MARYLAND FAMILY CARE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MARYLAND FAMILY CARE INC (EIN 52-2046586)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-04-30
- IRS object ID
- 202131209349300343
- Schema version
- 2019v5.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-30T09:52:43-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560747981 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 SPRING HILL ROAD SUITE 500 | AddressLine1Txt |
| City | TYSONS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 221023056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522046586 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYLAND FAMILY CARE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 4103329313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 ST PAUL PLACE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JUSTIN DEIBEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4106592905 | PhoneNum |
| Signature | 2021-04-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 7039700400 | PhoneNum |
| Preparation | 2021-04-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS MULLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 ST PAUL PLACE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $53,657,022 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE PRIMARY PHYSICIAN CARE TO PATIENTS OF MARYLAND FAMILY CARE, INC. AND RELATED ENTITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 358 | TotalEmployeeCnt |
| Total Volunteers | 11 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,545,615 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $51,715,060 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,046,963 | PYOtherRevenueAmt |
| CY Other Revenue | $1,941,962 | CYOtherRevenueAmt |
| PY Total Revenue | $52,592,578 | PYTotalRevenueAmt |
| CY Total Revenue | $53,657,022 | 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 | $33,857,317 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,993,884 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,565,010 | PYOtherExpensesAmt |
| CY Other Expenses | $20,972,943 | CYOtherExpensesAmt |
| PY Total Expenses | $53,422,327 | PYTotalExpensesAmt |
| CY Total Expenses | $56,966,827 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$829,749 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,309,805 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,992,982 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,467,573 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,873,859 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,305,083 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,119,123 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $12,162,490 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDE PRIMARY PHYSICIAN CARE TO PATIENTS OF MARYLAND FAMILY CARE AND RELATED ENTITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $53,042,568 | ExpenseAmt |
| Revenue | $53,657,022 | RevenueAmt |
