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ST PAUL PLACE SPECIALISTS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST PAUL PLACE SPECIALISTS INC (EIN 52-1495113)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-04-25
IRS object ID
202331159349301213
Schema version
2021v4.2
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)
Return2023-04-25T13:12:29-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11410 SPRING HILL ROAD SUITE 500AddressLine1Txt
CityTYSONSCityNm
State AbbreviationVAStateAbbreviationCd
ZIP221023056ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521495113EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST PAUL PLACE SPECIALISTS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTPABusinessNameControlTxt
Phone4103329000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ST PAUL PLACEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJUSTIN DEIBELPersonNm
Person TitleEXECUTIVE VICE PRESIDENT & CFOPersonTitleTxt
Phone4106592905PhoneNum
Signature2023-04-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJUSTINPersonFirstNm
Person LastDEIBELPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone7039700400PhoneNum
Preparation2023-03-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID N MAINE MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ST PAUL PLACEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$128,007,387GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE SPECIALTY PHYSICIAN SERVICES TO PATIENTS OF MERCY MEDICAL CENTER.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee476TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$5,293,756TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,508,012PYContributionsGrantsAmt
CY Contributions Grants$1,408,903CYContributionsGrantsAmt
PY Program Service Revenue$104,579,406PYProgramServiceRevenueAmt
CY Program Service Revenue$113,545,645CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$11,044,059PYOtherRevenueAmt
CY Other Revenue$13,052,839CYOtherRevenueAmt
PY Total Revenue$118,131,477PYTotalRevenueAmt
CY Total Revenue$128,007,387CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$90,491,320PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$97,456,786CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,161,547PYOtherExpensesAmt
CY Other Expenses$32,902,021CYOtherExpensesAmt
PY Total Expenses$120,652,867PYTotalExpensesAmt
CY Total Expenses$130,358,807CYTotalExpensesAmt
PY Revenues Less Expenses-$2,521,390PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,351,420CYRevenuesLessExpensesAmt
Total Assets BOY$16,847,824TotalAssetsBOYAmt
Total Assets EOY$14,186,568TotalAssetsEOYAmt
Total Liabilities BOY$21,660,047TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,985,249TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$4,812,223NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,798,681NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE SPECIALTY PHYSICIAN SERVICES TO PATIENTS OF MERCY MEDICAL CENTER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$124,298,766ExpenseAmt
Revenue$121,304,728RevenueAmt
