MERCY HEALTH SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH SERVICES INC (EIN 62-1781969)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-03-06
IRS object ID
201940659349300339
Schema version
2017v2.3
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

FieldValueIRS element (for citing)
Return2019-03-06T12:56:15-06:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560574444PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1222 SECOND AVE SOUTH STE 1240AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37201ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN621781969EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone6157900567PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD NO 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRHONDA SIZEMOREPersonNm
Person TitleCFOPersonTitleTxt
Phone6157900567PhoneNum
Signature2019-02-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARA G MOONPreparerPersonNm
PTINP00034774PTIN
Phone6153836592PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address184.80.143.82IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-02-28IPDt
IP Tm17:51:19IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id681165C3F411A5C91A132F4457263660CFEA6D09AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCINDY SILERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD NO 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,912,397GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYCOMMUNITYHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionMERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee145TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,585,575PYContributionsGrantsAmt
CY Contributions Grants$2,692,403CYContributionsGrantsAmt
PY Program Service Revenue$5,191,092PYProgramServiceRevenueAmt
CY Program Service Revenue$5,966,997CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$1,505CYInvestmentIncomeAmt
PY Other Revenue$120,509PYOtherRevenueAmt
CY Other Revenue$184,898CYOtherRevenueAmt
PY Total Revenue$7,897,176PYTotalRevenueAmt
CY Total Revenue$8,845,803CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,573,064PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,242,639CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$136,858CYTotalFundraisingExpenseAmt
PY Other Expenses$1,592,077PYOtherExpensesAmt
CY Other Expenses$1,661,521CYOtherExpensesAmt
PY Total Expenses$7,165,141PYTotalExpensesAmt
CY Total Expenses$7,904,160CYTotalExpensesAmt
PY Revenues Less Expenses$732,035PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$941,643CYRevenuesLessExpensesAmt
Total Assets BOY$2,386,728TotalAssetsBOYAmt
Total Assets EOY$3,025,717TotalAssetsEOYAmt
Total Liabilities BOY$1,072,733TotalLiabilitiesBOYAmt
Total Liabilities EOY$770,079TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,313,995NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,255,638NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED SERVING WILLIAMSON COUNTY AND SURROUNDING COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,755,564ExpenseAmt
Revenue$5,966,997RevenueAmt
DescIN THE FISCAL YEAR 2017-18:1. MERCY HAS IMPROVED MANAGEMENT OF RESOURCES AND WERE BLESSED WITH A SIZEABLE GIFT IN 2018 WHICH HAS ALLOWED THE MAINTENANCE OF CASHFLOW WITHOUT UTILIZING THE LINE OF CREDIT.2. WE ENGAGED CHRISTIAN COMMUNITY HEALTH FELLOWSHIP, CCHF TO CONDUCT THE 9 MONTH LONG STRATEGIC PLANNING PROCESS INVOLVING THE BOARD AND STAFF WHICH SUCCESSFULLY RESULTED IN A 3 YEAR PLAN FOR 3 PRIORITY GOALS FOR 2019: 1) TO INCREASE UNIQUE USER COUNT TO 12,450 BY DECEMBER 31, 2019, 2) TO EMPHASIZE COMPLIANCE AND QUALITY HAVING NO MORE THAN 3 MINOR FINDINGS (NON-CONFORMANCES) IN ANY AUDIT OR SITE VISIT AND TO IMPROVE OVERALL QUALITY PROGRAM MEASURES (PCMH, HRSA) BY 10% AND 3) TO IMPROVE EMPLOYEE ENGAGEMENT BY 10%. PROGRESS IS BEING MADE IN EACH OF THESE THROUGH A PERFORMANCE MANAGEMENT METHODOLOGY WHICH ALSO INVOLVES THE LEAN PROCESS THAT WAS INITIATED LAST YEAR.3. THE EXPANSION TO LEWISBURG, MARSHALL COUNTY IS GROWING, AND A NEW FACILITY HAS BEEN OBTAINED IN ORDER TO PROVIDE FULL TIME SERVICES.4. THE SCHOOL-BASED BEHAVIORAL HEALTH SERVICES HAVE GROWN TO INCLUDE 21 SCHOOLS IN TWO COUNTIES.5. THE CARE COORDINATION SERVICES HAVE CONTINUED TO IMPLEMENT NOT ONLY THE TRADITIONAL REFERRAL SERVICES, CASE MANAGEMENT AND INSURANCE ASSISTS IN ADDITION TO THE MOUNTING PATIENTS IN THE CHRONIC CARE MANAGEMENT PROGRAM.6. MERCY WAS HONORED TO HAVE 3 STAFF RECEIVE STATEWIDE AWARDS; AMY VEHEC, MD RECEIVED PEDIATRICIAN OF THE YEAR BY TAAP, MARCY WEBB, PHD RECEIVED THE SUSAN HAMMONDS-WHITE LEADERSHIP AWARD FROM TENNESSEE LICENSED PROFESSIONAL COUNSELING ASSOCIATION (TLPCA) AND BRANDY DALTON, RN RECEIVED THE SUSAN P. SMITH AWARD FROM THE TENNESSEE PRIMARY CARE ASSOCIATION, TNPCA.Desc
Total Program Service Expenses$6,755,564TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee145EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RHONDA SIZEMOREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6157900567PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11113 MURFREESBORO ROAD STE 319AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRYANT HALL
