MERCY HEALTH SYSTEM CORPORATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH SYSTEM CORPORATION (EIN 39-0816848)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202211369349314411
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T16:23:46-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MIDLAND COURT PO BOX 8130 | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535478130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390816848 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SYSTEM CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6087566000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5003 - 1000 MINERAL POINT | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535475003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAVON BEA | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6087566000 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAVON | PersonFirstNm |
| Person Last | BEA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TROY MARINE CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 6087525835 | PhoneNum |
| Preparation | 2022-05-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAVON BEA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5003 - 1000 MINERAL POINT | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535475003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $727,156,483 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 3959 | TotalEmployeeCnt |
| Total Volunteers | 905 | TotalVolunteersCnt |
| Total Gross UBI | $14,058,757 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $488,296 | PYContributionsGrantsAmt |
| CY Contributions Grants | $329,170 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $617,700,290 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $697,858,650 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,511,217 | PYInvestmentIncomeAmt |
| CY Investment Income | $747,027 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,465,135 | PYOtherRevenueAmt |
| CY Other Revenue | $10,386,752 | CYOtherRevenueAmt |
| PY Total Revenue | $636,164,938 | PYTotalRevenueAmt |
| CY Total Revenue | $709,321,599 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $341,409,652 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $326,399,372 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $246,570,241 | PYOtherExpensesAmt |
| CY Other Expenses | $300,696,719 | CYOtherExpensesAmt |
| PY Total Expenses | $587,979,893 | PYTotalExpensesAmt |
| CY Total Expenses | $627,096,091 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $48,185,045 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $82,225,508 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $660,376,487 | TotalAssetsBOYAmt |
| Total Assets EOY | $776,760,147 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $349,779,868 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $376,803,990 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $310,596,619 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $399,956,157 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MERCY HEALTH SYSTEM CORPORATION (MHSC) IS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $506,885,654 | ExpenseAmt |
| Revenue | $682,955,752 | RevenueAmt |
| Desc | HOSPITAL DISCHARGES 7,188, NURSING HOME ADMISSIONS 203, BIRTHS 859, OUTPATIENT VISITS 1,048,718.MHSC CONTINUES ITS TRADITION OF GIVING BACK TO EACH OF THE COMMUNITIES WE SERVE IN A WIDE VARIETY OF FASHIONS. ONE OF THE LARGER AREAS OF CONTRIBUTION IS IN THE AREA OF PUBLIC HEALTH SERVICES. THIS INCLUDES EXTENSIVE DONATIONS OF TIME AND SUPPLIES TO HEALTHNET OF ROCK COUNTY, A LARGE FREE PRIMARY CARE CLINIC SERVING THE REGION. MORE THAN EIGHTY PERCENT OF THE PHYSICIAN SERVICES PROVIDED AT THE CLINIC ARE SUPPLIED THROUGH MHSC. WE HAVE A SIMILAR COMMITMENT TO OPEN ARMS FREE CLINIC THAT SERVICES LOW INCOME RESIDENTS IN WALWORTH COUNTY. ADDITIONALLY, WE PROVIDE HEALTH SCREENING AND RELATED SERVICES AT NUMEROUS EVENTS IN ROCK AND WALWORTH COUNTIES IN WISCONSIN AND MCHENRY COUNTY IN ILLINOIS.MHSC ALSO PROVIDES FINANCIAL AND IN KIND CONTRIBUTIONS TO OTHER PRIVATE AND NOT FOR PROFIT HEALTH RELATED AGENCIES AND ORGANIZATIONS IN OUR SERVICE AREA. BENEFICIARIES INCLUDED BUT ARE NOT LIMITED TO THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, UNITED WAY ORGANIZATIONS IN ROCK, WALWORTH, AND MCHENRY COUNTIES, YWCA CARE HOUSE, YMCA, AMERICAN LUNG ASSOCIATION, WALWORTH COUNTY ALLIANCE FOR CHILDREN, TURNING POINT WOMEN'S CENTER IN MCHENRY, OPEN ARMS FREE CLINIC, AND THE RED CROSS, TO NAME JUST A FEW RECIPIENTS.MHSC ALSO ENCOURAGES ITS PARTNERS (EMPLOYEES) TO DONATE THEIR TIME AND ENERGY TO SUPPORT A WHOLE HOST OF COMMUNITY BASED CAUSES. THOUSANDS OF HOURS EACH YEAR ARE DONATED TO NOT FOR PROFIT AND PUBLIC AGENCIES THROUGHOUT OUR SERVICE AREA. EXAMPLES OF VOLUNTEER ACTIVITIES BEING SUPPORTED INCLUDE NURSING SERVICES AT COMMUNITY AND FREE CLINICS THROUGHOUT THE REGION, MEALS ON WHEELS DELIVERY ACTIVITIES, ACTIVE INVOLVEMENT AS GOVERNING BOARD MEMBERS FOR SUCH ORGANIZATIONS AS UNITED WAY, CRIME STOPPERS, ROTARY BOTANICAL GARDENS, HEALTHNET, AND MANY OTHER ORGANIZATIONS.ANOTHER EXAMPLE OF MHSC'S COMMITMENT TO COMMUNITY IS ITS SUPPORT OF THE OPERATIONS THROUGH OFFERING SAFE RESIDENCE TO HOMELESS WOMEN AND THEIR CHILDREN AT THE HOUSE OF MERCY HOMELESS CENTER. IT OPENED IN 1996 AND SERVES ABOUT 255 INDIVIDUALS A YEAR, MANY WHO ARE CHILDREN. THE CENTER OFFERS A SAFE HARBOR FOR THESE INDIVIDUALS AS WELL AS CASE MANAGEMENT, ASSISTANCE WITH JOB SEARCHES, FINDING PERMANENT HOUSING AND EDUCATION. | Desc |
| Total Program Service Expenses | $506,885,654 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 267 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3959 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TODD ANDERSON VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8159716738 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAVON R BEA PRESIDENT | |||||||||
| & DIRECTOR (SEE PAGES 70-73) | 60.00 | 7.00 | Yes (X) | Yes (X) | $5,057,986 | $0 | $7,074,160 | ||
| MARK L GOELZER MD | |||||||||
| DIRECTOR/PHYSICIAN | 40.00 | 6.00 | Yes (X) | $501,965 | $0 | $29,148 | |||
| ROWLAND J MCCLELLAN | |||||||||
| CHAIR & DIRECTOR | 1.00 | 6.00 | Yes (X) | Yes (X) | $15,634 | $0 | $0 | ||
| WESLEY M JOST | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $15,557 | $0 | $0 | |||
| THOMAS D BUDD | |||||||||
| TREASURER & SECRETARY | 1.00 | 6.00 | Yes (X) | Yes (X) | $15,308 | $0 | $0 | ||
| DAVE L SYVERSON | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $15,110 | $0 | $0 | |||
| KATHERINE A SCHACK | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $15,000 | $0 | $0 | |||
| THOMAS R POOL | |||||||||
| VICE CHAIR & DIRECTOR | 1.00 | 6.00 | Yes (X) | Yes (X) | $15,000 | $0 | $0 | ||
| TODD ANDERSON | |||||||||
| VICE PRESIDENT/CFO (AS OF 05/2020) | 55.00 | 7.00 | Yes (X) | $542,858 | $0 | $18,158 | |||
| E PATRICK CRANLEY | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $358,650 | $0 | $54,174 | ||||
