Mercy Medical Center - Clinton Inc

“The members of mercy medical center - clinton (mercyone clinton) are mercy healthcare foundation - clinton (the class a member) and mercy health services-iowa corp. (the class b member). See line 7 for additional information.”

“The system parent, trinity health corporation, appoints the directors of mercyone clinton. The board of directors elects the board officers.”

“Mercy health services-iowa, class b member, and trinity health corporation, system parent, must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Mercy health services-iowa must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents. As class a member, mercy healthcare foundation - clinton must approve the sale of substantially all assets to, or merger of mercyone clinton with, an entity not affiliated with trinity health corporation. Mercy healthcare foundation - clinton must also approve any modifications to governing documents that would change the voting or approval rights of the class a member. 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.”

“Prior to filing, the form 990 for mercyone clinton is reviewed by senior management. In addition, certain key sections of the form are reviewed by the board of directors. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Mercyone clinton 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 clinton, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of mercyone clinton 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 internal legal counsel and the integrity and compliance officer, from which 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 clinton (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to mercyone clinton 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 clinton (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 clinton. 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.”

“Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officials of mercyone clinton is established by trinity health, a related organization. In establishing ceo and vice president finance compensation, 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 the ceo and vice president finance of mercyone clinton 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.”

“Mercyone clinton 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 clinton includes a copy of its most recently filed schedule h on both its own website and trinity health's website. Mercyone clinton's governing documents and conflict of interest policy are available upon request.”

“Dba: mercyone clinton medical center dba: mercy medical center - clinton dba: mercy home care & hospice - clinton dba: mercy living center - north dba: mercy specialty clinic - clinton dba: mercy home medical equipment dba: mercy wound care center dba: mercyone medical group clinton”

“Contract labor: program service expenses 7,115,238. Management and general expenses 282,858. Fundraising expenses 0. Total expenses 7,398,096. Medical specialist fees: program service expenses 5,439,358. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,439,358. Medical services: program service expenses 1,277,721. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,277,721. Laundry and linen services: program service expenses 241,139. Management and general expenses 1,646. Fundraising expenses 0. Total expenses 242,785. Miscellaneous purchased services: program service expenses 995,486. Management and general expenses 1,188,275. Fundraising expenses 0. Total expenses 2,183,761. Consulting services: program service expenses 94,280. Management and general expenses 18,466. Fundraising expenses 0. Total expenses 112,746. Billing services: program service expenses 103,398. Management and general expenses 37,888. Fundraising expenses 0. Total expenses 141,286. Recruiting services: program service expenses 159,766. Management and general expenses 22,286. Fundraising expenses 0. Total expenses 182,052.”

“Equity transfers to affiliates -3,023,258. Asset impairment -102,710.”

“Mercyone clinton's financial statements were included in the fy20 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”