MERCYHEALTH VISITING NURSES ASSOCIATION INC: Form 990, tax year 2021
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- Organization
- MERCYHEALTH VISITING NURSES ASSOCIATION INC (EIN 36-2167945)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202341359349311769
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T14:20:47-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MIDLAND COURT PO BOX 8130 | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535478130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362167945 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCYHEALTH VISITING NURSES | BusinessNameLine1Txt |
| Business Name Line2 | ASSOCIATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 8159715000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4223 E STATE STREET | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAVON BEA | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 8159715000 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAVON | PersonFirstNm |
| Person Last | BEA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TROY MARINE CPA | PreparerPersonNm |
| PTIN | P00187863 | PTIN |
| Phone | 6087525835 | PhoneNum |
| Preparation | 2023-05-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCYHEALTH AT HOME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAVON BEA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4223 E STATE STREET | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,708,561 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCYHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE AND RELATED SERVICES IN THE HOME, TO HELP A PATIENT BE MORE INDEPENDENT & RECOVER MORE QUICKLY, REDUCING THE NEED FOR & THE COST OF CARE, TO ATTEND TO THE ELDERLY BY MEETING SOCIAL & PHYSICAL NEEDS, TO PROVIDE HOSPICE CARE FOR PATIENTS & THEIR FAMILIES AND TO TRAIN THOSE CAREGIVERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 180 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $375 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,035 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,590 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,137,697 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,157,908 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,349,291 | PYOtherRevenueAmt |
| CY Other Revenue | $1,374,313 | CYOtherRevenueAmt |
| PY Total Revenue | $16,504,023 | PYTotalRevenueAmt |
| CY Total Revenue | $15,546,811 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,443,886 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,734,004 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,388,946 | PYOtherExpensesAmt |
| CY Other Expenses | $4,066,631 | CYOtherExpensesAmt |
| PY Total Expenses | $14,832,832 | PYTotalExpensesAmt |
| CY Total Expenses | $13,800,635 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,671,191 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,746,176 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $14,370,944 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,145,634 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,447,167 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,942,886 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,923,777 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,202,748 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE MERCYHEALTH VISITING NURSES ASSOCIATION, INC. (VNA) IS "EXCEPTIONAL HEALTHCARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,300,862 | ExpenseAmt |
| Revenue | $3,376,890 | RevenueAmt |
| Desc | VNA HAS BEEN PROVIDING HOME HEALTH SERVICES SINCE IT WAS ESTABLISHED IN 1920. THESE SERVICES HAVE EVOLVED BASED ON COMMUNITY NEEDS. A COMMUNITY VOLUNTARY BOARD OF DIRECTORS PROVIDES AN ANNUAL EVALUATION OF SERVICES BASED ON COMMUNITY NEEDS. HOME HEALTH IS A CORE SERVICE AND HAS BECOME CRITICALLY IMPORTANT WITH HELPING TO KEEP PEOPLE IN THEIR HOMES AND OUT OF INSTITUTIONS WHERE COSTS ARE SIGNIFICANTLY GREATER. THE HOME HEALTH CARE STAFF PROVIDED 1,115 PATIENTS WITH OVER 15,800 VISITS BY NURSES, THERAPISTS (PT, ST, OT) AND NURSE AIDES IN 2022. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,435,327 | ExpenseAmt |
| Revenue | $7,961,455 | RevenueAmt |
| Desc | VNA OFFERS SPECIALIZED ASSISTANCE THROUGH THE HOSPICE PROFESSIONALS, AND 30 TRAINED VOLUNTEERS CARED FOR 316 TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN 2022. SUPPORT AND COMFORT IS NOT ONLY PROVIDED FOR THE PATIENT BUT THE ENTIRE FAMILY, INCLUDING TWELVE MONTHS OF BEREAVEMENT FOLLOW-UP AFTER THEIR LOVED ONE'S DEATH. SPECIALLY TRAINED THERAPY DOGS ARE ALSO A PART OF THE SERVICE PROVIDING COMFORT THROUGH PET THERAPY. DURING 2022, HOSPICE STAFF PROVIDED 36,417 DAYS CARING FOR PHYSICAL AND EMOTIONAL NEEDS OF PATIENTS IN THEIR HOMES, IN NURSING FACILITIES, AND IN HOSPITALS. OLDER ADULT CARE SERVICES AND OTHER ADULT SERVICES SUCH AS MONEY MANAGEMENT ARE TO HELP PEOPLE LIVE IN THEIR OWN HOMES AND PREVENT INSTITUTIONALIZATION INTO NURSING HOMES. OVER 6,700 CLIENTS WERE PROVIDED A VARIETY OF SERVICES DURING 2022. NEARLY 2,300 ELDERLY RECEIVED SOCIAL CASE MANAGEMENT SERVICES INCLUDING AN INITIAL ASSESSMENT TO DETERMINE NEEDS AND THEN ASSISTANCE WITH ARRANGING FOR ANY AND ALL SERVICES FROM THE COMMUNITY TO HELP SUPPORT THEM IN THEIR HOME. OTHER SERVICES INCLUDE A PROGRAM TO SERVE ELDERLY WHO HAVE BEEN NEGLECTED, ABUSED, AND/OR FINANCIALLY EXPLOITED. THE "MONEY MANAGEMENT" PROGRAM SUPPORTS SENIORS WHO HAVE DIFFICULTY IN MANAGING THEIR BILLS, AND "MONEY FOLLOWS THE PERSON" PROGRAM PROVIDES SUPPORT TO HELP MOVE ELDERLY FROM NURSING HOMES BACK TO LIVING IN THEIR OWN HOME. SUPPORT AND TRAINING IS PROVIDED FOR CARETAKERS. NUMEROUS VOLUNTEERS ARE UTILIZED TO SUPPORT MANY OF THESE UNDERFUNDED SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,067,316 | ExpenseAmt |
| Revenue | $4,193,501 | RevenueAmt |
