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Nonprofiteer
← Mercy Hospital Foundation

Form 990 for tax year 2022

Filed by Mercy Hospital Foundation.

Totals

Total revenue
$707,239
Total expenses
$489,874
Contributions and grants received
$468,864
Grants paid
$124,301
Program service revenue
$0
Investment income
$238,375
Other revenue
$0
Total assets, end of year
$18,337,472
Total liabilities, end of year
$94,182
Net assets or fund balances, end of year
$18,243,290
Program services expenses (Part IX)
$124,301
Management and general expenses
$125,879
Fundraising expenses
$239,694
Program service expenses (Part III)
$124,301

Program services were 25.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $468,864

  • 1g · Noncash contributions included above

    $3,869

  • 3 · Investment income

    total $451,526 · excluded $451,526

  • 7a · Gross sales of assets other than inventory

    securities $5,951,585

  • 7b · Less cost or other basis and sales expenses

    securities $6,164,736

  • 7c · Gain or loss

    securities -$213,151

  • 7d · Net gain or loss

    total -$213,151 · excluded -$213,151

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $110,521 · program services $110,521

  • 2 · Grants to domestic individuals

    total $13,780 · program services $13,780

  • 5 · Compensation of officers, directors and key employees

    total $211,099 · management and general $69,663 · fundraising $141,436

  • 7 · Other salaries and wages

    total $66,979 · management and general $22,103 · fundraising $44,876

  • 8 · Pension plan contributions

    total $1,743 · management and general $575 · fundraising $1,168

  • 9 · Other employee benefits

    total $139 · management and general $46 · fundraising $93

  • 10 · Payroll taxes

    total $3,110 · management and general $1,026 · fundraising $2,084

  • 11c · Fees: accounting

    total $18,226 · management and general $18,226

  • 12 · Advertising and promotion

    total $30,059 · fundraising $30,059

  • 13 · Office expenses

    total $1,761 · management and general $581 · fundraising $1,180

  • 14 · Information technology

    total $20,816 · management and general $6,869 · fundraising $13,947

  • 17 · Travel

    total $38 · management and general $13 · fundraising $25

  • 22 · Depreciation, depletion and amortization

    total $4,650 · management and general $4,650

  • 24a · Other expenses: Misc Fundraising Exp

    total $4,826 · fundraising $4,826

  • 24e · All other expenses

    total $2,127 · management and general $2,127

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $180,464 · end of year $150,753

  • 2 · Savings and temporary cash investments

    beginning of year $214,146 · end of year $146,308

  • 3 · Pledges and grants receivable

    beginning of year $3,970 · end of year $2,630

  • 10a · Land, buildings and equipment: cost or other basis

    $152,247

  • 10b · Land, buildings and equipment: accumulated depreciation

    $147,847

  • 10c · Land, buildings and equipment, net

    beginning of year $9,050 · end of year $4,400

  • 11 · Investments: publicly traded securities

    beginning of year $16,203,529 · end of year $17,995,687

  • 15 · Other assets

    beginning of year $21,446 · end of year $37,694

  • 17 · Accounts payable and accrued expenses

    beginning of year $0

  • 25 · Other liabilities

    beginning of year $94,401 · end of year $94,182

  • 27 · Net assets without donor restrictions

    beginning of year $10,627,597 · end of year $11,870,942

  • 28 · Net assets with donor restrictions

    beginning of year $5,910,607 · end of year $6,372,348

Mission and programs · 2022

Mission

Generate private support for Mercy Hospital Iowa City ("Mercy"); manage, invest and disburse funds with regard to donor's intentions.

Activities or mission (Part I)

Generate private support for Mercy Hospital Iowa City and manage, invest and disburse funds.

  • Mercy Hospital Foundation ("The Foundation") provided $124,301 in funding in fiscal year 2023 to Mercy Hospital Iowa City for assistance with purchasing medical equipment, flooring, website upgrades, nursing and health career scholarships and more to improve patient care, enhance the hospital's healing environment and provide support for specific areas.

    Expenses $124,301 · Grants $124,301

As filed on the 2022 return.

Listed in Part VII

  • Dawna Miller

    Treasurer (End 7/22)

    Total calculated
    $399,550
    From this org
    $0
    From related orgs
    $366,748
    Other
    $32,802
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,266 related
    Bonus
    $0 + $54,638 related
    Other
    $0 + $104,844 related
    Deferred
    $0 + $8,332 related
    Nontaxable benefits
    $0 + $24,470 related
    Filer's total
    $0 + $399,550 related
  • Lisa Steigleder

    President

    Total calculated
    $198,364
    From this org
    $0
    From related orgs
    $169,329
    Other
    $29,035
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $168,567 related
    Bonus
    $0 + $762 related
    Other
    $0
    Deferred
    $0 + $3,150 related
    Nontaxable benefits
    $0 + $25,885 related
    Filer's total
    $0 + $198,364 related
  • Jeffrey Rooney

    Treasurer (8/22-4/23)

    Total calculated
    $0
    Hours/week
    1 + 41 related
  • Jim Porter

    Treasurer (Begin 5/23)

    Total calculated
    $0
    Hours/week
    1 + 41 related
  • Lynn Skopec

    Chair-Elect/Chair

    Total calculated
    $0
    Hours/week
    1
  • Mike Trachta

    CEO & Administrator (End 3/23)

    Total calculated
    $0
    Hours/week
    1 + 41 related
  • Steven Anderson

    Secretary/Chair-Elect (Beg 10/22)

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tom Clancy

    CEO & Administrator (Beg 4/23)

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Tor Nicklaus

    Secretary (Beg 10/22)

    Total calculated
    $0
    Hours/week
    1
  • Ann Perino

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Denice Connell

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Kim Casko

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Patricia Heiden

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Sarah Leonard

    Board Member (End 10/22)

    Total calculated
    $0
    Hours/week
    1
  • Scott Fisher

    Chair (End 9/22)/Board Member

    Total calculated
    $0
    Hours/week
    1
  • Todd Jacobson

    Board Member (End 10/22)

    Total calculated
    $0
    Hours/week
    1
  • Kimberley Rossiter

    Assistant Treasurer (End 8/22)

    Total calculated
    $229,973
    From this org
    $0
    From related orgs
    $208,788
    Other
    $21,185
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,183 related
    Bonus
    $0 + $7,750 related
    Other
    $0 + $6,855 related
    Deferred
    $0 + $5,002 related
    Nontaxable benefits
    $0 + $16,183 related
    Filer's total
    $0 + $229,973 related
  • Stuart Elkin

    Asst. Treas. (Beg 9/22)

    Total calculated
    $176,195
    From this org
    $0
    From related orgs
    $170,462
    Other
    $5,733
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $170,317 related
    Bonus
    $0
    Other
    $0 + $145 related
    Deferred
    $0 + $5,733 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $176,195 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
The Foundation relied on Mercy Hospital, a related organization, to establish the compensation of the Foundation's top management official. Mercy Hospital used the following methods to establish compensation for the Foundation President: - Compensation Committee - Independent Compensation Consultant - Form 990 of Other Organizations - Compensation Survey or Study - Approval by the Board or Compensation Committee
Part I, Line 4a
Dawna Miller, Chief Financial Officer received severance payments amounting to $103,884 in calendar year 2022 as part of her employment contract.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Iowa City Ambulatory Surgical Center LLC

    Outpatient Surgery · IA

  • Corridor Radiology LLC

    Radiology Services · IA

  • Eastern Iowa Rehabilitation Hospital LLC

    Inpatient Rehabilitation Care · IA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Mercy Services Iowa City Inc

    C · Health Care · IA

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349306471

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