| JOANNA BENNING | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $382,092 | $0 | $28,148 | ||||
| RUTH M YARBROUGH | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $388,822 | $0 | $20,526 | ||||
| JOEL PRAH | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $364,931 | $0 | $35,811 | ||||
| DEBRA A POTEMPA | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $356,782 | $0 | $30,363 | ||||
| JENNIFER A HALLETT | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $338,657 | $0 | $39,333 | ||||
| BARBARA J BORTNER | |||||||||
| FORMER VICE-PRESIDENT | 55.00 | Yes (X) | $319,547 | $0 | $47,359 | ||||
| SHANNON DUNPHY - ALEXANDER | |||||||||
| SR EXECUTIVE DIRECTOR | 55.00 | 7.00 | Yes (X) | $313,241 | $0 | $15,917 | |||
| KIMBERLY SCACCIA | |||||||||
| VP - REVENUE CYCLE (AS OF 03/2020) | 40.00 | 7.00 | Yes (X) | $299,091 | $0 | $21,962 | |||
| THOMAS R JENSEN | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $232,370 | $0 | $26,808 | ||||
| LADD UDY | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $200,526 | $0 | $35,614 | ||||
| KATHLEEN S HARRIS | |||||||||
| VICE-PRESIDENT | 55.00 | Yes (X) | $137,287 | $0 | $11,150 | ||||
| JAMES DAVIS | |||||||||
| VICE-PRESIDENT | 40.00 | Yes (X) | $72,740 | $0 | $7,312 | ||||
| SHAHID SHEKHANI MD | |||||||||
| PHYSICIAN | 40.00 | $2,135,113 | $0 | $49,689 | Yes (X) | ||||
| DOUGLAS H BRYAN MD | |||||||||
| PHYSICIAN | 40.00 | $1,665,738 | $0 | $22,442 | Yes (X) | ||||
| YASMIN HUSSAIN MD | |||||||||
| PHYSICIAN | 40.00 | $1,481,223 | $0 | $21,236 | Yes (X) | ||||
| DAVID D NELSEN MD | |||||||||
| PHYSICIAN | 40.00 | $1,275,779 | $0 | $40,644 | Yes (X) | ||||
| IMDAD AHMED MD | |||||||||
| PHYSICIAN | 40.00 | $1,225,881 | $0 | $27,637 | Yes (X) | ||||
| PAUL T VAN DEN HEUVEL FORMER | |||||||||
| VICE PRESIDENT (THROUGH 04/2020) | 0.00 | 0.00 | $240,858 | $0 | $27,557 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $17,983,746 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,685,148 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 516 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COMPHEALTH ASSOCIATES | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | PHYSICIAN SERVICES | $3,943,692 |
| VJS CONSTRUCTION SERVICES INC | |||||
| W233 N2847 ROUNDY CIRCLE WEST | PEWAUKEE | WI | 53072 | HYBRID OR & CLINIC BUILDING EXPANSION | $3,493,674 |
| EPIC SYSTEMS CORP | |||||
| 1979 MILKY WAY | VERONA | WI | 53593 | SOFTWARE/SYSTEM MAINTENANCE | $3,087,535 |
| LAB CORP OF AMERICA HOLDINGS | |||||
| PO BOX 2240 | BURLINGTON | NC | 272162140 | LAB SERVICES | $3,085,998 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT CH 14195 | PALATINE | IL | 600554195 | MAINTENANCE CONTRACTS FOR EQUIPMENT | $1,918,495 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $197,788 | RelatedOrganizationsAmt |
| Government Grants | $83,906 | GovernmentGrantsAmt |
| All Other Contributions | $47,476 | AllOtherContributionsAmt |
| Total Contributions | $329,170 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENUE | 621110 | $629,693,462 | $629,693,462 | ||
| PHARMACY | 561000 | $24,331,676 | $20,488,463 | $3,843,213 | |
| MERCYCARE EXPENSES | 561000 | $10,215,544 | $10,215,544 | ||
| PROVIDER RELIEF FUNDS | 900099 | $8,708,791 | $8,708,791 | ||
| CAFETERIA | 722210 | $844,141 | $844,141 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,065,036 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $24,065,036 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $697,858,650 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $606,760 | TotalRevenueColumnAmt |
| Exclusion | $606,760 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $304,898 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $76,896 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $228,002 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $228,002 | TotalRevenueColumnAmt |
| Exclusion | $228,002 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,865,545 | SecuritiesAmt |
| Other | $32,710 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,718,323 | SecuritiesAmt |
| Other | $39,665 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $147,222 | SecuritiesAmt |
| Other | -$6,955 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,267 | TotalRevenueColumnAmt |
| Exclusion | $140,267 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MERCYCARE INS OPERATIONS | 900099 | $9,137,154 | $9,137,154 |
| PREMIER REBATES | 900099 | $1,354,759 | $1,354,759 |
| MISCELLANEOUS REVENUE | 900099 | -$333,163 | -$333,163 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,158,750 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $709,321,599 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $682,955,752 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $14,058,757 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,977,920 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,816,423 | TotalAmt |
| Management And General | $17,816,423 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,252,213 | TotalAmt |
| Program Services | $210,476,175 | ProgramServicesAmt |
| Management And General | $40,776,038 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,755,037 | TotalAmt |
| Program Services | $6,549,992 | ProgramServicesAmt |
| Management And General | $2,205,045 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,964,917 | TotalAmt |
| Program Services | $24,662,368 | ProgramServicesAmt |
| Management And General | $8,302,549 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,610,782 | TotalAmt |
| Program Services | $11,637,325 | ProgramServicesAmt |
| Management And General | $3,973,457 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $874,494 | TotalAmt |
| Management And General | $874,494 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,475 | TotalAmt |
| Management And General | $67,475 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,112,876 | TotalAmt |
| Program Services | $151,794 | ProgramServicesAmt |
| Management And General | $961,082 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,844 | TotalAmt |
| Program Services | $48,619 | ProgramServicesAmt |
| Management And General | $1,523,225 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,952,930 | TotalAmt |
| Program Services | $2,305,615 | ProgramServicesAmt |
| Management And General | $2,647,315 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,447,585 | TotalAmt |
| Program Services | $920,263 | ProgramServicesAmt |
| Management And General | $1,527,322 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,584,679 | TotalAmt |
| Program Services | $2,677,553 | ProgramServicesAmt |
| Management And General | $2,907,126 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,612 | TotalAmt |
| Program Services | $285,082 | ProgramServicesAmt |
| Management And General | $453,530 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,784 | TotalAmt |
| Program Services | $31,372 | ProgramServicesAmt |
| Management And General | $111,412 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,775,905 | TotalAmt |
| Program Services | $5,840,246 | ProgramServicesAmt |