| Desc | MEDICAL EQUIPMENT AND RESPIRATORY SERVICES ARE PROVIDED TO PATIENTS IN THEIR HOME TO ASSIST THEM IN LIVING INDEPENDENTLY. THERE WERE 4,481 HOME VISITS MADE BY RESPIRATORY THERAPISTS AND 7,476 VISITS TO DELIVER NECESSARY MEDICAL EQUIPMENT, PROVIDE OXYGEN AND OR OTHER EQUIPMENT RELATED SERVICES IN 2022. EQUIPMENT IS PROVIDED WITH EDUCATION FOR THE PATIENT OR THE FAMILY/CAREGIVER FOR FUNCTIONAL TRAINING AND OPERATIONAL SAFETY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $12,803,505 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 2 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 180 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TODD ANDERSON VP & CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8159716738 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2400 N ROCKTON AVE | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61103 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAVON R BEA | |||||||||
| PRESIDENT & CEO (SEE PAGES 37-40) | 1.00 | 66.00 | Yes (X) | Yes (X) | $0 | $11,908,792 | $619,061 | ||
| MARK L GOELZER MD | |||||||||
| DIRECTOR/PHYSICIAN | 1.00 | 45.00 | Yes (X) | $0 | $444,609 | $28,511 | |||
| ROWLAND J MCCLELLAN | |||||||||
| CHAIR & DIRECTOR | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $14,276 | $0 | ||
| THOMAS R POOL | |||||||||
| VICE CHAIR & DIRECTOR | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $13,500 | $0 | ||
| THOMAS D BUDD | |||||||||
| SECRETARY & TREASURER | 1.00 | 6.00 | Yes (X) | Yes (X) | $0 | $13,691 | $0 | ||
| DAVE L SYVERSON | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $0 | $15,306 | $0 | |||
| KATHERINE A SCHACK | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $0 | $13,500 | $0 | |||
| WESLEY M JOST | |||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $0 | $13,693 | $0 | |||
| TODD ANDERSON | |||||||||
| VICE PRESIDENT/CFO | 1.00 | 56.00 | Yes (X) | $0 | $767,925 | $45,782 | |||
| KIMBERLY SCACCIA | |||||||||
| VP - REVENUE CYCLE | 1.00 | 40.00 | Yes (X) | $0 | $432,755 | $52,988 | |||
| ROBERT WALTERS | |||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $339,133 | $0 | $45,764 | |||
| HENRI C HAFALLA | |||||||||
| PT SUPERVISOR | 40.00 | 0.00 | $121,672 | $0 | $58,344 | Yes (X) | |||
| DEBRA A ROLF | |||||||||
| DIRECTOR OF HOMECARE AND HOSPICE | 40.00 | 0.00 | $139,493 | $0 | $31,847 | Yes (X) | |||
| MARY MAXSON | |||||||||
| RN FOR HOME HEALTH/HOSPICE | 40.00 | 0.00 | $110,144 | $0 | $30,909 | Yes (X) | |||
| JULIE A SCHELLSCHMIDT | |||||||||
| RN FOR HOME HEALTH/HOSPICE | 40.00 | 0.00 | $103,450 | $0 | $17,510 | Yes (X) | |||
| NGOZI EZEANI | |||||||||
| RN FOR HOME HEALTH/HOSPICE | 40.00 | 0.00 | $103,688 | $0 | $12,710 | Yes (X) | |||
| SHANNON DUNPHY-ALEXANDER | |||||||||
| SR EXECUTIVE DIRECTOR | 1.00 | 56.00 | $0 | $319,804 | $16,364 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $917,580 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $13,957,851 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $959,790 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $14,590 | RelatedOrganizationsAmt |
| Total Contributions | $14,590 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYMENTS | 621610 | $8,607,317 | $8,607,317 |
| COMMERCIAL/SELF PAY | 621999 | $3,063,804 | $3,063,804 |
| GOVERNMENT CONTRACTS | 621610 | $2,486,787 | $2,486,787 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,157,908 | TotalProgramServiceRevenueAmt |
| Gross Sales Of Inventory | $2,467,957 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,161,750 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,306,207 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,305,832 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $375 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $68,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $68,106 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $68,106 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,546,811 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,531,846 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $375 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,897 | TotalAmt |
| Management And General | $384,897 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,341,041 | TotalAmt |
| Program Services | $7,251,333 | ProgramServicesAmt |
| Management And General | $89,708 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,732 | TotalAmt |
| Program Services | $338,572 | ProgramServicesAmt |
| Management And General | $22,160 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,162 | TotalAmt |
| Program Services | $1,023,171 | ProgramServicesAmt |
| Management And General | $66,991 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $557,172 | TotalAmt |
| Program Services | $521,283 | ProgramServicesAmt |
| Management And General | $35,889 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,027 | TotalAmt |
| Management And General | $5,027 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,720,124 | TotalAmt |
| Program Services | $1,482,262 | ProgramServicesAmt |
| Management And General | $237,862 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,401 | TotalAmt |
| Management And General | $48,401 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,575 | TotalAmt |
| Program Services | $20,976 | ProgramServicesAmt |
| Management And General | $49,599 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,141 | TotalAmt |
| Program Services | $131,418 | ProgramServicesAmt |
| Management And General | $4,723 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,533 | TotalAmt |
| Program Services | $211,724 | ProgramServicesAmt |
| Management And General | $38,809 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,100 | TotalAmt |
| Program Services | $257,500 | ProgramServicesAmt |
| Management And General | $1,600 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$86,806 | TotalAmt |
| Program Services | $1,194 | ProgramServicesAmt |
