Civic Intelligence

Mercy Medical Center

990 • Fiscal year 2017 • EIN 42-0698295

Jul 01, 2016 to Jun 30, 2017 • Filed on May 01, 2018

701 10th Street SECedar Rapids, IA 52403

(319) 398-6107

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

57th percentile

0.38x

Higher debt load relative to assets than 57% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

60th percentile

0.66x

Higher debt load relative to revenue than 60% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Net Margin

45th percentile

3.6%

Higher net margin than 45% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$919,708

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

30th percentile

2.8%

Faster asset growth than 30% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

19th percentile

-2.1%

Faster revenue growth than 19% of similar nonprofits.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$572,338,744

Up $15,542,171 (+2.8%) from 2016

Net Assets

Up

$353,043,897

Up $28,384,548 (+8.7%) from 2016

Liabilities

Down

$219,294,847

Down $12,842,377 (-5.5%) from 2016

Revenue

Down

$330,527,136

Down $6,998,547 (-2.1%) from 2016

Expenses

Up

$318,548,098

Up $12,210,078 (+4.0%) from 2016

Net Income

Down

$11,979,038

Down $19,208,625 (-62%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$800M$600M$400M$200M$0Assets 2011: $465,167,371Liabilities 2011: $160,509,805Net Assets 2011: $304,657,5662011Assets 2012: $477,555,554Liabilities 2012: $183,464,391Net Assets 2012: $294,091,1632012Assets 2013: $532,041,098Liabilities 2013: $210,599,178Net Assets 2013: $321,441,9202013Assets 2014: $543,266,322Liabilities 2014: $205,979,268Net Assets 2014: $337,287,0542014Assets 2015: $559,469,597Liabilities 2015: $228,530,377Net Assets 2015: $330,939,2202015Assets 2016: $556,796,573Liabilities 2016: $232,137,224Net Assets 2016: $324,659,3492016Assets 2017: $572,338,744Liabilities 2017: $219,294,847Net Assets 2017: $353,043,8972017Assets 2018: $573,230,191Liabilities 2018: $197,287,969Net Assets 2018: $375,942,2222018Assets 2019: $591,175,878Liabilities 2019: $219,631,338Net Assets 2019: $371,544,5402019Assets 2020: $664,794,237Liabilities 2020: $273,119,108Net Assets 2020: $391,675,1292020Assets 2021: $779,545,378Liabilities 2021: $268,558,834Net Assets 2021: $510,986,5442021Assets 2022: $716,000,674Liabilities 2022: $209,763,154Net Assets 2022: $506,237,5202022Assets 2023: $714,937,396Liabilities 2023: $225,373,343Net Assets 2023: $489,564,0532023

Highlighted filing

2017

Assets$572,338,744
Liabilities$219,294,847
Net Assets$353,043,897

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600M$400M$200M$0-$200MExpenses 2011: $257,565,9712011Expenses 2012: $273,141,1292012Expenses 2013: $270,569,6662013Revenue 2014: $275,240,189Expenses 2014: $275,832,397Net Income 2014: -$592,2082014Revenue 2015: $310,156,876Expenses 2015: $287,063,238Net Income 2015: $23,093,6382015Revenue 2016: $337,525,683Expenses 2016: $306,338,020Net Income 2016: $31,187,6632016Revenue 2017: $330,527,136Expenses 2017: $318,548,098Net Income 2017: $11,979,0382017Revenue 2018: $341,273,386Expenses 2018: $334,499,790Net Income 2018: $6,773,5962018Revenue 2019: $347,999,069Expenses 2019: $341,581,015Net Income 2019: $6,418,0542019Revenue 2020: $356,239,864Expenses 2020: $351,548,767Net Income 2020: $4,691,0972020Revenue 2021: $391,822,249Expenses 2021: $374,188,407Net Income 2021: $17,633,8422021Revenue 2022: $418,379,415Expenses 2022: $412,756,686Net Income 2022: $5,622,7292022Revenue 2023: $435,705,307Expenses 2023: $456,035,429Net Income 2023: -$20,330,1222023

Highlighted filing

2017

Revenue$330,527,136
Expenses$318,548,098
Net Income$11,979,038
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 1, 2018
Return Version
2016v3.0
Gross Receipts
$407,991,735
Mission and Program Overview

