2016-05-10T14:41:55-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2014-07-01 237275336 MERCY FOUNDATION INC MERC 6087566000 PO BOX 5003 - 1000 MINERAL POINT JANESVILLE WI 535475003 JAVON BEA PRESIDENT 6087566000 2016-05-09 1 BRADLEY S MCGUIRE CPA P00643763 6087525835 2016-05-08 X 2014 2016-08-17 19:52:53Z JAVON BEA PO BOX 5003 - 1000 MINERAL POINT JANESVILLE WI 535475003 1405214 0 X N/A X 1972 WI TO SUPPORT MERCY HEALTH SYSTEM CORP, THE HOUSE OF MERCY & MERCY ASSISTED CARE HOSPICE PROGRAM. 3 1 0 80 0 0 427450 694236 106800 66600 225982 80173 -12838 -30274 747394 810735 0 0 0 0 113160 115669 0 0 148001 334362 616247 447522 731916 299872 78819 1871870 1897329 0 0 1871870 1897329 X TO SUPPORT MERCY HEALTH SYSTEM CORP, THE HOUSE OF MERCY & MERCY ASSISTED CARE HOSPICE PROGRAM. 0 0 171239 HOUSE OF MERCY, A HOMELESS SHELTER, PROVIDED 7,816 SHELTER NIGHTS. A TOTAL OF 253 INDIVIDUALS (151 ADULTS AND 102 CHILDREN) WERE SERVED. 45470 66600 MERCY FOUNDATION PROVIDES SUBSIDY FUNDING FOR THE MERCY HEALTH SYSTEM RESIDENCY PROGRAM. USE OF THESE DONATIONS ARE FOR EDUCATIONAL NECESSITIES OUTSIDE THE NORMAL OPERATING BUDGET OF THE MERCY RESIDENCY PROGRAM. FUNDS COVERED EXPENSES OF SIX ON A MEDICAL MISSION TO GUATEMALA (IN CONJUNCTION WITH TIMMY GLOBAL HEALTH'S CINCINNATI MD SCHOOL) OCT 9TH - OCT 19TH, 2014. 318357 MERCY FOUNDATION DONATED LUCAS (CHEST COMPRESSION) MACHINES PLUS SUPPLIES, DEFIBULATORS AND REFRIDGERATORS TO EMS PROGRAMS. 21617 OTHER MISCELLANEOUS PROGRAM EXPENSES 21617 556683 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 5 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 3 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 WI X JOHN COOK 6087566642 1000 MINERAL POINT JANESVILLE WI 535475003 LARRY E SQUIRE TREASURER & DIRECTOR 1.00 2.00 X X 0 2333 0 RICHARD GRUBER VICE-PRESIDENT 1.00 55.00 X 0 225377 30391 MARK GOELZER SECRETARY & DIRECTOR 1.00 55.00 X X 0 457757 31022 JAVON R BEA PRESIDENT & DIRECTOR 1.00 55.00 X X 0 8005192 38785 BARB BORTNER VICE-PRESIDENT 1.00 55.00 X 0 216651 36963 0 8907310 137161 0 0 1 0 0 166965 341500 3500 182271 694236 FAMILY PRACTICE RESIDE 900099 66600 66600 66600 41809 41809 497925 459561 38364 38364 38364 104644 166965 134918 -30274 -30274 810735 66600 0 49899 109722 109722 301 301 5646 5646 10250 10250 12285 12285 12419 3983 8436 2759 2759 689 689 EMS DONATIONS 318357 318357 HOUSE OF MERCY EXP (HOM 171239 171239 RESIDENCY PROGRAM EXPEN 45470 45470 OTHER FUNDRAISING EXPEN 17082 17082 25697 21617 25 4055 731916 556683 27232 148001 139902 159148 1697921 1735718 34047 2463 1871870 1897329 0 0 X 1871870 1897329 1871870 1897329 1871870 1897329 78819 -53360 0 X 0 1 X 1 0 X X 2 MERCY ASSISTED CARE INC 391035110 9 1 0 0 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 0 0 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 VARIOUS INVESTMENTS 1735718 F 1735718 CHARITY BALL 181718 114359 67359 2500 4000 1832 16397 3000 55774 JINGLE MINGLE 80782 52606 28176 5500 1500 600 5005 500 23738 3 9109 0 9109 14572 