MERCY HEALTH SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH SERVICES INC (EIN 62-1781969)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-03-15
IRS object ID
201800749349301400
Schema version
2016v3.0
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)
Return2018-03-15T11:33:22-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line13310 West End Avenue Suite 550AddressLine1Txt
CityNashvilleCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

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
Signature2018-03-05SignatureDt
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 Address207.201.223.148IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-03-05IPDt
IP Tm10:48:21IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id6B8DBE3BAB0F46793091455F133579A521D08444AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$7,958,891GrossReceiptsAmt
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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee148TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,759,533PYContributionsGrantsAmt
CY Contributions Grants$2,585,575CYContributionsGrantsAmt
PY Program Service Revenue$4,802,897PYProgramServiceRevenueAmt
CY Program Service Revenue$5,191,092CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$63,406PYOtherRevenueAmt
CY Other Revenue$120,509CYOtherRevenueAmt
PY Total Revenue$6,625,836PYTotalRevenueAmt
CY Total Revenue$7,897,176CYTotalRevenueAmt
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$4,724,791PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,573,064CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$148,048CYTotalFundraisingExpenseAmt
PY Other Expenses$1,683,194PYOtherExpensesAmt
CY Other Expenses$1,592,077CYOtherExpensesAmt
PY Total Expenses$6,407,985PYTotalExpensesAmt
CY Total Expenses$7,165,141CYTotalExpensesAmt
PY Revenues Less Expenses$217,851PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$732,035CYRevenuesLessExpensesAmt
Total Assets BOY$1,580,908TotalAssetsBOYAmt
Total Assets EOY$2,386,728TotalAssetsEOYAmt
Total Liabilities BOY$998,948TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,072,733TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$581,960NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,313,995NetAssetsOrFundBalancesEOYAmt
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$6,105,683ExpenseAmt
Revenue$5,191,092RevenueAmt
Desc1. In the fiscal year 2016-17, Mercy developed 3 Strategic Action Plans: 1) to gain Financial Stability moving toward sustainability, 2) to improve Operational Structure moving toward organizational excellence by increasing productivity while intentionally maintaining the quality that Mercy has been known to provide and 3) to Enhance Spiritual Growth moving toward training for providers and staff in the areas of empowerment with prayer and inner growth inclusive of being more support and assistance to patients and families. The following give a brief progress update: Mercy has experienced an increase in productivity in both adult and pediatrics, has gained a stability in behavioral health staffing and therefore have maximized and even expanded counseling services, maintaining a 15 day reserve without utilizing the Line of Credit for the last 6 months of the 2017 calendar year. Mercy has also expanded into Marshall County with part time services through the donation from a church for space and and continued growth of counseling into 4 more schools. There has been a 5% increase in clinic users and a 9% increase in overall patient visits with over 3500 referrals to specialists and other outreach services. Began a corporate-wide Lean Sig Sigma process to increase efficiencies and eliminate waste throughout the company. The facilitation of this process has been donated by a corporate sponsor, Tivity Health which has supported Mercy in a plethora of ways. The process was 75% completed in 2017 with the remainder to take place in the first quarter of 2018. Mercy's monthly staff meetings include a devotional and prayer involving different members of the leadership team. Additionally, we have included the annual theme of FAITH, Matthew 17:20.2. Mercy Community Healthcare completed a full remodeling of the Health Center, suite 319 to include an on-site pharmacy; the Counseling Center, suite 202 housing 16 individual therapists with a group room, Parent Child Interactive Therapy room and a conference area; the addition of the Patient and Family Support Center which houses the 13 member Care Coordination Team, the Marketing staff, the CFO with the Accounting staff and Financial counselors.3. Mercy Community Healthcare began a full-scale Strategic Planning process utilizing Christian Community Health Fellowship, CCHF Solutions as the facilitating agency which will be completed in March 2018.Desc
Total Program Service Expenses$6,105,683TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Required0ScheduleJRequiredInd
