2022-01-10T07:34:58-06:00 2021-06-30 560574444 CHERRY BEKAERT LLP 222 SECOND AVE SOUTH STE 1240 NASHVILLE TN 37201 990 2020-07-01 621781969 MERCY HEALTH SERVICES INC MERC 6157900567 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 RHONDA SIZEMORE CFO 6157900567 2021-12-22 1 RHONDA SIZEMORE 999009999 SARA G MOON P00034774 6153836592 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CINDY SILER 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 15940934 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. 12 12 214 28 0 0 3743034 6637682 8239307 9211794 0 0 107458 58085 12089799 15907561 0 0 0 0 8252178 8555808 0 0 466175 2462098 2633511 10714276 11189319 1375523 4718242 6615129 9222485 3126235 1015349 3488894 8207136 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 6083056 7141890 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 2020-2021 FISCAL YEAR THE FRANKLIN CLINIC SAW A TOTAL OF 11,590 UNIQUE PATIENTS AND 48,542 TOTAL VISITS. 1094285 1482723 MERCY'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. 1089707 587181 MERCY'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. 8267048 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 35 0 1 214 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 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 CHAIRMAN 1.00 X X 0 0 0 TANIA DAVILA SECRETARY 1.00 X X 0 0 0 GONZALO ELORZA VICE CHAIR 1.00 X X 0 0 0 TODD MATTHEWS BOARD MEMBER 1.00 X 0 0 0 KENT WALTMAN BOARD MEMBER 1.00 X 0 0 0 MIKE REN BOARD MEMBER 1.00 X 0 0 0 JULIA STUMP BOARD MEMBER 1.00 X 0 0 0 REV HERBERT JOHNSON BOARD MEMBER 1.00 X 0 0 0 LACRETIA CROSBY BOARD MEMBER 1.00 X 0 0 0 L MABEL ARROYO-CHURCHILL BOARD MEMBER 1.00 X 0 0 0 DUMKELE ANIFOWOSHE BOARD MEMBER 1.00 X 0 0 0 CHRIS NELSON BOARD MEMBER 1.00 X 0 0 0 CINDI PARMENTER BOARD MEMBER 1.00 X 0 0 0 REBECCA DYER BOARD MEMBER 1.00 X 0 0 0 JANE ALLEN BOARD MEMBER 1.00 X 0 0 0 JONATHAN BOYE CBHO 40.00 X 121661 0 17729 DOROTHY BULLARD CAO 40.00 X 96621 0 5207 MARGARET OWENS CCO 40.00 X 88514 0 10215 WILLIAM GIBSON CMO 40.00 X 136426 0 0 RHONDA SIZEMORE CFO 40.00 X 100429 0 17361 CINDY SILER CEO 40.00 X 126396 0 11319 MARI GARNER COO 40.00 X 88738 0 17206 ALEXANDER BRUNNER PHYSICIAN 32.00 X 156495 0 16015 SAM PARIS PEDIATRICIAN 32.00 X 104147 0 16156 DEANNA BROWN PEDIATRICIAN 32.00 X 152855 0 24775 ABIGAIL RYAN PEDIATRICIAN 32.00 X 121329 0 12294 AMY VEHEC PEDIATRICIAN 32.00 X 157936 0 8996 ANNE FOTTRELL PSYCHIATRIST 32.00 X 147992 0 7440 1599539 0 164713 10 0 1 0 0 72751 5349844 1215087 6637682 SERVICE REVENUE 624100 9211794 9211794 9211794 61524 72751 33373 28151 28151 MISCELLANEOUS 900099 29934 29934 29934 15907561 9211794 0 58085 1007469 753401 219338 34730 6322983 4728431 1376585 217967 51042 39120 10849 1073 647194 496026 137556 13612 527120 457843 50532 18745 295538 41437 190357 63744 127072 4531 71180 51361 241493 109832 107413 24248 434795 366266 56973 11556 394302 364072 23895 6335 4730 3425 622 683 136367 136367 66213 48858 17355 MEDICAL SUPPLIES 381310 362883 18427 REPAIRS & MAINTENANCE 146621 101903 40643 4075 CONTRACT LABOR 110121 46863 62950 308 BAD DEBT EXPENSE 104201 214809 -110608 190748 127348 45662 17738 11189319 8267048 2456096 466175 547565 405721 3407041 5280024 50000 50000 1627547 2239810 42845 2500077 1304107 978861 1195970 4115 8115 6615129 9222485 850925 924870 2197238 47106 78072 43373 3126235 1015349 X 3438894 8157136 50000 50000 3488894 8207136 6615129 9222485 4718242 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1413394 755119 658275 870630 485042 385588 216053 63946 152107 1195970 DEFERRED LEASE LIABILITY 43373 43373 15951014 10080 33373 43453 15907561 0 15907561 11232772 10080 33373 43453 11189319 0 11189319 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 33,373. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 33,373. FRANKLIN CLASSIC 55121 40037 15084 7829 PRAYER DINNER 44914 32714 12200 9057 1 34240 34240 16487 134275 72751 61524 33373 33373 28151 X 0 0 0 0 0 0 0 0 0 DEANNA BROWN PEDIATRICIAN 151243 0 1612 0 0 0 2295 0 22480 0 177630 0 0 0 ALEXANDER BRUNNER PHYSICIAN 155288 0 1207 0 0 0 0 0 16015 0 172510 0 0 0 AMY VEHEC PEDIATRICIAN 156729 0 1207 0 0 0 2388 0 6608 0 166932 0 0 0 ANNE FOTTRELL PSYCHIATRIST 146923 0 1069 0 0 0 2233 0 5207 0 155432 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.