Mercy Foundation Inc.

“The organization's top management official is paid by mercy medical center (mmc), a related organization. Mmc completes an annual market survey to ensure compensation is reasonable. The process and determination are documented in the employee's files in human resources. The compensation is approved by the president/ceo of mmc. This process was last undertaken in the fiscal year ended june 30, 2015.”

“During the tax year ended 6/30/15, no officers, directors or key employees were compensated by mercy foundation inc. Any executive compensation paid to officers or directors by related organizations was evaluated using regional hospital wage surveys. The related organization's wage policy outlines that one's placement in a pay range is dependent on applicable experience and pay increases are determined by the employee's merit review. The form 990 instructions indicate when this question is not applicable it should be answered "no".”

“Pursuant to Section 8.6 of the Bylaws of Mercy Foundation, Inc., the Executive Committee is composed of the board chair, the board vice chair, the President and CEO, and the President and CEO of Mercy Medical Center, Inc. (the sole corporate member), each of whom shall serve as an ex officio voting member of the Executive Committee. Each individual appointed to the Executive Committee shall serve for a term of one year or until his or her successor is duly appointed by the Board of Directors. Pursuant to Section 8.1 of the Corporation's bylaws, committees, such as the executive committee, that are granted the authority to act on behalf of the board of directors may include only directors of the corporation. Further, pursuant to Section 8.6 of the Corporation's bylaws, the executive committee has and may exercise such powers as may be delegated to it by the board of directors.”

“According to the bylaws of Mercy Foundation, Inc., the entity's sole member is Mercy Medical Center, Inc., an Oregon nonprofit 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.”

“The organization's corporate member is Mercy Medical Center, Inc. Pursuant to Section 5.4 of the organization's bylaws, both Mercy Medical Center, Inc. and Catholic Health Initiatives ("CHI") (Mercy Medical Center's sole corporate member) have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the Mercy Medical Center Board: *Approve members of the Mercy Foundation, Inc. board *Amendment of the corporate documents of the Mercy Foundation, Inc. *Approve removal of a member of the governing body of the Mercy Foundation, Inc. *Adoption of long range and strategic plans for the Mercy Foundation, Inc. The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: *Substantial change in the mission or philosophy of the Mercy Foundation, Inc. *Removal of a member of the governing body of the Mercy Foundation, Inc. *Approval of issuance of debt by Mercy Foundation, Inc. *Approval of participation of Mercy Foundation, Inc. in a joint venture *Approval of formation of a new corporation by Mercy Foundation, Inc. *Approval of a merger involving the Mercy Foundation, Inc. *Approval of the sale of all or substantially all of the assets of the Mercy Foundation, Inc. *To require the transfer of assets by the Mercy Foundation, Inc. to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5.2 of the organization's bylaws, Mercy Medical Center, Inc. or CHI 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.”

“The VP-Operational Finance of Mercy Medical Center Inc., the sole member, reviews the tax return and any necessary changes are included in the final version that is approved for filing with the IRS. Subsequent to review, the tax department files the return with the appropriate federal agencies, making any non-substantive changes necessary to effect e-filing.”

“Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and”

“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 Catholic Health Initiatives' consolidated audited financial statements that are available at www.CatholicHealthInit.org or at www.DACBOND.org.”

“Organization's mission, vision, and tax-exempt purpose mercy foundation was incorporated in 1973 as a 501(c)(3), tax-exempt, charitable foundation to financially assist mercy medical center in its vision to improve the health, well-being, and quality of life for families and children. Through its strong community partnerships, foundation funding helps develop outreach programs, technology, and facilities which allow the organization to grow in its ability to enrich the lives of douglas county residents today and into the future. Mercy foundation is governed by a board of directors consisting of local community members. Qualitative description of community benefit mercy foundation raises funds through special events, major gifts, planned giving, corporate/foundation grants, annual giving and capital campaigns to help fund a number of funds and children's health care programs created to support the community outreach and mercy medical center. In fy 2015 mercy foundation raised $1,063,950 dollars for these purposes. At the same time, it disbursed a portion of this amount back into the community, offering hope to families and children as they overcome the barriers to care that exist in our rural communities (mistrust, poverty, lack of transportation, lack of local health care providers, and lack of insurance).”

“Other Fees for Services - Total Expense: 542729, Program Service Expense: 418342, Management and General Expenses: 79773, Fundraising Expenses: 44614;”