BOARD MEMBER1.00Yes (X)$0$0$0
CRAIG BALLENTINE
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
JAMES MARTIN
BOARD MEMBER1.00Yes (X)$0$0$0
JANE ALLEN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JULIE LAMPLEY
BOARD MEMBER1.00Yes (X)$0$0$0
KRISTEN TOTH
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA DYER
VICE-CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
RONNIE MCCOY
BOARD MEMBER1.00Yes (X)$0$0$0
TODD MATTHEWS
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY ALIOTTE
BOARD MEMBER1.00Yes (X)$0$0$0
DUMKELE ANIFOWOSHE
BOARD MEMBER1.00Yes (X)$0$0$0
TANIA DAVILA
BOARD MEMBER1.00Yes (X)$0$0$0
AYODELE JOY DOSUNMU
BOARD MEMBER1.00Yes (X)$0$0$0
GONZALO ELORZA
BOARD MEMBER1.00Yes (X)$0$0$0
LUPITA MARTINEZ
BOARD MEMBER1.00Yes (X)$0$0$0
MATT PIATKO
BOARD MEMBER1.00Yes (X)$0$0$0
ALMA RINCON
BOARD MEMBER1.00Yes (X)$0$0$0
KENT WALTMAN
BOARD MEMBER1.00Yes (X)$0$0$0
KATI BAILEY
BOARD MEMBER1.00Yes (X)$0$0$0
ALEX BRUNNER MD
CHIEF MED OFFIC40.00$163,000$0$18,428Yes (X)
CINDY SILER
CEO40.00$120,000$0$12,623Yes (X)
DOROTHY BULLARD
CHF CARE COORD40.00$91,946$0$5,999Yes (X)
JONATHAN BOYE
CHIEF BEH HLTH40.00$120,000$0$20,078Yes (X)
MARGARET OWENS
CCO40.00$90,721$0$13,883Yes (X)
MARI GARNER
COO40.00$61,300$0$18,428Yes (X)
RHONDA SIZEMORE
CFO40.00$90,000$0$18,428Yes (X)
ABIGAIL RYAN
DOCTOR32.00$136,243$0$13,447Yes (X)
AMY VEHEC
DOCTOR40.00$153,000$0$8,128Yes (X)
ANNE FOTTRELL
PSYCHIATRIST40.00$137,262$0$1,967Yes (X)
DEANNA BROWN
DOCTOR32.00$148,225$0$20,485Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,311,697TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$151,894TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$114,268FederatedCampaignsAmt
Fundraising$23,541FundraisingAmt
Government Grants$1,526,876GovernmentGrantsAmt
All Other Contributions$1,027,718AllOtherContributionsAmt
Total Contributions$2,692,403TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$5,966,997TotalRevenueColumnAmt
Related Or Exempt Func Income$5,966,997RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$5,966,997TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,505TotalRevenueColumnAmt
Exclusion$1,505ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$152,744FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$23,541ContriRptFundraisingEventAmt
Fundraising Direct Expenses$66,594FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,150TotalRevenueColumnAmt
Exclusion$86,150ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$98,748TotalRevenueColumnAmt
Exclusion$98,748ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$98,748OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,845,803TotalRevenueColumnAmt
Related Or Exempt Func Income$5,966,997RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$186,403ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$696,578TotalAmt
Program Services$597,046ProgramServicesAmt
Management And General$92,015ManagementAndGeneralAmt
Fundraising$7,517FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,563,582TotalAmt
Program Services$3,911,510ProgramServicesAmt
Management And General$602,828ManagementAndGeneralAmt
Fundraising$49,244FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,253TotalAmt
Program Services$19,036ProgramServicesAmt
Management And General$3,037ManagementAndGeneralAmt
Fundraising$180FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$571,576TotalAmt
Program Services$488,963ProgramServicesAmt
Management And General$78,001ManagementAndGeneralAmt
Fundraising$4,612FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$388,650TotalAmt
Program Services$334,701ProgramServicesAmt
Management And General$49,619ManagementAndGeneralAmt
Fundraising$4,330FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$128,799TotalAmt
Program Services$72,768ProgramServicesAmt
Management And General$55,904ManagementAndGeneralAmt
Fundraising$127FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$51,586TotalAmt
Program Services$80ProgramServicesAmt
Management And General$1,273ManagementAndGeneralAmt
Fundraising$50,233FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$142,284TotalAmt
Program Services$108,126ProgramServicesAmt
Management And General$29,807ManagementAndGeneralAmt
Fundraising$4,351FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$229,691TotalAmt
Program Services$198,831ProgramServicesAmt
Management And General$25,024ManagementAndGeneralAmt
Fundraising$5,836FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$289,941TotalAmt
Program Services$284,655ProgramServicesAmt
Fundraising$5,286FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,619TotalAmt
Program Services$8,187ProgramServicesAmt
Management And General$4,203ManagementAndGeneralAmt
Fundraising$1,229FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$103,917TotalAmt
Program Services$101,667ProgramServicesAmt
Management And General$2,250ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,160TotalAmt