DescST. PAUL PLACE SPECIALISTS, INC. ("SPPS") IS A WHOLLY OWNED SUBSIDIARY OF MERCY HEALTH SERVICES, INC. ("MHS"). MHS OWNS AND OPERATES A CATHOLIC HEALTHCARE SYSTEM IN MARYLAND, UNDER THE SPONSORSHIP OF THE SISTERS OF MERCY. MHS IS ALSO THE PARENT OF MERCY MEDICAL CENTER, INC., WHICH OWNS AND OPERATES AN ACUTE CARE HOSPITAL IN DOWNTOWN BALTIMORE AS WELL AS NUMEROUS OUTPATIENT HOSPITAL SPECIALTY CLINICS, AND OF STELLA MARIS, INC., WHICH OWNS AND OPERATES A NURSING HOME, A RESIDENTIAL AND HOME HOSPICE SERVICES AND A HOME HEALTH AGENCY. SPPS EMPLOYS PHYSICIANS IN A WIDE VARIETY OF SPECIALTIES WHO PROVIDE SERVICES TO PATIENTS OF MERCY MEDICAL CENTER'S INPATIENT SERVICES AND OUTPATIENT CLINICS AND TO OTHER MEMBERS OF THE COMMUNITY THROUGHOUT CENTRAL MARYLAND AND BEYOND. SPPS'S PHYSICIANS INCLUDE THE RADIOLOGISTS AND PATHOLOGISTS WHO PROVIDE IMAGING AND CLINICAL LABORATORY SERVICES TO PATIENTS OF MERCY'S ACUTE CARE HOSPITAL. IN ADDITION, SPPS EMPLOYS A NUMBER OF HIGHLY TRAINED INTENSIVISTS WHO PROVIDE SERVICES TO PATIENTS IN MERCY'S INTENSIVE AND CRITICAL CARE UNITS, THEREBY IMPROVING THE QUALITY OF CARE FOR MERCY'S SICKEST PATIENTS. SPPS ALSO EMPLOYS MANY SPECIALISTS AND SUBSPECIALISTS WHO PROVIDE SERVICES IN MERCY'S OUTPATIENT CLINICS AND IN OFFICES LOCATED THROUGHOUT THE STATE OF MARYLAND. MHS HAS A LONG-TERM RELATIONSHIP WITH HEALTHCARE FOR THE HOMELESS, INC. ("HCH"), AN ORGANIZATION THAT PROVIDES HEALTHCARE SERVICES TO HOMELESS PEOPLE, AND SPPS PHYSICIANS PROVIDE SPECIALTY CARE TO HCH PATIENTS. SPPS PHYSICIANS ALSO PROVIDE THE MAJORITY OF ON-CALL SERVICES FOR MERCY MEDICAL CENTER AND REGULARLY PROVIDE SERVICES TO PATIENTS REFERRED BY MERCY'S EMERGENCY DEPARTMENT WHO ARE UNINSURED OR UNDERINSURED. SPPS HAS ESTABLISHED A STATEWIDE COLLABORATION WITH A NUMBER OF OTHER MARYLAND HOSPITALS TO PROVIDE GYNECOLOGIC ONCOLOGY SERVICES TO PATIENTS OF THOSE HOSPITALS THROUGH SPPS PHYSICIANS, THEREBY PROVIDING A HIGHLY SPECIALIZED SERVICE TO WOMEN WHO RESIDE IN MORE REMOTE AREAS OF THE STATE. IN FISCAL YEAR 2013, A GROUP OF OBSTETRICIANS THAT SERVE A LARGE NUMBER OF LOW-INCOME PATIENTS JOINED SPPS.DURING FISCAL YEAR 2022, SPPS PROVIDED SEVERAL COMMUNITY BENEFIT ACTIVITIES. FIRST, SPPS PROVIDED CHARITY CARE TO PATIENTS SEEN BY SPPS PHYSICIANS. SECOND, SPPS INCURRED DIRECT UNREIMBURSED COSTS AS A RESULT OF PROVIDING PHYSICIAN SERVICES TO PATIENTS IN THE EMERGENCY DEPARTMENT OF MERCY MEDICAL CENTER. FINALLY, SPPS PHYSICIANS UNDERTAKE SUBSTANTIAL DISEASE AND PREVENTION RESEARCH AT AN UNREIMBURSED COST TO SPPS. MANY SPPS PHYSICIANS PARTICIPATE IN CLINICAL RESEARCH AND IN MEDICAL EDUCATION.Desc
Total Program Service Expenses$124,298,766TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee476EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUSTIN DEIBELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4106592905PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ST PAUL PLACEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 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
JUSTIN C DEIBEL
VICE CHAIR5.0035.00Yes (X)Yes (X)$0$804,423$20,512
JENNIFER SCHWARZMANN
TREASURER/SECRETARY15.0025.00Yes (X)Yes (X)$0$222,307$12,454
MARCELLA BAILEY
DIRECTOR15.0025.00Yes (X)$0$200,832$14,408
MARY B COYNE
DIRECTOR15.0025.00Yes (X)$0$172,850$5,005
MICHAEL MULLEN
DIRECTOR15.0025.00Yes (X)$0$314,113$20,578
KATHLEEN PERRY
DIRECTOR5.0035.00Yes (X)$0$461,031$30,070
CHRISTOPHER THOMASKUTTY
DIRECTOR15.0025.00Yes (X)$0$551,348$21,088
JOHN E TOPPER