| Desc | MARYLAND FAMILY CARE, INC. ("MFC") OPERATES A PRIMARY CARE PHYSICIAN ENTERPRISE. MFC PHYSICIANS ARE LOCATED THROUGHOUT BALTIMORE CITY, BALTIMORE COUNTY AND ANNE ARUNDEL COUNTY. MFC IS A WHOLLY OWNED SUBSIDIARY OF MERCY HEALTH SERVICES, INC. ("MHS"). MHS OWNS AND OPERATES A CATHOLIC HEALTHCARE SYSTEM IN MARYLAND, UNDER THE SPONSORSHIP OF THE SISTERS OF MERCY. MHS IS ALSO THE PARENT OF MERCY MEDICAL CENTER, INC., WHICH OWNS AND OPERATES AN ACUTE CARE HOSPITAL IN DOWNTOWN BALTIMORE AS WELL AS NUMEROUS OUTPATIENT HOSPITAL SPECIALTY CLINICS. MHS IS ALSO THE PARENT OF STELLA MARIS, INC., WHICH OWNS AND OPERATES A NURSING HOME, A RESIDENTIAL AND HOME HOSPICE SERVICES AND A HOME HEALTH AGENCY. MFC EMPLOYS 116 PRIMARY CARE PHYSICIANS AND NURSE PRACTITIONERS WHO PROVIDE PRIMARY CARE SERVICES IN OFFICES LOCATED ON THE CAMPUS OF MERCY MEDICAL CENTER AND THROUGHOUT BALTIMORE CITY, AND IN ANNE ARUNDEL AND BALTIMORE COUNTIES. MFC EMPLOYS A NUMBER OF PHYSICIANS TO SERVE AS HOSPITALISTS, WHO CARE FOR PATIENTS ADMITTED TO MERCY MEDICAL CENTER, THEREBY IMPROVING THE QUALITY OF CARE FOR MERCY'S ACUTE CARE PATIENTS. MFC'S NURSE PRACTITIONERS PROVIDE SERVICES TO UNINSURED PATIENTS IN MERCY'S NURSERY AND CHILDREN'S HEALTH OUTREACH PROGRAM. MFC INCURS SUBSTANTIAL COSTS PROVIDING THE COMMUNITY WITH THE HOSPITALIST AND NURSE PRACTITIONER PROGRAMS. DURING THE 2019 TAX YEAR, MFC INCURRED A COST OF $3,538,035 FROM PROVIDING THE HOSPITALIST PROGRAM AND THE NURSE PRACTITIONER PROGRAM. 2.1% OF THE PATIENTS SERVED BY THE HOSPITALIST AND NURSE PRACTITIONER PROGRAMS ARE UNINSURED. THROUGH ITS EMPLOYED PHYSICIANS, MFC PROVIDES MEDICAL DIRECTOR SERVICES TO THE STELLA MARIS NURSING HOME AND HOSPICE PROGRAMS, AND PROVIDES HEALTHCARE SERVICES DIRECTLY TO THE RESIDENTS OF STELLA MARIS. MANY MFC PHYSICIANS PARTICIPATE IN MEDICAL EDUCATION, INCLUDING PARTICIPATION IN MERCY'S INTERNAL MEDICINE RESIDENCY PROGRAM. MFC ALSO HAS AN AFFILIATION AGREEMENT WITH THE FAMILY HEALTH CENTERS OF BALTIMORE, INC., PURSUANT TO WHICH MFC ARRANGES FOR PHYSICIAN STAFFING FOR FHCB'S DOWNTOWN CLINIC. FHCB IS A FEDERALLY QUALIFIED HEALTH CENTER. IN FISCAL YEAR 2020, MFC PROVIDED CARE TO PATIENTS THROUGH 243,842 OFFICE VISITS AND 2,488 NURSING HOME VISITS. THROUGH ITS HOSPITALIST AND NURSE PRACTITIONER PROGRAMS, MFC PROVIDED SERVICES TO APPROXIMATELY 23,149 PATIENTS. | Desc |
| Total Program Service Expenses | $53,042,568 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | 0 | OperateHospitalInd |
| 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 | 0 | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 358 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JUSTIN DEIBEL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4106592905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 ST PAUL PLACE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 |
|---|---|---|---|---|---|---|---|---|
| THOMAS MULLEN | ||||||||
| PRESIDENT/CEO, EX OFFICIO | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $1,654,850 | $45,363 | |
| FERNANDO FERRO MD | ||||||||
| CHAIR | 40.00 | Yes (X) | Yes (X) | $464,254 | $0 | $35,478 | ||
| JOHN TOPPER | ||||||||
| VICE CHAIR | 3.00 | 37.00 | Yes (X) | Yes (X) | $0 | $796,745 | $48,477 | |
| JUSTIN DEIBEL | ||||||||
| TREASURER | 3.00 | 37.00 | Yes (X) | Yes (X) | $0 | $623,052 | $35,277 | |
| HELEN LEEK | ||||||||
| SECRETARY | 15.00 | 15.00 | Yes (X) | Yes (X) | $0 | $250,538 | $35,055 | |
| DAVID N MAINE MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $957,933 | $34,826 | ||
| WILMA A S ROWE MD | ||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $766,495 | $40,054 | ||
| ROBERT A EDWARDS | ||||||||
| DIRECTOR | 15.00 | 15.00 | Yes (X) | $0 | $488,623 | $48,382 | ||
| GEORGE BOYER MD | ||||||||
| DIRECTOR | 5.00 | 35.00 | Yes (X) | $0 | $256,381 | $42,167 | ||
| JENNIFER SCHWARZMANN | ||||||||
| DIRECTOR | 5.00 | 35.00 | Yes (X) | $0 | $189,597 | $26,612 | ||
| GEORGE LOWE MD | ||||||||