Program Services$46,657ProgramServicesAmt
Management And General$7,487ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$258,504$258,504
REPAIRS & MAINTENANCE$106,515$99,118$7,002$395
LAB SERVICES$86,834$86,834
BAD DEBT EXPENSE$83,265$83,240$25

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$112,406TotalAmt
Program Services$55,641ProgramServicesAmt
Management And General$53,263ManagementAndGeneralAmt
Fundraising$3,502FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,904,160TotalAmt
Program Services$6,755,564ProgramServicesAmt
Management And General$1,011,738ManagementAndGeneralAmt
Fundraising$136,858FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$56,428BOYAmt
EOY$21,438EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$858,045EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$262,568BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,098,693BOYAmt
EOY$1,159,773EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$20,387BOYAmt
EOY$5,098EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,505BOYAmt
EOY$6,910EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,894,786LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$920,333LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$947,147BOYAmt
EOY$974,453EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,386,728BOYAmt
EOY$3,025,717EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$495,566BOYAmt
EOY$608,610EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$14,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$295,000BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$182,167BOYAmt
EOY$147,469EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,072,733BOYAmt
EOY$770,079EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,313,995BOYAmt
EOY$2,255,638EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,313,995BOYAmt
EOY$2,255,638EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,386,728BOYAmt
EOY$3,025,717EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$941,643ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,275,342OtherCostOrOtherBasisAmt
Depreciation$617,009DepreciationAmt
Book Value$658,333BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$482,937OtherCostOrOtherBasisAmt
Depreciation$270,968DepreciationAmt
Book Value$211,969BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$136,507OtherCostOrOtherBasisAmt
Depreciation$32,356DepreciationAmt
Book Value$104,151BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$974,453TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEFERRED LEASE LIABILITYDesc
Amt$147,469Amt
FieldValueIRS element (for citing)
Total Liability$147,469TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$8,912,397TotalRevEtcAuditedFinclStmtAmt
Other Revenue$66,594OtherRevenueAmt
Revenue Not Reported$66,594RevenueNotReportedAmt
Revenue Subtotal$8,845,803RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,845,803TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,970,754TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$66,594OtherExpensesIncludedAmt
Expenses Not Reported$66,594ExpensesNotReportedAmt
Expenses Subtotal$7,904,160ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,904,160TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 66,594.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES 66,594.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FRANKLIN CLASSICEvent1Nm
Gross Receipts Event1$128,268GrossReceiptsEvent1Amt
Gross Revenue Event1$128,268GrossRevenueEvent1Amt
Other Direct Expenses Event1$52,600OtherDirectExpensesEvent1Amt
Event2PRAYER DINNEREvent2Nm
Gross Receipts Event2$23,608GrossReceiptsEvent2Amt
Charitable Contri Event2$6,000CharitableContriEvent2Amt
Gross Revenue Event2$17,608GrossRevenueEvent2Amt
Other Direct Expenses Event2$13,740OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$24,409GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$17,541CharitableContriOtherEventsAmt
Gross Revenue Other Events$6,868GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$254OthDirectExpnssOtherEventsAmt
Gross Receipts Total$176,285GrossReceiptsTotalAmt
Charitable Contributions Tot$23,541CharitableContributionsTotAmt
Gross Revenue Total Events$152,744GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$66,594OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$66,594DirectExpenseSummaryEventsAmt
Net Income Summary$86,150NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALEX BRUNNER MD
CHIEF MED OFFIC$151,150$0$11,850$0$0$0$0$0$18,428$0$181,428$0$0$0
AMY VEHEC
DOCTOR$141,900$0$11,100$0$0$0$2,129$0$5,999$0$161,128$0$0$0
DEANNA BROWN
DOCTOR$137,125$0$11,100$0$0$0$2,057$0$18,428$0$168,710$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BN/A - THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA 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 12CPOLICIES AND PROCEDURES FOR ALL PROCUREMENT ARE IN PLACE TO DISCOVER ANY POTENTIAL CONFLICTS OF INTEREST FOR ALL PURCHASES AND CONTRACTS.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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