| Management And General | $1,935,659 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,105,320 | TotalAmt |
| Program Services | $20,352,913 | ProgramServicesAmt |
| Management And General | $6,752,407 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,579,619 | TotalAmt |
| Program Services | $12,932,785 | ProgramServicesAmt |
| Management And General | $3,646,834 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $111,889,563 | $111,538,860 | $350,703 |
| BAD DEBTS | $55,406,034 | $55,406,034 | |
| PURCHASED LABOR & CONTR | $29,409,013 | $14,681,323 | $14,727,690 |
| UNREL. BUS. INC. TAX | $4,157 | $4,157 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,033,829 | TotalAmt |
| Program Services | $26,387,335 | ProgramServicesAmt |
| Management And General | $8,646,494 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,096,091 | TotalAmt |
| Program Services | $506,885,654 | ProgramServicesAmt |
| Management And General | $120,210,437 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,314 | BOYAmt |
| EOY | $26,252 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,701,953 | BOYAmt |
| EOY | $313,096,246 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,842,493 | BOYAmt |
| EOY | $44,534,731 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,626,969 | BOYAmt |
| EOY | $13,569,651 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,854,314 | BOYAmt |
| EOY | $1,719,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $675,885,751 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $425,357,823 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,689,562 | BOYAmt |
| EOY | $250,527,928 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,776,981 | BOYAmt |
| EOY | $75,625,226 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,720,064 | BOYAmt |
| EOY | $34,857,218 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,137,837 | BOYAmt |
| EOY | $42,803,467 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,376,487 | BOYAmt |
| EOY | $776,760,147 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,450,089 | BOYAmt |
| EOY | $89,291,528 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $268,329,779 | BOYAmt |
| EOY | $287,512,462 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $349,779,868 | BOYAmt |
| EOY | $376,803,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,596,619 | BOYAmt |
| EOY | $399,956,157 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,596,619 | BOYAmt |
| EOY | $399,956,157 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $660,376,487 | BOYAmt |
| EOY | $776,760,147 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $82,225,508 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$203,970 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $7,338,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Political Expenditures | $0 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,598 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,598 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | A PERCENTAGE OF THE 2021 WISCONSIN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,195,509 | OtherCostOrOtherBasisAmt |
| Book Value | $27,195,509 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $336,251,689 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,061,050 | DepreciationAmt |
| Book Value | $148,190,639 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,604,366 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,202,672 | DepreciationAmt |
| Book Value | $401,694 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $283,611,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $226,308,391 | DepreciationAmt |
| Book Value | $57,303,347 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,222,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,785,710 | DepreciationAmt |
| Book Value | $17,436,739 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $250,527,928 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $1,147,510 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION | Desc |
| Book Value | $74,477,716 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $75,625,226 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $2,814,131 |
| UNAMORTIZED DEBT ISSUE COSTS | $1,249,780 |
| PHYSICIAN LOAN RECIEVABLES | $1,471,526 |
| DUE FROM OTHER RELATED PARTIES | $35,395,011 |
| DUE FROM MERCYCARE HMO | $183,461 |
| INTANGIBLE ASSETS | $60,750 |
| OPERATING LEASE | $1,628,808 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $42,803,467 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $74,412,067 |
| PENSION LIABILITY | -$2,330,902 |
| DISCRETIONARY 403B ACCRUAL | $3,625,000 |
| DISCRETIONARY 401K ACCRUAL | $104,526 |
| DUE TO MERCY HEALTH CORPORATION | $175,525,303 |
| DUE TO THIRD PARTIES | $4,253,723 |
| ACCRUED LIABILITY UNDER SELF-INSURANCE PROGRAM | $31,451,817 |
| LEASE LIABILITY | $470,928 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $287,512,462 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,352,181 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,352,181 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,662,909 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,161,729 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,501,180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05690 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,139,817 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,269,940 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $869,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,154,907 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,431,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,723,238 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06250 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,223,687 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $122,774 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,100,913 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,778,718 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,122,117 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,656,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00810 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,084,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,899,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,184,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $271,294 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $271,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,358,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,144,824 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,213,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01610 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $87,513,477 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,576,493 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $44,936,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07860 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,723,908 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,727,669 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,868,987 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $93,795,177 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,926,190 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | ||||||||||
