2023-03-30T12:13:08-05:00 2022-06-30 882730877 CHERRY BEKAERT ADVISORY LLC 222 SECOND AVE SOUTH STE 1240 NASHVILLE TN 37201 990 2021-07-01 621781969 MERCY HEALTH SERVICES INC MERC 6157900567 1113 MURFREESBORO ROAD 319 FRANKLIN TN 37064 RHONDA SIZEMORE CFO 6157900567 2023-03-29 1 RHONDA SIZEMORE 999009999 LAUREN MOSES P02156583 6153836592 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CINDY SILER 1113 MURFREESBORO ROAD 319 FRANKLIN TN 37064 16634871 0 X WWW.MERCYCOMMUNITYHEALTHCARE.ORG X 1999 TN MERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED. 14 14 229 25 0 0 6637682 6274916 9211794 10103572 0 16724 58085 117641 15907561 16512853 0 0 0 0 8555808 9699942 0 0 779709 2633511 3316162 11189319 13016104 4718242 3496749 9222485 12768568 1015349 1595661 8207136 11172907 MERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED SERVING WILLIAMSON COUNTY AND SURROUNDING COUNTIES. 0 0 5899453 6935569 MERCY'S FRANKLIN CLINIC IS OPEN 6 DAYS A WEEK (MONDAY-SATURDAY) AND PROVIDES GENERAL MEDICAL SERVICES FOR CHILDREN AND ADULTS, INCLUDING ANNUAL PHYSICALS, WALK-IN APPOINTMENTS, AND VACCINATIONS (INCLUDING COVID-19). THE FRANKLIN CLINIC ALSO PROVIDES COUNSELING, PSYCHIATRY AND BEHAVIORAL HEALTH SERVICES FOR PATIENTS. THE CLINIC ALSO HAS A CARE COORDINATION DEPARTMENT THAT ASSIST PATIENTS IN OVERCOMING BARRIERS TO HEALTHCARE, SUCH AS OBTAINING INSURANCE, FINDING TRANSPORTATION AND NAVIGATING REFERRALS. IN THE 2021-2022 FISCAL YEAR THE FRANKLIN CLINIC SAW A TOTAL OF 12,860 UNIQUE PATIENTS AND 62,877 TOTAL VISITS. 1952880 1989466 MERCY'S SCHOOL-BASED COUNSELING PROGRAM IS OPERATING IN 17 SCHOOLS ACROSS WILLIAMSON AND MARSHALL COUNTIES. THE 2021-2022 FISCAL YEAR OUR COUNSELORS SAW, 443 UNIQUE PATIENTS AND 12,769 TOTAL VISITS. 1323173 1178537 MERCY'S LEWISBURG CLINIC WAS IN ITS SECOND FULL YEAR OF OPERATION FOR THE 2021-2022 FISCAL YEAR AND CONTINUED GROWING DESPITE THE LINGERING AFFECTS OF THE PANDEMIC. THE LEWISBURG CLINIC IS OPEN 5 DAYS A WEEK (MONDAY-FRIDAY) AND OFFERS GENERAL MEDICAL SERVICES FOR BOTH CHILDREN AND ADULTS, AS WELL AS COUNSELING SERVICES (BOTH ON-SITE AND VIA TELEHEALTH). THE LEWISBURG CLINIC SAW 1,515 UNIQUE PATIENTS AND 6,050 TOTAL VISITS. 9175506 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 40 0 1 229 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 1 1 1 1 0 TN X RHONDA SIZEMORE 6157900567 1113 MURFREESBORO ROAD STE 319 FRANKLIN TN 37064 VALERIE WILSON CHAIR 1.00 X X 0 0 0 MIKE REN VICE CHAIR 1.00 X X 0 0 0 JANE ALLEN BOARD MEMBER 1.00 X 0 0 0 ROBIN BALDREE BOARD MEMBER 1.00 X 0 0 0 PHIL CLARK BOARD MEMBER 1.00 X 0 0 0 LACRETIA CROSBY BOARD MEMBER 1.00 X 0 0 0 TANIA DAVILA BOARD MEMBER 1.00 X 0 0 0 GONZALO ELORZA BOARD MEMBER 1.00 X 0 0 0 HERBERT JOHNSON BOARD MEMBER 1.00 X 0 0 0 DORIS MCMILLAN BOARD MEMBER 1.00 X 0 0 0 NALAKA MENDIS BOARD MEMBER 1.00 X 0 0 0 CHRISTIAN NELSON BOARD MEMBER 1.00 X 0 0 0 LINDA NORMAN BOARD MEMBER 1.00 X 0 0 0 JULIA STUMP BOARD MEMBER 1.00 X 0 0 0 CINDY SILER CEO 40.00 X 155345 0 14517 WILLIAM GIBSON CMO 40.00 X 276211 0 2128 MARGARET OWENS CCO 16.00 X 59796 0 7899 MARI GARNER COO 40.00 X 91016 0 21525 DOROTHY BULLARD CAO 40.00 X 103478 0 6788 RHONDA SIZEMORE CFO 40.00 X 108457 0 16976 JON BOYE CBHO 40.00 X 122185 0 23057 ALEXANDER BRUNNER PHYSICIAN 32.00 X 177038 0 20602 ANNE FOTTRELL PSCHIATRIST 8.00 X 146642 0 9220 DENNA BROWN PEDIATRICIAN 32.00 X 109408 0 14320 AMY VEHEC PEDIATRICIAN 32.00 X 107413 0 5709 SAM PARIS PEDIATRIC NP 32.00 X 101937 0 14755 1558926 0 157496 10 0 1 0 0 179360 3446916 2648640 70523 6274916 SERVICE REVENUE 624100 10103572 10103572 10103572 16724 16724 173625 179360 122018 51607 51607 MISCELLANEOUS 900099 66034 66034 66034 16512853 10103572 