271609 166965 104644 8000 5500 2432 21402 3500 94084 134918 -30274 0 0 0 0 0 0 0 0 0 RICHARD GRUBER VICE-PRESIDENT 0 130941 0 82314 0 12122 0 14517 0 15874 0 255768 0 0 MARK GOELZER SECRETARY & DIRECTOR 0 453043 0 0 0 4714 0 17160 0 13862 0 488779 0 0 JAVON R BEA PRESIDENT & DIRECTOR 0 1076489 0 3313796 0 3614907 0 17160 0 21625 0 8043977 0 0 BARB BORTNER VICE-PRESIDENT 0 138043 0 75288 0 3320 0 14119 0 22844 0 253614 0 0 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ALL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR INVESTIGATING ALL CONFLICTS AND REPORTING TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. MERCY ALLIANCE INC 1000 MINERAL POINT AVE JANESVILLE WI 53548 391679859 SUPPORT OF HEALTHCARE WI 501(C)(3) 11A MERCYROCKFORD HEALTH SYSTEM CORPORATION 0 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS 1000 MINERAL POINT AVE JANESVILLE WI 53548 390912682 SUPPORT OF HEALTHCARE WI 501(C)(3) 11C MERCY HEALTH SYSTEM CORPORATION 0 MERCY HEALTH SYSTEM CORPORATION 1000 MINERAL POINT AVE JANESVILLE WI 53548 390816848 SUPPORT OF HEALTHCARE WI 501(C)(3) 3 MERCY ALLIANCE INC 0 MERCY ASSISTED CARE INC 901 MINERAL POINT AVE JANESVILLE WI 53548 391035110 HEALTHCARE WI 501(C)(3) 9 MERCY ALLIANCE INC 0 MERCY HARVARD HOSPITAL INC 901 GRANT STREET HARVARD IL 60033 311551871 HEALTHCARE IL 501(C)(3) 3 MERCY ALLIANCE INC 0 HARVARD MEMORIAL HOSPITAL FOUNDATION 901 GRANT STREET HARVARD IL 60033 364308662 SUPPORT OF HEALTHCARE IL 501(C)(3) LINE 11A, I MERCY HARVARD HOSPITAL INC 0 MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER 1000 MINERAL POINT AVE JANESVILLE WI 535475003 201673011 NONE IL 501(C)(3) LINE 3 MERCY ALLIANCE INC 0 MERCYROCKFORD HEALTH SYSTEM CORPORATION 2400 N ROCKTON AVE ROCKFORD IL 61103 472158680 SUPPORT OF HEALTHCARE IL 501(C)(3) LINE 11A, I N/A 0 ROCKFORD MEMORIAL HOSPITAL 2400 N ROCKTON AVE ROCKFORD IL 61103 362167847 HEALTHCARE IL 501(C)(3) LINE 3 ROCKFORD HEALTH SYSTEM 0 ROCKFORD HEALTH SYSTEM 2400 N ROCKTON AVE ROCKFORD IL 61103 363197915 HEALTHCARE IL 501(C)(3) LINE 11C, III-FI MERCYROCKFORD HEALTH SYSTEM CORPORATION 0 ROCKFORD MEMORIAL DEVELOPMENT FOUNDATION 2400 N ROCKTON AVE ROCKFORD IL 61103 363197918 SUPPORT OF HEALTHCARE IL 501(C)(3) LINE 11A, I ROCKFORD HEALTH SYSTEM 0 VISITING NURSES ASSN OF THE ROCKFORD AREA 4223 E STATE STREET ROCKFORD IL 61108 362167945 HEALTHCARE IL 501(C)(3) LINE 9 ROCKFORD HEALTH SYSTEM 0 ROCKFORD HEALTH PHYSICIANS 2300 N ROCKTON AVE ROCKFORD IL 61103 363097436 HEALTHCARE IL 501(C)(3) LINE 3 ROCKFORD HEALTH SYSTEM 0 JANESVILLE MEDICAL CENTER INC 1000 MINERAL POINT AVE JANESVILLE WI 53548 391520130 MANAGEMENT OF UNION EMPLOYEES WI N/A C 0 MERCYCARE INSURANCE COMPANY 580 N WASHINGTON ST JANESVILLE WI 53546 391768192 INSURANCE WI N/A C 0 MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO 580 N WASHINGTON ST JANESVILLE WI 53546 201482553 INSURANCE WI N/A C 0 ROCKFORD HEALTH INSURANCE LTD WELLESLEY HOUSE SO 2ND FL BD INSURANCE BD N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0