| 1 | 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | ||||||||||
| 2 | N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Report To Credit AgencyPermitReportToCreditAgencyInd | Permit Defer Deny Rqr PaymentPermitDeferDenyRqrPaymentInd | Collection ActivitiesCollectionActivitiesInd | Reporting To Credit AgencyReportingToCreditAgencyInd | Engage Defer Deny Rqr PaymentEngageDeferDenyRqrPaymentInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 19 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS | Yes (1) | 19 | Yes (1) | MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER- | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 19 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS | Yes (1) | 19 | Yes (1) | MERCYHEALTHSYSTEM.ORG/COMMUNITY-NEEDS | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | MERCYHEALTHSYSTEM.ORG/FINANCIAL-POLICIES | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 5: MERCYHEALTH CORPORATION CONDUCTED A COMMUNITY NEEDS ASSESSMENT DESIGNED TO IDENTIFY HEALTH AND QUALITY OF LIFE ISSUES IN ROCK COUNTY. A THIRTY-FOUR QUESTION SURVEY WAS DISTRIBUTED PRINT VERSION ON OCTOBER 21, 2019, TO 2,550 RANDOM HOUSEHOLDS IN JANESVILLE AND BELOIT AND WAS ALSO DISTRIBUTED BY SEVERAL ORGANIZATION IN ROCK COUNTY. THE SURVEY COVERED VARIOUS TOPICS, INCLUDING HEALTH ISSUES IN THE COMMUNITY, UNHEALTHY BEHAVIORS IN THE COMMUNITY, WELL-BEING, ACCESSIBILITY TO HEALTHCARE, AND HEALTHY BEHAVIORS. IT INCLUDED A BAR-CODE SO THAT THE SURVEY COULD BE ACCESSED ELECTRONICALLY VIA SURVEY MONKEY. A LINK TO THE SURVEY IN BOTH SPANISH AND ENGLISH WAS ALSO INCLUDED IN THE MERCYHEALTH HEALTH NEWS ON-LINE NEWSLETTER, THE MERCYHEALTH ROCK COUNTY FACEBOOK PAGE, AND THE MERCYHEALTH WIRE. A RESPONSE WAS RECEIVED FROM 389 HOUSEHOLDS. COMMUNITY LEADERS AND STAKEHOLDERS PARTICIPATED IN KEY INFORMANT INTERVIEWS. WITH THEIR PARTICULAR KNOWLEDGE AND UNDERSTANDING, THEY COULD PROVIDE INSIGHT ON THE NATURE OF PROBLEMS AND THEREBY FURTHER ENHANCE THE VERSATILITY OF THE DATA UTILIZED IN THIS SURVEY.A DETAILED ANALYSIS OF SECONDARY DATA WAS USED TO ASSESS THE COMMUNITY PROFILE, AND ITS HEALTH STATUS. SECONDARY DATA WAS DERIVED FROM A VARIETY OF PUBLICLY AVAILABLE SOURCES, INCLUDING THE UNITED STATES CENSUS BUREAU, AMERICAN COMMUNITY SURVEY; US BUREAU OF LABOR STATISTICS; COMMUNITY COMMONS; US DEPARTMENT OF HEALTH & HUMAN SERVICES, WISCONSIN OFFICE OF RURAL HEALTH AND WISCONSIN DEPARTMENT OF HEALTH SERVICES; UNIVERSITY OF WISCONSIN, POPULATION HEALTH INSTITUTE, COUNTY HEALTH RANKINGS 2019; AND CENTERS FOR DISEASE CONTROL & PREVENTION. SECONDARY SOURCE DATA, WHEN COMBINED WITH THE INFORMATION GATHERED FROM THE HOUSEHOLD SURVEYS, AND KEY INFORMANT SURVEYS HELPED TO IDENTIFY CONCERNS RELATING TO THE HEALTH OF THE COMMUNITY, WHILE ASSESSING AREA-BASED PROGRAMS AND ORGANIZATIONS AVAILABLE TO ADDRESS THE COMMUNITY'S NEEDS. THESE NEEDS WERE PRIORITIZED BASED ON LEVEL OF IMPORTANCE TO THE COMMUNITY; IT PROVIDED A PICTURE OF WHAT IS WORKING WELL IN ADDITION TO IDENTIFYING OPPORTUNITIES FOR IMPROVEMENT FOR THE HEALTHCARE INFRASTRUCTURE OF ROCK COUNTY AND THE COMMUNITY AS A WHOLE. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 5: A RANGE OF PROVIDERS, POLICY-MAKERS, AND OTHER LOCAL EXPERTS AND COMMUNITY MEMBERS ("KEY INFORMANTS") PROVIDED RANKINGS OF THE MOST IMPORTANT PUBLIC HEALTH ISSUES FOR THE COUNTY BASED ON THE FOCUS AREAS PRESENTED IN WISCONSIN'S STATE HEALTH PLAN. ALONG WITH THE RANKINGS, KEY INFORMANTS PROVIDED ADDITIONAL INFORMATION ON THESE ISSUES RANGING FROM EXISTING OR ADDITIONAL STRATEGIES NEEDED, BARRIERS AND CHALLENGES TO ADDRESSING THE ISSUE, KEY GROUPS IN THE COMMUNITY THAT HOSPITALS SHOULD PARTNER WITH, AND THE WAYS AND MEANS TO TARGET EFFORTS.THESE FINDINGS WERE A CRITICAL SUPPLEMENT TO THE WALWORTH COUNTY COMMUNITY HEALTH SURVEY CONDUCTED THROUGH A PARTNERSHIP BETWEEN THE AURORA HEALTH CARE, CHILDREN'S WISCONSIN, FORT HEALTHCARE, MERCYHEALTH AND THE WALWORTH COUNTY DIVISION OF PUBLIC HEALTH. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 6A: MHTC/JANESVILLE HOSPITAL - ROCK COUNTY RESPONSE IS NOWALWORTH HOSPITAL -WALWORTH CO RESPONSE IS YES. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 6A: AURORA HEALTH CARE, CHILDREN'S WISCONSIN, AND FORT HEALTHCARE. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 6B: JANESVILLE/MHTC - NOWALWORTH HOSPITAL-YES |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 6B: WALWORTH COUNTY DIVISION OF PUBLIC HEALTH. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 11: CONSISTENT WITH THE ROCK AND WALWORTH COUNTY COMMUNITY NEEDS ASSESSMENT ACTION PLANS, MHSC CONTINUES TO ROLL OUT ITS IMPLEMENTATION PLANS. MHSC'S PLAN IN ROCK COUNTY IS TO IMPROVE THE HEALTH OF PATIENTS WITH MENTAL HEALTH, SUBSTANCE ABUSE, AND ALCOHOL ABUSE ISSUES THROUGH INCREASED ACCESS TO EDUCATION AND CARE FOR THESE PATIENTS. TO THIS END, MHSC CONTINUES TO DEVELOP AND OFFER VARIOUS ACCESS SITES, MONITORS ITS CURRENT PROGRAMS, AND PARTNERS WITH LOCAL AGENCIES TO PROVIDE EDUCATION AND SUPPORT FOR PATIENTS AND THEIR FAMILIES. MHSC IS WORKING TO REDUCE THE LIKELIHOOD OF OPIOID ADDITION BEGINNING AND/OR CONTINUING. MHSC'S PLAN IS TO IMPROVE THE PHYSICAL HEALTH OF PATIENTS THROUGH EDUCATION AND SUPPORT/SPONSORSHIP OF ATHLETIC EVENTS OR PROGRAMS THAT PROMOTE PHYSICAL ACTIVITY IN THE COMMUNITY. MHSC ESTABLISHED A PROJECT SEARCH PROGRAM THAT PROVIDES JOB TRAINING AND EMPLOYMENT OPPORTUNITIES TO DISABLED YOUNG ADULT COMMUNITY MEMBERS.IN RESPONSE TO COVID-19 AND TO EFFECTIVELY CARE FOR THE NEEDS OF THE COMMUNITY, MHSC PROVIDED ALTERNATIVE EDUCATION TO EMERGENCY MEDICAL SERVICE (EMS) PERSONNEL FOR ENHANCED SAFETY AND TREATMENT PROTOCOLS. MHSC EXPANDED TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS AND ALLOW EMS CREWS TO BE AVAILABLE FOR THOSE WITH CRITICAL ILLNESSES. MHSC PROVIDED COMMUNITY EDUCATION VIDEOS ADDRESSING COVID-19 QUESTIONS AND CONCERNS ALONG WITH HOW TO SAFELY WEAR A MASK.MHSC PARTNERS WITH MULTIPLE COMMUNITY BASED ORGANIZATIONS IN ROCK AND WALWORTH COUNTY TO ACCOMPLISH SUCCESSFUL IMPLEMENTATION OF THESE STRATEGIES. DURING THE COURSE OF THIS TAX YEAR 2020 (FISCAL YEAR JULY 1, 2020-JUNE 30, 2021), AND THE PRIOR TAX YEARS, MHSC PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MHSC ALSO PROVIDES FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 11: CONSISTENT WITH THE ROCK AND WALWORTH COUNTY COMMUNITY NEEDS ASSESSMENT ACTION PLANS, MHSC CONTINUES TO ROLL OUT ITS IMPLEMENTATION PLANS. IN RESPONSE TO COVID-19 AND TO EFFECTIVELY CARE FOR THE NEEDS OF THE COMMUNITY, MHSC PROVIDED ALTERNATIVE EDUCATION TO EMERGENCY MEDICAL SERVICE (EMS) PERSONNEL FOR ENHANCED SAFETY AND TREATMENT PROTOCOLS. MHSC EXPANDED TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS AND ALLOW EMS CREWS TO BE AVAILABLE FOR THOSE WITH CRITICAL ILLNESSES. MHSC