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Mercy Hospital Iowa City Iowa
Mercy Hospital Iowa City
500 E Market StIowa City, IA 52245
| Bed count | 234 | Medicare provider number | 160029 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 420680391
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
6.13%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 193,835,584 Total amount spent on community benefits as % of operating expenses$ 11,877,601 6.13 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 1,341,169 0.69 %Medicaid as % of operating expenses$ 10,183,110 5.25 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 124,173 0.06 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 229,149 0.12 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 3,999 0.00 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 3,999 0.00 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 3,999 100 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 0 0 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 3,028,078 1.56 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of 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 (Expenses $ 121624627 including grants of $ 14665) (Revenue $ 170152149) 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.
4B (Expenses $ 340049 including grants of $ 0) (Revenue $ 282544) Education. The ongoing education of Mercy staff is critical in the fast changing field of health care and it necessary to meet regulations and certifications. Mercy hosts a number of professional continuing education classes each year, which is attended by it's own staff and staff from other institutions. Mercy provides a setting for students who are considering a career in health care including a class of insight to possible careers and preparation for CNA exam.
4C (Expenses $ 11524279 including grants of $ 0) (Revenue $ 0) Community Benefit. Mercy's community benefits take many forms, beginning with the traditional charity care of ($1.0 million) and the unpaid cost of Medicaid ($6.2 million). Other examples include cash donations to community non-for-profits such as the Free Medical Clinic, leadership time and skills that further the work of the non-for-profits, first aid booth provided at public events including the Johnson Co Fair. These efforts are detailed in Mercy's community health benefit report. As a trusted, longtime member of the community, Mercy plays an important role not only in further community health but the general community good.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Mercy Hospital, Iowa City, Iowa Part V, Section B, Line 5: To solicit input from community stakeholders (key informants), those individuals who have a broad interest in the health of the community, an Online Key Informant Survey also was implemented as part of this process. A list of recommended participants was compiled by Mercy Iowa City; this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of other community leaders. Potential participants were chosen because of their ability to identify primary concerns of the populations with whom they work, as well as of the community overall. Final participation included representatives of the organizations outlined below.- Coralville Fire Department- Iowa City- Iowa City Area Development- Iowa City Crisis Center- Iowa City Fire Department- Johnson County- Johnson County Public Health Representative- Kinze Manufacturing- Lone Tree School District- Mercy Hospital Emergency Physicians- Mercy Services- NAMI of Johnson County- Oaknoll Retirement Community- Rural Health and Safety of Eastern Iowa (RHSEI)- UI College of Public Health - United Way- University Police- Washington County Hospital and ClinicsThrough this process, input was gathered from several individuals whose organizations work with low income, minority, or other medically underserved populations.
Mercy Hospital, Iowa City, Iowa Part V, Section B, Line 7a:https://www.mercyiowacity.org/upload/docs/About%20Mercy/2021%20PRC%20CHNA%20Report%20-%20Mercy%20Iowa%20City.pdf
Mercy Hospital, Iowa City, Iowa Part V, Section B, Line 10a:https://www.mercyiowacity.org/upload/docs/About%20Mercy/2021%20CHNA%20Implementation%20Plan.pdf