| DIRECTOR | 10.00 | 30.00 | Yes (X) | $0 | $187,753 | $21,077 | ||
| ROSEMARY OLIVO | ||||||||
| DIRECTOR | 40.00 | Yes (X) | $178,547 | $0 | $34,992 | |||
| THAW POON MD | ||||||||
| PHYSICIAN | 40.00 | $471,774 | $0 | $30,560 | Yes (X) | |||
| AYMAN AKKAD MD | ||||||||
| PHYSICIAN | 40.00 | $478,565 | $0 | $38,421 | Yes (X) | |||
| YEONG OH MD | ||||||||
| PHYSICIAN | 40.00 | $462,334 | $0 | $40,806 | Yes (X) | |||
| DANIEL COLLECTOR MD | ||||||||
| PHYSICIAN | 40.00 | $521,241 | $0 | $35,854 | Yes (X) | |||
| MARION KOWALESKI MD | ||||||||
| PHYSICIAN | 40.00 | $413,450 | $0 | $37,585 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,990,165 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,171,967 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $630,986 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 75 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BROADWAY SERVICES INC | |||||
| 3709 E MONUMENT STREET | BALTIMORE | MD | 21205 | CLEANING SERVICES | $288,887 |
| ULTIMATE STAFFING SERVICES | |||||
| PO BOX 6003 | ANAHEIM | CA | 92812 | TEMPORARY STAFFING SERVICES | $150,148 |
| PHILIPS HEALTHCARE | |||||
| 3000 MINUTEMAN ROAD | ANDOVER | MA | 01810 | EQUIPMENT MAINTENANCE SERVICES | $142,804 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621110 | $50,925,715 | $50,925,715 |
| CARES ACT PROVIDER RELIEF FUNDS | 621110 | $789,345 | $789,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $51,715,060 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,941,962 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,941,962 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,941,962 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,657,022 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,657,022 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,853,756 | TotalAmt |
| Program Services | $30,853,756 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,775 | TotalAmt |
| Program Services | $441,775 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,999,658 | TotalAmt |
| Program Services | $2,999,658 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,698,695 | TotalAmt |
| Program Services | $1,698,695 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,576,048 | TotalAmt |
| Management And General | $3,576,048 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,062,500 | TotalAmt |
| Program Services | $2,051,645 | ProgramServicesAmt |
| Management And General | $10,855 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,923 | TotalAmt |
| Program Services | $6,923 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,049,284 | TotalAmt |
| Program Services | $9,035,621 | ProgramServicesAmt |
| Management And General | $13,663 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,760 | TotalAmt |
| Program Services | $124,760 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $856,778 | TotalAmt |
| Program Services | $856,778 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,947 | TotalAmt |
| Program Services | $34,947 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,306 | TotalAmt |
| Program Services | $28,306 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,850,716 | TotalAmt |
| Program Services | $1,759,611 | ProgramServicesAmt |
| Management And General | $91,105 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $919,724 | TotalAmt |
| Program Services | $919,724 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PT REVENUE | $1,059,950 | $1,059,950 | |