VICE CHAIR (THRU 21)5.0035.00Yes (X)Yes (X)$0$1,258,643$32,284
WILMA ROWE MD
DIRECTOR1.0040.00Yes (X)$0$840,717$25,172
ROBERT A EDWARDS
FORMER DIRECTOR15.0025.00Yes (X)$0$567,842$13,138
DAVID N MAINE MD
PRESIDENT/CEO, EX OFFICIO22.0018.00Yes (X)Yes (X)$0$1,603,727$19,729
DWIGHT D IM MD
PHYSICIAN40.00$3,211,909$0$30,257Yes (X)
JOSEPH J CIOTOLA MD
PHYSICIAN40.00$1,658,941$0$20,058Yes (X)
BERNARD W CHANG MD
PHYSICIAN40.00$1,438,966$0$47,736Yes (X)
BRENDAN J COLLINS MD
PHYSICIAN40.00$1,636,666$0$18,715Yes (X)
ARMANDO SARDI MD
PHYSICIAN40.00$1,290,900$0$33,723Yes (X)
THOMAS R MULLEN
FORMER PRESIDENT/CEO, EX OFFICIO3.0037.00$0$1,158,146$25,919Yes (X)
BLAINE S KRISTO MD
FORMER DIRECTOR15.0025.00$0$491,312$8,084Yes (X)
HELEN LEEK
FORMER DIRECTOR15.0025.00$0$59,503$850Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$9,237,382TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,706,794TotReportableCompRltdOrgAmt
Total Other Compensation$399,780TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
UNIVERSITY OF MD SCHOOL OF MEDICINE
110 S PACA STREET 6TH FL STE 200BALTIMOREMD21201PHYSICIAN SERVICES$6,962,513
COMPHEALTH
PO BOX 972651DALLASTX75397PHYSICIAN SERVICES$1,185,641
UNIVERSITY OF MARYLAND OBGYN ASSOC
250 W PRATT STREET STE 880BALTIMOREMD21201PHYSICIAN SERVICES$854,490
UNIVERSITY OF MD SURGICAL ASSOC
306 W REDWOOD STREET 4TH FLBALTIMOREMD21201PHYSICIAN SERVICES$700,801
MERITUS MEDICAL CENTER INC
11116 MEDICAL CAMPUS RDHAGERSTOWNMD21742PHYSICIAN SERVICES$298,790
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
All Other Contributions$1,408,903AllOtherContributionsAmt
Total Contributions$1,408,903TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE621110$113,195,645$107,901,889$5,293,756
CARES ACT PROVIDER RELIEF FUNDS621110$350,000$350,000
FieldValueIRS element (for citing)
Total Program Service Revenue$113,545,645TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EXPENSE RECOVERY621110$6,567,997$6,567,997
OTHER INCOME621110$6,484,842$6,484,842
FieldValueIRS element (for citing)
Other Revenue Total$13,052,839OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,007,387TotalRevenueColumnAmt
Related Or Exempt Func Income$121,304,728RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$5,293,756UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$87,142,475TotalAmt
Program Services$87,142,475ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,570,095TotalAmt
Program Services$1,570,095ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,803,022TotalAmt
Program Services$4,803,022ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,941,194TotalAmt
Program Services$3,941,194ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,054,031TotalAmt
Management And General$6,054,031ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,846,249TotalAmt
Program Services$11,846,249ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,637TotalAmt
Program Services$23,637ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,945,388TotalAmt
Program Services$1,945,388ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,633TotalAmt
Program Services$15,633ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,893,227TotalAmt
Program Services$3,893,227ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$182,371TotalAmt
