STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MERCY HEALTH SYSTEM CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH SYSTEM CORPORATION (EIN 39-0816848)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202441369349316694
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)
Return2024-05-15T17:21:20+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
ZIP53547ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390816848EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mercy Health System CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone6087566000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5003 - 1000 MINERAL POINTAddressLine1Txt
CityJANESVILLECityNm
State AbbreviationWIStateAbbreviationCd
ZIP535475003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJavon BeaPersonNm
Person TitlePRESIDENT AND 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 E Marine CPAPreparerPersonNm
PTINP00187863PTIN
Phone6087525835PhoneNum
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAVON BEABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5003 - 1000 MINERAL POINTAddressLine1Txt
CityJANESVILLECityNm
State AbbreviationWIStateAbbreviationCd
ZIP535475003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$752,980,293GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionEXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee3934TotalEmployeeCnt
Total Volunteers229TotalVolunteersCnt
Total Gross UBI$16,894,194TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$375,288PYContributionsGrantsAmt
CY Contributions Grants$719,258CYContributionsGrantsAmt
PY Program Service Revenue$667,643,750PYProgramServiceRevenueAmt
CY Program Service Revenue$672,076,926CYProgramServiceRevenueAmt
PY Investment Income-$593,531PYInvestmentIncomeAmt
CY Investment Income$6,641,987CYInvestmentIncomeAmt
PY Other Revenue-$9,875,423PYOtherRevenueAmt
CY Other Revenue$6,480,342CYOtherRevenueAmt
PY Total Revenue$657,550,084PYTotalRevenueAmt
CY Total Revenue$685,918,513CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$339,653,201PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$352,939,822CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$271,693,296PYOtherExpensesAmt
CY Other Expenses$273,680,850CYOtherExpensesAmt
PY Total Expenses$611,346,497PYTotalExpensesAmt
CY Total Expenses$626,620,672CYTotalExpensesAmt
PY Revenues Less Expenses$46,203,587PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$59,297,841CYRevenuesLessExpensesAmt
Total Assets BOY$808,356,005TotalAssetsBOYAmt
Total Assets EOY$870,399,620TotalAssetsEOYAmt
Total Liabilities BOY$368,522,513TotalLiabilitiesBOYAmt
Total Liabilities EOY$369,997,359TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$439,833,492NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$500,402,261NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF MERCY HEALTH SYSTEM CORPORATION (MHSC) IS TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$495,391,182ExpenseAmt
Revenue$653,962,693RevenueAmt
DescHOSPITAL DISCHARGES 7,085, NURSING HOME ADMISSIONS 213, BIRTHS 825, OUTPATIENT VISITS 1,056,195. MHSC CONTINUES ITS TRADITION OF GIVING BACK TO EACH OF THE COMMUNITIES WE SERVE IN A WIDE VARIETY OF FASHIONS. ONE OF THE LARGER AREAS OF CONTRIBUTION IS IN THE AREA OF PUBLIC HEALTH SERVICES. THIS INCLUDES EXTENSIVE DONATIONS OF TIME AND SUPPLIES TO HEALTHNET OF ROCK COUNTY, A LARGE FREE PRIMARY CARE CLINIC SERVING THE REGION. MORE THAN EIGHTY PERCENT OF THE PHYSICIAN SERVICES PROVIDED AT THE CLINIC ARE SUPPLIED THROUGH MHSC. WE HAVE A SIMILAR COMMITMENT TO OPEN ARMS FREE CLINIC THAT SERVICES LOW INCOME RESIDENTS IN WALWORTH COUNTY. ADDITIONALLY, WE PROVIDE HEALTH SCREENING AND RELATED SERVICES AT NUMEROUS EVENTS IN ROCK AND WALWORTH COUNTIES IN WISCONSIN AND MCHENRY COUNTY IN ILLINOIS. MHSC ALSO PROVIDES FINANCIAL AND IN KIND CONTRIBUTIONS TO OTHER PRIVATE AND NOT FOR PROFIT HEALTH RELATED AGENCIES AND ORGANIZATIONS IN OUR SERVICE AREA. BENEFICIARIES INCLUDED BUT ARE NOT LIMITED TO THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, UNITED WAY ORGANIZATIONS IN ROCK, WALWORTH, AND MCHENRY COUNTIES, YWCA CARE HOUSE, YMCA, AMERICAN LUNG ASSOCIATION, WALWORTH COUNTY ALLIANCE FOR CHILDREN, TURNING POINT WOMEN'S CENTER IN MCHENRY, OPEN ARMS FREE CLINIC, AND THE RED CROSS, TO NAME JUST A FEW RECIPIENTS. MHSC ALSO ENCOURAGES ITS PARTNERS (EMPLOYEES) TO DONATE THEIR TIME AND ENERGY TO SUPPORT A WHOLE HOST OF COMMUNITY BASED CAUSES. THOUSANDS OF HOURS EACH YEAR ARE DONATED TO NOT FOR PROFIT AND PUBLIC AGENCIES THROUGHOUT OUR SERVICE AREA. EXAMPLES OF VOLUNTEER ACTIVITIES BEING SUPPORTED INCLUDE NURSING SERVICES AT COMMUNITY AND FREE CLINICS THROUGHOUT THE REGION, MEALS ON WHEELS DELIVERY ACTIVITIES, ACTIVE INVOLVEMENT AS GOVERNING BOARD MEMBERS FOR SUCH ORGANIZATIONS AS UNITED WAY, CRIME STOPPERS, ROTARY BOTANICAL GARDENS, HEALTHNET, AND MANY OTHER ORGANIZATIONS. ANOTHER EXAMPLE OF MHSC'S COMMITMENT TO COMMUNITY IS ITS SUPPORT OF THE OPERATIONS THROUGH OFFERING SAFE RESIDENCE TO HOMELESS WOMEN AND THEIR CHILDREN AT THE HOUSE OF MERCY HOMELESS CENTER. IT OPENED IN 1996 AND SERVES ABOUT 255 INDIVIDUALS A YEAR, MANY WHO ARE CHILDREN. THE CENTER OFFERS A SAFE HARBOR FOR THESE INDIVIDUALS AS WELL AS CASE MANAGEMENT, ASSISTANCE WITH JOB SEARCHES, FINDING PERMANENT HOUSING AND EDUCATION.Desc
Total Program Service Expenses$495,391,182TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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 HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
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 Document245IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3934EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
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 RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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 (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Javon R Bea
president/CEO (see schedule J, pages 57 - 59)60.07.0Yes (X)Yes (X)$11,130,143$0$430,877
Rowland J McClellan
Chair & Director1.06.0Yes (X)Yes (X)$19,324$0$0
Thomas D Budd
Secretary & Treasurer1.06.0Yes (X)Yes (X)$12,086$0$0
Thomas R Pool
Vice Chair & Director1.06.0Yes (X)Yes (X)$13,500$0$0
Dave L Syverson
Director1.06.0Yes (X)$17,334$0$0
Katherine A Schack
Director1.06.0Yes (X)$13,500$0$0
Mark L Goelzer MD
Director/Physician55.07.0Yes (X)$504,123$0$29,529
Wesley M Jost
Director1.06.0Yes (X)$13,955$0$0
Alen Brcic
VICE-PRESIDENT55.00.0Yes (X)$428,029$0$41,654
Aliakbar Abdulla Olia
VICE-PRESIDENT55.00.0Yes (X)$353,271$0$35,619
Amy Whitaker
VICE-PRESIDENT55.00.0Yes (X)$139,858$0$271
E Patrick Cranley
VICE-PRESIDENT55.00.0Yes (X)$415,702$0$55,518
Jennifer A Hallett
VICE-PRESIDENT55.00.0Yes (X)$423,661$0$41,421
Joanna Benning
VICE-PRESIDENT55.00.0Yes (X)$474,963$0$30,284
Kara Sankey
VICE-PRESIDENT55.00.0Yes (X)$427,358$0$31,704
Kimberly Scaccia
VP - Revenue Cycle55.07.0Yes (X)$499,300$0$64,924
Ladd Udy
Vice-President55.00.0Yes (X)$272,945$0$39,540
Todd Anderson
VICE PRESIDENT/CFO55.07.0Yes (X)$828,491$0$76,813
Bradley Fideler MD
Physician40.00.0$1,161,544$0$58,409Yes (X)
David Nelsen MD
Physician40.00.0$1,296,873$0$63,159Yes (X)
Imdad Ahmed MD
Physician40.00.0$1,213,836$0$49,149Yes (X)
Merle Rust MD
Physician40.00.0$1,176,020$0$49,435Yes (X)
Shahid Shekhani MD
Physician40.00.0$1,863,835$0$53,050Yes (X)
James Davis
former VICE-PRESIDENT0.00.0$213,871$0$34,294Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$22,913,522TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,185,650TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K589IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOLDT COMPANY
BIN 88285MilwaukeeWI532880285Construction$57,137,980
EPIC SYSTEMS CORP
1979 MILKY WAYVERONAWI53593PROCESSING FEES$4,406,207
AYA HEALTHCARE INC Dept 3519
PO Box 123519DallasTX753123519Purchased Labor - Nursing$4,064,671
VJS CONSTRUCTION SERVICES INC