| REPAIRS AND MAINTENANCE | $1,026,186 | $1,026,186 | |
| OTHER | $376,821 | $144,233 | $232,588 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,966,827 | TotalAmt |
| Program Services | $53,042,568 | ProgramServicesAmt |
| Management And General | $3,924,259 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,508,637 | BOYAmt |
| EOY | $1,471,043 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,836 | BOYAmt |
| EOY | $88,323 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $29,170,151 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,698,836 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,470,483 | BOYAmt |
| EOY | $15,471,315 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,026 | BOYAmt |
| EOY | $1,436,892 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,992,982 | BOYAmt |
| EOY | $18,467,573 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,636,728 | BOYAmt |
| EOY | $5,053,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,237,131 | BOYAmt |
| EOY | $1,251,971 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,873,859 | BOYAmt |
| EOY | $6,305,083 | 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 | $11,119,123 | BOYAmt |
| EOY | $12,162,490 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,119,123 | BOYAmt |
| EOY | $12,162,490 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,992,982 | BOYAmt |
| EOY | $18,467,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,309,805 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,353,172 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,870,867 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,225,090 | DepreciationAmt |
| Book Value | $11,645,777 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,327,006 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,201 | DepreciationAmt |
| Book Value | $1,197,805 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,971,895 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,344,545 | DepreciationAmt |
| Book Value | $2,627,350 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $383 | OtherCostOrOtherBasisAmt |
| Book Value | $383 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,471,315 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MFC PRACT DEVELOPMENT WIP | $3,026 |
| PHYSICIAN ACQUISITION COST | $1,433,866 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,436,892 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $1,251,971 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,251,971 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MHS, MMC, SMI, MFC, SPPS, MHF, AND MSS ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ARE THEREFORE NOT SUBJECT TO FEDERAL INCOME TAX UNDER CURRENT INCOME TAX REGULATIONS. MHS SUBSIDIARIES OTHERWISE EXEMPT FROM FEDERAL AND STATE TAXATION ARE NONETHELESS SUBJECT TO TAXATION AT CORPORATE TAX RATES AT BOTH THE FEDERAL AND STATE LEVEL ON THEIR UNRELATED BUSINESS INCOME. CURRENT ACCOUNTING STANDARDS DEFINE THE THRESHOLD FOR RECOGNIZING UNCERTAIN INCOME TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS, AND ALSO PROVIDE GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THERE IS NO IMPACT ON MHS' ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS RELATED TO UNCERTAIN INCOME TAX POSITIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS MULLEN | ||||||||||||||
| PRESIDENT/CEO, EX OFFICIO | $0 | $875,788 | $0 | $779,062 | $0 | $0 | $0 | $16,800 | $0 | $28,563 | $0 | $1,700,213 | $0 | $0 |