Mission

To care for the sick and enhance the health of the communities we serve, guided by the spirit of the sisters of mercy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$236,195,112$245,490,573▲ $9,295,461
Land, Buildings, and Equipment, Net$176,732,054$186,317,995▲ $9,585,941
Investments Program Related$69,420,340$73,278,614▲ $3,858,274
Accounts Receivable$38,809,220$37,273,154▼ $1,536,066
Savings and Temporary Cash Investments$15,623,365$13,934,190▼ $1,689,175
Inventories for Sale or Use$7,279,259$6,965,518▼ $313,741
Cash and Non-Interest-Bearing Accounts$8,652,583$5,439,633▼ $3,212,950
Prepaid Expenses and Deferred Charges$3,291,726$3,035,032▼ $256,694
Other Notes and Loans Receivable, Net$769,389$590,282▼ $179,107
Investments Other Securities$23,525$13,753▼ $9,772
Total Assets$556,796,573$572,338,744▲ $15,542,171
Liabilities
Tax Exempt Bond Liabilities$109,889,252$105,063,711▼ $4,825,541
Other Liabilities$86,395,890$70,481,511▼ $15,914,379
Accounts Payable and Accrued Expenses$35,852,082$43,749,625▲ $7,897,543
Total Liabilities$232,137,224$219,294,847▼ $12,842,377
Net Assets / Fund Balance
Unrestricted Net Assets$280,075,776$305,792,196▲ $25,716,420
Permanently Rstr Net Assets$26,725,840$27,176,236▲ $450,396
Temporarily Rstr Net Assets$17,857,733$20,075,465▲ $2,217,732
Total Net Assets Fund Balance$324,659,349$353,043,897▲ $28,384,548
Total Liabilities and Net Assets / Fund Balance$556,796,573$572,338,744▲ $15,542,171

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$98,627,361$167,796,781$266,424,142
Equipment$67,057,730$100,754,919$167,812,649
Land$20,225,604-$20,225,604
Other Land Buildings$407,300$2,478,423$2,885,723
Investment Program Related Org$300,000--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$36,037,066$294,653▲ $1,771,320$-171,611$37,681,476
2015$35,173,368$1,481,758▼ $43,393-$36,037,066
2014$34,987,320$298,033▲ $285,414-$35,173,368
2013$32,934,062$53,555▲ $2,557,545-$34,987,320
2012$31,300,732$514,737▲ $1,667,102-$32,934,062
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicholas Hodgman MdPhysicianFT$571,936$347,772$919,708
Timothy L CharlesPresident & CEOFT$602,094$241,394$843,488
Amandeep Dhaliwal MdPhysicianFT$472,213$340,822$813,035
Ryan Hollenbeck MdPhysicianFT$462,660$334,725$797,385
Cam Campbell MdPhysicianFT$556,670$213,341$770,011
David Glassman MdPhysicianFT$594,159$125,139$719,298
Timothy Quinn MdChief of Clinical OperationsFT$451,467$179,010$630,477
Nathan VangenderenExecutive VP/CFOFT$329,020$148,587$477,607
Mary BrobstChief Nursing OfficerFT$241,283$104,146$345,429
Jeffrey CashChief Information OfficerFT$234,439$103,069$337,508
Doug JontzVP - Human ResourcesFT$230,342$68,848$299,190
Gary Schweiger MdMember Board of Trustees-$848-$848

Board Members and Trustees

NameTitle
Cheryle MitvalskyChairman
Darrel MorfVice Chairman/treasurer
Bob VerhilleFormer Member Board of Trustees
Bruce McgrathFormer Member Board of Trustees
Sister Judith FrikkerFormer Member Board of Trustees
Sister Mary WaskowiakFormer Member Board of Trustees
Al RuffaloMember Board of Trustees
Barb KnappMember Board of Trustees
Barrie ErnstMember Board of Trustees
Charles RohdeMember Board of Trustees
Chris DewolfMember Board of Trustees
Fred Pilcher MdMember Board of Trustees
Jack CosgroveMember Board of Trustees
Jan KazimourMember Board of Trustees
John RifeMember Board of Trustees
John SmithMember Board of Trustees
John-paul BesongMember Board of Trustees
Kyle SkogmanMember Board of Trustees
Lydia BrownMember Board of Trustees
Mary QuassMember Board of Trustees
Michele BusseMember Board of Trustees
Nancy KasparekMember Board of Trustees
Rue PatelMember Board of Trustees
Sister Luann HannaschMember Board of Trustees
Sister Margaret WeigelMember Board of Trustees
Sister Maurita SoukupMember Board of Trustees
Stan Eilers MdMember Board of Trustees
Tom ReedMember Board of Trustees
Tony GolobicMember Board of Trustees
Sister Shari SutherlandFormer Secretary
Emmett ScherrmanFormer Treasurer
Sister Terry MaltbySecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Oncology Associates Of Cedar RapidsHealthcare Professional Services701 10TH STREET, Cedar Rapids, IA 52403$2,977,678
Focusone Solutions LLCHealthcare Professional Services13609 CALIFORNIA STREET 500, Omaha, NE 68154$2,356,751
Sound PhysiciansHealthcare Professional ServicesPO BOX 742936, Los Angeles, CA 90074$2,020,431
Hot Shots Nuclear Medicine LLCHealthcare Professional Services2017 E KIMBERLY ROAD, Davenport, IA 52807$1,270,238
Be SmithHealthcare Professional ServicesPO BOX 219241 DEPT 300, Kansas City, MO 64121$732,548
Revenue and Support