Program Services$182,371ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$162,821TotalAmt
Program Services$162,821ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$549,298TotalAmt
Program Services$543,288ProgramServicesAmt
Management And General$6,010ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,305,898TotalAmt
Program Services$5,305,898ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$2,222,352$2,222,352
REPAIR AND MAINTENANCE$701,116$701,116

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$130,358,807TotalAmt
Program Services$124,298,766ProgramServicesAmt
Management And General$6,060,041ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$554,849BOYAmt
EOY$473,672EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,222,623BOYAmt
EOY$10,852,761EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,394BOYAmt
EOY-$7,118EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$362,428BOYAmt
EOY$655,289EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,171,334LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,544,710LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,065,704BOYAmt
EOY$1,626,624EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$598,334BOYAmt
EOY$542,848EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,492BOYAmt
EOY$42,492EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,847,824BOYAmt
EOY$14,186,568EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,247,879BOYAmt
EOY$15,001,502EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,412,168BOYAmt
EOY$4,983,747EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,660,047BOYAmt
EOY$19,985,249EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$6,377,395BOYAmt
EOY-$7,302,607EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,565,172BOYAmt
EOY$1,503,926EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$4,812,223BOYAmt
EOY-$5,798,681EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,847,824BOYAmt
EOY$14,186,568EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,351,420ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$20,724PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,385,686OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,631,992OtherCostOrOtherBasisAmt
Depreciation$1,360,276DepreciationAmt
Book Value$271,716BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,135OtherCostOrOtherBasisAmt
Depreciation$18,943DepreciationAmt
Book Value$237,192BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,010,026OtherCostOrOtherBasisAmt
Depreciation$1,165,491DepreciationAmt
Book Value$844,535BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$273,181OtherCostOrOtherBasisAmt
Book Value$273,181BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,626,624TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO AFFILIATES$2,309,973
OTHER LONG TERM LIABILITY$2,664,555
CARES ACT PROVIDER RELIEF FUNDS LIABILITY$9,219
FieldValueIRS element (for citing)
