MERCY HEALTH SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH SERVICES INC (EIN 62-1781969)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-01-10
IRS object ID
202200109349300905
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-01-10T07:34:58-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560574444PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1222 SECOND AVE SOUTH STE 1240AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621781969EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone6157900567PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD NO 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRHONDA SIZEMOREPersonNm
Person TitleCFOPersonTitleTxt
Phone6157900567PhoneNum
Signature2021-12-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRHONDAPersonFirstNm
Person LastSIZEMOREPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA G MOONPreparerPersonNm
PTINP00034774PTIN
Phone6153836592PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCINDY SILERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD NO 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,940,934GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYCOMMUNITYHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionMERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee214TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,743,034PYContributionsGrantsAmt
CY Contributions Grants$6,637,682CYContributionsGrantsAmt
PY Program Service Revenue$8,239,307PYProgramServiceRevenueAmt
CY Program Service Revenue$9,211,794CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$107,458PYOtherRevenueAmt
CY Other Revenue$58,085CYOtherRevenueAmt
PY Total Revenue$12,089,799PYTotalRevenueAmt
CY Total Revenue$15,907,561CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,252,178PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,555,808CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$466,175CYTotalFundraisingExpenseAmt
PY Other Expenses$2,462,098PYOtherExpensesAmt
CY Other Expenses$2,633,511CYOtherExpensesAmt
PY Total Expenses$10,714,276PYTotalExpensesAmt
CY Total Expenses$11,189,319CYTotalExpensesAmt
PY Revenues Less Expenses$1,375,523PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,718,242CYRevenuesLessExpensesAmt
Total Assets BOY$6,615,129TotalAssetsBOYAmt
Total Assets EOY$9,222,485TotalAssetsEOYAmt
Total Liabilities BOY$3,126,235TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,015,349TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,488,894NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,207,136NetAssetsOrFundBalancesEOYAmt
MissionMERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED SERVING WILLIAMSON COUNTY AND SURROUNDING COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,083,056ExpenseAmt
Revenue$7,141,890RevenueAmt
DescMERCY'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 2020-2021 FISCAL YEAR THE FRANKLIN CLINIC SAW A TOTAL OF 11,590 UNIQUE PATIENTS AND 48,542 TOTAL VISITS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,094,285ExpenseAmt
Revenue$1,482,723RevenueAmt
DescMERCY'S SCHOOL-BASED COUNSELING PROGRAM IS OPERATING IN 26 SCHOOLS ACROSS WILLIAMSON AND MARSHALL COUNTIES. THE 2020-2021 FISCAL YEAR WAS STILL FEELING THE EFFECTS OF THE COVID-19 PANDEMIC, BUT OUR COUNSELORS ROSE TO THE CHALLENGE OF MEETING STUDENTS' MENTAL HEALTH NEEDS THROUGH 8,587 TELEHEALTH AND ON-CAMPUS VISITS AND 608 UNIQUE PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,089,707ExpenseAmt
Revenue$587,181RevenueAmt
DescMERCY'S LEWISBURG CLINIC WAS IN ITS SECOND FULL YEAR OF OPERATION FOR THE 2020-2021 FISCAL YEAR AND CONTINUED GROWING DESPITE THE LINGERING AFFECTS OF THE PANDEMIC. THE LEWISBURG CLINIC IS OPEN 4 DAYS A WEEK (MONDAY, WEDNESDAY-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 1,513 UNIQUE PATIENTS AND 3,904 TOTAL VISITS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,267,048TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee214EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RHONDA SIZEMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6157900567PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD STE 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
VALERIE WILSON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
TANIA DAVILA
SECRETARY1.00Yes (X)Yes (X)$0$0$0
GONZALO ELORZA
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
TODD MATTHEWS
BOARD MEMBER1.00Yes (X)$0$0$0
KENT WALTMAN
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE REN
BOARD MEMBER1.00Yes (X)$0$0$0
JULIA STUMP
BOARD MEMBER1.00Yes (X)$0$0$0
REV HERBERT JOHNSON
BOARD MEMBER1.00Yes (X)$0$0$0
LACRETIA CROSBY
BOARD MEMBER1.00Yes (X)$0$0$0
L MABEL ARROYO-CHURCHILL
BOARD MEMBER1.00Yes (X)$0$0$0
DUMKELE ANIFOWOSHE
BOARD MEMBER1.00Yes (X)$0$0$0
CHRIS NELSON
BOARD MEMBER1.00Yes (X)$0$0$0
CINDI PARMENTER
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA DYER
BOARD MEMBER1.00Yes (X)$0$0$0
JANE ALLEN
BOARD MEMBER1.00Yes (X)$0$0$0
JONATHAN BOYE
CBHO40.00Yes (X)$121,661$0$17,729
DOROTHY BULLARD
CAO40.00Yes (X)$96,621$0$5,207
MARGARET OWENS
CCO40.00Yes (X)$88,514$0$10,215
WILLIAM GIBSON
CMO40.00Yes (X)$136,426$0$0
RHONDA SIZEMORE
CFO40.00Yes (X)$100,429$0$17,361
CINDY SILER
CEO40.00Yes (X)$126,396$0$11,319
MARI GARNER
COO40.00Yes (X)$88,738$0$17,206
ALEXANDER BRUNNER
PHYSICIAN32.00$156,495$0$16,015Yes (X)
SAM PARIS
PEDIATRICIAN32.00$104,147$0$16,156Yes (X)
DEANNA BROWN
PEDIATRICIAN32.00$152,855$0$24,775Yes (X)
ABIGAIL RYAN
PEDIATRICIAN32.00$121,329$0$12,294Yes (X)
AMY VEHEC
PEDIATRICIAN32.00$157,936$0$8,996Yes (X)
ANNE FOTTRELL
PSYCHIATRIST32.00$147,992$0$7,440Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,599,539TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$164,713TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$72,751FundraisingAmt
Government Grants$5,349,844GovernmentGrantsAmt
All Other Contributions$1,215,087AllOtherContributionsAmt
Total Contributions$6,637,682TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$9,211,794TotalRevenueColumnAmt
Related Or Exempt Func Income$9,211,794RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,211,794TotalProgramServiceRevenueAmt
Fundraising Gross Income$61,524FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$72,751ContriRptFundraisingEventAmt
Fundraising Direct Expenses$33,373FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,151TotalRevenueColumnAmt
Exclusion$28,151ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$29,934TotalRevenueColumnAmt
Exclusion$29,934ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$29,934OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,907,561TotalRevenueColumnAmt
Related Or Exempt Func Income$9,211,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$58,085ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,007,469TotalAmt
Program Services$753,401ProgramServicesAmt
Management And General$219,338ManagementAndGeneralAmt
Fundraising$34,730FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,322,983TotalAmt
Program Services$4,728,431ProgramServicesAmt
Management And General$1,376,585ManagementAndGeneralAmt
Fundraising$217,967FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$51,042TotalAmt
Program Services$39,120ProgramServicesAmt
Management And General$10,849ManagementAndGeneralAmt
Fundraising$1,073FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$647,194TotalAmt
Program Services$496,026ProgramServicesAmt
Management And General$137,556ManagementAndGeneralAmt
Fundraising$13,612FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$527,120TotalAmt
Program Services$457,843ProgramServicesAmt
Management And General$50,532ManagementAndGeneralAmt
Fundraising$18,745FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$295,538TotalAmt
Program Services$41,437ProgramServicesAmt
Management And General$190,357ManagementAndGeneralAmt
Fundraising$63,744FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$127,072TotalAmt
Program Services$4,531ProgramServicesAmt
Management And General$71,180ManagementAndGeneralAmt
Fundraising$51,361FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$241,493TotalAmt
Program Services$109,832ProgramServicesAmt
Management And General$107,413ManagementAndGeneralAmt
Fundraising$24,248FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$434,795TotalAmt
Program Services$366,266ProgramServicesAmt
Management And General$56,973ManagementAndGeneralAmt
Fundraising$11,556FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$394,302TotalAmt
Program Services$364,072ProgramServicesAmt
Management And General$23,895ManagementAndGeneralAmt
Fundraising$6,335FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,730TotalAmt
Program Services$3,425ProgramServicesAmt
Management And General$622ManagementAndGeneralAmt
Fundraising$683FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$136,367TotalAmt
Management And General$136,367ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$66,213TotalAmt
Program Services$48,858ProgramServicesAmt
Management And General$17,355ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$381,310$362,883$18,427
REPAIRS & MAINTENANCE$146,621$101,903$40,643$4,075
CONTRACT LABOR$110,121$46,863$62,950$308
BAD DEBT EXPENSE$104,201$214,809-$110,608

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$190,748TotalAmt
Program Services$127,348ProgramServicesAmt
Management And General$45,662ManagementAndGeneralAmt
Fundraising$17,738FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,189,319TotalAmt
Program Services$8,267,048ProgramServicesAmt
Management And General$2,456,096ManagementAndGeneralAmt
Fundraising$466,175FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$547,565BOYAmt
EOY$405,721EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,407,041BOYAmt
EOY$5,280,024EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,627,547BOYAmt
EOY$2,239,810EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$42,845EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,500,077LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,304,107LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$978,861BOYAmt
EOY$1,195,970EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,115BOYAmt
EOY$8,115EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,615,129BOYAmt
EOY$9,222,485EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$850,925BOYAmt
EOY$924,870EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,197,238BOYAmt
EOY$47,106EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,072BOYAmt
EOY$43,373EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,126,235BOYAmt
EOY$1,015,349EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,438,894BOYAmt
EOY$8,157,136EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$50,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,488,894BOYAmt
EOY$8,207,136EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,615,129BOYAmt
EOY$9,222,485EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,718,242ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,413,394OtherCostOrOtherBasisAmt
Depreciation$755,119DepreciationAmt
Book Value$658,275BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$870,630OtherCostOrOtherBasisAmt
Depreciation$485,042DepreciationAmt
Book Value$385,588BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,053OtherCostOrOtherBasisAmt
Depreciation$63,946DepreciationAmt
Book Value$152,107BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,195,970TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED LEASE LIABILITYDesc
Amt$43,373Amt
FieldValueIRS element (for citing)
Total Liability$43,373TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,951,014TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$10,080DonatedServicesAndUseFcltsAmt
Other Revenue$33,373OtherRevenueAmt
Revenue Not Reported$43,453RevenueNotReportedAmt
Revenue Subtotal$15,907,561RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$15,907,561TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,232,772TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$10,080DonatedServicesUseFcltsAmt
Other Expenses Included$33,373OtherExpensesIncludedAmt
Expenses Not Reported$43,453ExpensesNotReportedAmt
Expenses Subtotal$11,189,319ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,189,319TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 33,373.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 33,373.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FRANKLIN CLASSICEvent1Nm
Gross Receipts Event1$55,121GrossReceiptsEvent1Amt
Charitable Contri Event1$40,037CharitableContriEvent1Amt
Gross Revenue Event1$15,084GrossRevenueEvent1Amt
Other Direct Expenses Event1$7,829OtherDirectExpensesEvent1Amt
Event2PRAYER DINNEREvent2Nm
Gross Receipts Event2$44,914GrossReceiptsEvent2Amt
Charitable Contri Event2$32,714CharitableContriEvent2Amt
Gross Revenue Event2$12,200GrossRevenueEvent2Amt
Other Direct Expenses Event2$9,057OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$34,240GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$34,240GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$16,487OthDirectExpnssOtherEventsAmt
Gross Receipts Total$134,275GrossReceiptsTotalAmt
Charitable Contributions Tot$72,751CharitableContributionsTotAmt
Gross Revenue Total Events$61,524GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$33,373OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$33,373DirectExpenseSummaryEventsAmt
Net Income Summary$28,151NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DEANNA BROWN
PEDIATRICIAN$151,243$0$1,612$0$0$0$2,295$0$22,480$0$177,630$0$0$0
ALEXANDER BRUNNER
PHYSICIAN$155,288$0$1,207$0$0$0$0$0$16,015$0$172,510$0$0$0
AMY VEHEC
PEDIATRICIAN$156,729$0$1,207$0$0$0$2,388$0$6,608$0$166,932$0$0$0
ANNE FOTTRELL
PSYCHIATRIST$146,923$0$1,069$0$0$0$2,233$0$5,207$0$155,432$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BN/A - THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CPOLICIES 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 15THE 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 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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