Mercy Hospital, Iowa City, Iowa: "Part V, Section B, Line 11:The 2021 CHNA summarized 11 areas of opportunity identified through Public Health, Vital Statistics, and Benchmark Data and 6 areas of need identified by Key Informants considered to be major needs. Mercy Hospital is addressing these needs as follows:Mental Health - Access to providers and facilities:In 2022, we hired a full-time physician psychiatrist specialist to both extend our psychiatric visits on our hospital campus and also to lead an effort to evaluate the options for developing a closed psychiatric unit. In the outpatient setting, we also have hired a second therapist to increase our therapy visits. We also intend to maintain mental health related links such as ""Guild to Mental Health Resources"" as well as ""Stress and Coping"" on our website for quick and convenient educational information available to the public.Nutrition, Physical Activity & Weight - Cultural headwinds and lack of insurance covered programs for children: In 2022, we expanded our bariatric surgery program by hiring a second physician and a second dietician. Bariatric surgery is an effective treatment option especially when it is supported by a robust support program that features dieticians. We intend to maintain our posts of healthy recipes with video instruction on the Mercy website and to provide a walk-in Wellness Program which aims to increase physical activity and increase healthy eating in our community.Substance Abuse - Alcohol, meth, opioid treatment options limited: Maintain a nurse navigator service that provides callbacks to patients as well as assisting these patients and their families in obtaining counseling services, transportation, or primary care referrals. Reopen meeting rooms so the local AA chapter can resume in-person meetings once our rooms become available, provided COVID status safety concerns are met.Diabetes - Limited access to dieticians and poor insurance coverage: Continue to offer a free pre-diabetes class taught by a registered dietician. This is offered as a virtual class in order to improve access to anyone interested. Continue to provide diabetic education to hospital based nurses so they can more directly convey the importance of managing this disease to patients. We also offer individualized diabetic education which covers nutrition management, the role of physical activity, psychosocial adjustment and healthy coping, glucose monitoring and insulin administration.Corona Virus/COVID-19 - Vaccination rate disparities: We began offering vaccinations in select clinics in 2021 and intend to continue offering those as long as the need persists. We also continue to offer tele visits which provide improved access to our providers for those in more rural settings where travel may be more difficult.Dementia/Alzheimer's - Lack of geriatric care units, adult daycare, and outpatient services focused on memory disorders: Maintain a nurse navigator service to arrange therapies and to assist in obtaining home health and/or respite care for the patients' caregivers. Primary Care Access - Cedar and Muscatine: Maintain a primary care presence in these two counties. Lung Cancer - Cedar and Muscatine:Maintain our low-dose CT screening program for long term smokers. Continue to offer smoking cessation counseling.Heart Disease - Iowa: Maintain our Primary Stroke Center designation through The Joint Commission and our recognition as a Blue Distinction Center for heart care. Maintain our Emergency Care protocols and training that have helped us achieve interventions ""faster than the national average"".Births to Adolescents - Muscatine and Washington: Maintain our primary care clinic in Muscatine and continue to provide support by linking prospective mothers to our OBGYN affiliates, our pediatric outpatient clinic, our breastfeeding support classes, and to provide access to our financial counselors. Maintain our website support including a free pregnancy tracker app. STI - Johnson: Continue to staff the infectious disease position. This person will monitor chlamydia incidence and maintain relationships with the public health departments at the county and state levels."
Mercy Hospital, Iowa City, Iowa Part V, line 16a, FAP website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/MercyIC%20Financial%20Assistance%20Policy_2021.pdf
Mercy Hospital, Iowa City, Iowa Part V, line 16b, FAP Application website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/Financial%20Assistance%20App_2021.pdf
Mercy Hospital, Iowa City, Iowa Part V, line 16c, FAP Plain Language Summary Website:https://www.mercyiowacity.org/upload/docs/Patients%20and%20Visitors/Financial%20Assistance%20Docs/MercyIC%20Plain%20Language%20Summary_2021.pdf
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 3c: Mercy Hospital also uses asset level, medical indigency, insurance status, and underinsurance status as factors in determining eligibility for free and discounted care.
Part I, Line 7: Amounts in the table were derived using a cost accounting system that addresses all patient segments. A cost to charge ratio derived from completing IRS worksheet 2 was used to determine the amounts in Part I, Line 7a, 7b, 7c. and 7g.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 11,023,218.
Part III, Line 2: The amount of bad debt expense reported on line 2 was derived from taking actual bad debt write-offs and applying the cost to charge ratio of .2747 to that amount.