Total Liability$4,983,747TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationMHS, MMC, SMI, MFC, SPPS, MHF, AND MSS ARE NOT-FOR-PROFIT ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND ARE THEREFORE NOT SUBJECT TO FEDERAL INCOME TAX UNDER CURRENT INCOME TAX REGULATIONS. MHS SUBSIDIARIES OTHERWISE EXEMPT FROM FEDERAL AND STATE TAXATION ARE NONETHELESS SUBJECT TO TAXATION AT CORPORATE TAX RATES AT BOTH THE FEDERAL AND STATE LEVEL ON THEIR UNRELATED BUSINESS INCOME. CURRENT ACCOUNTING STANDARDS DEFINE THE THRESHOLD FOR RECOGNIZING UNCERTAIN INCOME TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS AS "MORE LIKELY THAN NOT" THAT THE POSITION IS SUSTAINABLE, BASED ON ITS TECHNICAL MERITS, AND ALSO PROVIDE GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. MANAGEMENT BELIEVES THERE IS NO IMPACT ON MHS' ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS RELATED TO UNCERTAIN INCOME TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
DWIGHT D IM MD
PHYSICIAN$2,212,323$0$890,852$0$108,734$0$17,400$0$12,857$0$3,242,166$0$0$0
JOSEPH J CIOTOLA MD
PHYSICIAN$1,414,204$0$244,737$0$0$0$8,700$0$11,358$0$1,678,999$0$0$0
BRENDAN J COLLINS MD
PHYSICIAN$792,869$0$843,797$0$0$0$8,700$0$10,015$0$1,655,381$0$0$0
DAVID N MAINE MD
PRESIDENT/CEO, EX OFFICIO$0$1,025,224$0$578,503$0$0$0$8,700$0$11,029$0$1,623,456$0$0
BERNARD W CHANG MD
PHYSICIAN$766,362$0$672,604$0$0$0$17,400$0$30,336$0$1,486,702$0$0$0
ARMANDO SARDI MD
PHYSICIAN$589,757$0$701,143$0$0$0$13,050$0$20,673$0$1,324,623$0$0$0
JOHN E TOPPER
VICE CHAIR (THRU 21)$0$512,137$0$290,059$0$456,447$0$17,400$0$14,884$0$1,290,927$0$0
THOMAS R MULLEN
FORMER PRESIDENT/CEO, EX OFFICIO$0$238,621$0$0$0$919,525$0$14,423$0$11,496$0$1,184,065$0$0
WILMA ROWE MD
DIRECTOR$0$555,073$0$285,644$0$0$0$13,050$0$12,122$0$865,889$0$0
JUSTIN C DEIBEL
VICE CHAIR$0$526,613$0$277,810$0$0$0$8,700$0$11,812$0$824,935$0$0
ROBERT A EDWARDS
FORMER DIRECTOR$0$146,988$0$72,552$0$348,302$0$2,250$0$10,888$0$580,980$0$0
CHRISTOPHER THOMASKUTTY
DIRECTOR$0$389,735$0$161,613$0$0$0$10,179$0$10,909$0$572,436$0$0
BLAINE S KRISTO MD
FORMER DIRECTOR$0$392,566$0$98,746$0$0$0$0$0$8,084$0$499,396$0$0
KATHLEEN PERRY
DIRECTOR$0$341,569$0$119,462$0$0$0$17,400$0$12,670$0$491,101$0$0
MICHAEL MULLEN
DIRECTOR$0$165,907$0$74,967$0$73,239$0$6,488$0$14,090$0$334,691$0$0
JENNIFER SCHWARZMANN
TREASURER/SECRETARY$0$194,375$0$27,932$0$0$0$3,014$0$9,440$0$234,761$0$0
MARCELLA BAILEY
DIRECTOR$0$175,623$0$25,209$0$0$0$5,424$0$8,984$0$215,240$0$0
MARY B COYNE
DIRECTOR$0$149,758$0$23,092$0$0$0$4,517$0$488$0$177,855$0$0
HELEN LEEK
FORMER DIRECTOR$0$59,096$0$407$0$0$0$0$0$850$0$60,353$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE ORGANIZATION RELIED ON A RELATED ORGANIZATION AND THAT RELATED ORGANIZATION USED THE FOLLOWING METHODS TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION: 1. COMPENSATION COMMITTEE; 2. INDEPENDENT COMPENSATION CONSULTANT; 3. COMPENSATION SURVEY OR STUDY; 4. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 7TO HELP INSURE THAT PHYSICIAN SALARIES ARE CONSISTENT WITH FAIR MARKET VALUE AND TO MINIMIZE THE CORPORATION'S FINANCIAL RISK WITH RESPECT TO OPERATING ITS PHYSICIAN ENTERPRISE, THE SALARIES PAID TO CERTAIN PHYSICIANS ARE BASED ON PHYSICIAN PRODUCTIVITY AS MEASURED BY PROFESSIONAL FEE REVENUE GENERATED THROUGH PATIENT CARE SERVICES PROVIDED DIRECTLY BY THE PHYSICIANS. BECAUSE THE METHODOLOGY IS BASED ON REVENUE, WE THOUGHT IT WAS APPROPRIATE TO ANSWER QUESTION 7 ON SCHEDULE J AFFIRMATIVELY AND DESCRIBE THE MODEL.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MERCY HEALTH SERVICES, INC. ("MHS"), A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF ST. PAUL PLACE SPECIALISTS, INC. ("SPPS").