W233 N2847 Roundy Circle WestPEWAUKEEWI53072construction$3,901,542
COMPHEALTH ASSOCIATES
PO BOX 972651DALLASTX753972651PHYSICIAN SERVICES$3,301,908
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K65CntrctRcvdGreaterThan100KCnt
Related Organizations$391,493RelatedOrganizationsAmt
Government Grants$326,365GovernmentGrantsAmt
All Other Contributions$1,400AllOtherContributionsAmt
Total Contributions$719,258TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENU621110$613,882,499$613,882,499
PHARMACY561000$27,933,318$22,845,464$5,087,854
MERCYCARE EXPENSES561000$11,806,000$11,806,000
OTHER PROGRAM REVENUE900099$17,025,491$17,025,321$170
CAFETERIA722210$1,220,209$1,220,209

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$209,409TotalRevenueColumnAmt
Related Or Exempt Func Income$209,409RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$672,076,926TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,462,227TotalRevenueColumnAmt
Exclusion$6,462,227ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$280,922RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$67,642RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$213,280RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$213,280TotalRevenueColumnAmt
Exclusion$213,280ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$66,535,810SecuritiesAmt
Other$638,088OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$66,911,601SecuritiesAmt
Other$82,537OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$375,791SecuritiesAmt
Other$555,551OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$179,760TotalRevenueColumnAmt
Exclusion$179,760ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PREMIER REBATES900099$1,769,392$1,769,392
MISCELLANEOUS REVENUE900099$110,192$110,022$170
MercyCare Ins Operations900099$4,387,478$4,387,478

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$6,267,062OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$685,918,513TotalRevenueColumnAmt
Related Or Exempt Func Income$653,962,693RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$16,894,194UnrelatedBusinessRevenueAmt
Exclusion$14,342,368ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,973,733TotalAmt
Management And General$16,973,733ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$284,036,736TotalAmt
Program Services$229,225,133ProgramServicesAmt
Management And General$54,811,603ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,512,869TotalAmt
Program Services$2,457,349ProgramServicesAmt
Management And General$1,055,520ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$30,844,993TotalAmt
Program Services$21,576,926ProgramServicesAmt
Management And General$9,268,067ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,571,491TotalAmt
Program Services$12,434,818ProgramServicesAmt
Management And General$5,136,673ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$887,038TotalAmt
Management And General$887,038ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$79,500TotalAmt
Management And General$79,500ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$17,078TotalAmt
Management And General$17,078ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,003,415TotalAmt
Program Services$72,105ProgramServicesAmt
Management And General$931,310ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,166,972TotalAmt
Management And General$1,166,972ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,633,531TotalAmt
Program Services$1,232,058ProgramServicesAmt
Management And General$2,401,473ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,188,635TotalAmt
Program Services$291,254ProgramServicesAmt
Management And General$1,897,381ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,798,854TotalAmt
Program Services$2,905,987ProgramServicesAmt
Management And General$2,892,867ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$945,620TotalAmt
Program Services$395,439ProgramServicesAmt
Management And General$550,181ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$783,315TotalAmt
Program Services$5,881ProgramServicesAmt
Management And General$777,434ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,440,926TotalAmt
Program Services$5,552,236ProgramServicesAmt
Management And General$1,888,690ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,358,001TotalAmt
Program Services$19,641,048ProgramServicesAmt
Management And General$6,716,953ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,889,179TotalAmt
Program Services$2,983,694ProgramServicesAmt
Management And General$3,905,485ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$121,706,033$120,944,593$761,440
PURCHASED LABOR & CONTR$38,544,182$24,127,369$14,416,813
BAD DEBTS$25,131,588$25,131,588
Physician Locum Fees$8,809,126$8,831,080-$21,954

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$22,297,857TotalAmt
Program Services$17,582,624ProgramServicesAmt
Management And General$4,715,233ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$626,620,672TotalAmt
Program Services$495,391,182ProgramServicesAmt
Management And General$131,229,490ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,054BOYAmt
EOY$25,930EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$324,908,990BOYAmt
EOY$369,119,688EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$33,497,394BOYAmt
EOY$37,483,156EOYAmt

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,295,624BOYAmt
EOY$14,465,272EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,678,697BOYAmt
EOY$2,264,012EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$773,999,840LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$433,427,010LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$286,581,776BOYAmt
EOY$340,572,830EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$66,470,195BOYAmt
EOY$65,406,063EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$22,561,094BOYAmt
EOY$26,948,572EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,336,181BOYAmt
EOY$14,114,097EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$808,356,005BOYAmt
EOY$870,399,620EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$83,529,306BOYAmt
EOY$89,505,849EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$284,993,207BOYAmt
EOY$280,491,510EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$368,522,513BOYAmt
EOY$369,997,359EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$439,833,492BOYAmt
EOY$500,402,261EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$439,833,492BOYAmt
EOY$500,402,261EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$808,356,005BOYAmt
EOY$870,399,620EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$59,297,841ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$290,069NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$980,859OtherChangesInNetAssetsAmt
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)
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$17,708OtherActivitiesAmt
Total Lobbying Expenditures$17,708TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationA PERCENTAGE OF THE 2023 WISCONSIN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,908,767OtherCostOrOtherBasisAmt
Book Value$28,908,767BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$354,842,648OtherCostOrOtherBasisAmt
Depreciation$210,050,613DepreciationAmt
Book Value$144,792,035BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,332,171OtherCostOrOtherBasisAmt
Depreciation$3,060,776DepreciationAmt
Book Value$271,395BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$264,109,719OtherCostOrOtherBasisAmt
Depreciation$212,982,900DepreciationAmt
Book Value$51,126,819BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,806,535OtherCostOrOtherBasisAmt
Depreciation$7,332,721DepreciationAmt
Book Value$115,473,814BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$340,572,830TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$964,567BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescDEFERRED COMPENSATIONDesc
