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MERCY HEALTH CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH CORPORATION (EIN 47-2158680)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202411369349317956
Schema version
2022v5.0
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)
Return2024-05-15T18:00:19+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Tilly US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 Midland Court PO Box 8130AddressLine1Txt
CityJanesvilleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP535478130ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472158680EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Health CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone8159715000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJavon BeaPersonNm
Person TitlePresident/CEOPersonTitleTxt
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJavonPersonFirstNm
Person LastBeaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTROY MARINE CPAPreparerPersonNm
PTINP00187863PTIN
Phone6087525835PhoneNum
Preparation2023-05-09PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAVON BEABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$417,294,954GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionMercy Health Corporation (MHC) serves as the parent corporation and has a mission to provide exceptional healthcare services with a passion for making lives better. MHC supports the operations of its affiliated entities to enable them to fulfill their commitment to the mission for the communities that they serve.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
CY Contributions Grants$0CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$7,325,634PYInvestmentIncomeAmt
CY Investment Income$8,660,093CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,325,634PYTotalRevenueAmt
CY Total Revenue$8,660,093CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,348,117PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,544,244CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$759,031PYOtherExpensesAmt
CY Other Expenses$543,705CYOtherExpensesAmt
PY Total Expenses$6,107,148PYTotalExpensesAmt
CY Total Expenses$6,087,949CYTotalExpensesAmt
PY Revenues Less Expenses$1,218,486PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,572,144CYRevenuesLessExpensesAmt
Total Assets BOY$1,163,091,379TotalAssetsBOYAmt
Total Assets EOY$1,189,825,727TotalAssetsEOYAmt
Total Liabilities BOY$712,999,302TotalLiabilitiesBOYAmt
Total Liabilities EOY$702,171,372TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$450,092,077NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$487,654,355NetAssetsOrFundBalancesEOYAmt
MissionMercy Health Corporation (MHC) serves as the parent corporation and has a mission to provide exceptional healthcare services with a passion for making lives better. MHC supports the operations of its affiliated entities to enable them to fulfill their commitment to the mission for the communities that they serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$5,716,151ExpenseAmt
DescMERCY HEALTH CORPORATION (MHC) IS THE PARENT CORPORATION THAT SUPPORTS THE FOLLOWING AFFILIATED ENTITIES: 1) JAVON BEA HOSPITAL (JBH), WITH TWO LOCATIONS (ROCKTON AND RIVERSIDE), OPERATES A 285-BED HOSPITAL IN ROCKFORD, ILLINOIS - PROVIDES INPATIENT, OUTPATIENT, EMERGENCY CARE SERVICES AND LONG-TERM SUB-ACUTE CARE TO RESIDENTS OF ILLINOIS AND THE SURROUNDING COMMUNITIES. ROCKFORD HEALTH INSURANCE LTD, (RHIL) IS A WHOLLY OWNED SUBSIDIARY OF JAVON BEA HOSPITAL, INCORPORATED UNDER THE LAWS OF BERMUDA, AND PROVIDES THE AFFILIATED ENTITIES WITH EXCESS PROFESSIONAL AND GENERAL LIABILITY INSURANCE. 2) ROCKFORD HEALTH SYSTEM VENTURES, LLC (RHSV) IS A WHOLLY OWNED SUBSIDIARY OF JAVON BEA HOSPITAL AND WAS CREATED TO MANAGE ITS INVESTMENTS IN JOINT VENTURES. RHSV OWNS 50% OF SUBSIDIARY VAN MATRE/HEALTHSOUTH REHABILITATION HOSPITAL WHICH OFFERS PATIENTS A WIDE RANGE OF HEALTH SPECIALTY SERVICES. 3) RHS REGIONAL HEALTH NETWORK, LLC (RRHN) WHICH IS AN ACCOUNTABLE CARE ORGANIZATION (ACO). 4) MERCY HEALTH SYSTEM CORPORATION (MHSC), WHICH OPERATES A 240-BED HOSPITAL IN JANESVILLE, WISCONSIN, AND APPROXIMATELY 37 PHYSICIAN CLINICS IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS; A SKILLED NURSING FACILITY (SNF) THAT OPERATES AS A SUBACUTE CARE UNIT OF THE HOSPITAL; AND MERCYHEALTH HOSPITAL AND MEDICAL CENTER (MWH), WHICH OPERATES A 25-BED HOSPITAL FACILITY IN WALWORTH COUNTY, WISCONSIN: 5) MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS, INC. WHICH PROVIDES/TRAINS VOLUNTEERS TO ASSIST IN THE THRIFT SHOP, GIFT SHOPS AND NON-CLINICAL PATIENT SERVICES AND SUPPORT; AND 6) MERCYCARE INSURANCE COMPANY (MCIC) WHICH IS AN INDEMNITY INSURANCE COMPANY THAT CONTRACTS WITH LOCAL EMPLOYERS. MCIC HAS A WHOLLY OWNED SUBSIDIARY, MERCYCARE HMO, WHICH OPERATES AS A HEALTH MAINTENANCE ORGANIZATION (HMO) UNDER WISCONSIN STATUTES. MCIC AND MERCYCARE HMO CONTRACT FOR SERVICES WITH AFFILIATES AND OTHER PROVIDERS. 7) MADISON UNITED HEALTHCARE LINEN, LTD (MUHL) WHICH PROVIDES LAUNDRY AND LINEN SERVICES TO ITS MEMBER HOSPITALS ON A NON-PROFIT BASIS. 8) MERCYHEALTH DEVELOPMENT FOUNDATION WHICH IS ORGANIZED TO PROMOTE EDUCATION AND SCIENTIFIC AND CHARITABLE HEALTH CARE ACTIVITIES. 9) MERCY ASSISTED CARE, INC. (MAC) OPERATES MERCY HOMECARE, A SUPPLIER OF DURABLE MEDICAL EQUIPMENT AND COORDINATES HOME CARE AND HOSPICE SERVICES THROUGH NURSES, PHYSICAL THERAPISTS, AND SPEECH THERAPISTS. 10) MERCY HARVARD HOSPITAL, INC. (MHH) OPERATES A HOSPITAL WITH 25 ACUTE AND 45 LONG-TERM CARE BEDS LOCATED IN HARVARD, ILLINOIS. 11) ROCKFORD HEALTH PHYSICIANS (RHPH) PROVIDES PHYSICIAN AND AMBULATORY CARE SERVICES AT SEVERAL SITES. 12) MERCYHEALTH VISITING NURSES ASSOCIATION, INC (VNA) PROVIDES HOME HEALTH NURSING SERVICES AND RENTS MEDICAL EQUIPMENT TO RESIDENTS OF ROCKFORD, ILLINOIS AND SURROUNDING COMMUNITIES.Desc
Total Program Service Expenses$5,716,151TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TODD ANDERSON VP & CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159716738PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E Riverside BlvdAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Javon R Bea
PRESIDENT/CEO (SEE SCHEDULE J, PAGES 29-30)1.066.0Yes (X)Yes (X)$0$11,130,143$430,877
Rowland J McClellan
Chair1.06.0Yes (X)Yes (X)$0$19,324$0
Thomas D Budd
Secretary & Treasurer1.06.0Yes (X)Yes (X)$0$12,086$0
Thomas R Pool
Vice Chair1.06.0Yes (X)Yes (X)$0$13,500$0
Dave L Syverson
Director1.06.0Yes (X)$0$17,334$0
Katherine A Schack
Director1.06.0Yes (X)$0$13,500$0
Mark L Goelzer MD
Director/Physician1.061.0Yes (X)$0$504,123$29,529
Wesley M Jost
Director1.06.0Yes (X)$0$13,955$0
Kimberly Scaccia
VP - Revenue Cycle1.061.0Yes (X)$0$499,300$64,924
Todd Anderson
Vice President/CFO1.061.0Yes (X)$0$828,491$76,813
James Davis
former VICE-PRESIDENT0.00.0$0$213,871$34,294Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$13,265,627TotReportableCompRltdOrgAmt
Total Other Compensation$636,437TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,342TotalRevenueColumnAmt
Exclusion$242,342ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$417,052,612SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$408,634,861SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,417,751SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,417,751TotalRevenueColumnAmt
Exclusion$8,417,751ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,660,093TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,660,093ExclusionAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,544,244TotalAmt
Program Services$5,544,244ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$342,813TotalAmt
Management And General$342,813ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,807TotalAmt
Program Services$47,807ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$429TotalAmt
Program Services$429ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$122,306TotalAmt
Program Services$122,306ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,362TotalAmt
Program Services$1,362ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,985TotalAmt
Management And General$28,985ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS EXPENSESDesc
Total$3TotalAmt
Program Services$3ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$6,087,949TotalAmt
Program Services$5,716,151ProgramServicesAmt
Management And General$371,798ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,992,800BOYAmt
EOY$13,744,575EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$480,208,722BOYAmt
EOY$523,804,393EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$672,889,857BOYAmt
EOY$652,276,759EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,163,091,379BOYAmt
EOY$1,189,825,727EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,486,282BOYAmt
EOY$2,430,314EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$674,325,095BOYAmt
EOY$657,802,723EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,187,925BOYAmt
EOY$41,938,335EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$712,999,302BOYAmt
EOY$702,171,372EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$450,092,077BOYAmt
EOY$487,654,355EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$450,092,077BOYAmt
EOY$487,654,355EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,163,091,379BOYAmt
EOY$1,189,825,727EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,572,144ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$34,990,134NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
JAVON BEA HOSPITAL
3621678473Yes (true)$0$1,906,102
MERCY HEALTH SYSTEM CORPORATION
3908168483Yes (true)$0$3,109,039
ROCKFORD HEALTH PHYSICIANS
3630974363Yes (true)$0$605,610
Mercyhealth Visiting Nurses Association Inc
3621679459Yes (true)$0$41,462
MERCY ASSISTED CARE INC
3910351109Yes (true)$0$41,462
MERCY HARVARD HOSPITAL INC
3115518713Yes (true)$0$41,462
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$5,745,137OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (true)MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 12g (VI)FormAndLineReferenceDesc
ExplanationOTHER SUPPORT IS AN ALLOCATION OF MANAGEMENT BENEFITS. MANAGEMENT HAS OVERSIGHT OF ALL SUPPORTED ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM MERCY HEALTH SYSTEM CORPORATION$164,799,531
DUE FROM JAVON BEA HOSPITAL$481,735,850
DUE FROM MERCY HARVARD HOSPITAL, INC.$5,733,175
DUE FROM MERCYHEALTH DEVELOPMENT FOUNDATION$8,203
FieldValueIRS element (for citing)
Total Book Value Other Assets$652,276,759TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO MERCY HEALTH SYSTEM CORPORATION$39,922,830
DUE TO ROCKFORD HEALTH PHYSICIANS$975,576
DUE TO MERCY ASSISTED CARE, INC.$11,750
DUE TO JAVON BEA HOSPITAL$1,028,179
FieldValueIRS element (for citing)
Total Liability$41,938,335TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
Javon R Bea
PRESIDENT/CEO (SEE SCHEDULE J, PAGES 29-30)$0$2,193,820$0$1,660,233$0$7,276,090$0$413,098$0$17,779$0$11,561,020$0$4,953,609
Mark L Goelzer MD
Director/Physician$0$312,319$0$187,404$0$4,400$0$12,200$0$17,329$0$533,652$0$0
James Davis
former VICE-PRESIDENT$0$79,369$0$0$0$134,502$0$4,471$0$29,823$0$248,165$0$0
Todd Anderson
Vice President/CFO$0$564,084$0$252,851$0$11,556$0$40,746$0$36,067$0$905,304$0$0
Kimberly Scaccia
VP - Revenue Cycle$0$314,004$0$147,040$0$38,256$0$21,669$0$43,255$0$564,224$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATION, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE MERCY COMPENSATION COMMITTEE OF MHSC IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2022.
Schedule J, Part I, Line 4a Severance or change-of-control paymentJames Davis received 26 weeks severance pay $119,025 in 2022.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planINCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $4,953,609 Todd Anderson participated in the 457(f) plan during Calendar year 2022. However, he did not receive a payout during calendar year 2022.
Schedule J, Part IIJAVON R. BEA - DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 30 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 85 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $3.6 BILLION IN FY2023. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.8 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50 AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE FOR OVER 12 STRAIGHT YEARS. THE TURNAROUND OF THE MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
WISCONSIN HEALTH & EDUCATIONAL FACILITIES AUTHORITY
A39133785597710BWD02010-06-09$48,445,000SEE PART VIYes (true)falsefalse
Wisconsin Health & Educational Facilities Authority
B39133785597710BV412012-05-24$169,475,000SEE PART VIfalsefalsefalse
Illinois Finance Authority Revenue Bonds
C86109196745204EBE72016-05-18$475,020,000SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmtCapital ExpendituresCapitalExpendituresAmtIn Reserve FundInReserveFundAmt
A$48,445,000$13,880,000$49,203,186$682,820$48,520,3662012Yes (true)falseYes (true)Yes (true)
B$19,980,000$180,504,676$1,746,855$141,549,3522013Yes (true)falseYes (true)Yes (true)$245,176$36,963,292
C$18,020,000$541,585,990$3,933,025$73,391,6702016Yes (true)Yes (true)Yes (true)Yes (true)$50,201,129$414,060,165$24

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0.00.00.0Yes (true)falsefalse
Bfalsefalsefalsefalse0.00.00.0Yes (true)falsefalse
Cfalsefalsefalsefalse0.00.00.0Yes (true)falsefalse

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalsefalse
BfalsefalseYes (true)falsefalsefalsefalsefalsefalse
Cfalsefalsefalsefalsefalsefalsefalsefalsefalse

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 2c:(A) ISSUER NAME: ILLINOIS FINANCE AUTHORITY, REVENUE BONDS DATE THE REBATE COMPUTATION WAS PERFORMED: 07/16/2021
SCHEDULE K, PART I, LINE A, COLUMN (F):DESCRIPTION OF PURPOSE: TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, WILL BE USED TO: (I) REFUND THE AUTHORITY'S ADJUSTABLE RATE PUT OPTION REVENUE BONDS, SERIES 2003C (MERCY HEALTH SYSTEM CORP), AND THE AUTHORITY'S ADJUSTABLE RATE REFUNDING REVENUE BONDS, SERIES 2007 (MERCY ALLIANCE, INC), (II) FUND THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF PROJECTS, (III) ESTABLISH A DEBT SERVICE RESERVE FUND WITH RESPECT TO THE SERIES 2010A BONDS, AND (IV) PAY CERTAIN COSTS ASSOCIATED WITH THE ISSUANCE.
SCHEDULE K, PART I, LINE B, COLUMN (F):DESCRIPTION OF PURPOSE: TOGETHER WITH CERTAIN OTHER AVAILABLE FUNDS, WILL BE USED TO : (I) CURRENTLY REFUND THE AUTHORITY'S REVENUE BONDS, SERIES 1999 (MERCY HEALTH SYSTEM CORPORATION), THE ILLINOIS FINANCE AUTHORITY'S ADJUSTABLE RATE PUT OPTION REVENUE BONDS, SERIES 2005 AND THE AUTHORITY'S ADJUSTABLE RATE REVENUE BONDS, SERIES 2009 (MERCY ALLIANCE, INC.), (II) FUND THE ACQUISITION, CONSTRUCTION, RENOVATION AND EQUIPPING OF PROJECTS, AND (III) PAY CERTAIN COSTS ASSOCIATED WITH THE ISSUANCE OF THE SERIES 2012 BONDS.
SCHEDULE K, PART I, LINE C, COLUMN (F):DESCRIPTION OF PURPOSE: REFUND 2008 AND 2012 BONDS, ADVANCE REFUND 2010A, CAPITAL EXPENDITURE, RENOVATION AND CONSTRUCTION

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing bodyManagement reviews the Form 990 before filing and it is available to the Board of Directors.
Form 990, Part VI, Line 12c Conflict of interest policyBY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS, AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE VICE PRESIDENT, LEGAL SERVICES/GENERAL COUNSEL FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2022, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2021 CONFLICTS IDENTIFIED. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 19 Required documents available to the publicNO DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
JAVON BEA HOSPITAL
8201 E Riverside BlvdRockfordIL61114362167847HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONYes (true)
MERCYHEALTH DEVELOPMENT FOUNDATION
8201 E Riverside BlvdRockfordIL61114363197918SUPPORT OF HEALTHCAREIL501(c)(3)Type IMERCY HEALTH CORPORATIONYes (true)
MERCYHEALTH VISITING NURSES ASSOCIATION INC
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(c)(3)10MERCY HEALTH CORPORATIONYes (true)
ROCKFORD HEALTH PHYSICIANS
8201 E Riverside BlvdROCKFORDIL61114363907436HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONYes (true)
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT AVEJANESVILLEWI53548390912682SUPPORT OF HEALTHCAREWI501(c)(3)Type III-FIMERCY HEALTH SYSTEM CORPORATIONYes (true)
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVEJANESVILLEWI53548390816848HEALTHCAREWI501(c)(3)3MERCY HEALTH CORPORATIONYes (true)
MERCY ASSISTED CARE INC
901 MINERAL POINTJANESVILLEWI53548391035110HEALTHCAREWI501(c)(3)10MERCY HEALTH CORPORATIONYes (true)
MERCY HARVARD HOSPITAL INC
901 GRANT STREETHARVARDIL60033311551871HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONYes (true)
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
200 LAKE AVWOODSTOCKIL60098201673011NONEIL501(c)(3)3MERCY HEALTH CORPORATIONYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCd
ROCKFORD HEALTH INSURANCE LTD
INSURANCEBDNAC Corporationfalse
JANESVILLE MEDICAL CENTER INC
MANAGEMENT OF UNION EMPLOYEESNAC Corporationfalse1000 MINERAL POINTJANESVILLEWI53548391520130WI
MERCYCARE INSURANCE COMPANY
INSURANCENAC Corporationfalse580 N WASHINGTON STJANESVILLEWI53546391768192WI
MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO
INSURANCENAC Corporationfalse580 N WASHINGTON STJANESVILLEWI53546201482553WI
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROCKFORD HEALTH PHYSICIANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$122,306InvolvedAmt
Method Of Amount DeterminationCOSTMethodOfAmountDeterminationTxt