FORM 990, PART VI, SECTION A, LINE 7ATHE PRESIDENT OF MHS SERVES AS AN EX OFFICIO VOTING MEMBER OF THE BOARD OF DIRECTORS OF SPPS. AS THE MEMBER OF SPPS, THE BOARD OF TRUSTEES OF MHS ELECTS ALL OF THE OTHER MEMBERS OF THE BOARD OF SPPS. WITH THE EXCEPTION OF THE EX OFFICIO BOARD MEMBER, ALL OF THE SPPS BOARD MEMBERS SERVE AT THE PLEASURE OF THE BOARD OF TRUSTEES OF MHS AND ARE SUBJECT TO REMOVAL BY THE MHS BOARD.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF TRUSTEES OF MHS EXERCISES AUTHORITY OVER SPPS THROUGH ITS RIGHT TO APPOINT AND REMOVE SPPS BOARD MEMBERS. IN ADDITION, MHS, AS THE MEMBER, IS RESPONSIBLE FOR THE FOLLOWING ACTIONS: A) TO APPOINT MEMBERS TO SPPS'S BOARD OF DIRECTORS; B) TO REVIEW AND APPROVE OR DISAPPROVE THE STRATEGIC PLAN, ANNUAL BUDGET AND THE ANNUAL OPERATING GOALS AND OBJECTIVES OF SPPS AS RECOMMENDED TO MHS BY SPPS'S BOARD OF DIRECTORS; C) TO EVALUATE THE PERFORMANCE OF SPPS'S BOARD OF DIRECTORS, OFFICERS, AND OPERATING MANAGEMENT; D) TO REMOVE BOARD MEMBERS OF SPPS IN ITS DISCRETION AT ANY TIME; E) TO APPROVE THE MISSION AND VISION THAT GOVERN SPPS'S OPERATIONS; AND F) TO HAVE ULTIMATE RESPONSIBILITY FOR SPPS'S QUALITY ASSURANCE, PERFORMANCE IMPROVEMENT, UTILIZATION REVIEW AND RISK MANAGEMENT. THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF AND AFFIRMATIVE CORPORATE ACTION BY MHS: A) ANY DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF SPPS'S ASSETS, DISSOLUTION, LIQUIDATION, WINDING UP OR ABANDONMENT OF SPPS; B) ANY AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF SPPS; C) ANY BORROWING OR LENDING BY SPPS OR THE ISSUANCE OF ANY GUARANTEE BY SPPS IN AN AMOUNT IN EXCESS OF AN AMOUNT SPECIFIED BY MHS FROM TIME TO TIME; D) ANY MERGER, CONSOLIDATION OR INSTITUTIONAL AFFILIATION WITH ANY OTHER CORPORATION OR OTHER ENTITY; AND E) THE PURCHASE OR SALE OF ASSETS FOR AN AMOUNT IN EXCESS OF AN AMOUNT SPECIFIED FROM TIME TO TIME BY MHS. ULTIMATELY, THE CORPORATION IS CONTROLLED BY MHS'S 29-PERSON COMMUNITY BOARD, WHICH INCLUDES 21 INDEPENDENT DIRECTORS AS NOTED ABOVE.
FORM 990, PART VI, SECTION B, LINE 11BMERCY HEALTH SERVICES, INC. ("MHS"), THE SOLE PARENT OF THE CORPORATION, HAS A POLICY WHICH REQUIRES THE CORPORATION'S 990 TO BE MADE AVAILABLE FOR REVIEW BY THE MHS BOARD AND/OR THE MHS BOARD EXECUTIVE COMMITTEE PRIOR TO ITS FILING. AT ITS BOARD MEETING, MHS BOARD EXECUTIVE COMMITTEE MEMBERS RECEIVED A COPY OF THE CORPORATION'S DRAFT FORM 990. THE MHS CFO PROVIDED A POWER POINT PRESENTATION REGARDING THE DRAFT AND THERE WAS AN OPPORTUNITY FOR QUESTIONS AND DISCUSSION. FOLLOWING FURTHER REVISION OF THE DRAFT 990 AND PRIOR TO ITS FILING, IT WAS MADE AVAILABLE IN FINAL FORM TO ALL MEMBERS OF THE MHS BOARD AND THE CORPORATION'S BOARD FOR THEIR REVIEW. ANY ADDITIONAL COMMENTS/QUESTIONS FROM BOARD MEMBERS ARE RESPONDED TO PRIOR TO FILING THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CMHS HAS A WRITTEN CONFLICT OF INTEREST POLICY THAT COVERS MHS AND ALL OF ITS DIRECT AND INDIRECT SUBSIDIARIES. THE INDIVIDUALS COVERED UNDER THE POLICY INCLUDE ALL TRUSTEES, DIRECTORS, OFFICERS (INCLUDING ALL SENIOR AND EXECUTIVE VICE PRESIDENTS) AND MEMBERS OF ANY COMMITTEE WITH BOARD-DELEGATED POWERS. UNDER THE POLICY, EACH SUCH PERSON IS REQUIRED TO COMPLETE AN