HIJINIO CARREON, DO - $35,816 VANESSA FREITAG - $55,778 THE FOLLOWING IS A PARTICIPANT 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 PAYOUT FOR 2024 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JODIE ROETTGER - $4,801 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 182000 DONOR PROVIDED GOODS/SERVICES TO THE HOSPITAL 0 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 DES MOINES AND RELATED IOWA ORGANIZATIONS. IN CALENDAR YEAR 2024, MERCYONE PAID $697,535 TO HEALTHSOURCE PARTNERS FOR THESE MANAGEMENT SERVICES. MERCYONE DES MOINES DOES NOT KNOW HOW MUCH TERRI DONOVAN RECEIVED AS WAGES FROM HEALTHSOURCE PARTNERS IN CALENDAR YEAR 2024. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF MERCYONE DES MOINES IS MERCY HEALTH NETWORK. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A MERCY HEALTH NETWORK IS THE SOLE MEMBER OF MERCYONE DES MOINES. MERCY HEALTH NETWORK HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCYONE DES MOINES. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, MERCY HEALTH NETWORK MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. MERCY HEALTH NETWORK MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR MERCYONE DES MOINES IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE BOARD OF DIRECTORS AFTER THE RETURN IS FILED. 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 MERCYONE DES MOINES 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 MERCYONE DES MOINES, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DESIGNATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF MERCYONE DES MOINES 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 MERCYONE DES MOINES (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCYONE DES MOINES OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCYONE DES MOINES (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 MERCYONE DES MOINES. 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 MERCYONE DES MOINES IS ESTABLISHED BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, 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 THESE INDIVIDUALS 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 MERCYONE DES MOINES 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, MERCYONE DES MOINES INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON TRINITY HEALTH'S WEBSITE. MERCYONE DES MOINES' GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 39,919,911. MANAGEMENT AND GENERAL EXPENSES 4,926,812. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,846,723. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 20,877,732. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,877,732. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 14,450,993. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,450,993. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 230,669. MANAGEMENT AND GENERAL EXPENSES 28,469. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,138. MISCELLANEOUS PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 55,274,635. MANAGEMENT AND GENERAL EXPENSES 6,821,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,096,488. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 418,082. MANAGEMENT AND GENERAL EXPENSES 51,599. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 469,681. BILLING AND COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 737,791. MANAGEMENT AND GENERAL EXPENSES 91,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 828,847. RECRUITING SERVICES: PROGRAM SERVICE EXPENSES 537,550. MANAGEMENT AND GENERAL EXPENSES 66,343. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 603,893. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFLIATES -6,343,335. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 15,270,382. ASSET IMPAIRMENT -69,089. FORM 990, PART XII, LINE 2: MERCYONE DES MOINES' 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: ADOLESCENT SEXUAL OFFENDER PROGRAM HEALTHY LIVING CENTER HEART CHECK INTENSIVE PSYCHOTHERAPY PROGRAM IOWA DIABETES AND ENDOCRINOLOGY CENTER IOWA HEART CENTER IOWA INTERNATIONAL HEART INSTITUTE OF MERCY HOSPITAL MERCY - CAPITOL MERCY HERITAGE CLUB THE MERCY LASER CENTER MERCY MEDICAL CENTER - DES MOINES MERCY MEDICAL CENTER - WEST LAKES MERCY NETWORK OF HEALTH SERVICES MERCY TELECARE MERCYONE DES MOINES MEDICAL CENTER MERCYONE HEALTH & FITNESS CENTER MERCYONE WEST DES MOINES MEDICAL CENTER MERCY HEALTH NETWORK ACO LLC 1111 6TH AVE DES MOINES IA 50314 812764963 ACCOUNTABLE CARE ORGANIZATION IA 0 0 CATHOLIC HEALTH INITIATIVES - IOWA CORP MERCY ACO LLC 1111 6TH AVE DES MOINES IA 50314 454498644 ACCOUNTABLE CARE ORGANIZATION IA 49425816 35308735 CATHOLIC HEALTH INITIATIVES - IOWA CORP ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP 200 JEFFERSON AVE SE GRAND RAPIDS MI 49503 272491974 HEALTH CARE SERVICES MI 501(C)(3) LINE 10 TRINITY HEALTH-MICHIGAN 1 ALLEGANY FRANCISCAN MINISTRIES INC 33920 US HIGHWAY 19 NORTH SUITE 269 PALM HARBOR FL 34684 581492325 GRANT MAKING FL 501(C)(3) LINE 12A, I TRINITY HEALTH CORPORATION 1 ASYLUM HILL FAMILY MEDICINE CENTER INC 114 WOODLAND STREET HARTFORD CT 06105 061450170 HEALTH CARE SERVICES CT 501(C)(3) LINE 3 TRINITY HEALTH OF NEW ENGLAND CORP INC 1 BAUM HARMON MERCY HOSPITAL 1000 4TH STREET SW MASON CITY IA 50401 421500277 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH SERVICES-IOWA CORP 1 BAUM HARMON MERCY HOSPITAL AND CLINICS FOUNDATION 1000 4TH STREET SW MASON CITY IA 50401 262973307 FOUNDATION IA 501(C)(3) LINE 12A, I BAUM HARMON MERCY HOSPITAL 1 BEECHWOOD INC 2212 BURDETT AVE TROY NY 12180 141651563 TITLE HOLDING COMPANY NY 501(C)(2) N/A LTC (EDDY) INC 1 BETHLEHEM HAVEN OF PITTSBURGH 905 WATSON STREET PITTSBURGH PA 15219 251436685 HOMELESS SHELTER PA 501(C)(3) LINE 7 PITTSBURGH MERCY HEALTH SYSTEM INC 1 BEVERWYCK INC 40 AUTUMN DRIVE SLINGERLANDS NY 12159 141717028 SENIOR LIVING COMMUNITY NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 BRIGHTSIDE INC 114 WOODLAND STREET HARTFORD CT 06105 042182395 HEALTH CARE SERVICES MA 501(C)(3) LINE 10 THE MERCY HOSPITAL INC 1 CAPITAL REGION GERIATRIC CENTER INC 421 WEST COLUMBIA STREET COHOES NY 12047 141701597 LONG TERM CARE NY 501(C)(3) LINE 10 LTC (EDDY) INC 1 CATHERINE MCAULEY HEALTH SERVICE CORP 5315 ELLIOTT DR 102 YPSILANTI MI 48197 382507173 HEALTH CARE SERVICES MI 501(C)(3) LINE 3 TRINITY HEALTH-MICHIGAN 1 CATHOLIC HEALTH INITIATIVES - IOWA CORP 1111 6TH AVENUE DES MOINES IA 50314 420680448 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY HEALTH NETWORK INC 0 CATHOLIC HEALTH MINISTRIES 20555 VICTOR PARKWAY LIVONIA MI 48152 GOVERNANCE AND MANAGEMENT OF TRINITY HEALTH SYSTEM VT 501(C)(3) LINE 1 N/A 0 CENTRAL COMMUNITY HOSPITAL 901 DAVIDSON ST NW ELKADER IA 52043 420818642 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 MERCY COMMUNITY HOSPITAL GROUP LLC 1 COVENANT FOUNDATION INC 3421 WEST NINTH STREET WATERLOO IA 50702 421295784 FOUNDATION IA 501(C)(3) LINE 7 COVENANT MEDICAL CENTER INC 1 COVENANT MEDICAL CENTER INC 3421 WEST NINTH STREET WATERLOO IA 50702 421264647 HEALTH CARE AND HOSPITAL SERVICES IA 501(C)(3) LINE 3 WHEATON FRANCISCAN HEALTHCARE-IOWA INC 1 DILEY RIDGE MEDICAL CENTER 3100 EASTON SQUARE PL STE 300 COLUMBUS OH 43219 342032340 HEALTH CARE AND HOSPITAL SERVICES OH 501(C)(3) LINE 3 MOUNT CARMEL HEALTH SYSTEM 1 DUBUQUE MERCY HEALTH FOUNDATION 250 MERCY DRIVE DUBUQUE IA 52001 262227941 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 DYERSVILLE HEALTH FOUNDATION INC 1111 3RD STREET SW DYERSVILLE IA 52040 205383271 FOUNDATION IA 501(C)(3) LINE 12A, I MERCY HEALTH SERVICES-IOWA CORP 1 EDDY LICENSED HOME CARE AGENCY 433 RIVER ST SUITE 3000 TROY NY 12180 141818568 HOME HEALTH SERVICES NY 501(C)(3) LINE 3 LTC (EDDY) INC 1 EMBRACING AGE INC 333 BUTTERNUT DRIVE DEWITT NY 13214 461051881 PACE PROGRAM NY 501(C)(3) LINE 12B, II ST JOSEPH'S HEALTH INC 1 EMPIRE 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