2020-02-19T04:27:53-06:00 2019-06-30 560574444 CHERRY BEKAERT LLP 222 SECOND AVE SOUTH STE 1240 NASHVILLE TN 37201 990 2018-07-01 621781969 MERCY HEALTH SERVICES INC MERC 6157900567 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 RHONDA SIZEMORE CFO 6157900567 2020-02-17 1 SARA G MOON P00034774 6153836592 184.80.143.82 2020-02-17 17:07:22 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2FF319B3CE2B43652A7ED6DCC0B88F842DF00A82 2018 2020-09-23 17:36:50Z CINDY SILER 1113 MURFREESBORO ROAD NO 319 FRANKLIN TN 37064 9280721 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. 13 13 176 400 0 0 2692403 2242933 5966997 6864524 1505 0 184898 61494 8845803 9168951 0 0 0 0 6242639 7378792 0 0 223869 1661521 1932426 7904160 9311218 941643 -142267 3025717 2965335 770079 851964 2255638 2113371 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 7675250 6864524 IN THE FISCAL YEAR 2018-2019:1. MERCY SAW 11,069 UNIQUE PATIENTS WITH 62,000 VISITS.2. THE MAIN SITE IN FRANKLIN ACHIEVED PRIMARY CARE MEDICAL HOME LEVEL 2 CERTIFICATION.3. NEW FACILITY IN LEWISBURG, MARSHALL COUNTY HEALTH CENTER, OPENED FULL TIME IN APRIL. THE FACILITY GENERATED AN ADDITIONAL 629 VISITS DURING THE LAST THREE MONTHS OF THE YEAR AND CONTINUING TO GROW AT A STEADY PACE.4. INCREASED OUR SCHOOL-BASED COUNSELING PROGRAM PARTICIPATION FROM 8 SCHOOLS IN 2 DISTRICTS TO 31 SCHOOLS 3 DISTRICTS. SERVICES CONTINUE TO BE IN DEMAND, WITH MORE AND MORE SCHOOLS ASKING US TO JOIN THEM. 7675250 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 1 0 0 0 0 0 0 0 0 1 11 0 1 176 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 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 CRAIG BALLENTINE BOARD MEMBER 1.00 X 0 0 0 DUMKELE ANIFOWOSHE BOARD MEMBER 1.00 X 0 0 0 GONZALO ALORZA BOARD MEMBER 1.00 X 0 0 0 JULIE LAMPLEY BOARD MEMBER 1.00 X 0 0 0 KENT WALTMAN VICE CHAIR 1.00 X X 0 0 0 KIMBERLY ALIOTTE SECRETARY 1.00 X X 0 0 0 KRISTEN TOTH BOARD MEMBER 1.00 X 0 0 0 LUPITA MARTINEZ BOARD MEMBER 1.00 X 0 0 0 LYDIA MABEL ARROYO BOARD MEMBER 1.00 X 0 0 0 MATT PIATKO BOARD MEMBER 1.00 X 0 0 0 REBECCA DYER CHAIRMAN 1.00 X X 0 0 0 TANIA DAVILA BOARD MEMBER 1.00 X 0 0 0 TODD MATTHEWS BOARD MEMBER 1.00 X 0 0 0 ALEX BRUNNER MD CMO 40.00 X 158447 0 18942 CINDY SILER CEO 40.00 X 118352 0 12387 DOROTHY BULLARD CICCO 40.00 X 86500 0 6171 JONATHAN BOYE CHIEF BEH HLTH 40.00 X 110092 0 20650 MARGARET OWENS CCO 40.00 X 79791 0 14230 MARI GARNER COO 40.00 X 63467 0 19674 RHONDA SIZEMORE CFO 40.00 X 82661 0 18699 ABIGAIL RYAN DOCTOR 32.00 X 136152 0 14015 AMY VEHEC DOCTOR 40.00 X 146881 0 8341 ANNE FOTTRELL PSYCHIATRIST 40.00 X 142806 0 7783 DEANNA BROWN DOCTOR 32.00 X 142767 0 21112 1267916 0 162004 7 0 1 0 0 50000 57900 1356283 778750 35502 2242933 SERVICE REVENUE 624100 6864524 6864524 6864524 150379 57900 111770 38609 38609 MISCELLANEOUS 900099 22885 22885 22885 9168951 6864524 0 61494 742312 620908 111794 9610 5478087 4582154 825011 70922 36357 29096 7000 261 661704 529548 127401 4755 460332 387818 66365 6149 177512 64710 112596 206 97442 704 96738 188023 130157 47905 9961 296780 245895 47026 3859 332271 318654 8367 5250 18410 11558 6209 643 117061 114526 2535 53542 47724 5719 99 MEDICAL SUPPLIES 269468 269369 99 REPAIRS & MAINTENANCE 134110 112727 21058 325 LAB SERVICES 93842 93842 BAD DEBT EXPENSE 53733 53586 147 100232 62274 22867 15091 9311218 7675250 1412099 223869 21438 96528 858045 401061 1159773 1462483 5098 6910 10461 2030632 1037395 974453 993237 0 1565 3025717 2965335 608610 729079 14000 10115 147469 112770 770079 851964 X 2255638 2113371 2255638 2113371 3025717 2965335 -142267 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1364524 659841 704683 521527 330055 191472 144581 47499 97082 993237 DEFERRED LEASE LIABILITY 112770 112770 9280721 111770 111770 9168951 0 9168951 9422988 111770 111770 9311218 0 9311218 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 111,770. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 111,770. FRANKLIN CLASSIC 129851 129851 86175 PRAYER DINNER 30789 18988 11801 14480 4 47639 38912 8727 11115 208279 57900 150379 111770 111770 38609 X 0 0 0 0 0 0 0 0 0 ALEX BRUNNER MD CMO 152318 0 6129 0 0 0 0 0 18942 0 177389 0 0 0 ABIGAIL RYAN DOCTOR 135771 0 381 0 0 0 2129 0 11886 0 150167 0 0 0 AMY VEHEC DOCTOR 141230 0 5651 0 0 0 2170 0 6171 0 155222 0 0 0 ANNE FOTTRELL PSYCHIATRIST 142705 0 101 0 0 0 1612 0 6171 0 150589 0 0 0 DEANNA BROWN DOCTOR 136814 0 5953 0 0 0 2170 0 18942 0 163879 0 0 0 X FUNDRAISING SUPPLIES 391 24162 FMV X OFFICE FURNITURE 98 11340 FMV 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.