ANNUAL DISCLOSURE FORM REGARDING BUSINESS RELATIONSHIPS THAT HE OR SHE, OR ANY FAMILY MEMBER, HAS WITH ANY OTHER ORGANIZATION THAT DOES BUSINESS WITH MHS OR ITS SUBSIDIARIES AND RELATIONSHIPS BETWEEN AND AMONG OFFICERS, TRUSTEES AND DIRECTORS. THE COMPLETED DISCLOSURE FORMS ARE REVIEWED BY THE MHS BOARD CHAIR AND BY THE MHS CEO OR A DESIGNEE. IN ADDITION TO THE ANNUAL DISCLOSURE, ANY PERSON WHO IS COVERED BY THE CONFLICT OF INTEREST POLICY HAS AN ONGOING OBLIGATION TO DISCLOSE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT TO THE BOARD OR THE BOARD COMMITTEE IN WHICH THE MATTER ARISES. FOLLOWING THE DISCLOSURE, THE PERSON MAY MAKE A PRESENTATION, BUT MUST THEN LEAVE THE MEETING AND THE OTHER MEMBERS OF THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER A CONFLICT EXISTS. UNDER THE POLICY, A CONFLICT OF INTEREST EXISTS WHEN AN INDIVIDUAL'S OWN PERSONAL INTERST WOULD, OR MAY, INTERFERE WITH HIS OR HER IMPARTIALITY REGARDING THE MATTER. IF A CONFLICT EXISTS, THE PERSON MAY NOT BE PRESENT DURING DELIBERATIONS ON THE MATTER OR VOTE ON IT. THE BOARD OR COMMITTEE, AFTER CONDUCTING SUCH ADDITIONAL DUE DILIGENCE AS IT DETERMINES IS APPROPRIATE, SHALL MAKE A DECISION ON THE MATTER BASED UPON WHETHER THE PARTICULAR PROPOSAL IS FAIR, REASONABLE AND IN THE BEST INTEREST OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S BOARD HAS ADOPTED A COMPENSATION POLICY (THE "POLICY") FOR COVERED INDIVIDUALS. PURSUANT TO THE POLICY, A COMPENSATION COMMITTEE OF INDEPENDENT DIRECTORS OF THE BOARD OF THE ORGANIZATION'S PARENT CORPORATION (MERCY HEALTH SERVICES, INC.) WAS ESTABLISHED TO REVIEW THE COMPENSATION OF ALL EMPLOYEES SPECIFIED AS HAVING A SUBSTANTIAL INFLUENCE OVER THE ORGANIZATION AND WHO RECEIVE REMUNERATION FROM THE ORGANIZATION. THE COMPENSATION COMMITTEE IS ADVISED BY AN INDEPENDENT COMPENSATION CONSULTANT, WHICH OPINES TO THE COMPENSATION COMMITTEE THAT THE LEVEL OF COMPENSATION PAID AND THE PROCESS BY WHICH COMPENSATION IS ESTABLISHED MEET APPLICABLE IRS REASONABLENESS AND "SAFE HARBOR" STANDARDS. THE OUTSIDE COMPENSATION CONSULTANT PROVIDES DATA OF COMPENSATION PROVIDED AT SIMILAR ORGANIZATIONS TO ENSURE THAT THE ORGANIZATION DOES NOT COMPENSATE IN EXCESS OF MARKET NORMS. MERCY HEALTH SERVICES, INC. (THE CORPORATION'S SOLE MEMBER) HAS A WRITTEN POLICY REGARDING THE REVIEW OF PHYSICIAN COMPENSATION TITLED "AMENDED AND RESTATED PHYSICIAN COMPENSATION REVIEW." THE POLICY APPLIES TO ALL MHS SUBSIDIARIES, INCLUDING THE CORPORATION, AND IT SETS OUT THE PROCESS AND PROCEDURES FOR ENSURING THAT PHYSICIAN COMPENSATION IS APPROPRIATELY REVIEWED AND DETERMINED TO BE CONSISTENT WITH FAIR MARKET VALUE. UNDER THE POLICY THE REVIEW AND DETERMINATION MUST BE DOCUMENTED IN WRITING. THE POLICY ADDRESSES INTERNAL REVIEWS THROUGH BENCHMARKING OF PHYSICIAN COMPENSATION AGAINST NATIONALLY RECOGNIZED COMPENSATION SURVEY DATA, THE USE OF INDEPENDENT COMPENSATION CONSULTANTS AND REVIEW BY THE MHS BOARD COMPENSATION COMMITTEE. THE POLICY FURTHER REQUIRES THAT ALL COMPENSATION REVIEWS BE PERFORMED IN ACCORDANCE WITH THE MHS CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS OF THE ORGANIZATION, ITS CONFLICTS OF INTEREST POLICY, AND ITS FINANCIAL STATEMENTS ARE AVAILABLE FROM THE ORGANIZATION UPON REQUEST.