| FERNANDO FERRO MD | ||||||||||||||
| CHAIR | $345,723 | $0 | $118,531 | $0 | $0 | $0 | $9,500 | $0 | $25,978 | $0 | $499,732 | $0 | $0 | $0 |
| JOHN TOPPER | ||||||||||||||
| VICE CHAIR | $0 | $542,949 | $0 | $253,796 | $0 | $0 | $0 | $16,800 | $0 | $31,677 | $0 | $845,222 | $0 | $0 |
| JUSTIN DEIBEL | ||||||||||||||
| TREASURER | $0 | $440,314 | $0 | $182,738 | $0 | $0 | $0 | $8,400 | $0 | $26,877 | $0 | $658,329 | $0 | $0 |
| HELEN LEEK | ||||||||||||||
| SECRETARY | $0 | $223,053 | $0 | $27,485 | $0 | $0 | $0 | $11,116 | $0 | $23,939 | $0 | $285,593 | $0 | $0 |
| DAVID N MAINE MD | ||||||||||||||
| DIRECTOR | $0 | $821,376 | $0 | $136,557 | $0 | $0 | $0 | $8,400 | $0 | $26,426 | $0 | $992,759 | $0 | $0 |
| WILMA A S ROWE MD | ||||||||||||||
| DIRECTOR | $0 | $607,911 | $0 | $158,584 | $0 | $0 | $0 | $12,600 | $0 | $27,454 | $0 | $806,549 | $0 | $0 |
| ROBERT A EDWARDS | ||||||||||||||
| DIRECTOR | $0 | $373,545 | $0 | $115,078 | $0 | $0 | $0 | $16,800 | $0 | $31,582 | $0 | $537,005 | $0 | $0 |
| GEORGE BOYER MD | ||||||||||||||
| DIRECTOR | $0 | $245,377 | $0 | $11,004 | $0 | $0 | $0 | $13,142 | $0 | $29,025 | $0 | $298,548 | $0 | $0 |
| JENNIFER SCHWARZMANN | ||||||||||||||
| DIRECTOR | $0 | $171,247 | $0 | $18,350 | $0 | $0 | $0 | $1,747 | $0 | $24,865 | $0 | $216,209 | $0 | $0 |
| GEORGE LOWE MD | ||||||||||||||
| DIRECTOR | $0 | $162,098 | $0 | $25,655 | $0 | $0 | $0 | $0 | $0 | $21,077 | $0 | $208,830 | $0 | $0 |
| ROSEMARY OLIVO | ||||||||||||||
| DIRECTOR | $173,301 | $0 | $5,246 | $0 | $0 | $0 | $12,500 | $0 | $22,492 | $0 | $213,539 | $0 | $0 | $0 |
| THAW POON MD | ||||||||||||||
| PHYSICIAN | $133,377 | $0 | $338,397 | $0 | $0 | $0 | $4,125 | $0 | $26,435 | $0 | $502,334 | $0 | $0 | $0 |
| AYMAN AKKAD MD | ||||||||||||||
| PHYSICIAN | $394,547 | $0 | $84,018 | $0 | $0 | $0 | $9,500 | $0 | $28,921 | $0 | $516,986 | $0 | $0 | $0 |
| YEONG OH MD | ||||||||||||||
| PHYSICIAN | $376,825 | $0 | $85,509 | $0 | $0 | $0 | $9,500 | $0 | $31,306 | $0 | $503,140 | $0 | $0 | $0 |
| DANIEL COLLECTOR MD | ||||||||||||||
| PHYSICIAN | $296,558 | $0 | $224,683 | $0 | $0 | $0 | $8,400 | $0 | $27,454 | $0 | $557,095 | $0 | $0 | $0 |
| MARION KOWALESKI MD | ||||||||||||||
| PHYSICIAN | $278,066 | $0 | $135,384 | $0 | $0 | $0 | $8,280 | $0 | $29,305 | $0 | $451,035 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: 1. COMPENSATION COMMITTEE; 2. INDEPENDENT COMPENSATION CONSULTANT; 3. COMPENSATION SURVEY OR STUDY; AND 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 7 | TO ENSURE SALARIES ARE CONSISTENT WITH FAIR MARKET VALUE AS WELL AS TO MINIMIZE THE CORPORATION'S RISK WITH RESPECT TO OPERATING ITS PHYSICIANS ENTERPRISE, THE CORPORATION HAS DEVELOPED A COMPENSATION MODEL BASED ON INDIVIDUAL PHYSICIAN PRODUCTIVITY IN PROVIDING PATIENT CARE SERVICES. THE MODEL ESENTIALLY MIRRORS WHAT A PHYSICIAN WOULD EARN IN PRIVATE PRACTICE IN THAT IT TAKES INTO ACCOUNT THE PROFESSIONAL FEE REVENUE THE PHYSICIAN GENERATES THROUGH HIS OR HER OWN PROFESSIONAL. BECAUSE THE METHODOLOGY IS BASED ON REVENUE, WE ANSWERED QUESTION 7 AFFIRMATIVELY. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HEALTH SERVICES, INC. ("MHS"), A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF MARYLAND FAMILY CARE, INC. ("MFC"). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PRESIDENT AND SENIOR VICE PRESIDENT FOR MEDICAL AFFAIRS OF MHS SERVE AS EX OFFICIO VOTING MEMBERS OF THE BOARD OF DIRECTORS OF MFC. AS THE MEMBER OF MFC, THE BOARD OF TRUSTEES OF MHS ELECTS ALL OF THE OTHER MEMBERS OF THE BOARD OF MFC, WHICH SHALL INCLUDE AT LEAST TWO ADDITIONAL MEMBERS OF MHS'S ADMINISTRATIVE STAFF AND AT LEAST TWO PRACTICING PRIMARY CARE PHYSICIANS. WITH THE EXCEPTION OF THE EX OFFICIO BOARD MEMBERS, ALL OF THE MFC BOARD MEMBERS SERVE AT THE PLEASURE OF THE BOARD OF TRUSTEES OF MHS AND ARE SUBJECT TO REMOVAL BY THE MHS BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF TRUSTEES OF MHS EXERCISES AUTHORITY OVER MFC THROUGH ITS RIGHT TO APPOINT AND REMOVE MFC BOARD MEMBERS. IN ADDITION, THE FOLLOWING ACTIONS REQUIRE APPROVAL BY MHS: (A) LIQUIDATION AND DISSOLUTION OF MFC; AND (B) AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF MFC. ULTIMATELY, THE CORPORATION IS CONTROLLED BY MHS'S 29 PERSON COMMUNITY BOARD, WHICH INCLUDES 21 INDEPENDENT DIRECTORS AS NOTED ABOVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | MERCY HEALTH SERVICES, INC. ("MHS"), THE SOLE PARENT OF THE CORPORATION, HAS A POLICY WHICH REQUIRES THE CORPORATION'S 990 TO BE MADE AVAILABLE FOR REVIEW BY THE MHS BOARD AND/OR THE MHS BOARD EXECUTIVE COMMITTEE PRIOR TO ITS FILING. AT ITS BOARD MEETING, MHS BOARD EXECUTIVE COMMITTEE MEMBERS RECEIVED A COPY OF THE CORPORATION'S DRAFT FORM 990. THE MHS CFO PROVIDED A POWER POINT PRESENTATION REGARDING THE DRAFT AND THERE WAS AN OPPORTUNITY FOR QUESTIONS AND DISCUSSION. FOLLOWING FURTHER REVISION OF THE DRAFT 990 AND PRIOR TO ITS FILING, IT WAS MADE AVAILABLE IN FINAL FORM TO ALL MEMBERS OF THE MHS BOARD AND THE CORPORATION'S BOARD FOR THEIR REVIEW. ANY ADDITIONAL COMMENTS/QUESTIONS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY HAS A CONFLICT OF INTEREST POLICY THAT COVERS MERCY HEALTH SERVICS, INC. AND ALL OF ITS DIRECT AND INDIRECT SUBSIDIARIES. THE INDIVIDUALS COVERED UNDER THE POLICY INCLUDE ALL TRUSTEES, DIRECTORS, OFFICERS (INCLUDING ALL SENIOR AND EXECUTIVE VICE PRESIDENTS) AND MEMBERS OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS. UNDER THE POLICY, EACH SUCH PERSON IS REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM REGARDING ALL BUSINESS RELATIONSHIPS THAT HE OR SHE, OR ANY FAMILY MEMBER, HAS WITH ANY OTHER ORGANIZATIONS THAT DO BUSINESS WITH MERCY AND ALL RELATIONSHIPS BETWEEN AND AMONG OFFICERS, TRUSTEES AND DIRECTORS. THE COMPLETED DISCLOSURE FORMS ARE REVIEWED BY THE BOARD CHAIR AND BY MERCY'S CEO OR A DESIGNEE. IN ADDITION TO THE ANNUAL DISCLOSURE, ANY PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY HAS AN ONGOING OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OR THE BOARD COMMITTEE IN WHICH THE MATTER ARISES. FOLLOWING THE DISCLOSURE, THE PERSON MAY MAKE A PRESENTATION, BUT MUST THEN LEAVE THE MEETING AND THE OTHER MEMBERS OF THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER A CONFLICT EXISTS. UNDER THE POLICY, A CONFLICT OF INTEREST EXISTS WHEN AN INDIVIDUAL'S OWN PERSONAL INTEREST WOULD, OR MAY, INTERFERE WITH HIS OR HER IMPARTIALITY REGARDING THE MATTER. IF A CONFLICT EXISTS, THE PERSON MUST ABSTAIN FROM VOTING AND MAY NOT BE PRESENT DURING DELIBERATIONS ON THE MATTER. THE BOARD OR COMMITTEE, AFTER CONDUCTING SUCH ADDITIONAL DUE DILIGENCE AS IT DETERMINES IS APPROPRIATE, SHALL MAKE A DECISION ON THE MATTER BASED UPON WHETHER THE PARTICULAR PROPOSAL IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION'S PARENT CORPORATION (MERCY HEALTH SERVICES, INC.) WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. MERCY