Part III, Line 3: Mercy Hospital works with those qualifying for charity care along every step of the process. Every effort is made to work with the patient to provide financial assistance when appropriate. While there are people who do not cooperate with Mercy Hospital regarding payment plans, financial assistance or with those trying to get help from Government programs. For individuals not providing necessary information, it is impossible to know the reason for not cooperating and therefore know whether they will qualify for charity care. Mercy Hospital is unable to reasonably determine whether any amount of bad debt could have been classified as charity care if the individuals do not provide the necessary information to evaluate their situation to determine qualifications with the charity care policy.
Part II, Community Building Activities: Community Support:Mercy is proud to continue our dedicated annual support that we provide to our community.Mercy has provided support to the following community organizations in financial support, promotional collaboration and/or colleague volunteer time:Through the Iowa City Free Medical Clinic, Mercy provided mammograms and radiology exams at no charge to community members. Mercy holds a high emphasis for the importance of preventative care and wants to ensure access to mammograms for all community members, regardless of financial means. Mercy Iowa City is pleased to continue our partnership with Iowa City Hospice; often accepting patients for acute care and/or respite care. Mercy accommodates subsidies for Hospice patients as needed and is proud to continue to promote the value Iowa City Hospice in our community. Continued collaboration with Team Breast Friends, Breast Cancer Awareness Association through promotional materials offered in cancer care bags provided to Mercy cancer patients purchased by the Mercy Guild. The Mercy Hospital Foundation works with Team Breast Friends to offer in annual support to women in need who were unable to pay for mammography services at the hospital.Mercy Hospital is a partner in the community-wide initiative called Honoring Your Wishes. Mercy helps community members talk about long-term health care wishes and desires. Mercy offers to create a written plan of those wishes and desires referred to as Advanced Directives. This service is highly educational to community members and is provided at no charge through the Mercy Pastoral Care Department. Mercy's Pastoral Care Department provides clothing to discharged patients who lack appropriate attire, often because what they had worn when they were admitted was cut off in the Emergency Room to provide immediate care. Transportation is also provided via paid taxi for discharged patients and/or their family members as needed due to lack of financial means for required transportation.Mercy's 24-hour Mercy On-Call service provides medical triage and health information, scheduling of provider appointments, and refers callers to local supporting services as appropriate at no charge to the community member. This is a valued service and often complimented by community members such as new mothers seeking guidance on potential medical needs for their newborn or community members who are new to our community and unsure of existing resources. SHIIP (Senior Health Insurance Information Program) Volunteers assist seniors navigate through Medicare insurance enrollment with emphasis on the annual Medicare Open Enrollment Period for Part D coverage. 478 community members realized savings during Open Enrollment for Part D in FY 22' for our community members served through Mercy Iowa City. NAMI (National Association for Mental Illness) Mercy supports the annual NAMI walk in efforts to bring awareness and assistance for mental illness.AHA (American Heart Association) Mercy Iowa City supports the AHA Go Red For Women Luncheon to help bring awareness, early detection for heart disease to women.Mercy continues to be a donation site for the Toys-for-Tots annual toy drive, providing toys over the holiday season for children in need. Toys delivered to Mercy Iowa City are then delivered to the designated drop off area for final collection by Toys-for-Tots through Mercy colleague volunteered time. Environmental Improvements:Mercy has been a good neighbor by maintaining its buildings and landscaping at a quality level. Mercy also continues to pursue extensive recycling (including newspapers, office paper, magazines, plastic, batteries, cooking oil, construction materials and more) and pursues equipment that reduce energy consumption as equipment requires replacement.Coalition Building:Mercy is involved in many ways with local citizens and groups that are working to afford all members of our community a good quality of life and to improve overall quality of life.
Part III, Line 4: Mercy Hospital's Audited Financial Statements includes a footnote for the Provision of Uncollectible Accounts on page 12 of the Audited Financial Statements.
Part III, Line 8: Total revenue was determined using charges per the CMS Provider Statistical Reimbursement System reports for Fee Reimbursed Services for the fiscal year ended 6/30/22. Costs calculated using the Cost to Charge Ratio for the appropriate services from the submitted Medicare Cost Report Form 2552-96 for the fiscal year ended 06/30/22.