Book Value$64,441,496BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$65,406,063TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DEFERRED COMPENSATION$64,445,318
DISCRETIONARY 401K ACCRUAL$282,227
DUE TO MERCY HEALTH CORPORATION$165,159,777
DUE TO THIRD PARTIES$11,421,278
ACCRUED LIABILITY UNDER SELF-INSURANCE PROGRAM$39,082,404
LEASE LIABILITY$100,506
FieldValueIRS element (for citing)
Total Liability$280,491,510TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,574,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,574,815NetCommunityBenefitExpnsAmt
Total Expense0.0026TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,392,975TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,746,230DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,646,745NetCommunityBenefitExpnsAmt
Total Expense0.0609TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,302,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,517,652DirectOffsettingRevenueAmt
Net Community Benefit Expns$784,373NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$83,269,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,263,882DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,005,933NetCommunityBenefitExpnsAmt
Total Expense0.0648TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,356,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$192,781DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,164,029NetCommunityBenefitExpnsAmt
Total Expense0.0019TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,266,520TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,325,455DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,941,065NetCommunityBenefitExpnsAmt
Total Expense0.0099TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,629,108TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,818,337DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,810,771NetCommunityBenefitExpnsAmt
Total Expense0.0047TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$345,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$345,500NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$19,597,938TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,336,573DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,261,365NetCommunityBenefitExpnsAmt
Total Expense0.0171TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$102,867,753TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,600,455DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,267,298NetCommunityBenefitExpnsAmt
Total Expense0.0819TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,352TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$18,352NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$18,352TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,352NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,473,106BadDebtExpenseAmt
Bad Debt Expense Attributable$1,055,764BadDebtExpenseAttributableAmt
Reimbursed By Medicare$63,082,316ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$95,038,236CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$31,955,920MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
Mercyhealth Hospital and Trauma Center - Janesville
11000 MINERAL POINT AVENUEJANESVILLEWI53548https://www.mercyhealthsystem.org /locations/mercyhealth-hospital-and-trauma-center-janesville/Yes (X)Yes (X)Yes (X)Yes (X)
Mercyhealth Hospital and Medical Center - Walworth
2N2950 State Road 67Lake GenevaWI53147https://www.mercyhealthsystem.org /locations/mercyhealth-hospital-and-medical-center-walworth/Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Mercyhealth Hospital and Trauma Center - Janesville
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)https://www.mercyhealthsystem.org/about-us/community-needs/Yes (true)22Yes (true)https://www.mercyhealthsystem.org/about-us/community-needs/falseYes (true)Yes (X)200.0300.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
Mercyhealth Hospital and Medical Center - Walworth
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)22Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)https://www.mercyhealthsystem.org/about-us/community-needs/Yes (true)22Yes (true)https://www.mercyhealthsystem.org/about-us/community-needs/falseYes (true)Yes (X)200.0300.0Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Mercyhealth Hospital and Trauma Center-Janesville. Rock County Needs Assessment Mercyhealth Corporation conducted a Community Needs Assessment designed to identify health and quality of life issues in Rock County. MHTC (Mercyhealth Hospital and Trauma Center) created an online community health survey using the MachForm survey tool. The survey was translated into Spanish, and both English and Spanish versions were accessible via links and QR codes. Methods for survey distribution included social media, Mercyhealth's internal newsletter, Mercyhealth's community newsletter, and flyer placement at key community locations. The survey was distributed between January 10, 2023 and February 12, 2023. MHTC received 537 survey responses. Once the survey closed, the collected data was aggregated and visualizations were created to illustrate demographics of respondents and distributions for responses to all questions. Not sure/no answer/missing data were excluded from statistical analysis. As a qualitative supplement to survey data, primary data was also collected through virtual and in-person interviews with key informants. Key informants are stakeholders who represent community organizations and, through their roles as community leaders and organizers, possess valuable insights into health issues experienced by the populations they serve. Key informants were selected with the goal of gathering information reflective of a broad cross-section of the community, particularly those populations unlikely to respond to the survey. Twelve key informant interviews were conducted between January 2023 and March 2023. MHTC participates in the Health Equity Alliance of Rock County (HEAR), a coalition supported and facilitated by the Rock County Public Health Department and comprised of health systems, community-based organizations, and government agencies. Other organizations participating in HEAR include SSM Health, Beloit Health System, Health Net, Community Health Systems, Inc., Head Start, School District of Beloit, Community Action, and Building a Safer Evansville. Together, these organizations represent medically underserved, low-income, and minority populations including uninsured and underinsured patients, children in low-income families, unhoused individuals, and at-risk youth. For Rock County, HEAR helps guide the Community Health Assessment (CHA) and Community Health Improvement Plan (CHIP), and implements strategies to meet the goals set forth in the improvement plan. Representatives from MHTC participated in HEAR throughout this analysis and obtained input from HEAR members about resources available to address health issues in Rock County. In late 2022, MHTC solicited and received input from the Rock County Department of Public Health specifically regarding survey design and key informant interviews. The Rock County Department of Public Health shared findings from focus groups and key informant interviews conducted as part of the county's 2021 CHA. For purposes of comparison with data collected for Rock County's CHA, MHTC added survey questions specifically focused on mental health and access to care, the two focus areas for Rock County's 2022 CHIP. MHTC also conducted a key informant interview with the Rock County Department of Public Health's Public Health Strategist/HEAR Coordinator.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Mercyhealth Hospital and Trauma Center-Janesville. Rock County Needs Assessment- Hospitals: Hospitals such as SSM Health, and Beloit Health System are a part of HEAR (health Equity Alliance of Rock county) which helped to guide the Community Health Assessment (CHA).