HEALTH SERVICES, INC. HAS A WRITTEN POLICY REGARDING THE REVIEW OF PHYSICIAN COMPENSATION TITLED "AMENDED AND RESTATED PHYSICIAN COMPENSATION REVIEW." THE POLICY APPLIES TO ALL MHS SUBSIDIARIES, INCLUDING THE CORPORATION, AND IT SETS OUT THE PROCESS AND PROCEDURES FOR ENSURING THAT PHYSICIAN COMPENSATION IS APPROPRIATELY REVIEWED AND DETERMINED TO BE CONSISTENT WITH FAIR MARKET VALUE. UNDER THE POLICY THE REVIEW AND DETERMINATION MUST BE DOCUMENTED IN WRITING. THE POLICY ADDRESSES INTERNAL REVIEWS THROUGH BENCHMARKING OF PHYSICIAN COMPENSATION AGAINST NATIONALLY RECOGNIZED COMPENSATION SURVEY DATA, THE USE OF INDEPENDENT COMPENSATION CONSULTANTS AND REVIEW BY THE MHS BOARD COMPENSATION COMMITTEE. THE POLICY FURTHER REQUIRES THAT ALL COMPENSATION REVIEWS BE PERFORMED IN ACCORDANCE WITH THE MHS CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICTS OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | WRITE OFF OF INTERCOMPANY ACCOUNTS 4,353,172. |
| FORM 990; PART XII; LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
| PART VI, LINE 1B | MERCY HEALTH SERVICES, INC. ("MHS"), A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF MARYLAND FAMILY CARE, INC. ("MFC"). MHS IS GOVERNED BY A 29-PERSON BOARD OF TRUSTEES, OF WHOM 21 ARE INDEPENDENT BOARD MEMBERS. THE BOARD OF DIRECTORS OF MFC IS CURRENTLY MADE OF 9 DIRECTORS. THE PRESIDENT AND THE SENIOR VICE PRESIDENT FOR MEDICAL AFFAIRS OF MHS SERVE AS EX OFFICIO MEMBERS OF MFC'S BOARD AND THE BALANCE OF THE MFC BOARD MEMBERS ARE ELECTED BY, AND SUBJECT TO REMOVAL BY, THE BOARD OF TRUSTEES OF MHS. NONE OF THE MEMBERS OF THE MFC BOARD ARE INDEPENDENT, IN THAT EACH OF THEM IS COMPENSATED AS AN EMPLOYEE EITHER OF MFC OR A RELATED ORGANIZATION LISTED IN SCHEDULE R, PART II. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTEGRATIVE & COMPLEMENTARY SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 ST PAUL PLACE | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522046586 | EIN |
| Primary Activities | MEDICAL SERVICE | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARYLAND FAMILY CARE INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH SERVICES INC | ||||||||||
| 301 ST PAUL PLACE | BALTIMORE | MD | 21202 | 522173382 | SUPPORT | MD | 501(C)(3) | LINE 12C, III-FI | N/A | 0 |
| MERCY MEDICAL CENTER INC | ||||||||||
| 301 ST PAUL PLACE | BALTIMORE | MD | 21202 | 520591658 | HOSPITAL | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| ST PAUL PLACE SPECIALISTS | ||||||||||
| 301 ST PAUL PLACE | BALTIMORE | MD | 21202 | 521495113 | SPECIALTY MEDICAL SERVICES | MD | 501(C)(3) | LINE 3 | N/A | 0 |
| MERCY HEALTH FOUNDATION | ||||||||||
| 301 ST PAUL PLACE | BALTIMORE | MD | 21202 | 522173656 | FOUNDATION | MD | 501(C)(3) | LINE 7 | N/A | 0 |
| STELLA MARIS | ||||||||||
| 301 ST PAUL PLACE | BALTIMORE | MD | 21206 | 521419602 | NURSING FACILITY | MD | 501(C)(3) | LINE 10 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASCULAR SPECIALTY SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 341 N CALVERT STREET SUITE 200 | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521995474 | EIN |
| Primary Activities | MEDICAL PRACTICE | PrimaryActivitiesTxt |
| Legal Domicile State | MD | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | 0 | 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | 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 |
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