Part III, Line 9b: Mercy Hospital has two policies related to debt collection. The Financial Assistance Policy provides guidelines for forgiving all or part of a patient's financial responsibility for healthcare services received at Mercy Hospitals. Patient may be given a financial assistance application at the time of service, be offered financial assistance during the normal collection process or learn of the option on the Hospital website. All patients with no insurance are offered financial assistance via billing statements & follow-up telephone calls. Any patient that is known to qualify for financial assistance is provided assistance. The payment plan policy enables those who qualify for patient financial assistance to establish payment plans of the remaining balance of their bill.
Part VI, Line 2: The most recent community health needs assessment was conducted in December 2021. The organization engaged Professional Research Consultants to conduct the assessment. The community health survey is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in the communities the organization serves. The survey instrument used for the assessment is based largely on the Centers for Disease Control (CDC), Behavioral Risk Factor Surveillance System (BRFS), as well as various other public health surveys and customized questions addressing gaps in indicator data, relative to nation health promotion and disease prevention objectives and other recognized health issues.
Part VI, Line 3: If a patient is deemed to not have insurance coverage (self-pay) or is under-insured, a referral is made to our third-party vendor to screen the patient for Medicaid eligibility. They can also assist with marketplace products and social security applications. If they are not eligible for Medicaid/Emergency Medicaid, our third-party eligibility vendor notifies the patient of the financial counselors and places a referral to the financial counselor to assist the patient. In order to be eligible for financial assistance the patients must complete the Medicaid, Medicare, and/or insurance exchange review process. The level of assistance is based on where the patient falls on the federal poverty level. The financial counselors provide/assist the patient with completion of the financial aid application and noting the account according to the outcome.
Part VI, Line 4: Mercy Hospital is located in the community of Iowa City, Iowa, in Johnson County along the east central part of the state. The county's population in 2021 was approximately 154,748. Mercy Hospital services 10 counties in southeast Iowa, with the primary service area being Johnson County. The secondary service areas includes: Cedar, Iowa, Muscatine and Washington counties. The tertiary service area includes Henry, Jefferson, Keokuk, Lee and Louisa counties. The population of the service area is approximately 340,200.Iowa City is home to the University of Iowa, which has an enrollment of approximately 31,317 for the 2022-2023 academic year. Johnson County is well-educated, of individuals 25 and older, 95.3 percent are high school graduates and 54 percent hold a bachelors degree or higher. The University of Iowa also provides the foundation for an economy that has particular strengths in education, health care, services, technology, agribusiness and manufacturing. According to the U.S. Census Bureau, 14.7 percent of the Johnson County population lived below the poverty line between 2017 and 2021, compared to 11.1 percent for the entire state.
Part VI, Line 5: Mercy Iowa City is faith-based institution that provides services based on the ethical and religious directives of the Catholic Church. An important part of Mercy's mission is to improve the health of the community. Mercy does so by: Ensuring that the medical staff is open to all qualified physicians; ensuring that the hospital is accredited and in good standing with the Joint Commission; ensuring that the board of directors is comprised of diverse, independent individuals, not employees of the hospital, representing the community and also providing necessary expertise; establishing and carrying out a conflict of interest policy; providing a site for clinical experience for a variety of health care professionals; providing charity care and financial assistance with medical bills as needed to community members; participating in such programs as Medicare, Medicaid, and Hawk-i, an insurance program for needy Iowa children; absorbing unreimbursed costs for such government programs; ensuring that account collections are carried out in compliance with state and federal guidelines; providing emergency room services and working with local and state officials in community preparedness issues; treating emergency patients according to EMTALA guidelines and service all patients regardless of their ability to pay; investing surplus funds in services, technology, and personnel that will further the benefit of the community.
Part VI, Line 7, Reports Filed With States IA