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Mercyhealth Hospital and Trauma Center-Janesville. Rock County Needs Assessment-Other: Support from Health Equity Alliance of Rock County (HEAR), and its members that include community-based organizations and government agencies. Rock County Department of Public Health.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Mercyhealth Hospital and Trauma Center - Janesville. Mercy's Plan in Rock County is to improve the health of patients with mental health and substance abuse issues. Mercy will look work towards recruiting more mental health providers, increase care transition services, expand school based mental health services, and explore new services. It will continue community partnerships to ensure effective collaboration, coordination of mental health resources, education and offer support to help reduce access to opiates, and co-sponsor events related to mental health awareness. Mercy will be looking to recruit new providers to Rock County to aid in the accessibility and affordability of healthcare in the area. Mercy will be investing in facility/resources in opening the Mercyhealth Kidney Care and Dialysis Center. Increase awareness of financial assistance resources, virtual care/telehealth options, and increase access to discharge medication (free Meds-to Beds program). Maternal, Infant and child health concerns will be addressed by Mercy in Rock County, by adopting birth equity initiatives, screening OB patients for social determinants of health needs, and offering same-day pediatric appointments to those who present at Urgent Care to build connection with pediatrician.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Mercyhealth Hospital and Medical Center-Walworth. To gather primary data regarding health needs in Walworth County, MHW developed survey questions in collaboration with Advocate Aurora and the Walworth County Department of Health and Human Services. JKV Research used these questions to conduct an online survey using the Survey Monkey survey tool. The survey was accessible via links and a QR code. Methods for survey distribution included social media, Mercyhealth's internal newsletter, Mercyhealth's community newsletter, and flyer placement at key community locations. The survey was distributed between November 1, 2022 and January 26, 2023. The survey received 555 responses. Once the survey closed, the collected data was aggregated and stratified by JKV Research, LLC. Not sure/no answer/missing data are excluded from this report. As a qualitative supplement to the survey data, primary data was also collected through virtual and in-person interviews with key informants. Key informants are stakeholders who represent community organizations and, through their roles as community leaders and organizers, possess valuable insights into health issues experienced by the populations they serve. Key informants were selected with the goal of gathering information reflective of a broad cross-section of the community, particularly those populations unlikely to respond to the survey. Nineteen key informant interviews were conducted between December, 2022 and February, 2023. Interviews were conducted by representatives from MHW and Advocate Aurora. Notes from interviews were reviewed and findings summarized by JKV Research, LLC. MHW is an active participant in the Walworth County Department of Health and Human Services Community Health Improvement Plan (CHIP) Steering Committee, comprised of health systems, community-based organizations, and government agencies. Other organizations participating in the steering committee include Open Arms Free Clinic, New Day Women's Clinic, Tree House Child and Family Center, Fort Healthcare, Advocate Aurora, Southeastern Wisconsin Regional Planning Commission, Walworth County Board of Supervisors, and Community Action, Inc. Together, these organizations represent medically underserved, low-income, and minority populations including uninsured and underinsured patients, children in low-income families, unhoused individuals, and at-risk youth. For Walworth County, this committee helps to implement strategies to meet the goals set forth in the county's CHIP. Representatives from MHW participated in the CHIP Steering Committee throughout this analysis and obtained input from committee members about resources available to address health issues in Walworth County. Throughout 2022, MHW, Advocate Aurora, and representatives from the Walworth County Department of Health and Human Services held a series of meetings to create a community survey and key informant interview questions, and to develop an approach for conducting the survey and interviews. Through this process, the Walworth County Department of Health and Human Services offered valuable input on survey methodology and survey questions, particularly related to lessons learned in conducting the county's 2022 Community Health Assessment (CHA). For example, the survey conducted as part of the county's CHA included more than 50 questions, which was viewed as a potential barrier to respondents completing the survey in full. Based on this information from the county, the community survey was designed to be completed in less than 10 minutes. MHW also conducted a key informant group interview with several officials from the Walworth County Department of Health and Human Services: the Director of Health and Human Services, the Deputy Director of Health and Human Services, the Health Officer, the Behavioral Health Division Manager, and the Children and Families Manager.
Schedule H, Part V, Section B, Line 6a Facility , 1Facility , 1 - Mercyhealth Hospital and Medical Center-Walworth. Survey was developed in collaboration with Advocate Aurora.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Mercyhealth Hospital and Medical Center-Walworth. Walworth County Division of Health and Human Services.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - Mercyhealth Hospital and Medical Center - Walworth. Mercy's Plan in Walworth County is to address Mental Health needs by recruiting providers, expanding school-based mental health services, and exploring the provision of behavioral health services in primary care settings. Nutrition, Physical Activity and Obesity needs will be addressed by increasing referrals to Walworth's weight management program, and cardiac rehabilitation programs. Recruiting providers, exploring community outreach options to address child obesity, and continuation of its athletic training program. Mercy partners with multiple community-based organizations in Rock and Walworth County to accomplish successful implementation of these strategies. During the course of this Tax year 2022 (fiscal year July 1, 2022-June 30, 2023), and the prior tax years, Mercy participated in numerous community health fairs, provided free screenings at our clinics and in conjunction with community based organizations, offered screenings to free and sliding fee schedule primary care clinics, and school districts in both counties. Mercy also provides financial incentives for their employees to participate in smoking cessation programs. All of these efforts are supported through broad based marketing and advertising programs directed to audiences in both counties promoting these programs. Mercy provides extensive telemedicine services to increase virtual access for our patients. Mercy has providers on call that are available to assist EMS crews in the field with trauma-related emergencies and critical illnesses.