0 134365 1189450 366263 706889 116298 7074651 5584840 1220850 268961 57996 44640 11032 2324 799406 615305 152065 32036 578439 428584 121830 28025 295384 94758 199964 662 201820 1240 200580 296734 148712 126660 21362 617383 500603 108775 8005 511467 418249 37074 56144 10222 5536 4488 198 150872 150872 73594 50573 22771 250 MEDICAL SUPPLIES 493945 484546 9399 REPAIRS & MAINTENANCE 159937 116300 34526 9111 CONTRACT LABOR 119920 56134 63786 BAD DEBT EXPENSE 100982 100564 418 283902 158659 89490 35753 13016104 9175506 3060889 779709 405721 175159 5280024 4737609 50000 181990 2239810 2462114 42845 91588 6566972 1454979 1195970 5111993 8115 8115 9222485 12768568 924870 1578166 47106 8820 43373 8675 1015349 1595661 X 8157136 10990917 50000 181990 8207136 11172907 9222485 12768568 X 3496749 -530978 0 X 0 1 X 1 1 1 X 2692403 2242933 3743034 6637682 6274916 21590968 2692403 2242933 3743034 6637682 6274916 21590968 66799 21524169 1505 16724 18229 98748 22885 74659 29937 66034 292263 21901460 41049590 0.98280 0.97600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2400000 2400000 1420194 804179 616015 958019 559527 398492 1788759 91273 1697486 5111993 DEFERRED LEASE LIABILITY 8675 8675 16664365 29494 122018 151512 16512853 0 16512853 13167616 29494 122018 151512 13016104 0 13016104 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 122,018. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 122,018. X 1 LIGHTHOUSE COUNSEL 381 RIVERSIDE DR 190 FRANKLIN TN 37064 CAPITAL CAMPAIGN CONSULTING 0 1356442 145000 1211442 1356442 145000 1211442 FRANKLIN CLASSIC 172760 103260 69500 56052 PRAYER DINNER 52166 16791 35375 9371 2 128059 59309 68750 56595 352985 179360 173625 122018 122018 51607 X 0 0 0 0 0 0 0 0 0 WILLIAM GIBSON CMO 275000 0 1211 0 0 0 2128 0 0 0 278339 0 0 0 ALEXANDER BRUNNER PHYSICIAN 175835 0 1203 0 0 0 0 0 20602 0 197640 0 0 0 CINDY SILER CEO 140122 0 15223 0 0 0 2831 0 11686 0 169862 0 0 0 ANNE FOTTRELL PSCHIATRIST 145417 0 1225 0 0 0 2432 0 6788 0 155862 0 0 0 X 23 16560 FMV X OTHER ITEMS 23 23241 FMV X AUCTION ITEMS 49 19383 FMV X FURNITURE 1 11340 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B N/A - THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 WILL BE SENT ELECTRONICALLY TO THE BOARD OF DIRECTORS PRIOR TO FILING. ADDITIONALLY, IT IS REVIEWED IN DETAIL BY THE EXECUTIVE COMMITTEE WHICH REPORTS ITS FINDINGS TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C POLICIES AND PROCEDURES FOR ALL PROCUREMENT ARE IN PLACE TO DISCOVER ANY POTENTIAL CONFLICTS OF INTEREST FOR ALL PURCHASES AND CONTRACTS. ANNUALLY FORMS ARE SIGNED TO STATE THERE IS NO CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS REVIEWED AND DETERMINED EACH YEAR BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MERCY. PRIMARILY, THE COMMITTEE USES THE COMPENSATION REPORT DONE EVERY TWO YEARS BY THE TENNESSEE PRIMARY CARE ASSOCIATION OF ALL THE FEDERALLY QUALIFIED HEALTH CENTERS IN TENNESSEE. THIS REPORT IS VERY HELPFUL IN COMPARING THE BUDGET SIZES, PATIENT ENCOUNTER NUMBERS, AND STAFFING SIZES OF THESE CENTERS IN ORDER TO REACH A COMPETITIVE SALARY RANGE. THE REMAINDER OF THE TOP MANAGEMENT OFFICIALS' COMPENSATION IS DETERMINED, PRIMARILY USING THE SAME COMPENSATION REPORT BY THE CEO OF MERCY. EACH YEAR, BUDGET PERMITTING, A COST OF LIVING RAISE IS IMPLEMENTED. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC MARI GARNER - 7102 DONALD WILSON DR, FAIRVIEW, TN 37062. JON BOYE - 5710 QUEST RIDGE RD, FRANKLIN, TN 37064. FROM 990, PART XI, LINE 8 EFFECTIVE JULY 1, 2020, THE ORGANIZATION RESTATED ACCRUED LIABILITIES AND NET ASSETS BY $530,978 TO RESTATE PATIENT SERVICE REVENUE OVERBILLINGS DURING THE FISCAL YEAR ENDED JUNE 30, 2021.