MERCY HEALTH SERVICES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH SERVICES INC (EIN 62-1781969)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-02-05
- IRS object ID
- 201630369349300913
- Schema version
- 2014v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-05T09:21:57-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 621073578 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRASIER DEAN & HOWARD PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3310 WEST END AVE STE 550 | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 621781969 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6157900567 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1113 MURFREESBORO ROAD NO 319 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37064 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARGARET OWENS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6157900567 | PhoneNum |
| Signature | 2016-02-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SARA G MOON | PreparerPersonNm |
| PTIN | P00034774 | PTIN |
| Phone | 6153836592 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARGARET OWENS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1113 MURFREESBORO ROAD NO 319 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,951,248 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYCOMMUNITYHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | MERCY HEALTH SERVICES, INC. REFLECTS THE LOVE OF JESUS CHRIST BY PROVIDING QUALITY HEALTHCARE TO THE INSURED AND UNINSURED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 85 | TotalEmployeeCnt |
| Total Volunteers | 300 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,431,222 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,303,837 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,535,306 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,428,606 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,775 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $290,046 | PYOtherRevenueAmt |
| CY Other Revenue | $95,643 | CYOtherRevenueAmt |
| PY Total Revenue | $5,259,349 | PYTotalRevenueAmt |
| CY Total Revenue | $5,828,086 | 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 | $4,139,509 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,806,034 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $168,096 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,438,571 | PYOtherExpensesAmt |
| CY Other Expenses | $1,729,979 | CYOtherExpensesAmt |
| PY Total Expenses | $5,578,080 | PYTotalExpensesAmt |
| CY Total Expenses | $5,536,013 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$318,731 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $292,073 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,095,360 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,239,405 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,023,324 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $875,296 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $72,036 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $364,109 | NetAssetsOrFundBalancesEOYAmt |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,652,511 | ExpenseAmt |
| Revenue | $4,407,352 | RevenueAmt |
| Desc | MERCY HEALTH SERVICES CONTINUES TO PROVIDE PRIMARY HEALTHCARE AND MENTAL HEALTH SERVICES TO MORE THAN 3800 UNINSURED AND UNDERINSURED FAMILIES FROM MORE THAN 30 COUNTIES IN TENNESSEE. ADDITIONALLY, MERCY CERTIFIED APPLICATION COUNSELORS MET WITH NEARLY 1,500 INDIVIDUALS WHILE ENROLLING 170 INDIVIDUAL/FAMILIES IN THE MARKETPLACE INSURANCE PROGRAMS OF THE AFFORDABLE CARE ACT.THIS YEAR, MERCY ALSO COLLABORATED WITH BRENTWOOD BAPTIST CHURCH TO FACILITATE COMMUNITY OUTREACH, BY JOINING THEIR MOBILE UNIT WITH PRIMARY MEDICAL CARE, CASE MANAGEMENT AND CARE COORDINATION SERVICES. | Desc |
| Total Program Service Expenses | $4,652,511 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 85 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARGARET OWENS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6157900567 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1113 MURFREESBORO ROAD STE 319 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37064 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JANE ALLEN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN SCHORKOPF | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDY OLIVER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DEDRICK MOULTON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MARTIN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUIS SURA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CRAIG BALLENTINE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA DYER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SMITH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SCOTT THOMPSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LANCE BRIDGESMITH | |||||||
| CHAIRMAN | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| NANCY REECE | |||||||
| CHAIR/VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MIRELLA NEELY | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARGARITA CASTRO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID WINNINGHAM | |||||||
| CEO | 40.00 | $93,477 | $0 | $10,443 | Yes (X) | ||
| MARGARET OWENS | |||||||
| COO/INTERIM CEO | 40.00 | $65,127 | $0 | $10,443 | Yes (X) | ||
| ALEX BRUNNER MD | |||||||
| CHIEF MED OFFIC | 40.00 | $127,929 | $0 | $15,242 | Yes (X) | ||
| JONATHAN BOYE | |||||||
| CHIEF BEH HLTH | 40.00 | $53,164 | $0 | $15,242 | Yes (X) | ||
| DOROTHY BULLARD | |||||||
| CHF CARE COORD | 40.00 | $48,366 | $0 | $9,196 | Yes (X) | ||
| RHONDA SIZEMORE | |||||||
| CFO | 40.00 | $43,125 | $0 | $0 | Yes (X) | ||
| AMY VEHEC | |||||||
| DOCTOR | 40.00 | $115,237 | $0 | $4,707 | Yes (X) | ||
| ANNE FOTTRELL | |||||||
| PSYCHIATRIST | 40.00 | $123,881 | $0 | $5,222 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $670,306 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $70,495 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $802,505 | GovernmentGrantsAmt |
| All Other Contributions | $501,332 | AllOtherContributionsAmt |
| Total Contributions | $1,303,837 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SERVICE REVENUE | 624100 | $4,407,352 | $4,407,352 |
| TN INCENTIVE PROGRAM | 900099 | $21,254 | $21,254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,428,606 | TotalProgramServiceRevenueAmt |
| Fundraising Gross Income | $218,805 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $123,162 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,643 | TotalRevenueColumnAmt |
| Exclusion | $95,643 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,828,086 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,428,606 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $95,643 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $474,247 | TotalAmt |
| Program Services | $431,565 | ProgramServicesAmt |
| Management And General | $28,455 | ManagementAndGeneralAmt |
| Fundraising | $14,227 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708,247 | TotalAmt |
| Program Services | $2,464,504 | ProgramServicesAmt |
| Management And General | $162,495 | ManagementAndGeneralAmt |