FieldValueIRS element (for citing)
Facility43FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (43 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
MERCY MANOR TRANSITION CENTER
1000 MINERAL POINT AVENUEJANESVILLEWI53548SKILLED NURSING/SUB-ACUTE CARE FACILITY
MERCY REGIONAL CANCER CENTER RADIATION ONCOLOGY
1000 MINERAL POINT AVENUEJANESVILLEWI53548RADIATION ONCOLOGY CLINIC/RADIATION THERAPY FACILITY
HOUSE OF MERCY HOMELESS SHELTER
320 LINCOLN STREETJANESVILLEWI53548HOMELESS CENTER
MERCYHEALTH ALGONQUIN
2401 HARNISH DRIVE SUITE 101ALGONQUINWI60102OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH BARRINGTON
500 WEST HIGHWAY 22BARRINGTONIL60010OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH BELOIT
2825 PRAIRIE AVENUEBELOITWI53511OUTPATIENT PHYSICIAN CLINIC/Behavioral Health Clinic/URGENT CARE FACILITY
MERCYHEALTH BRODHEAD
2310 FIRST CENTER AVENUEBRODHEADWI53520OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH EAST
3524 EAST MILWAUKEE STREETJANESVILLEWI53546OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY
MERCYHEALTH EAST PHARMACY
3524 EAST MILWAUKEE STREETJANESVILLEWI53546RETAIL PHARMACY
MERCYHEALTH SOUTH
849 KELLOGG AVENUEJANESVILLEWI53546RESIDENCY PROGRAM / OUTPATIENT PHYSICIAN CLINIC/Urgent Care
MERCYHEALTH WEST
1000 MINERAL POINT AVENUEJANESVILLEWI53548OUTPATIENT PHYSICIAN CLINIC & MEDICAL ONCOLOGY
MERCYHEALTH WEST PHARMACY
1000 MINERAL POINT AVENUEJANESVILLEWI53548RETAIL PHARMACY
MERCYHEALTH CRYSTAL LAKE SOUTH
415-A CONGRESS PARKWAYCRYSTAL LAKEIL60014OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH DELAVAN
1038 E GENEVA STREETDELAVANWI53115OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH EDGERTON
217 N MAIN STREETEDGERTONWI53534OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH EVANSVILLE
300 UNION STREETEVANSVILLEWI53536OUTPATIENT PHYSICIAN CLINIC/Behavioral Health Clinic
MERCYHEALTH HARVARD SOUTH
348 S DIVISIONHARVARDIL60033OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH MALL
1010 NORTH WASHINGTONJANESVILLEWI53548OUTPATIENT PHYSICIAN CLINIC/Cardiac Rehab/Complementary Medicine Industrial Rehab
MERCYHEALTH MALL PHARMACY
1010 NORTH WASHINGTONJANESVILLEWI53548RETAIL PHARMACY
MERCYHEALTH LAKE GENEVA
350 PELLER ROADLAKE GENEVAWI53147OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH MCHENRY
3922 MERCY DRIVEMCHENRYIL60050OUTPATIENT PHYSICIAN CLINIC/Urgent Care
MERCYHEALTH MILTON
725 SOUTH JANESVILLE STREETMILTONWI53563OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH MILTON PHARMACY
725 SOUTH JANESVILLE STREETMILTONWI53563RETAIL PHARMACY
MERCYHEALTH NORTHWEST WOMEN'S GROUP
47 WEST ACORN LANELAKE IN THE HILLSIL601564804OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH BEHAVIORAL HEALTH CLINIC
903 MINERAL POINT AVENUEJANESVILLEWI53548PHYSICIAN & THERAPIST SERVICES: MENTAL HEALTH & ADDICTION TREATMENT
MERCYHEALTH DIALYSIS CENTER
903 MINERAL POINT AVENUEJANESVILLEWI53548DIALYSIS CENTER
MERCYHEALTH LUNG CENTER
903 MINERAL POINT AVENUEJANESVILLEWI53548PHYSICIANS CLINIC & SLEEP DISORDER CENTER
MERCYHEALTH RICHMOND
9715 PRAIRIE RIDGERICHMONDIL60071OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH SPORTS MEDICINE AND REHAB
557 NORTH WASHINGTONJANESVILLEWI53548OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY
MERCYHEALTH TERRACE
510 N TERRACE STREETJANESVILLEWI53548OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH WHITEWATER
507 WEST MAIN STREETWHITEWATERWI53190OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH SPORTS MEDICINE & REHAB
519 WEST MAIN STREETWHITEWATERWI53190OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY
MERCYHEALTH WOODSTOCK
2000 LAKE AVENUEWOODSTOCKIL60098OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY
MERCYHEALTH WOODSTOCK PHARMACY
2000 LAKE AVENUEWOODSTOCKIL60098RETAIL PHARMACY
MERCYHEALTH ELKHORN
839 N WISCONSIN STREETELKHORNWI53121OUTPATIENT PHYSICIAN CLINIC
MERCYCARE BUILDING
580 N WASHINGTON STREETJANESVILLEWI53548AUTISM PROGRAM/EMS TRAINING
MERCYHEALH SLEEP DISORDERS CENTER
903 MINERAL POINT AVENUEJANESVILLEWI53548OUTPATIENT PHYSICIAN CLINIC/SLEEP STUDY CENTER
MERCYHEALTH WALWORTH
N2950 STATE ROAD 67LAKE GENEVAWI53147OUTPATIENT PHYSICIAN CLINIC/Urgent Care
MERCYHEALTH WALWORTH PHARMACY
N2950 STATE ROAD 67LAKE GENEVAWI53147RETAIL PHARMACY
MERCYHEALTH BEHAVIORAL HEALTH CLINIC
N2846 STATE ROAD 67WILLIAMS BAYWI53191OUTPATIENT PHYSICIAN CLINIC
MERCYHEALTH NORTH
3400 DEERFIELD DRJANESVILLEWI53546OUTPATIENT PHYSICIAN CLINIC/Urgent Care
MERCY CRYSTAL LAKE PHYSICAL THERAPY
741 MCHENRY AVE STE ECRYSTAL LAKEIL60014OUTPATIENT THERAPY CLINIC
MercyHealth Child and Adolescent Treatment Center
2600 Humes Rd Ste 100JanesvilleWI53545Child and adolescent day treatment/mental health center

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cMercy hospitals offers a 25% self-pay discount to all uninsured patients on all medically necessary services. Eligibility for financial assistance is based on the following: individual or household income, individual or household assets, household size, and other sources of payment for services. The amount of assistance is based on the patient's ability to pay and the size of their outstanding balance. If patient income and household assets are less than 200% of the federal poverty guidelines, then Mercy will cover 100% of their outstanding balance. If the patient's income and household assets fall between 200% and 300% of the federal poverty guidelines, then a patient's remaining balance can be reduced as much as 90% and payment arrangements can be extended for as long as twenty-four (24) months or longer if there are extenuating circumstances.