Revenue Composition

Contributions and Grants
$5,187,044
Program Service Revenue
$317,511,077
Investment Income
$5,566,559
Other Revenue
$2,262,456
All Other Contributions
$76,691
Change in Net Assets
$11,979,038

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Works of Art27$6,725Fair Market Value
Clothing and Household Goods-$101Fair Market Value
Total Noncash Contributions27$6,826-

Audited Revenue Reconciliation

Revenue per Audited Statements
$328,338,071
Revenue Not Reported on Financial Statements
$2,189,065
Revenue Not Reported on Form 990
$12,538,887
Other Revenue Adjustments
$2,189,065
Total Revenue per Audited Statements
$340,876,958
Total Revenue per Form 990
$330,527,136
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$156,807,078
Salaries, Compensation, and Employee Benefits$152,775,786
Grants and Similar Amounts Paid$8,965,234
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$89,502,476$26,445,890-$115,948,366
Office Expenses$60,092,269$17,755,861-$77,848,130
Depreciation Depletion$18,031,021$5,327,745-$23,358,766
Fees for Services Other$16,559,596$4,892,974-$21,452,570
Other Employee Benefits$12,828,514$3,790,526-$16,619,040
Pension Plan Contributions$7,847,567$2,318,773-$10,166,340
Grants to Domestic Orgs$8,965,234--$8,965,234
Payroll Taxes$6,240,365$1,843,882-$8,084,247
All Other Expenses$3,478,860$1,027,923-$4,506,783
Interest$3,194,243$943,824-$4,138,067
Occupancy$2,780,874$821,683-$3,602,557
Current Officers, Directors, Trustees, and Key Employees$1,511,253$446,540-$1,957,793
Other Expenses$1,283,989$379,389-$1,663,378
Advertising$1,235,663$365,110-$1,600,773
Insurance$689,714$203,794-$893,508
Information Technology$516,574$152,636-$669,210
Fees for Services Legal$268,159$79,235-$347,394
Travel$165,744$48,974-$214,718
Conferences and Meetings$78,163$23,095-$101,258
Fees for Services Lobbying$26,565$7,849-$34,414
Royalties$10,189$3,011-$13,200
Fees for Service Investment Mgmnt Fees$1,637$484-$2,121
Total Functional Expenses$247,937,404$70,610,694$0$318,548,098

