2021-03-29T12:20:43-05:00 2020-06-30 560574444 CHERRY BEKAERT LLP 222 SECOND AVE SOUTH STE 1240 NASHVILLE TN 37201 990 2019-07-01 621781969 MERCY HEALTH SERVICES INC MERC 6157900567 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 RHONDA SIZEMORE CFO 6157900567 2021-03-25 1 SARA G MOON P00034774 6153836592 2019 2022-09-23 18:48:47Z CINDY SILER 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 12182124 0 X WWW.MERCYCOMMUNITYHEALTHCARE.ORG X 1999 TN MERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED. 12 12 189 380 0 0 2242933 3743034 6864524 8239307 0 0 61494 107458 9168951 12089799 0 0 0 0 7378792 8252178 0 0 322903 1932426 2462098 9311218 10714276 -142267 1375523 2965335 6615129 851964 3126235 2113371 3488894 MERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED SERVING WILLIAMSON COUNTY AND SURROUNDING COUNTIES. 0 0 8438643 8239307 IN THE FISCAL YEAR 2019-2020:1. MERCY SAW 10,313 UNIQUE PATIENTS WITH 51,854 VISITS.2. THE NEW FACILITY IN LEWISBURG THAT OPENED IN APRIL 2019 GENERATED 4,430 VISITS DURING THE YEAR.3. OUR SCHOOL-BASED PROGRAM ADJUSTED TO THE CHALLENGES PRESENTED BY THE COVID-19 PANDEMIC AND OPERATES IN 19 SCHOOLS IN 3 DISTRICTS. 8438643 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 189 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 TN X RHONDA SIZEMORE 6157900567 1113 MURFREESBORO ROAD STE 319 FRANKLIN TN 37064 JANE ALLEN BOARD MEMBER 1.00 X 0 0 0 TODD MATTHEWS BOARD MEMBER 1.00 X 0 0 0 LACRETIA CROSBY BOARD MEMBER 1.00 X 0 0 0 CINDI PARMENTER BOARD MEMBER 1.00 X 0 0 0 DUMKELE ANIFOWOSHE BOARD MEMBER 1.00 X 0 0 0 GONZALO ELORZA BOARD MEMBER 1.00 X X 0 0 0 REV HERBERT JOHNSON BOARD MEMBER 1.00 X 0 0 0 LYDIA MABEL ARROYO BOARD MEMBER 1.00 X 0 0 0 REBECCA DYER CHAIRMAN 1.00 X X 0 0 0 TANIA DAVILA SECRETARY 1.00 X X 0 0 0 KENT WALTMAN BOARD MEMBER 1.00 X 0 0 0 VALERIE WILSON VICE CHAIR 1.00 X X 0 0 0 MARGARET OWENS CCO 40.00 X 90518 0 12424 CINDY SILER CEO 40.00 X 126590 0 9963 RHONDA SIZEMORE CFO 40.00 X 95917 0 17439 JONATHAN BOYE CHIEF BEH HLTH 40.00 X 122706 0 17835 DOROTHY BULLARD CICCO 40.00 X 91399 0 5275 ALEX BRUNNER MD CMO 40.00 X 154620 0 16010 MARI GARNER COO 40.00 X 80578 0 17210 ABIGAIL RYAN DOCTOR 32.00 X 142422 0 11783 DEANNA BROWN DOCTOR 32.00 X 155858 0 18215 AMY VEHEC DOCTOR 40.00 X 153163 0 7444 ANNE FOTTRELL PSYCHIATRIST 40.00 X 143578 0 7073 1357349 0 140671 7 0 1 0 0 111600 2479773 1151661 3743034 SERVICE REVENUE 624100 8239307 8239307 8239307 125124 111600 92325 32799 32799 MISCELLANEOUS 900099 74659 74659 74659 12089799 8239307 0 107458 876891 709762 145841 21288 5977882 4838540 994218 145124 44451 36335 7568 548 867825 709361 147758 10706 485129 405947 68026 11156 287840 87955 196385 3500 85526 255 210 85061 198738 105462 83394 9882 362819 270538 88302 3979 389492 372571 14035 2886 15192 9941 4469 782 130345 130345 61763 50214 11648 -99 MEDICAL SUPPLIES 389376 385721 3655 BAD DEBT EXPENSE 176462 169773 6689 REPAIRS & MAINTENANCE 114703 95090 19215 398 LAB SERVICES 71762 71762 178080 119416 30972 27692 10714276 8438643 1952730 322903 96528 547565 401061 3407041 50000 1462483 1627547 10461 2146601 1167740 993237 978861 1565 4115 2965335 6615129 729079 850925 10115 2197238 112770 78072 851964 3126235 X 2113371 3438894 50000 2113371 3488894 2965335 6615129 1375523 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1368774 707202 661572 601996 397311 204685 175831 63227 112604 978861 DEFERRED LEASE LIABILITY 78072 78072 12195024 12900 92325 105225 12089799 0 12089799 10819501 12900 92325 105225 10714276 0 10714276 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 92,325. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 92,325. FRANKLIN CLASSIC 138903 75853 63050 51670 PRAYER DINNER 55549 35549 20000 25920 4 42272 198 42074 14735 236724 111600 125124 92325 92325 32799 X 0 0 0 0 0 0 0 0 0 ALEX BRUNNER MD CMO 151150 0 3470 0 0 0 0 0 16010 0 170630 0 0 0 ABIGAIL RYAN DOCTOR 141900 0 522 0 0 0 2129 0 9654 0 154205 0 0 0 DEANNA BROWN DOCTOR 147023 0 8835 0 0 0 2205 0 16010 0 174073 0 0 0 AMY VEHEC DOCTOR 144635 0 8528 0 0 0 2169 0 5275 0 160607 0 0 0 ANNE FOTTRELL PSYCHIATRIST 143375 0 203 0 0 0 1798 0 5275 0 150651 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B N/A - THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 WILL BE SENT ELECTRONICALLY TO THE BOARD OF DIRECTORS PRIOR TO FILING. ADDITIONALLY, IT IS REVIEWED IN DETAIL BY THE EXECUTIVE COMMITTEE WHICH REPORTS ITS FINDINGS TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 12C POLICIES AND PROCEDURES FOR ALL PROCUREMENT ARE IN PLACE TO DISCOVER ANY POTENTIAL CONFLICTS OF INTEREST FOR ALL PURCHASES AND CONTRACTS. ANNUALLY FORMS ARE SIGNED TO STATE THERE IS NO CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS REVIEWED AND DETERMINED EACH YEAR BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF MERCY. PRIMARILY, THE COMMITTEE USES THE COMPENSATION REPORT DONE EVERY TWO YEARS BY THE TENNESSEE PRIMARY CARE ASSOCIATION OF ALL THE FEDERALLY QUALIFIED HEALTH CENTERS IN TENNESSEE. THIS REPORT IS VERY HELPFUL IN COMPARING THE BUDGET SIZES, PATIENT ENCOUNTER NUMBERS, AND STAFFING SIZES OF THESE CENTERS IN ORDER TO REACH A COMPETITIVE SALARY RANGE. THE REMAINDER OF THE TOP MANAGEMENT OFFICIALS' COMPENSATION IS DETERMINED, PRIMARILY USING THE SAME COMPENSATION REPORT BY THE CEO OF MERCY. EACH YEAR, BUDGET PERMITTING, A COST OF LIVING RAISE IS IMPLEMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.