Mercy Healthcare Foundation

“According to the bylaws of mercy healthcare foundation, the entity's sole member is mercy hospital of valley city, a north dakota non-profit corporation.”

“According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. 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. 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 mercy hospital of valley city. Pursuant to section 5.4.1 of the organization's bylaws, both mercy hospital of valley city and commonspirit health (mercy hospital of valley city'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 mercy hospital of valley city board: * approve members of the mercy healthcare foundation board * amendment of the corporate documents of mercy healthcare foundation * approve removal of a member of the governing body of mercy healthcare foundation * adoption of long range and strategic plans for mercy healthcare foundation 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 mercy healthcare foundation * removal of a member of the governing body of mercy healthcare foundation * approval of issuance of debt by mercy healthcare foundation * approval of participation of mercy healthcare foundation in a joint venture * approval of formation of a new corporation by mercy healthcare foundation * approval of a merger involving mercy healthcare foundation * approval of the sale of all or substantially all of the assets of mercy healthcare foundation * to require the transfer of assets by mercy healthcare foundation to commonspirit health to accomplish commonspirit health's goals and objectives, and to satisfy commonspirit health debts. Pursuant to section 5.5.2 of the organization's bylaws, mercy hospital of valley city 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. 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.”

“Following the preparation of the form 990 by tax analysts of commonspirit health, a related organization, the return is reviewed by the commonspirit health tax director and the local vp of operational finance. Additionally, the board of directors are provided the final form 990 and related schedules to review via email and are able to ask the vp of operational finance and tax director questions prior to filing with the irs. Upon vp of operational finance approval and market cfo signature, the tax analyst files the final form 990 as presented to the board, making any non-substantive changes necessary in order to effect e-filing. Any such changes are not re-submitted to the board.”

“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. 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 - employed physicians and advanced practice providers - 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 - 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 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.”

“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 document retention and destruction policy is more of an operational policy. These types of policies usually do not go to the board of directors. This has not been adopted by the board of directors.”

“Organization's mission, vision, and tax-exempt purpose: mission: to support programs and services of the hospital, enhancing the quality of care given to those in need. Lives are changed every day at chi mercy health because of the charitable gifts made by patients, caregivers, and community members. New advances in medical technologies continue to transform the provision of healthcare and lengthen and improve the quality of life. Strong financial resources invested in chi mercy health foundation provide assurance that the best quality care is always available right here, close to home. Chi mercy health foundation, a non-profit corporation governed by a board of directors, is dedicated to supporting chi mercy health with supplemental funding for capital and program needs to advance our mission by improving the health of the people we serve. Advancing excellence in healthcare in our community is why we exist. The chi mercy health foundation was incorporated as a 501(c)(3), tax-exempt, charitable foundation in 1994 and is dedicated to the support of programs and projects that will expand and enhance health care, education, and other health-related services within the service area of chi mercy health. We are striving to build and maintain a high quality of life in the community through the finest health care possible, at the most affordable cost possible. The goal, simply stated, is to provide ways to: * serve the area's health care needs now and in the future; and * provide security to our citizens through the availability of modern health care; and * procure and retain high level medical expertise; and * find a path for the organic growth of hospital service lines; and * maintain chi mercy health's mission of: nurturing the healing ministry of the church, supported by education and research. Fidelity to the gospel urges us to emphasize human dignity and social justice as we create healthier communities. Qualitative description of community benefit: chi mercy health foundation's board of directors raise funds through special events, annual giving, memorials, and employee and capital campaigns. These funds are used to help fund programs to promote area children's healthcare, physician recruitment, nurse scholarships, general medical scholarships, hospital capital, and other needs in support of chi mercy health hospital of valley city.”

“Payments to vendors for entities that are part of commonspirit health are made by commonspirit health. Therefore, no forms 1099 are issued by mercy healthcare foundation. Commonspirit health files the forms 1099 and complies with the backup withholding rules for reportable payments to vendors and game winnings. The forms 1099 issued on behalf of mercy health foundation are reported to the irs.”

“Transfer from affiliates - mercy hospital of valley city 44,544.”