| Fundraising | $81,248 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,032 | TotalAmt |
| Program Services | $299,586 | ProgramServicesAmt |
| Management And General | $41,025 | ManagementAndGeneralAmt |
| Fundraising | $9,421 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,508 | TotalAmt |
| Program Services | $234,738 | ProgramServicesAmt |
| Management And General | $29,494 | ManagementAndGeneralAmt |
| Fundraising | $9,276 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,920 | TotalAmt |
| Program Services | $47,411 | ProgramServicesAmt |
| Management And General | $45,509 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,732 | TotalAmt |
| Program Services | $1,919 | ProgramServicesAmt |
| Management And General | $41,813 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,720 | TotalAmt |
| Program Services | $86,551 | ProgramServicesAmt |
| Management And General | $15,101 | ManagementAndGeneralAmt |
| Fundraising | $12,068 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,152 | TotalAmt |
| Program Services | $152,312 | ProgramServicesAmt |
| Management And General | $919 | ManagementAndGeneralAmt |
| Fundraising | $14,921 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,581 | TotalAmt |
| Program Services | $202,501 | ProgramServicesAmt |
| Management And General | $9,295 | ManagementAndGeneralAmt |
| Fundraising | $9,785 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,051 | TotalAmt |
| Program Services | $2,391 | ProgramServicesAmt |
| Management And General | $9,594 | ManagementAndGeneralAmt |
| Fundraising | $66 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,995 | TotalAmt |
| Program Services | $90,002 | ProgramServicesAmt |
| Management And General | $72 | ManagementAndGeneralAmt |
| Fundraising | $1,921 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,482 | TotalAmt |
| Program Services | $59,582 | ProgramServicesAmt |
| Fundraising | $900 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $379,356 | $149,898 | $229,458 | |
| MEDICAL SUPPLIES | $275,795 | $275,795 | ||
| CONTRACT LABOR | $94,993 | $24,281 | $70,179 | $533 |
| REPAIRS & MAINTENANCE | $79,244 | $76,086 | $1,379 | $1,779 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,958 | TotalAmt |
| Program Services | $53,389 | ProgramServicesAmt |
| Management And General | $30,618 | ManagementAndGeneralAmt |
| Fundraising | $11,951 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,536,013 | TotalAmt |
| Program Services | $4,652,511 | ProgramServicesAmt |
| Management And General | $715,406 | ManagementAndGeneralAmt |
| Fundraising | $168,096 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $690,122 | BOYAmt |
| EOY | $897,134 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $1,052 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,187,736 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $846,517 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,538 | BOYAmt |
| EOY | $341,219 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,095,360 | BOYAmt |
| EOY | $1,239,405 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,657 | BOYAmt |
| EOY | $378,790 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,500 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,000 | BOYAmt |
| EOY | $464,505 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,667 | BOYAmt |
| EOY | $29,501 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,023,324 | BOYAmt |
| EOY | $875,296 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,036 | BOYAmt |
| EOY | $364,109 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,036 | BOYAmt |
| EOY | $364,109 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,095,360 | BOYAmt |
| EOY | $1,239,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $292,073 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $770,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $542,493 | DepreciationAmt |
| Book Value | $227,727 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $386,855 | OtherCostOrOtherBasisAmt |
| Depreciation | $282,218 | DepreciationAmt |
| Book Value | $104,637 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,661 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,806 | DepreciationAmt |
| Book Value | $8,855 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $341,219 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHECKS WRITTEN IN EXCESS OF DEPOSITS | Desc |
| Amt | $29,501 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,501 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,951,248 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $123,162 | OtherRevenueAmt |
| Revenue Not Reported | $123,162 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,828,086 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,828,086 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $5,659,175 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $123,162 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $123,162 | ExpensesNotReportedAmt |
| Expenses Subtotal | $5,536,013 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $5,536,013 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. FEDERAL TAX YEARS THAT REMAIN OPEN FOR EXAMINATION INCLUDE THE YEARS ENDED JUNE 30, 2012 THROUGH JUNE 30, 2015. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 123,162. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES 123,162. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FRANKLIN CLASSIC | Event1Nm |
| Gross Receipts Event1 | $115,070 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $115,070 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,387 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $89 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $58,193 | OtherDirectExpensesEvent1Amt |
| Event2 | AMERICAN GIRL | Event2Nm |
| Gross Receipts Event2 | $86,969 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $86,969 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $5,870 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $14,053 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $31,526 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $16,766 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $16,766 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $8,025 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $3,019 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $218,805 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $218,805 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,387 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,895 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,142 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $92,738 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $123,162 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $95,643 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 OPERATIONS/FINANCE 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. |
| 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. |
| 990 PART XI, LINE 8 - PRIOR PERIOD ADJUSTMENTS | DURING FISCAL YEAR 2013, CERTAIN JUNE 30, 2012 BALANCES WERE RESTATED TO PROPERLY RECORD ACCRUED EXPENSES AND NET ASSETS. |
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