Schedule H, Part I, Line 6aMercy Health System, Corp (MHS) submits an annual Community Benefit Statement to the Wisconsin Hospital Association (WHA). Periodically, it publishes a pamphlet explaining the community benefits that Mercy Health System Corp, and the related organizations of MHS provide to the communities they serve. MHS has supplied supplemental community benefit statement information with its 990 tax return since Fiscal Year 2006 (Tax form 2005).
Schedule H, Part VI, Line 7 Additional InformationMHSC FILES A COMMUNITY BENEFIT REPORT WITH IN WI WITH THE WISCONSIN HOSPITAL ASSOCIATION.
Schedule H, Part I, Line 7g Subsidized Health ServicesDiabetes education/clinic was included in this line: expenses in column c totaled $480,138 and column E had $238,767 of net expenses.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation25131588
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA cost-to-charge ratio methodology was used to determine costs associated with charity care, unreimbursed Medicaid, and other means tested government programs. The cost-to-charge ratio was derived from IRS worksheet 2: ratio of patient care cost-to charge. The cost of the other benefits referenced in the table of line 7 (community health improvement services and community benefit operations; health professions education; subsidized health services; cash and in-kind contributions) were determined using actual department/service specific data and /or cost accounting derived data.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountThe cost of bad debt on line 2, Part III, was determined by applying the cost-to-charge ratio to those charges estimated and expensed as uncollectible.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe estimate of bad debt dollars that may have been covered through Mercy Health System Corp.'s Financial Assistance/Charity Care Policy (had the proper paperwork been completed by the individual needing assistance) is estimated at 16.31%. This figure was based on the percent of bad debt account dollars that are reclassified for charity and/or bankruptcy purposes.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteBad debt expense is accounted for in the following manner (as detailed in Note 1 of the audited financial statements of Mercy Health Corporation): Generally, patients who are covered by third-party payors are responsible for related deductibles and coinsurance, which vary in amount. The Corporation also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Corporation estimates the transaction price for patients with deductibles and coinsurance and for those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2023 and 2022, was not significant. Consistent with the Corporation's mission, care is provided to patients regardless of their ability to pay. Therefore, the Corporation has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Corporation expects to collect based on its collection history with those patients. The Corporation's policy is to provide a discount from established charges to uninsured patients. This policy did not change in 2023 and 2022.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsDATA FOR LINES 5 & 6 OF PART III AND THE MEDICARE SHORTFALL IS BASED ON MERCY HEALTH SYSTEM CORP'S TWO MEDICARE COST REPORTS (MERCY HOSPITAL AND TRAUMA CENTER-JANESVILLE, AND MERCY WALWORTH HOSPITAL).
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistancePATIENTS WHO ARE SELF-PAY, REGARDLESS OF WHETHER THEY QUALIFY FOR MERCY HEALTH SYSTEM'S (MHS) COMMUNITY CARE PROGRAM, WILL RECEIVE A 25% DISCOUNT FROM MHS'S STANDARD FEE SCHEDULE. ALL SELF-PAY PATIENTS MEET WITH PATIENT FINANCIAL COUNSELORS AND DISCUSS PAYMENT OPTIONS INCLUDING MHS'S COMMUNITY CARE PROGRAM. PATIENTS MUST APPLY FOR COMMUNITY CARE AND SUPPLY MERCY WITH THE NECESSARY FINANCIAL AND OTHER INFORMATION REQUIRED. PATIENTS WHO QUALIFY FOR COMMUNITY CARE BENEFITS WILL RECEIVE A REDUCTION IN THE BALANCE OWED, EXTENDED PAYMENT TERMS, OR BOTH. THE AMOUNT OF THE COMMUNITY CARE BENEFIT WILL BE BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THE OUTSTANDING BALANCE.
Schedule H, Part V, Section B, Line 16a FAP website- Mercyhealth Hospital and Trauma Center - Janesville: Line 16a URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; - Mercyhealth Hospital and Medical Center - Walworth: Line 16a URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website- Mercyhealth Hospital and Trauma Center - Janesville: Line 16b URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; - Mercyhealth Hospital and Medical Center - Walworth: Line 16b URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- Mercyhealth Hospital and Trauma Center - Janesville: Line 16c URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/; - Mercyhealth Hospital and Medical Center - Walworth: Line 16c URL: https://www.mercyhealthsystem.org/patientsvisitors/billing-information/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessmentThe hospitals of Mercyhealth Corporation, Inc. work in conjunction with the Public Health Departments of Rock (WI), Walworth (WI), McHency (IL) and Winnebago (IL) counties to complete community health needs assessment surveys for each region and work to address those needs. Collaboration varied by county and independent reports for each hospital were created to ensure it met IRS standards. Collaborative examples of Mercyhealth organizations providing care to the community include (but aren't limited to): Ronald McDonald Care Mobile: The mobile unit provides free dental and medical care to uninsured and underinsured children in five northern Illinois counties. Since its inception in 2003, it has provided $3.1 million in free care to more than 10,200 children. The care mobile is completely funded by philanthrophy from the Mercyhealth Development Foundation, Javon Bea Hospital Auxiliary, and the Ronald McDonald Charities of Madison. HealthNet Free Clinic in Janesville; Family Health Partnership Clinic and Well Child Clinic in Woodstock, IL; Harvard Free Clinic in McHenry County, IL; and the Bridge Clinic of Rockford, Il., are some of the venues for uninsured or underinsured individuals to receive care. Many Mercyhealth Physicians and other health care providers volunteer their services at these clinics. Rockford Rescue Mission: Mercyhealth residents volunteer their time to provide care at the Rockford Rescue Mission homeless shelter. Javon Bea Hospital partners with a Silver Lining foundation to provide screening mammograms and other breast related services for uninsured or underinsured women. Red Cross: Mercyhealth hosts regular blood drives and partners in cooperative volunteer efforts. United Way: Mercyhealth hosts an annual giving fundraising campaign to raise money for United Way in all its counties. Area police and fire departments: Provide free or reduced-cost paramedic/EMT educational opportunities. Employee participation on community boards. An example: Community Action, Inc. (a not-for-profit organization offering programs to fight poverty in Rock and Walworth Counties.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceAll uninsured patients are notified of Mercy's Financial Aide policy upon registration. Information is also available at the Health System's website, in our Emergency Rooms, Medical Labs, Admitting Departments, Outpatient Radiology, Registration Desks, Financial Services offices, and with the Patient Financial Counselors. Appropriate personnel have been trained on how to interact with patients about financial aid availability, and how to direct patients to appropriate financial aid staff. The hospitals have translation services available as needed.
Schedule H, Part VI, Line 4 Community informationMercy Hospital and Trauma Center: Mercy Hospital and Trauma Center is located in Janesville, WI: Rock County. It is one of two acute care hospitals in Janesville, WI. It is licensed for 240 acute beds. It has 24/7 emergency services, with a Trauma II designation. It is a teaching hospital with a residency program. Unemployment in Rock County (2022) was at 3.6%; a decline from 2020's 7.1%. The University of Wisconsin Population Health Institute's County Health Rankings and Roadmaps showed that Rock County performed worse than Wisconsin with lower median income; a higher percentage of public school-enrolled children who receive free or reduced-price lunch; a higher percentage of income spent on childcare in two-child households; a higher percentage of the total population who experiences food insecurity; a higher percentage of low-income population with limited access to healthy foods; and a higher average air pollution particulate per cubic meter. Median gross yearly household income for Rock County was at $66,400 compared To Wisconsin's $67,200 and the national average of $69,700. Per the 2020 US Census Bureau, 25% of Rock County residents are living below 200% of the Federal poverty level. Mercy Walworth Hospital: Mercy Walworth Hospital is located in Lake Geneva WI which is in Walworth County, WI. It is a critical access hospital licensed for 25 acute beds that provides 24/7 emergency services. Unemployment in Walworth County (2022) was at 2.2%; a decline from 2020's 4.2%. The University of Wisconsin Population Health Institute's County Health Rankings and Roadmaps showed that Walworth County performed worse than Wisconsin as a whole when it came to Walworth county spending a higher percentage of income being spent on childcare in two-child households; a higher percentage of low-income population with limited access to healthy foods. Per the 2020 US Census Bureau, 22% of Walworth County residents are living below 200% of the Federal poverty level. Mercy Health System Corp's payor demographics for its hospitals include 53.90% Medicare, and 12.70% Medicaid for the fiscal year of July 1, 2022 - June 30, 2023 (as determined by charges billed).
Schedule H, Part VI, Line 5 Promotion of community healthMercy Health System Corp has an open medical staff with privileges available to all qualified physicians in the areas. Mercy Health System Corp. has a governing body comprised of a majority of independent persons representative of the community.
Schedule H, Part VI, Line 6 Affiliated health care systemMercy Health System Corporation has two hospitals that provide acute care services in Rock and Walworth counties of Wisconsin. Mercy Health System Corp also operates community clinics located throughout six counties of Wisconsin and Illinois. It is part of a larger integrated healthcare system and is affiliated with other separately reported organizations collectively known as "Mercyhealth." Mercy Health is the ultimate parent company of Mercy Health System Corporation, Mercy Harvard Hospital, Inc., Mercy Assisted Care Inc., Javon Bea Hospital and Rockford Health Physicians. Mercy Harvard Hospital provides acute care services in McHenry County, Illinois, along with Javon Bea Hospital (Rockford), Rockford Health Physicians, and visiting Nurses Association of Rockford. Mercy Assisted Care provides home health services, hospice, and DME (durable medical equipment) services; thus providing continuation of care to Mercyhealth patients and the community as a whole. Javon Bea Hospital provides inpatient, outpatient, and emergency care services to residents of Rockford, Illinois and the surrounding communities. The Rockford Health Physicians provide physician and ambulatory care services at several Illinois sites. Mercy Health System Corp. works with the Mercy Foundation, Inc. to operate a homeless shelter in Janesville, WI: The House of Mercy Homeless Center provides shelter, support, and training to women, children, and families to help fight homelessness. It opened in 1996, and provided 8,135 shelter nights for 193 individuals in FY2023 (July 1, 2022- June 30, 2023). Mercy Hospital Association of Volunteers, Inc. is the organization/tax entity of Mercy's volunteers. Volunteers numbered 234 in calendar year 2023. This organization not only supports Mercy's services, but provides benefits to the community as a whole. In conjunction with Mercy Health System's meal preparation, the volunteers participate in and oversee a Meals-on-Wheels program: participant/nutrition specific meals are prepared and delivered to the elderly needing assistance in Janesville. The volunteer association runs a hospitality house in which family members of patients are offered free housing during their loved ones extended hospital stay and rehabilitation.