PROVIDED COMMUNITY EDUCATION VIDEOS ADDRESSING COVID-19 QUESTIONS AND CONCERNS ALONG WITH HOW TO SAFELY WEAR A MASK.WALWORTH COUNTY'S PLAN IS TO IMPROVE THE GENERAL HEALTH OF INDIVIDUALS LIVING IN WALWORTH COUNTY. MHSC CONTINUES TO DEVELOP AND OFFER VARIOUS ACCESS SITES FOR PRIMARY AND SPECIALTY CARE SERVICES, PROACTIVELY MANAGES MEDICARE POPULATION THROUGH ACO INITIATIVES FOCUSED ON PREVENTIVE CARE, AND PROVIDES HEALTH EDUCATION AND AWARENESS (WITH EMPHASIS TOWARD SCREENING, IMMUNIZATIONS, AND VACCINATIONS). IT IS MHSC'S PLAN TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS WITH CHRONIC ILLNESS AND PROMOTE HEALTHY LIFESTYLES AND TO IMPROVE THE HEALTH OF PATIENTS WITH SPECIFIC NEEDS, SUCH AS GERIATRIC SERVICES AND ALCOHOL AND SUBSTANCE ABUSE. AS IN ROCK COUNTY, MHSC IS LOOKING TO REDUCE THE LIKELIHOOD OF OPIOID ADDICTION BEGINNING AND/OR CONTINUING. IT WILL MONITOR AND INCREASE TESTING, PROVIDE SMOKING CESSATION MATERIALS AND PROGRAMS, PROVIDE FREE BLOOD PRESSURE CHECKS, AND PROMOTE SERVICES FOR SPECIAL NEEDS OF ELDERLY OR THOSE SUFFERING FROM ABUSE ISSUES.MHSC PARTNERS WITH MULTIPLE COMMUNITY BASED ORGANIZATIONS IN ROCK AND WALWORTH COUNTY TO ACCOMPLISH SUCCESSFUL IMPLEMENTATION OF THESE STRATEGIES. DURING THE COURSE OF THIS TAX YEAR 2020 (FISCAL YEAR JULY 1, 2020-JUNE 30, 2021), AND THE PRIOR TAX YEARS, MHSC PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MHSC ALSO PROVIDES FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 48 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCYHEALTH TRANSITION CENTER | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | SKILLED NURSING/SUB-ACUTE CARE FACILITY |
| 2 - MERCYHEALTH REGIONAL CANCER CENTER | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | RADIATION ONCOLOGY CLINIC/RADIATION THERAPY FACILITY |
| 3 - HOUSE OF MERCY HOMELESS CENTER | ||||
| 320 LINCOLN STREET | JANESVILLE | WI | 53548 | HOMELESS CENTER |
| 4 - MERCYHEALTH ALGONQUIN | ||||
| 2401 HARNISH DRIVE SUITE 101 | ALGONQUIN | WI | 60102 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - MERCYHEALTH BARRINGTON | ||||
| 500 WEST HIGHWAY 22 | BARRINGTON | IL | 60010 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - MERCYHEALTH BELOIT | ||||
| 2825 PRAIRIE AVENUE | BELOIT | WI | 53511 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 7 - MERCYHEALTH BRODHEAD | ||||
| 2310 FIRST CENTER AVENUE | BRODHEAD | WI | 53520 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - MERCYHEALTH MCHENRY EYE CENTER | ||||
| 406 N FRONT ST SUITE C | MCHENRY | IL | 60050 | OUTPATIENT PHYSICIAN CLINIC |
| 9 - MERCYHEALTH EAST | ||||
| 3524 EAST MILWAUKEE STREET | JANESVILLE | WI | 53546 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 10 - MERCYHEALTH EAST PHARMACY | ||||
| 3524 EAST MILWAUKEE STREET | JANESVILLE | WI | 53546 | RETAIL PHARMACY |
| 11 - MERCYHEALTH SOUTH | ||||
| 849 KELLOGG AVENUE | JANESVILLE | WI | 53546 | RESIDENCY PROGRAM / OUTPATIENT PHYSICIAN CLINIC |
| 12 - MERCYHEALTH WEST | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC & MEDICAL ONCOLOGY |
| 13 - MERCYHEALTH WEST PHARMACY | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | RETAIL PHARMACY |
| 14 - MERCYHEALTH CRYSTAL LAKE CHIROPRACTIC | ||||
| 330 W TERRA COTTA ROAD RTE 176 | CRYSTAL LAKE | IL | 60014 | CHIROPRACTOR |
| 15 - MERCYHEALTH CRYSTAL LAKE EAST | ||||
| 390 CONGRESS PARKWAY | CRYSTAL LAKE | IL | 60014 | OUTPATIENT PHYSICIAN CLINIC |
| 16 - MERCYHEALTH CRYSTAL LAKE OBGYN | ||||
| 750 E TERRA COTTA STE B | CRYSTAL LAKE | IL | 60014 | OUTPATIENT PHYSICIAN CLINIC |
| 17 - MERCYHEALTH CRYSTAL LAKE SOUTH | ||||
| 415-A CONGRESS PARKWAY | CRYSTAL LAKE | IL | 60014 | OUTPATIENT PHYSICIAN CLINIC |
| 18 - MERCYHEALTH DELAVAN | ||||
| 1038 E GENEVA STREET | DELAVAN | WI | 53115 | OUTPATIENT PHYSICIAN CLINIC |
| 19 - MERCYHEALTH EDGERTON | ||||
| 217 N MAIN STREET | EDGERTON | WI | 53534 | OUTPATIENT PHYSICIAN CLINIC |
| 20 - MERCYHEALTH EVANSVILLE | ||||
| 300 UNION STREET | EVANSVILLE | WI | 53536 | OUTPATIENT PHYSICIAN CLINIC |
| 21 - MERCYHEALTH HARVARD SOUTH | ||||
| 348 S DIVISION | HARVARD | IL | 60033 | OUTPATIENT PHYSICIAN CLINIC |
| 22 - MERCYHEALTH MALL | ||||
| 1010 NORTH WASHINGTON | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 23 - MERCYHEALTH MALL PHARMACY | ||||
| 1010 NORTH WASHINGTON | JANESVILLE | WI | 53548 | RETAIL PHARMACY |
| 24 - MERCYHEALTH LAKE GENEVA | ||||
| 350 PELLER ROAD | LAKE GENEVA | WI | 53147 | OUTPATIENT PHYSICIAN CLINIC |
| 25 - MERCYHEALTH LAKESIDE ORTHOPEDICS | ||||
| 352 PELLER ROAD | LAKE GENEVA | WI | 53147 | OUTPATIENT PHYSICIAN CLINIC |
| 26 - MERCYHEALTH MCHENRY | ||||
| 3922 MERCY DRIVE | MCHENRY | IL | 60050 | OUTPATIENT PHYSICIAN CLINIC |
| 27 - MERCYHEALTH MILTON | ||||
| 725 SOUTH JANESVILLE STREET | MILTON | WI | 53563 | OUTPATIENT PHYSICIAN CLINIC |
| 28 - MERCYHEALTH MILTON PHARMACY | ||||
| 725 SOUTH JANESVILLE STREET | MILTON | WI | 53563 | RETAIL PHARMACY |
| 29 - MERCYHEALTH NORTHWEST WOMEN'S GROUP | ||||
| 47 WEST ACORN LANE | LAKE IN THE HILLS | IL | 601564804 | OUTPATIENT PHYSICIAN CLINIC |
| 30 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | PHYSICIAN & THERAPIST SERVICES: MENTAL HEALTH & ADDICTION TREATMENT |
| 31 - MERCYHEALTH DIALYSIS CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | DIALYSIS CENTER |
| 32 - MERCYHEALTH LUNG CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | PHYSICIANS CLINIC & SLEEP DISORDER CENTER |
| 33 - MERCYHEALTH RICHMOND | ||||
| 9715 PRAIRIE RIDGE | RICHMOND | IL | 60071 | OUTPATIENT PHYSICIAN CLINIC |
| 34 - MERCYHEALTH SPORTS MEDICINE AND REHAB | ||||
| 557 NORTH WASHINGTON | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY |
| 35 - MERCYHEALTH TERRACE | ||||
| 510 N TERRACE STREET | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC |
| 36 - MERCYHEALTH WHITEWATER | ||||
| 507 WEST MAIN STREET | WHITEWATER | WI | 53190 | OUTPATIENT PHYSICIAN CLINIC |
| 37 - MERCYHEALTH SPORTS MEDICINE & REHAB | ||||
| 519 WEST MAIN STREET | WHITEWATER | WI | 53190 | OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY |
| 38 - MERCYHEALTH WOODSTOCK | ||||
| 2000 LAKE AVENUE | WOODSTOCK | IL | 60098 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 39 - MERCYHEALTH WOODSTOCK PHARMACY | ||||
| 2000 LAKE AVENUE | WOODSTOCK | IL | 60098 | RETAIL PHARMACY |
| 40 - MERCYHEALTH ELKHORN | ||||
| 839 N WISCONSIN STREET | ELKHORN | WI | 53121 | OUTPATIENT PHYSICIAN CLINIC |
| 41 - MERCYCARE BUILDING | ||||
| 580 N WASHINGTON STREET | JANESVILLE | WI | 53548 | AUTISM PROGRAM/EMS TRAINING |
| 42 - MERCYHEALH SLEEP DISORDERS CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC/SLEEP STUDY CENTER |
| 43 - MERCYHEALTH WALWORTH | ||||
| N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | OUTPATIENT PHYSICIAN CLINIC |
| 44 - MERCYHEALTH WALWORTH PHARMACY | ||||
| N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | RETAIL PHARMACY |
| 45 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC | ||||
| N2846 STATE ROAD 67 | WILLIAMS BAY | WI | 53191 | OUTPATIENT PHYSICIAN CLINIC |
| 46 - MERCYHEALTH NORTH | ||||