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$318,548,098
Total Expenses per Audited Statements$312,492,409
Expenses per Audited Statements$310,311,719
Expenses Not Reported on Financial Statements$8,236,379
Other Expense Adjustments$8,236,379
Expenses Not Reported on Form 990$2,180,690
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mercycare Service CorporationCedar Rapids, IA501(c)(3)For Use in Continuing Operations$6,000,000
Mercy Hospital Cedar Rapids Ia Endowment FoundationCedar Rapids, IA501(c)(3)For Use in Continuing Operations and Contribution for Especially for You Race Against Breast Cancer$326,932
Especially for You Race Against Breast CancerCedar Rapids, IA501(c)(3)General Support$20,000
Four Oaks Family and Children ServicesCedar Rapids, IA501(c)(3)General Support$15,000
LINN COUNTY SHERIFF'S OFFICECedar Rapids, IALinn CountyGeneral Support$15,000
United Way of East Central IowaCedar Rapids, IA501(c)(3)General Support$14,108
Junior Achievement of Eastern IowaCedar Rapids, IA501(c)(3)General Support$13,600
Juvenile Diabetes Foundation (jdrf)Cedar Rapids, IA501(c)(3)General Support$10,000
American Heart Association IncHiawatha, IA501(c)(3)General Support$9,500
ALZHEIMER'S DISEASE & RELATED DISORDERS ASSOCIATIONCedar Rapids, IA501(c)(3)General Support$7,500
Gems of Hope IncCedar Rapids, IA501(c)(3)General Support$7,500
Zach Johnson FoundationCedar Rapids, IA501(c)(3)General Support$6,750
WaypointCedar Rapids, IA501(c)(3)General Support$5,320
Catherine Mcauley CenterCedar Rapids, IA501(c)(3)General Support$5,000
Linn County Medical SocietyCedar Rapids, IA501(c)(6)General Support$5,000
March of Dimes (walk America)Cedar Rapids, IA501(c)(3)General Support$5,000
Newbo City MarketCedar Rapids, IA501(c)(3)General Support$5,000
Orchestra Iowa IncCedar Rapids, IA501(c)(3)General Support$5,000
University of IowaIowa City, IAState of IowaGreat Iowa Nurses Program$5,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-See Below in Part VMercy Care Management, Inc. Paid Mercy Medical Center Rent.No$1,714,000
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pension Liability$51,694,500
Interest Rate Swap Agreements$9,586,535
Self Insurance Reserves$8,145,127
Third Party Settlements$1,055,349

Bond Issues

BondIssuerIssuedIssue PricePurpose
BCity of Cedar Rapids Iowa2005-11-17$58,405,000Advance refund of 1999 bonds
CIowa Finance Authority2012-12-13$45,604,359Reimburse hospital for capital
ACity of Cedar Rapids Iowa2003-04-10$30,000,000Reimburse hospital for costs of acquiring and constructing facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$58,405,000-$17,880,000$1,552,500
C$45,604,359-$4,490,000$604,359
A$30,000,000$56,852,500$5,050,000$1,288,620

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of mercy medical center is mercycare service corporation, an iowa nonprofit corporation. The sole member has the exclusive power to appoint, after consideration of any recommendations from the corporation's board of trustees, any trustee to the corporation's board and to remove any trustee from the corporation's board at any time for any reason.

Form 990, Part VI, Section A, Line 7A

As the sole member of mercy medical center, mercycare service corporation has the exclusive power to appoint, after consideration of any recommendations from the corporation's board of trustees, any trustee to the corporation's board and to remove any trustee from the corporation's board at any time for any reason.

Form 990, Part VI, Section A, Line 7B

As the sole member of mercy medical center, mercycare service corporation has the power to approve the following actions: 1. Amend, repeal, or restate the articles of incorporation; 2. Any matter directly related to the religious principles and moral philosophy of the sisters of mercy; 3. Adopt or change the philosophy and mission of the corporation; 4. Sale of all or substantially all of the assets of the corporation, and merger or consolidation of the corporation with another entity; 5. Dissolution of the corporation; 6. Adoption or amendment to long-term strategic plans; 7. Adoption or amendment to annual capital or operating budgets; and 8. Appointment or removal of the chief executive officer of the corporation.

Form 990, Part VI, Section B, Line 11B

The 990 is reviewed with the executive committee (subcommittee of the board of trustees) prior to filing the form. The committee is provided with general background information regarding the form 990, and the form itself (including attachments) is reviewed. Upon request, the tax return will be available for review by the board of trustees. Members of the executive committee and management are available to answer questions from the trustees on the return.

Form 990, Part VI, Section B, Line 12C

The organization requires all directors, officers, and key employees, as well as each employee to disclose any interest in, obligation or duty to, or activity for any concern in which a director, officer, key employee, or employee or their family member may be involved that: might create an actual or potential conflict of interest or might have the appearance of adversely affecting the director's, officer's, key employee's, or employee's judgment or actions in performing his/her duties towards mercy. All directors, officers, key employees, and employees shall file an initial conflict of interest report upon hire and shall be required to file an updated report immediately if any changes occur which result in a conflict of interest or financial interest. All directors, officers, key employees, and employees (supervisor and above), physicians, and any employee in a position to influence a purchase decision shall re-submit a conflict of interest disclosure statement, with any necessary changes, each year and immediately if any additional conflicting or financial interest arise. All board members shall submit in writing a conflict of interest disclosure statement listing all financial and conflicting interests. The statement shall be resubmitted with any necessary changes each year and as any additional conflicting or financial interest arise.

Form 990, Part VI, Section B, Line 15

Compensation of the organization's top management is set by the mercycare service corporation compensation committee. The committee uses mercer (us) inc. For the review of salaries and compares them to comparable entities in the region. This process was last completed and documented on february 5th, 2016.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public.

Filing and Contact Details

Filer

Filer Name
Mercy Medical Center
EIN
42-0698295
Phone
3193986107
Address
701 10TH STREET SE, CEDAR RAPIDS, IA 52403

Signing Officer

Name
Nathan Van Genderen
Title
Executive VP/CFO
Phone
3193986107
Signed
2018-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nathan Van Genderen
Formed
1900
Legal Domicile
Ia
Voting Board Members
28
Independent Board Members
25
Employees
2,808
Volunteers
994

Preparer

Firm
Rsm US Llp
Address
201 N HARRISON STREET SUITE 300, DAVENPORT, IA 52801-1999
Preparer
John J Romano
Phone
5638884000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in additional minimum liability for retirement benefits 3,843,917. Change in interest in net assets of foundation 3,602,628. Change in fair value of interest rate swap agreements 4,515,293. Change in interest in net assets of auxiliary and gift shop 13,934. Contribution not recorded for book purposes -518,779. Book/tax difference in partnership income(loss) -1,623,581. Noncash contribution not recorded for book purposes -4,951.

Form 990, Part XI, Line 2C

The oversight and selection process has not changed from the prior tax year.

Financial Statement Notes

PART V, LINE 4:

Mercy hospital, cedar rapids, ia endowment foundation, inc., a related organization, holds the endowment funds. The foundation's endowment funds are used for the hall-perrine cancer center and cancer center programs, hall radiation center, oldorf hospice house, hospice of mercy programs, hallmar, watts library, mercy medical center operating and capital projects, and general endowment funds to be used at the board of director's discretion.

PART X, LINE 2:

The hospital is a not-for-profit as described in section 501(c)(3) of the internal revenue code and is exempt from federal income taxes on related income pursuant to section 501(a) of the code. The hospital files a form 990 (return of organization exempt from income tax) annually. When this return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the tax position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to hospitals include such matters as the following: the tax exempt status of the entity, the continued tax exempt status of bonds issued by the obligated group, the nature, the characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business income (ubi). Ubi is reported on form 990t, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying balance sheet along with any associated interest and penalties that would be payable to the taxing authorities upon examination. As of june 30, 2017 and 2016, there were no uncertain tax benefits identified and recorded as a liability. Forms 990 and 990t filed by the hospital are subject to examination by the internal revenue service (irs) up to three years from the extended due date of each return.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Change in fair value of interest rate swap agreements 4,515,293. Change in unrecognized funded status of retirement plan 3,843,917. Change in interest in net assets of mercy medical center foundation 3,602,628. Grant to mercyare service corporation included with revenues -6,000,000.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Cafeteria cost of goods sold netted with revenues -2,160,800. Loss on sale of assets -19,890. Auxiliary and gift shop revenue not included in audit report -13,934. Book/tax difference in partnership income(loss) 1,623,581. Contribution revenue not recorded for books 518,779. Expenses included with revenues on audit report 2,188,461. Contribution revenue included with expenses on audit report 47,917. Noncash contribution revenue not recorded for books 4,951.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Cafeteria cost of goods sold netted with revenues 2,160,800. Loss on sale of fixed assets 19,890.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Grant to mercycare service corporation included with revenues 6,000,000. Contribution revenue included with expenses 47,917. Expenses included with revenues on audit report 2,188,462.

Raw XML AppendixShowing 400 of 1,770 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0ONCOLOGY ASSOCIATES OF CEDAR RAPIDS
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1FOCUSONE SOLUTIONS LLC
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IRS990/ContractorCompensationGrp/ServicesDesc0HEALTHCARE PROFESSIONAL SERVICES
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IRS990/Desc0THE MEDICAL CENTER PROVIDES MEDICAL HEALTH CARE, INCLUDING 24 HOURS A DAY, SEVEN DAYS A WEEK TRAUMA CENTER SERVICE, TO ALL PATIENTS ACCESSING THE SYSTEM, REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN ESTABILISHED POLICIES OF THE HOSPITAL. ESSENTIALLY, THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO OR NOMINAL PAYMENT IS ANTICIPATED. ADDITIONALLY, EACH HOSPITAL DEPARTMENT ACCEPTS ALL PATIENTS WHO ARE COVERED BY GOVERNMENTAL INDIGENT PROGRAMS. SUCH INDIGENT PROGRAMS TYPICALLY REMIT AMOUNTS SUBSTANTIALLY LESS THAN CHARGES. THE FOLLOWING SUMMARIZES THE HOSPITAL'S CARE OF THE UNINSURED AND UNDERINSURED (DOLLARS IN THOUSANDS):COSTS IN EXCESS OF MEDICARE REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICARE) - $21,980,000; OTHER COMMUNITY BENEFITS (INCLUDES SUBSIDIZED HEALTH SERVICES, FINANCIAL CONTRIBUTIONS) - $4,260,000; FREE SERVICE (TO PATIENTS WHO MEET MERCY'S FREE-SERVICE GUIDELINES) - $2,380,000; COSTS IN EXCESS OF MEDICAID REIMBURSEMENT (COSTS OF PROVIDING THE SERVICES LESS THE AMOUNTS RECEIVED FROM MEDICAID) - $7,350,000 PHYSICIAN EDUCATION - $1,180,000.IN ADDITION, CHARITY CARE AND COMMUNITY SERVICE ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR. THESE PROGRAMS PROVIDE A BONA FIDE COMMUNITY HEALTH NEED, INCLUDING: A. A HEALTH NEWS PUBLICATION, THE MERCY TOUCH, DISTRIBUTED TO 60,000 HOUSEHOLDS IN 2017 AT A TOTAL COST OF OVER $44,000. B. PUBLIC AND PROFESSIONAL EDUCATIONAL SEMINARS OFFERED ON TOPICS INCLUDING JOINT REPLACEMENT SURGERY, PRENATAL EDUCATION, PARENTING YOUNG CHILDREN, BREAST FEEDING, DIABETES, EATING DISORDERS, CARDIOVASCULAR, TRAUMA MORTALITY AND MORBIDITY CASE CONFERENCES, AND NUMEROUS OTHER MEDICAL CONDITIONS OF MEDICAL AND PSYCHOSOCIAL NATURE. SPECIALIZED CANCER SEMINARS FOR RADIATION THERAPISTS, MEDICAL DOSIMETRISTS, SOCIAL WORKERS, DENTAL HYGIENISTS, NURSES, DENTISTS AND PHYSICIANS ARE ALSO FREQUENTLY OFFERED. C. HOSPITAL MEETING FACILITIES ARE FREQUENTLY USED WITHOUT CHARGE BY SUCH GROUPS AS THE AMERICAN HEART ASSOCIATION, IOWA BREAST CANCER FOUNDATION, HEALTHY LINN NETWORK ADVISORY COMMITTEE, OVEREATERS ANONYMOUS, CATHOLIC LAYMEN, UNITED WAY, CATHERINE MCAULEY CENTER FOR WOMEN, THE AMERICAN CANCER SOCIETY, M.S. SUPPORT GROUP, EASTERN IOWA ONCOLOGY NURSES SOCIETY, THE IOWA CANCER CONSORTIUM, RADIATION THERAPIST AND DOSIMETRIST, AND ARC OF EAST CENTRAL IOWA. D. CONTRIBUTIONS OF 145,000 HOURS TOWARD THE COMMON PURPOSE OF SERVING THE HEALTH CARE OF THE COMMUNITY. THE VALUE OF THESE CONTRIBUTIONS WAS APPROXIMATELY $1,839,000 AND WAS GIVEN BACK THE COMMUNITY THROUGH LOWER COSTS.
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.
2023Summary only. Only limited summary data is available for this year.$715$225$490$436$456$20.3
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$716$210$506$418$413$5.62
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$780$269$511$392$374$17.6
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$665$273$392$356$352$4.69
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$591$220$372$348$342$6.42
2018Summary only. Only limited summary data is available for this year.$573$197$376$341$334$6.77
2017Detailed filing. Detailed filing data is available for this year.$572$219$353$331$319$12.0
2016Detailed filing. Detailed filing data is available for this year.$557$232$325$338$306$31.2
2015Detailed filing. Detailed filing data is available for this year.$559$229$331$310$287$23.1
2014Summary only. Only limited summary data is available for this year.$543$206$337$275$276$0.59
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$532$211$321$271
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$478$183$294$273
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$465$161$305$258
Peer Organizations

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