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 Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee148EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
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 (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANDY OLIVER
BOARD MEMBER1.00Yes (X)$0$0$0
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)
JOHN SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
Julie Lampley
bOARD MEMBER1.00Yes (X)$0$0$0
Kristen Toth
bOARD MEMBER1.00Yes (X)$0$0$0
Melora Turner
BOARD MEMBER1.00Yes (X)$0$0$0
NANCY REECE
Past Chairman1.00Yes (X)$0$0$0Yes (X)
REBECCA DYER
BOARD MEMBER1.00Yes (X)$0$0$0
Ronnie McCoy
BOARD MEMBER1.00Yes (X)$0$0$0
Todd Matthews
bOARD MEMBER1.00Yes (X)$0$0$0
ALEX BRUNNER MD
CHIEF MED OFFIC40.00$143,259$0$13,613Yes (X)
DOROTHY BULLARD
CHF CARE COORD40.00$58,177$0$7,916Yes (X)
JONATHAN BOYE
CHIEF BEH HLTH40.00$99,330$0$13,613Yes (X)
MARGARET OWENS
COO40.00$98,134$0$8,974Yes (X)
RHONDA SIZEMORE
CFO40.00$79,600$0$207Yes (X)
Mari Garner
CIO40.00$45,773$0$13,020Yes (X)
Cindy Siler
CEO40.00$104,792$0$9,439Yes (X)
AMY VEHEC
DOCTOR40.00$133,848$0$4,560Yes (X)
ANNE FOTTRELL
PSYCHIATRIST40.00$136,150$0$4,266Yes (X)
Abigail Ryan
dOCTOR40.00$130,011$0$8,204Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,029,074TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$83,812TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Old Hillsboro Building CompanyBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1237 2nd Ave SouthAddressLine1Txt
CityFranklinCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd
FieldValueIRS element (for citing)
ServicesProperty RenovationsServicesDesc
Compensation$325,455CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$152,306FederatedCampaignsAmt
Government Grants$2,043,436GovernmentGrantsAmt
All Other Contributions$389,833AllOtherContributionsAmt
Total Contributions$2,585,575TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICE REVENUE624100$5,169,842$5,169,842
TN INCENTIVE PROGRAM900099$21,250$21,250
FieldValueIRS element (for citing)
Total Program Service Revenue$5,191,092TotalProgramServiceRevenueAmt
Fundraising Gross Income$114,428FundraisingGrossIncomeAmt
Fundraising Direct Expenses$61,715FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,713TotalRevenueColumnAmt
Exclusion$52,713ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescmiscellaneousDesc
Business900099BusinessCd
Total Revenue Column$67,796TotalRevenueColumnAmt
Exclusion$67,796ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$67,796OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,897,176TotalRevenueColumnAmt
Related Or Exempt Func Income$5,191,092RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$120,509ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$665,808TotalAmt
Program Services$568,672ProgramServicesAmt
Management And General$87,387ManagementAndGeneralAmt
Fundraising$9,749FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,021,056TotalAmt
Program Services$3,434,417ProgramServicesAmt
Management And General$527,759ManagementAndGeneralAmt
Fundraising$58,880FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,598TotalAmt
Program Services$23,165ProgramServicesAmt
Management And General$2,931ManagementAndGeneralAmt
Fundraising$502FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$484,086TotalAmt
Program Services$421,602ProgramServicesAmt
Management And General$53,350ManagementAndGeneralAmt
Fundraising$9,134FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$375,516TotalAmt
Program Services$321,911ProgramServicesAmt
Management And General$47,846ManagementAndGeneralAmt
Fundraising$5,759FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$100,542TotalAmt
Program Services$67,927ProgramServicesAmt
Management And General$32,614ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,423TotalAmt
Fundraising$22,423FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$139,084TotalAmt
Program Services$111,744ProgramServicesAmt
Management And General$21,004ManagementAndGeneralAmt
Fundraising$6,336FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$258,469TotalAmt
Program Services$203,682ProgramServicesAmt
Management And General$47,765ManagementAndGeneralAmt
Fundraising$7,022FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$276,480TotalAmt
Program Services$266,264ProgramServicesAmt
Management And General$2,675ManagementAndGeneralAmt
Fundraising$7,541FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,389TotalAmt
Program Services$6,014ProgramServicesAmt
Management And General$4,894ManagementAndGeneralAmt
Fundraising$481FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$75,981TotalAmt
Program Services$74,336ProgramServicesAmt
Management And General$1,645ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$54,590TotalAmt
Program Services$46,425ProgramServicesAmt
Management And General$7,935ManagementAndGeneralAmt
Fundraising$230FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$271,186$271,186
REPAIRS & MAINTENANCE$120,820$111,340$7,516$1,964
BAD DEBT EXPENSE$85,890$85,890
LAB SERVICES$68,398$68,398

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$106,825TotalAmt
Program Services$22,710ProgramServicesAmt
Management And General$66,089ManagementAndGeneralAmt
Fundraising$18,026FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$7,165,141TotalAmt
Program Services$6,105,683ProgramServicesAmt
Management And General$911,410ManagementAndGeneralAmt
Fundraising$148,048FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,399BOYAmt
EOY$56,428EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$149,893BOYAmt
EOY$262,568EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$878,281BOYAmt
EOY$1,098,693EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$20,387EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,505BOYAmt
EOY$1,505EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,763,563LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$816,416LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$548,830BOYAmt
EOY$947,147EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,580,908BOYAmt
EOY$2,386,728EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$606,974BOYAmt
EOY$495,566EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$46,974BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$345,000BOYAmt
EOY$295,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$100,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$182,167EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$998,948BOYAmt
EOY$1,072,733EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$581,960BOYAmt
EOY$1,313,995EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$581,960BOYAmt
EOY$1,313,995EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,580,908BOYAmt
EOY$2,386,728EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$732,035ReconcilationRevenueExpnssAmt
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

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,260,385OtherCostOrOtherBasisAmt
Depreciation$575,966DepreciationAmt
Book Value$684,419BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$367,381OtherCostOrOtherBasisAmt
Depreciation$222,569DepreciationAmt
Book Value$144,812BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,797OtherCostOrOtherBasisAmt
Depreciation$17,881DepreciationAmt
Book Value$117,916BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$947,147TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Descdeferred lease liabilityDesc
Amt$182,167Amt
FieldValueIRS element (for citing)
Total Liability$182,167TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$7,958,891TotalRevEtcAuditedFinclStmtAmt
Other Revenue$61,715OtherRevenueAmt
Revenue Not Reported$61,715RevenueNotReportedAmt
Revenue Subtotal$7,897,176RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,897,176TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$7,226,856TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$61,715OtherExpensesIncludedAmt
Expenses Not Reported$61,715ExpensesNotReportedAmt
Expenses Subtotal$7,165,141ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$7,165,141TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:Mercy Health Services, Inc. is a not-for-profit organization that is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Accordingly, the Organization has made no provision for income taxes. The Organization follows Financial Accounting Standards Board Accounting Standard Codification guidance concerning the accounting for income taxes recognized in an entity's financial statements. This guidance prescribes a minimum probability threshold that a tax position must meet before a financial statement benefit is recognized. The minimum threshold is defined as a tax position that is more likely than not to be sustained upon examination by the applicable taxing authority, including resolution of any related appeals or litigation processes, based on the technical merits of the position. The tax benefit to be recognized is measured as the largest amount of benefit that is greater than fifty percent likely of being realized upon ultimate settlement. The Organization has not recognized any tax related interest and penalties in the accompanying financial statements.
Part XI, Line 2d - Other Adjustments:SPECIAL EVENT EXPENSES 61,715.
Part XII, Line 2d - Other Adjustments:SPECIAL EVENT EXPENSES 61,715.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Franklin ClassicEvent1Nm
Gross Receipts Event1$114,428GrossReceiptsEvent1Amt
Gross Revenue Event1$114,428GrossRevenueEvent1Amt
Other Direct Expenses Event1$61,715OtherDirectExpensesEvent1Amt
Gross Receipts Total$114,428GrossReceiptsTotalAmt
Gross Revenue Total Events$114,428GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$61,715OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$61,715DirectExpenseSummaryEventsAmt
Net Income Summary$52,713NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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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