| 3400 DEERFIELD DR | JANESVILLE | WI | 53546 | OUTPATIENT PHYSICIAN CLINIC |
| 47 - MERCY CRYSTAL LAKE PHYSICAL THERAPY | ||||
| 741 MCHENRY AVE STE E | CRYSTAL LAKE | IL | 60014 | OUTPATIENT THERAPY CLINIC |
| 48 - MERCYHEALTH CHILD & ADOLESCENT TREATMENT | ||||
| 2600 HUMES RD STE 100 | JANESVILLE | WI | 53545 | CHILD AND ADOLESCENT DAY TREATMENT/MENTAL HEALTH CENTER |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | MERCY HOSPITALS OFFERS A 25% SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS ON ALL MEDICALLY NECESSARY SERVICES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING: INDIVIDUAL OR HOUSEHOLD INCOME, INDIVIDUAL OR HOUSEHOLD ASSETS, HOUSEHOLD SIZE, AND OTHER SOURCES OF PAYMENT FOR SERVICES. THE AMOUNT OF ASSISTANCE IS BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THEIR OUTSTANDING BALANCE. IF PATIENT INCOME AND HOUSEHOLD ASSETS ARE LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, THEN MERCY WILL COVER 100% OF THEIR OUTSTANDING BALANCE. IF THE PATIENT'S INCOME AND HOUSEHOLD ASSETS FALL BETWEEN 200% AND 300% OF THE FEDERAL POVERTY GUIDELINES, THEN A PATIENT'S REMAINING BALANCE CAN BE REDUCED AS MUCH AS 90% AND PAYMENT ARRANGEMENTS CAN BE EXTENDED FOR AS LONG AS TWENTY-FOUR (24) MONTHS OR LONGER IF THERE ARE EXTENUATING CIRCUMSTANCES. |
| PART I, LINE 6A: | MERCY HEALTH SYSTEM, CORP (MHS) SUBMITS AN ANNUAL COMMUNITY BENEFIT STATEMENT TO THE WISCONSIN HOSPITAL ASSOCIATION (WHA). PERIODICALLY, IT PUBLISHES A PAMPHLET EXPLAINING THE COMMUNITY BENEFITS THAT MERCY HEALTH SYSTEM CORP, AND THE RELATED ORGANIZATIONS OF MHS PROVIDE TO THE COMMUNITIES THEY SERVE. MHS HAS SUPPLIED SUPPLEMENTAL COMMUNITY BENEFIT STATEMENT INFORMATION WITH ITS 990 TAX RETURN SINCE FISCAL YEAR 2006 (TAX FORM 2005). |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE COSTS ASSOCIATED WITH CHARITY CARE, UNREIMBURSED MEDICAID, AND OTHER MEANS TESTED GOVERNMENT PROGRAMS. THE COST-TO-CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2: RATIO OF PATIENT CARE COST-TO CHARGE. THE COST OF THE OTHER BENEFITS REFERENCED IN THE TABLE OF LINE 7 (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS; HEALTH PROFESSIONS EDUCATION; SUBSIDIZED HEALTH SERVICES; CASH AND IN-KIND CONTRIBUTIONS) WERE DETERMINED USING ACTUAL DEPARTMENT/SERVICE SPECIFIC DATA AND /OR COST ACCOUNTING DERIVED DATA. |
| PART I, LN 7 COL(F): | BAD DEBT OF $55,406,034 WAS NOT INCLUDED AS AN EXPENSE WHEN CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| PART III, LINE 2: | THE COST OF BAD DEBT ON LINE 2, PART III, WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO TO THOSE CHARGES ESTIMATED AND EXPENSED AS UNCOLLECTIBLE. |
| PART III, LINE 3: | THE ESTIMATE OF BAD DEBT DOLLARS THAT MAY HAVE BEEN COVERED THROUGH MERCY HEALTH SYSTEM CORP.'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY (HAD THE PROPER PAPER WORK BEEN COMPLETED BY THE INDIVIDUAL NEEDING ASSISTANCE) IS ESTIMATED AT 16.31%. THIS FIGURE WAS BASED ON THE PERCENT OF BAD DEBT ACCOUNT DOLLARS THAT ARE RECLASSIFIED FOR CHARITY AND/OR BANKRUPTCY PURPOSES. |
| PART III, LINE 4: | BAD DEBT EXPENSE IS ACCOUNTED FOR IN THE FOLLOWING MANNER (AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION, INC. MERCY HEALTH CORPORATION, INC. IS THE PARENT COMPANY OF MERCY HEALTH SYSTEM CORP.PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENT, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.CONSISTENT WITH THE CORPORATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE CORPORATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE CORPORATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. THE CORPORATION'S POLICY IS TO PROVIDE A DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2021 AND 2020.THE CORPORATION DOES NOT HAVE A POLICY TO CHARGE INTEREST ON PAST DUE ACCOUNTS. |
| PART III, LINE 8: | DATA FOR LINES 5 & 6 OF PART III AND THE MEDICARE SHORTFALL IS BASED ON MERCY HEALTH SYSTEM CORP'S TWO MEDICARE COST REPORTS (MERCY HOSPITAL AND TRAUMA CENTER-JANESVILLE, AND MERCY WALWORTH HOSPITAL). |
| PART III, LINE 9B: | PATIENTS WHO ARE SELF-PAY, REGARDLESS OF WHETHER THEY QUALIFY FOR MERCY HEALTH SYSTEM'S (MHS) COMMUNITY CARE PROGRAM, WILL RECEIVE A 25% DISCOUNT FROM MHS'S STANDARD FEE SCHEDULE. ALL SELF-PAY PATIENTS MEET WITH PATIENT FINANCIAL COUNSELORS AND DISCUSS PAYMENT OPTIONS INCLUDING MHS'S COMMUNITY CARE PROGRAM. PATIENTS MUST APPLY FOR COMMUNITY CARE AND SUPPLY MERCY WITH THE NECESSARY FINANCIAL AND OTHER INFORMATION REQUIRED. PATIENTS WHO QUALIFY FOR COMMUNITY CARE BENEFITS WILL RECEIVE A REDUCTION IN THE BALANCE OWED, EXTENDED PAYMENT TERMS, OR BOTH. THE AMOUNT OF THE COMMUNITY CARE BENEFIT WILL BE BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THE OUTSTANDING BALANCE. |
| PART VI, LINE 2: | THE HOSPITALS OF MERCYHEALTH CORPORATION, INC. WORK IN CONJUNCTION WITH THE PUBLIC HEALTH DEPARTMENTS OF ROCK (WI), WALWORTH (WI), MCHENRY (IL) AND WINNEBAGO (IL) COUNTIES TO COMPLETE. COLLABORATIVE EXAMPLES OF MERCYHEALTH ORGANIZATIONS PROVIDING CARE TO THE COMMUNITY INCLUDE (BUT AREN'T LIMITED TO):I) THE COMMUNITY HEALTH CENTER AT MERCY CLINIC SOUTH: PARTNERSHIP WITH THE COMMUNITY HEALTH CENTER, INC. OF BELOIT, WI IN 2006. MERCY PARTNERED WITH COMMUNITY HEALTH CENTER, INC TO OPEN THIS CLINIC IN JANESVILLE. IT PROVIDES FREE AND LOW-COST CARE TO LOW-INCOME, UNINSURED AND UNDERINSURED PATIENTS.II) RONALD MCDONALD CARE MOBILE PROVIDES FREE DENTAL AND MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN ILLINOIS COUNTIES. SINCE ITS INCEPTION IN 2003, IT HAS PROVIDED CARE TO MORE THAN 7,500 CHILDREN. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY FROM THE MERCYHEALTH DEVELOPMENT FOUNDATION, JAVON BEA HOSPITAL AUXILIARY, AND THE RONALD MCDONALD CHARITIES OF MADISON.III) HEALTHNET FREE CLINIC IN JANESVILLE; FAMILY HEALTH PARTNERSHIP CLINIC AND WELL CHILD CLINIC IN WOODSTOCK, IL; HARVARD FREE CLINIC IN MCHENRY COUNTY, IL; AND THE BRIDGE CLINIC OF ROCKFORD, IL., ARE SOME OF THE VENUES FOR UNINSURED OR UNDERINSURED INDIVIDUALS TO RECEIVE CARE. MANY MERCY PHYSICIANS AND OTHER HEALTH CARE PROVIDERS VOLUNTEER THEIR SERVICES. IV) FAMILY HEALTH PARTNERSHIP CLINIC: MCHENRY COUNTY DEPARTMENT OF HEALTH COLLABORATION TO PROVIDE MAMMOGRAMS AT MERCY FACILITIES FOR WOMEN WHO CANNOT OTHERWISE AFFORD THE SERVICE. JAVON BEA HOSPITAL CONTINUES TO PARTNER WITH A SILVER LINING FOUNDATION TO PROVIDE SCREENING MAMMOGRAMS AND OTHER BREAST RELATED SERVICES.V) RED CROSS: BLOOD DRIVE AND COOPERATIVE VOLUNTEER EFFORTS.VI) UNITED WAY: FUNDRAISING CAMPAIGNVII) AREA POLICE AND FIRE DEPARTMENTS: PROVIDE FREE OR REDUCED-COST PARAMEDIC/EMT EDUCATIONAL OPPORTUNITIES.VIII) EMPLOYEE PARTICIPATION ON COMMUNITY BOARDS. AN EXAMPLE: COMMUNITY ACTION, INC. (A NOT-FOR-PROFIT ORGANIZATION OFFERING PROGRAMS TO FIGHT POVERTY IN ROCK AND WALWORTH COUNTIES.) |
| PART VI, LINE 3: | ALL UNINSURED PATIENTS ARE NOTIFIED OF MERCY'S FINANCIAL AIDE POLICY UPON REGISTRATION. INFORMATION IS ALSO AVAILABLE AT THE HEALTH SYSTEM'S WEBSITE, IN OUR EMERGENCY ROOMS, MEDICAL LABS, ADMITTING DEPARTMENTS, OUTPATIENT RADIOLOGY, REGISTRATION DESKS, PATIENT FINANCIAL SERVICES OFFICES, AND WITH THE PATIENT FINANCIAL COUNSELORS. APPROPRIATE PERSONNEL HAVE BEEN TRAINED ON HOW TO INTERACT WITH PATIENTS ABOUT FINANCIAL AID AVAILABILITY, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL AID STAFF. THE HOSPITALS HAVE TRANSLATION SERVICES AVAILABLE AS NEEDED. |
| PART VI, LINE 4: | MERCY HOSPITAL AND TRAUMA CENTER:MERCY HOSPITAL AND TRAUMA CENTER IS LOCATED IN JANESVILLE, WI: ROCK COUNTY. IT IS ONE OF TWO ACUTE CARE HOSPITALS IN JANESVILLE, WI. IT IS LICENSED FOR 240 ACUTE BEDS. IT HAS 24/7 EMERGENCY SERVICES, WITH A TRAUMA II DESIGNATION. IT IS A TEACHING HOSPITAL WITH A RESIDENCY PROGRAM.UNEMPLOYMENT IN ROCK COUNTY (2018) WAS AT 3.2% WHILE THE STATE (WI) AND THE NATION WERE AT 3% AND 3.9%, RESPECTIVELY. MEDIAN HOUSEHOLD INCOME (2018) WAS $57,037 IN ROCK COUNTY, WHICH IS LOWER THAN BOTH THE STATE'S $60,773 AND NATIONAL MEDIAN OF $61,937. IN 2018, 13.6% OF ROCK COUNTY RESIDENTS LIVED BELOW THE POVERTY LEVEL; THIS IS LARGER THAN THE STATE'S AVERAGE OF 11.9%, BUT LESS THAN THE NATIONAL AVERAGE OF 14.1%. MERCY WALWORTH HOSPITAL:MERCY WALWORTH HOSPITAL IS LOCATED IN LAKE GENEVA WI WHICH IS IN WALWORTH COUNTY, WI. IT IS A CRITICAL ACCESS HOSPITAL LICENSED FOR 25 ACUTE BEDS THAT PROVIDES 24/7 EMERGENCY SERVICES. PER THE US CENSUS, MEDIAN HOUSEHOLD INCOME FOR WALWORTH COUNTY (IN 2019 DOLLARS) 2015-2019 WAS $63,776; PERSONS IN POVERTY 9.5%. BOTH THESE INDICATORS ARE BETTER THAN THE STATE'S AVERAGE OF $61,747 AND 10.4%, RESPECTIVELY. HOWEVER, WALWORTH HAS A 8.2% RATE OF PERSONS WITHOUT HEALTH INSURANCE (UNDER AGE 65) WHEREAS THE STATE'S AVERAGE IS 6.8%.MERCY HEALTH SYSTEM CORP'S PAYOR DEMOGRAPHICS FOR ITS HOSPITALS INCLUDE 52.07% MEDICARE, AND 12.76% MEDICAID FOR THE FISCAL YEAR OF JULY 1, 2020 - JUNE 30, 2021 (AS DETERMINED BY CHARGES BILLED). |
| PART VI, LINE 5: | MERCY HEALTH SYSTEM CORP HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS. MERCY HEALTH SYSTEM CORP. HAS A GOVERNING BODY COMPRISED OF A MAJORITY OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY. |
| PART VI, LINE 6: | MERCY HEALTH SYSTEM CORPORATION HAS TWO HOSPITALS THAT PROVIDE ACUTE CARE SERVICES IN ROCK AND WALWORTH COUNTIES OF WISCONSIN. MERCY HEALTH SYSTEM CORP ALSO OPERATES COMMUNITY CLINICS LOCATED THROUGHOUT SIX COUNTIES OF WISCONSIN AND ILLINOIS. IT IS PART OF A LARGER INTEGRATED HEALTHCARE SYSTEM AND IS AFFILIATED WITH OTHER SEPARATELY REPORTED ORGANIZATIONS.MERCY HEALTH CORPORATION IS THE PARENT COMPANY OF MERCY HEALTH SYSTEM CORPORATION, MERCY HARVARD HOSPITAL, INC., AND MERCY ASSISTED CARE INC. MERCY HARVARD HOSPITAL PROVIDES ACUTE CARE SERVICES IN MCHENRY COUNTY, ILLINOIS, ALONG WITH JAVON BEA HOSPITAL (ROCKFORD), ROCKFORD HEALTH PHYSICIANS, AND MERCYHEALTH VISITING NURSES ASSOCIATION. MERCY ASSISTED CARE PROVIDES HOME HEALTH SERVICES, HOSPICE, AND DME (DURABLE MEDICAL EQUIPMENT) SERVICES; THUS PROVIDING CONTINUATION OF CARE TO MERCY HEALTH SYSTEM PATIENTS AND THE COMMUNITY AS A WHOLE.JAVON BEA HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF ROCKFORD, ILLINOIS AND THE SURROUNDING COMMUNITIES. THE ROCKFORD HEALTH PHYSICIANS PROVIDE PHYSICIAN AND AMBULATORY CARE SERVICES AT SEVERAL ILLINOIS SITES.MERCY HEALTH SYSTEM CORP. WORKS WITH THE MERCYHEALTH DEVELOPMENT FOUNDATION, INC. TO OPERATE A HOMELESS SHELTER IN JANESVILLE, WI: THE HOUSE OF MERCY HOMELESS CENTER PROVIDES SHELTER, SUPPORT, AND TRAINING TO WOMEN, CHILDREN, AND FAMILIES TO HELP FIGHT HOMELESSNESS. IT OPENED IN 1996, AND NOW SHELTERS AN AVERAGE OF 243 INDIVIDUALS PER YEAR, BASED ON THE PRIOR THREE YEARS.MERCY HOSPITAL ASSOCIATION OF VOLUNTEERS, INC. IS THE ORGANIZATION/TAX ENTITY OF MERCY'S VOLUNTEERS. VOLUNTEERS NUMBERED 905 IN CALENDAR YEAR 2020; THOUGH MANY WERE FURLOUGHED DUE TO COVID. THIS ORGANIZATION NOT ONLY SUPPORTS MERCY'S SERVICES, BUT PROVIDES BENEFITS TO THE COMMUNITY AS A WHOLE. IN CONJUNCTION WITH MERCY HEALTH SYSTEM'S MEAL PREPARATION, THE VOLUNTEERS PARTICIPATE IN AND OVERSEE A MEALS-ON-WHEELS PROGRAM: PARTICIPANT/NUTRITION SPECIFIC MEALS ARE PREPARED AND DELIVERED TO THE ELDERLY NEEDING ASSISTANCE IN JANESVILLE. THE VOLUNTEER ASSOCIATION RUNS A HOSPITALITY HOUSE IN WHICH FAMILY MEMBERS OF PATIENTS ARE OFFERED FREE HOUSING DURING THEIR LOVED ONES EXTENDED HOSPITAL STAY AND REHABILITATION. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI,IL |
| LINE 6 | MHSC FILES A COMMUNITY BENEFIT REPORT WITH IN WI WITH THE WISCONSIN HOSPITAL ASSOCIATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAVON R BEA PRESIDENT | ||||||||||||||
| & DIRECTOR (SEE PAGES 70-73) | $1,471,858 | $0 | $0 | $0 | $3,586,128 | $0 | $7,056,412 | $0 | $17,748 | $0 | $12,132,146 | $0 | $0 | $0 |
| SHAHID SHEKHANI MD | ||||||||||||||
| PHYSICIAN | $2,089,613 | $0 | $0 | $0 | $45,500 | $0 | $0 | $0 | $49,689 | $0 | $2,184,802 | $0 | $0 | $0 |
| DOUGLAS H BRYAN MD | ||||||||||||||
| PHYSICIAN | $1,620,238 | $0 | $0 | $0 | $45,500 | $0 | $0 | $0 | $22,442 | $0 | $1,688,180 | $0 | $0 | $0 |
| YASMIN HUSSAIN MD | ||||||||||||||
| PHYSICIAN | $1,435,723 | $0 | $0 | $0 | $45,500 | $0 | $0 | $0 | $21,236 | $0 | $1,502,459 | $0 | $0 | $0 |
| DAVID D NELSEN MD | ||||||||||||||
| PHYSICIAN | $1,249,529 | $0 | $0 | $0 | $26,250 | $0 | $0 | $0 | $40,644 | $0 | $1,316,423 | $0 | $0 | $0 |
| IMDAD AHMED MD | ||||||||||||||
| PHYSICIAN | $1,186,881 | $0 | $0 | $0 | $39,000 | $0 | $0 | $0 | $27,637 | $0 | $1,253,518 | $0 | $0 | $0 |
| TODD ANDERSON | ||||||||||||||
| VICE PRESIDENT/CFO (AS OF 05/2020) | $355,005 | $0 | $182,313 | $0 | $5,540 | $0 | $0 | $0 | $18,158 | $0 | $561,016 | $0 | $0 | $0 |
| MARK L GOELZER MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $355,312 | $0 | $142,289 | $0 | $4,364 | $0 | $11,400 | $0 | $17,748 | $0 | $531,113 | $0 | $0 | $0 |
| E PATRICK CRANLEY | ||||||||||||||
| VICE-PRESIDENT | $252,694 | $0 | $94,267 | $0 | $11,689 | $0 | $17,762 | $0 | $36,412 | $0 | $412,824 | $0 | $0 | $0 |
| JOANNA BENNING | ||||||||||||||
| VICE-PRESIDENT | $271,387 | $0 | $110,017 | $0 | $688 | $0 | $18,521 | $0 | $9,627 | $0 | $410,240 | $0 | $0 | $0 |
| RUTH M YARBROUGH | ||||||||||||||
| VICE-PRESIDENT | $268,706 | $0 | $96,454 | $0 | $23,662 | $0 | $11,400 | $0 | $9,126 | $0 | $409,348 | $0 | $0 | $0 |
| JOEL PRAH | ||||||||||||||
| VICE-PRESIDENT | $279,643 | $0 | $84,075 | $0 | $1,213 | $0 | $17,407 | $0 | $18,404 | $0 | $400,742 | $0 | $0 | $0 |
| DEBRA A POTEMPA | ||||||||||||||
| VICE-PRESIDENT | $260,032 | $0 | $91,132 | $0 | $5,618 | $0 | $15,855 | $0 | $14,508 | $0 | $387,145 | $0 | $0 | $0 |
| JENNIFER A HALLETT | ||||||||||||||
| VICE-PRESIDENT | $242,696 | $0 | $91,636 | $0 | $4,325 | $0 | $11,400 | $0 | $27,933 | $0 | $377,990 | $0 | $0 | $0 |
| BARBARA J BORTNER | ||||||||||||||
| FORMER VICE-PRESIDENT | $228,599 | $0 | $89,963 | $0 | $985 | $0 | $10,800 | $0 | $36,559 | $0 | $366,906 | $0 | $0 | $0 |
| SHANNON DUNPHY - ALEXANDER | ||||||||||||||
| SR EXECUTIVE DIRECTOR | $237,151 | $0 | $75,861 | $0 | $229 | $0 | $11,400 | $0 | $4,517 | $0 | $329,158 | $0 | $0 | $0 |
| KIMBERLY SCACCIA | ||||||||||||||
| VP - REVENUE CYCLE (AS OF 03/2020) | $227,500 | $0 | $67,625 | $0 | $3,966 | $0 | $0 | $0 | $21,962 | $0 | $321,053 | $0 | $0 | $0 |
| PAUL T VAN DEN HEUVEL FORMER | ||||||||||||||
| VICE PRESIDENT (THROUGH 04/2020) | $141,873 | $0 | $66,244 | $0 | $32,741 | $0 | $17,847 | $0 | $9,710 | $0 | $268,415 | $0 | $0 | $0 |
| THOMAS R JENSEN | ||||||||||||||
| VICE-PRESIDENT | $167,701 | $0 | $59,774 | $0 | $4,895 | $0 | $9,454 | $0 | $17,354 | $0 | $259,178 | $0 | $0 | $0 |
| LADD UDY | ||||||||||||||
| VICE-PRESIDENT | $154,028 | $0 | $46,378 | $0 | $120 | $0 | $8,563 | $0 | $27,051 | $0 | $236,140 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE MHSC COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2020. |
| PART I, LINES 4A-B | PAUL VAN DEN HEUVEL RECEIVED SEVERANCE OF $27,693 IN 2020 FROM THE ORGANIZATION. INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $2,627,335. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING FY2021 THAT WAS SPONSORED BY THE ORGANIZATION: JOANNA BENNING, E. PATRICK CRANLEY, DEBRA POTEMPA AND PAUL VAN DEN HEUVEL. THERE WERE NO AMOUNTS PAID TO ANY PARTICIPANTS DURING THE YEAR UNDER THE PLAN. |
| PART II, LINE 1: | JAVON R. BEA - DEFERRED COMPENSATION PAYMENT: MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 30 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 85 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $3.3 BILLION IN FY2021. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 2.1 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,300+ PARTNERS IN HEALTH CARE. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50, AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE FOR OVER 11 STRAIGHT YEARS. THE TURNAROUND OF MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST TWO YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KRISTEN GOELZER | |||
| FAMILY MEMBER OF MARK GOELZER, DIRECTOR | $462,967 | EMPLOYMENT - PHYSICIAN | 0 |
| MADELINE BLOMGREN | |||
| FAMILY MEMBER OF BARBARA J. BORTNER, VICE PRESIDENT | $13,077 | EMPLOYMENT - MARKETING PR SPECIALIST | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSISTS OF EIGHT INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, THE CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND THREE ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW. |
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY RELATIONSHIP: JAVON R. BEA (FATHER) & JOANNA BEA BENNING (DAUGHTER) |
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HEALTH CORPORATION (MHC) IS THE SOLE MEMBER OF MERCY HEALTH SYSTEM CORPORATION (MHSC). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION (B) NOMINATE TO THE CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION PRESIDENT (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION (E) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AUTHORIZING THE PLEDGE OR TRANSFER OF ASSETS TO MHC OR AS DIRECTED BY MHC, OR THE EXECUTION OF CONTRACTS) WHICH WOULD IMPROVE THE CREDIT WORTHINESS OR OTHERWISE RESULT IN FINANCIAL BENEFIT TO MHC AND ITS TAX-EXEMPT AFFILIATED CORPORATIONS (PROVIDED THAT UNDER NO CIRCUMSTANCES MAY MHC REQUIRE TRANSFER OF ASSETS IN VIOLATION OF LAW OR THE TERMS OF ANY CHARITABLE TRUST OR DONATION). (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATION'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, PROVIDED THE CORPORATION SHALL HAVE THE AUTHORITY TO NEGOTIATE THE TERMS AND CONDITIONS OF INDIVIDUAL PHYSICIAN EMPLOYMENT AGREEMENTS SO LONG AS THE NEGOTIATED TERMS AND CONDITIONS ARE CONSISTENT WITH THE REQUIREMENTS OF APPLICABLE LAW AND THE STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS APPROVED BY MHC. (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF MHC DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATIONS FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE NARRATIVE FOR PART VI, LINE 6 |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE NARRATIVE FOR PART VI, LINE 6 |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS, AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE MHC COMPLIANCE DEPARTMENT FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2020, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2019 CONFLICTS IDENTIFIED. MHC AND MHSC HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MHCS COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2020. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | OTHER PENSION RELATED CHANGES -1,755,000. CHANGES IN PENSION OBLIGATIONS OTHER THAN PENSION EXPENSE 9,093,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS | |||||||||||
| 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 390912682 | SUPPORT OF HEALTHCARE | WI | 501(C)(3) | LINE 12C, III-FI | MERCY HEALTH SYSTEM CORPORATION | Yes (1) | |
| MERCY ASSISTED CARE INC | |||||||||||
| 901 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 391035110 | HEALTHCARE | WI | 501(C)(3) | LINE 10 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HARVARD HOSPITAL INC | |||||||||||
| 901 GRANT STREET | HARVARD | IL | 60033 | 311551871 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER | |||||||||||
| 200 LAKE AVE | WOODSTOCK | IL | 60098 | 201673011 | NONE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HEALTH CORPORATION | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 472158680 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| JAVON BEA HOSPITAL | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 362167847 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCYHEALTH DEVELOPMENT FOUNDATION | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363197918 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12A, I | MERCY HEALTH CORPORATION | 0 | |
| MERCYHEALTH VISITING NURSES ASSOCIATION | |||||||||||
| 4223 E STATE STREET | ROCKFORD | IL | 61108 | 362167945 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | MERCY HEALTH CORPORATION | 0 | |
| ROCKFORD HEALTH PHYSICIANS | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363907436 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANESVILLE MEDICAL CENTER INC | ||||||||||||||||
| 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 391520130 | MANAGEMENT OF UNION EMPLOYEES | WI | MERCY HEALTH SYSTEM CORPORATION | C | $11,116 | 1.00000 | Yes (1) | |||||
| MERCYCARE INSURANCE COMPANY | ||||||||||||||||
| 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 391768192 | INSURANCE | WI | MERCY HEALTH SYSTEM CORPORATION | C | $88,241,189 | 1.00000 | Yes (1) | |||||
| MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO | ||||||||||||||||
| 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 201482553 | INSURANCE | WI | MERCY HEALTH SYSTEM CORPORATION | C | 1.00000 | Yes (1) | ||||||
| ROCKFORD HEALTH INSURANCE LTD | ||||||||||||||||
| INSURANCE | C | 0 | WELLESLEY HOUSE SO 2ND FL | PEMBROKE HM | BD | BD | N/A | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCYCARE INSURANCE COMPANY | ||
| Q | $10,215,544 | COST OF SERVICES PROVIDED |
| MERCY ASSISTED CARE INC | ||
| A | $101,815 | COST OF PROPERTY PROVIDED |
| MERCYCARE INSURANCE COMPANY | ||
| A | $117,316 | COST OF PROPERTY PROVIDED |