Schedule H, Part VI, Line 7 State filing of community benefit reportIL, WI

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (17 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 57 - 59)$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$0
Mark L Goelzer MD
Director/Physician$312,319$0$187,404$0$4,400$0$12,200$0$17,329$0$533,652$0$0$0
James Davis
former VICE-PRESIDENT$79,369$0$0$0$134,502$0$4,471$0$29,823$0$248,165$0$0$0
Todd Anderson
VICE PRESIDENT/CFO$564,084$0$252,851$0$11,556$0$40,746$0$36,067$0$905,304$0$0$0
Kimberly Scaccia
VP - Revenue Cycle$314,004$0$147,040$0$38,256$0$21,669$0$43,255$0$564,224$0$0$0
Joanna Benning
VICE-PRESIDENT$322,067$0$151,673$0$1,223$0$21,674$0$8,610$0$505,247$0$0$0
E Patrick Cranley
VICE-PRESIDENT$274,053$0$130,971$0$10,678$0$18,888$0$36,630$0$471,220$0$0$0
Jennifer A Hallett
VICE-PRESIDENT$282,492$0$137,542$0$3,627$0$12,200$0$29,221$0$465,082$0$0$0
Ladd Udy
Vice-President$183,631$0$85,830$0$3,484$0$11,248$0$28,292$0$312,485$0$0$0
Alen Brcic
VICE-PRESIDENT$319,603$0$101,157$0$7,269$0$7,823$0$33,831$0$469,683$0$0$0
Aliakbar Abdulla Olia
VICE-PRESIDENT$273,608$0$70,350$0$9,313$0$1,357$0$34,262$0$388,890$0$0$0
Kara Sankey
VICE-PRESIDENT$265,026$0$155,788$0$6,544$0$4,968$0$26,736$0$459,062$0$0$0
Shahid Shekhani MD
Physician$245,888$0$1,570,447$0$47,500$0$12,200$0$40,850$0$1,916,885$0$0$0
David Nelsen MD
Physician$676,373$0$600,000$0$20,500$0$12,200$0$50,959$0$1,360,032$0$0$0
Imdad Ahmed MD
Physician$570,066$0$602,770$0$41,000$0$12,200$0$36,949$0$1,262,985$0$0$0
Merle Rust MD
Physician$1,097,606$0$30,914$0$47,500$0$12,200$0$37,235$0$1,225,455$0$0$0
Bradley Fideler MD
Physician$856,072$0$257,972$0$47,500$0$12,200$0$46,209$0$1,219,953$0$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, Joanna Benning, and E. Patrick Cranley participated in the 457(f) plan during Calendar year 2022. However, they 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 L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kristen GoelzerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionFamily Member of Mark Goelzer, DirectorRelationshipDescriptionTxt
Transaction$504,214TransactionAmt
TransactionEmployment - PhysicianTransactionDesc

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1aThe voting members of the Executive committee consists of eight individuals, each of whom shall have a vote, including the CEO, the chairman, vice-chairman, immediate past chairman, treasurer, and three additional directors of the board. At least one member of the Executive committee shall be a physician. The Executive Committee shall in all instances be comprised of at least 51% community members. In the event that one or more of the aforementioned voting members of the Executive Committee is unable to serve in such capacity, then the chairman of the corporation shall designate a replacement from among the board members. The Executive Committee shall meet as needed. When the board of directors is not in session, the executive committee shall have all the powers, duties, responsibilities and authority of the board, except as prohibited by law.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsJAVON R. BEA (FATHER) & JOANNA BEA BENNING (DAUGHTER) - Family relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersMercy Health Corporation (MHC) is the sole member of Mercy Health System Corporation (MHSC). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION. (B) NOMINATE TO THE CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION PRESIDENT. (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS. (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION. (E) Require the corporation's board of directors to take any action (including authorizing the pledge or transfer of assets to MHC or as directed by MHC, or the execution of contracts) which would improve the credit worthiness or otherwise result in financial benefit to MHC and its tax-exempt Affiliated Corporations (provided that under no circumstances may MHC require transfer of assets in violation of law or the terms of any charitable trust or donation). (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS. (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION. (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION. (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATION'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, provided the corporation shall have the authority to negotiate the terms and conditions of individual physician employment agreements so long as the negotiated terms and conditions are consistent with the requirements of applicable law and the strategic, long-range and health manpower development plans approved by MHC. (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION. (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF MHC DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATIONS FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySEE NARRATIVE FOR PART VI, LINE 6.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR PART VI, LINE 6.
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 MHC COMPLIANCE DEPARTMENT 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. MHC AND MHSC HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe MHSC Compensation Committee 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.
Form 990, Part VI, Line 19 Required documents available to the publicNO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VIII, Line 2f Other Program Service RevenueRESEARCH - Total Revenue: 209409, Related or Exempt Function Revenue: 209409, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesOTHER PENSION RELATED CHANGES - 27027000; CHANGES IN PENSION OBLIGATIONS OTHER THAN PENSION EXPENSE - -26046141;

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
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT AVEJANESVILLEWI53548390912682HEALTHCAREWI501(c)(3)Type III-FIMERCY HEALTH SYSTEM CORPORATIONYes (true)
MERCY ASSISTED CARE INC
901 MINERAL POINT AVEJANESVILLEWI53548391035110HEALTHCAREWI501(c)(3)10MERCY HEALTH CORPORATIONfalse
MERCY HARVARD HOSPITAL INC
901 GRANT STREETHARVARDIL60033311551871HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
200 LAKE AVEWOODSTOCKIL60098201673011HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCY HEALTH CORPORATION
8201 E Riverside BlvdROCKFORDIL61114472158680HEALTHCAREIL501(c)(3)Type IINAfalse
JAVON BEA HOSPITAL
8201 E Riverside BlvdROCKFORDIL61114362167847HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse
MERCYHEALTH DEVELOPMENT FOUNDATION
8201 E Riverside BlvdROCKFORDIL61114363197918HEALTHCAREIL501(c)(3)Type IMERCY HEALTH CORPORATIONfalse
MERCYHEALTH VISITING NURSES ASSOCIATION
4223 E STATE STREETROCKFORDIL61108362167945HEALTHCAREIL501(c)(3)10MERCY HEALTH CORPORATIONfalse
ROCKFORD HEALTH PHYSICIANS
8201 E Riverside BlvdROCKFORDIL61114363907436HEALTHCAREIL501(c)(3)3MERCY HEALTH CORPORATIONfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
JANESVILLE MEDICAL CENTER INC
1000 MINERAL POINT AVEJANESVILLEWI53548391520130MANAGEMENT OF UNION EMPLOYEESWIMERCY HEALTH SYSTEM CORPORATIONC Corporation$200Yes (true)
MERCYCARE INSURANCE COMPANY
580 N WASHINGTON STJANESVILLEWI53546391768192INSURANCEWIMERCY HEALTH SYSTEM CORPORATIONC Corporation$69,468,296Yes (true)$146,624,654
MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO
580 N WASHINGTON STJANESVILLEWI53546201482553INSURANCEWIMERCY HEALTH SYSTEM CORPORATIONC Corporation$0Yes (true)$0
ROCKFORD HEALTH INSURANCE LTD
INSURANCENAC CorporationfalseBD
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 OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MERCYCARE INSURANCE COMPANY
Q$11,806,000COST OF SERVICES PROVIDED
MERCY ASSISTED CARE INC
A$79,828Cost of property PROVIDED
MercycarE INSURANCE COMPANY
A$121,438Cost of property PROVIDED