FORM 990, PART XI, LINE 9:WRITE OFF INTERCOMPANY ACCOUNTS 1,385,686.
FORM 990; PART XII; LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
PART VI, LINE 1BMERCY HEALTH SERVICES, INC. ("MHS"), A 501(C)(3) CORPORATION, IS THE SOLE MEMBER OF ST. PAUL PLACE SPECIALISTS, INC. ("SPPS"). MHS IS GOVERNED BY A 28-PERSON BOARD OF TRUSTEES, OF WHOM 21 ARE INDEPENDENT BOARD MEMBERS. THE BOARD OF DIRECTORS OF SPPS IS CURRENTLY MADE OF 5 DIRECTORS. THE PRESIDENT OF MHS SERVES AS AN EX OFFICIO MEMBER OF SPPS'S BOARD AND THE BALANCE OF THE SPPS BOARD MEMBERS ARE ELECTED BY, AND SUBJECT TO REMOVAL BY, THE BOARD OF TRUSTEES OF MHS. NONE OF THE MEMBERS OF THE SPPS BOARD ARE INDEPENDENT, IN THAT EACH OF THEM IS COMPENSATED AS AN EMPLOYEE EITHER OF SPPS OR A RELATED ORGANIZATION LISTED IN SCHEDULE R, PART II.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
TERESA HOFFMAN MD AND ASSOCIATES LLC
301 ST PAUL PLACEBALTIMOREMD21202522154405OBGYN SERVICESMD$5,405,041$1,568,542SPPS
EMERGENCY PHYSICIANS SPPS
301 ST PAUL PLACEBALTIMOREMD21202471384054EMERGENCY ROOM MEDICAL SERVICESMD$4,648,548$0SPPS
NEUROSURGICAL SPECIALTY SERVICES LLC
301 ST PAUL PLACEBALTIMOREMD21202473421551NEUROSURGERY SERVICESMD$3,230,726$82,814SPPS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
MERCY HEALTH SERVICES INC
301 ST PAUL PLACEBALTIMOREMD21202522173382SUPPORTMD501(C)(3)LINE 12C, III-FIN/A0
MERCY MEDICAL CENTER INC
301 ST PAUL PLACEBALTIMOREMD21202520591658HOSPITALMD501(C)(3)LINE 3N/A0
MERCY HEALTH FOUNDATION
301 ST PAUL PLACEBALTIMOREMD21202522173656FOUNDATIONMD501(C)(3)LINE 7N/A0
MARYLAND FAMILY CARE INC
301 ST PAUL PLACEBALTIMOREMD21202522046586PHYSICIANSMD501(C)(3)LINE 3N/A0
STELLA MARIS INC
2300 DULANEY VALLEY RDTIMONIUMMD21093521419602NURSING HOMEMD501(C)(3)LINE 10N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1VASCULAR SPECIALTY SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 ST PAUL PLACEAddressLine1Txt
CityBALTIMORECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21202ZIPCd
FieldValueIRS element (for citing)
EIN521995474EIN
Primary ActivitiesMEDICAL PRACTICEPrimaryActivitiesTxt
Legal Domicile StateMDLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd