House of Mercy

“The organization's sole corporate member is catholic health initiatives - iowa, corp. Dba mercy medical center - des moines, (chi-iowa corp), an iowa non-profit corporation.”

“According to the organization's bylaws, directors shall be appointed or refused by chi-iowa corp, the sole corporate member. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than june 30 of each year. The names and qualifications of each individual accepted by the board of directors shall be submitted to the corporate member, who shall appoint or refuse each nominee in accordance with the corporate member's bylaws and with endorsement of the senior vice president of operations. The corporate member may unilaterally appoint one or more individuals to the board of directors should the board fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation. (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.”

“The organization's corporate member is catholic health initiatives-iowa, corp. Dba mercy medical center-des moines ("chi-iowa corp"). Pursuant to the organization's bylaws, both chi-iowa corp and commonspirit health (catholic health initiatives - iowa, corp's sole corporate member) have reserved powers as outlined in the commonspirit health governance matrix. Pursuant to the governance matrix the following rights are held by the chi-iowa corp board: * approve members of the house of mercy board * amendment of the corporate documents of the house of mercy * approve removal of a member of the governing body of the house of mercy * adoption of long range and strategic plans for the house of mercy the following rights are reserved to the commonspirit health board directly or through powers delegated to the commonspirit health chief executive officer: * substantial change in the mission or philosophy of the house of mercy * removal of a member of the governing body of the house of mercy * approval of issuance of debt by house of mercy * approval of participation of house of mercy in a joint venture * approval of formation of a new corporation by house of mercy * approval of a merger involving the house of mercy * approval of the sale of all or substantially all of the assets of the house of mercy * to require the transfer of assets by the house of mercy to commonspirit health to accomplish commonspirit health's goals and objectives, and to satisfy commonspirit health debts. Pursuant to section v of the organization's bylaws, chi-iowa corp or commonspirit health may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the board and its president and the chief executive officer of the organization, recommend such other or different actions as it deems appropriate." (chcf reserved rights) except as otherwise provided in the corporation's articles of incorporation or the laws of the state of organization, catholic health care federation ("chcf") shall have such rights as are reserved to the corporate member, acting in its capacity as the membership body of chcf, under the governance matrix.”

“Once the return is prepared, the cfo of catholic health initiatives-iowa corp d/b/a mercy medical center-des moines ("mmc") reviews the return and any necessary revisions are included in the final version which is approved for filing with the irs. Mmc is the sole corporate member. Subsequent to review by mmc's cfo, the return is filed with the appropriate federal and state agencies, making any non-substantive changes necessary to effect e-filing.”

“The organization has a conflicts of interest ("coi") policy (the "policy") in place to protect the interests of commonspirit health ("commonspirit") in circumstances that may result in a conflict between personal interests of a person and the interests of the organization and those it serves. The policy was last updated during the tax year ended 6/30/2021. Commonspirit's coi policy applies to commonspirit, its direct affiliates and subsidiaries and any related entity the governing documents of which require the entity to comply with commonspirit policy (collectively the "system entities"). The following persons are required to disclose actual or potential conflicts of interest at least annually (via a formal system-administered survey) if the person's affiliation with commonspirit continues: * members of corporate and community boards of system entities * members of committees of corporate and community boards of system entities * members of the executive leadership team ("elt") of commonspirit * corporate officers of system entities * employees of system entities at the vice president level and above * all individuals engaged in research at institutions owned or operated by a system entity. * select employees as determined from time to time by leadership (which includes key employees and highest compensated employees as specified by the internal revenue service for form 990 purposes who are not otherwise included in the categories above). Disclosure, review, and management of perceived, potential, or actual conflicts of interest are accomplished through a defined coi disclosure review process. Each person is required to promptly and fully disclose any situation or circumstance that may create a conflict of interest as soon as she/he becomes aware of it. In addition, at the inception of an individual's relationship with commonspirit (e.g. Hiring, board appointment), and for certain positions, annually thereafter, written conflict of interest disclosure forms must be completed. A failure to disclose may result in disciplinary or corrective actions. Reported potential or actual conflicts of interest are initially reviewed by legal, corporate responsibility or research integrity staff. If necessary, a conflict of interest management plan is developed, which plan shall be subject to acceptance by the appropriate direct manager, supervisor, medical staff office, board or board committee (for board, board committee, elt or corporate officer conflicts), or other appropriate individual or body. Once accepted, the conflict of interest management plan is communicated to the person with the actual or potential conflict and the individual must conduct themselves in conformity with the plan. In the event that a transactional conflict interest arises in connection with a system entity board meeting, the conflicted individual must disclose that conflict prior to or at the beginning of the meeting in which the matter is to be considered. The conflicted individual is excluded from voting on the transaction and is prohibited from using personal influence with respect to the matter, but is not prohibited from providing input if requested to do so.”

“During the tax year ended 6/30/2021, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, these questions are more appropriately answered as n/a.”

“The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request. The organization's financial statements are included in commonspirit health's consolidated audited financial statements that are available at www.commonspirit.org. The organization's governing documents are available upon request from the administration department, and on the iowa secretary of state's website. The organization's conflict of interest policy is not publicly available.”

“I. Introduction: organization's mission, vision, and tax-exempt purpose in 1988, iowa residents were confronted with data showing a high rate of infant mortality in des moines and polk county. Many causes were cited: substance abuse; physical abuse; homelessness; lack of prenatal care; lack of insurance; and, all too often, simply a lack of hope. In response to this situation, mercy medical center des moines and the sisters of mercy, founded "house of mercy." sister mary brigid condon led the charge, modeling it after the first "house of mercy" founded in dublin, ireland by sister catherine mccauley, founder of the sisters of mercy. Located on six acres of land in des moines' inner city, a federally designated enterprise community, house of mercy's initial focus was on assisting pregnant, parenting, and non-parenting women in developing personal responsibility and independence through counseling, education, and primary medical care in collaboration with other providers. Over the years, house of mercy's mission and services have expanded to address the unmet health and human service needs of those in the community. Today, mercyone house of mercy is active in its mission and vision to provide person-centered, behavioral health-focused services for people with substance use disorders and mental illness (regardless of gender and parenting status). House of mercy strives to exceed client expectations and help them create a healthy lifestyle and sense of personal self-worth and well-being. In keeping with this vision house of mercy is committed to: * ensuring the safety, health, and well-being of children. * building healthy families. * supporting at-risk individuals in their development of a positive self-regard. * assisting chemically dependent men and women, of all ages, in achieving and maintaining a life of quality recovery. * assisting chemically dependent individuals in becoming self-sufficient through the enhancement of their educational status and development of the skills necessary to seek and maintain meaningful employment. * promoting community behavioral health through the provision of quality outpatient behavioral health services to men and women of all ages. * providing women and women with children with safe, secure, therapeutically supportive housing services. House of mercy is included in the official catholic directory as a tax-exempt entity. Services are provided to the community on a non-discriminatory basis and governed by a board in which independent persons, representative of the community, comprise the majority. House of mercy receives funding from government-sponsored health care programs like medicaid and the iowa provider network. In addition to being state licensed, treatment services are accredited by the council on accreditation of rehabilitation facilities (carf) and childcare services are accredited by the national association for the education of young children (naeyc). Qualitative description of community benefit treatment services project together offers residential substance use disorder treatment at high intensity (3.5), medium intensity (3.3) and low intensity (3.1) to homeless/non-homeless, pregnant and/or parenting women who need assistance with recovery, self-sufficiency, parenting, and life skills. House of mercy subscribes to a philosophy of care that focuses on access, engagement, retention, and outcomes. All participating persons in recovery have access to not only substance use disorder treatment services but also co-occurring treatment assistance (such as problem gambling, mental health, and physical health concerns) through a recovery-oriented system of care. Participants work with a counselor to develop and implement an individualized treatment plan that collaboratively addresses the issues which brought them to house of mercy. Programming is holistic in scope, research/best practices-based, gender-specific, and unique in that it allows for mothers to pursue treatment while still res”

“Community services programming outpatient counseling services are available to children, adolescents, and adults and consist of: level 0.5, level i, and level ii.1 substance use disorder treatment services: individual, family, and group mental/behavioral health services and behavioral health intervention services. House of mercy subscribes to a philosophy of care that focuses on access, engagement, retention, and outcomes. All participating persons in recovery have access to not only substance abuse services but also co-occurring issues (such as problem gambling, mental health, and physical health concerns) through a recovery-oriented system of care. Substance use disorder treatment services are available to any individual (regardless of age or gender) who needs support to establish and maintain a recovery program. All participants work with a certified addictions counselor to develop and implement an individualized treatment plan. Participants are involved in research based/best practices curriculum in the area of recovery (e.g. Education in relapse prevention, early recovery skills, trauma and recovery). They receive individual and group therapy; case management services; and, encouraged to develop a support system within the community utilizing the 12-step program, smart recovery, etc. Clients participating in outpatient programming have access to a flexible menu of services including: individual and group counseling; chemical dependency related educational offerings; trauma education and counseling; therapeutic interventions to address relationship, sexual and physical abuse issues; gender specific services; urinalysis related to substance abuse services; parenting classes, and self-sufficiency activities (e.g., education and employment assistance). Continuing care groups are open to anyone who could benefit from having additional therapeutic support in reinforcing a positive recovery outcome. These groups provide a group therapy format that participants can utilize for support as they face the daily challenges of reinforcing recovery, parenting and overall living skills on their own. Group sessions are facilitated by staff that are also available to provide individual therapy, as well as, case management services. Participants are encouraged to commit to their continuing care group for at least one year, secondary to discharge yet can continue to attend indefinitely. During fy 2021 there were 1,458 individuals assessed and of those, 613 admitted and received outpatient or continuing care substance use disorder services one or more times through this program. Mental and behavioral health services are provided by masters prepared, licensed therapists and are available to anyone with an identified/diagnosable mental health or behavioral health need. A board-certified psychiatrist is available to provide treatment oversight, evaluate medication needs, and provide additional needed mental health support. House of mercy mental health treatment services include, but are not limited to, individual, marital, family, and group therapy sessions, as well as pharmacological interventions. Behavioral health intervention services (bhis) are available to children and adults. Bhis are intended to build skills and help reduce symptoms and behaviors that are associated with a diagnosed psychological disorder. Bhis are specifically designed to restore mental health functioning that the individual lost or never achieved because of interference in the normal maturational and learning process due to individual or parental dysfunction. Individuals receiving bhis begin with a behavioral health assessment, which will determine a diagnosis and recommendation for service. A treatment plan is then established, where goals and objectives are specifically listed and outlined. Individual interventions are provided through a predictable schedule of formal sessions that are directed at the cognitive and emotional dynamics that influence behavior. Family i”

“Other fees for services: program service expenses 4,474,543. Management and general expenses 98,623. Fundraising expenses 0. Total expenses 4,573,166. Purchased services: program service expenses 179,624. Management and general expenses 9,454. Fundraising expenses 0. Total expenses 189,078.”