| Management And General | -$88,000 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,977 | TotalAmt |
| Program Services | $295,052 | ProgramServicesAmt |
| Management And General | $36,925 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,944 | TotalAmt |
| Program Services | $22,972 | ProgramServicesAmt |
| Management And General | $22,972 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $768,425 | $745,088 | $23,337 |
| BAD DEBT EXPENSE | $322,461 | $322,461 | |
| FULFILLING GRANTS EXPEN | $96,086 | $94,470 | $1,616 |
| FREIGHT | $54,816 | $54,816 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,827 | TotalAmt |
| Program Services | $29,213 | ProgramServicesAmt |
| Management And General | $14,614 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,800,635 | TotalAmt |
| Program Services | $12,803,505 | ProgramServicesAmt |
| Management And General | $997,130 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,550,002 | BOYAmt |
| EOY | $8,684,115 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,612 | BOYAmt |
| EOY | $746,249 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,123,551 | BOYAmt |
| EOY | $1,343,027 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $310,044 | BOYAmt |
| EOY | $325,861 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,289 | BOYAmt |
| EOY | $26,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,760,788 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,944,167 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,794 | BOYAmt |
| EOY | $816,621 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,671,652 | BOYAmt |
| EOY | $3,203,572 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,370,944 | BOYAmt |
| EOY | $15,145,634 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,945,461 | BOYAmt |
| EOY | $3,771,850 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,269 | BOYAmt |
| EOY | $52,014 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,437 | BOYAmt |
| EOY | $119,022 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,447,167 | BOYAmt |
| EOY | $3,942,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,392,518 | BOYAmt |
| EOY | $10,729,583 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,259 | BOYAmt |
| EOY | $473,165 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,923,777 | BOYAmt |
| EOY | $11,202,748 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,370,944 | BOYAmt |
| EOY | $15,145,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,746,176 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$467,205 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $114,026 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,238 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $256,167 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,035 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,590 | CurrentTaxYearAmt |
| Total | $672,056 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,818,227 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,449,557 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,835,147 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,489,605 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,625,490 | CurrentTaxYearAmt |
| Total | $82,218,026 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,932,253 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,719,795 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,091,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,506,640 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,640,080 | CurrentTaxYearAmt |
| Total | $82,890,082 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,491,062 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,247,541 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,375,053 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,243,780 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,152,623 | CurrentTaxYearAmt |
| Total | $11,510,059 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,491,062 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,247,541 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,375,053 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,243,780 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,152,623 | CurrentTaxYearAmt |
| Total | $11,510,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $71,380,023 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,876 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $63,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,050 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $108,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,106 | CurrentTaxYearAmt |
| Total | $283,806 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,965,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,783,327 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,102,364 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,614,882 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,708,186 | CurrentTaxYearAmt |
| Total | $83,173,888 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.85820 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86170 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $5,027 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $5,027 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | TOTAL LOBBYING FOR FY2022 OF $5,027 INCLUDED THE FOLLOWING: $150 OR 2.5% OF THE NHPCO DUES OF $6,017. $1,496 OR 17% OF THE ILLINOIS HOMECARE OF $8,800. $3,381 OR 23% OF THE NAHC DUES OF $14,700. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,696,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$296,948 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $31,180 | OtherExpendituresAmt |
| Administrative Expenses | $368 | AdministrativeExpensesAmt |
| End Year Balance | $3,367,553 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,084,834 | BeginningYearBalanceAmt |
| Contributions | $200 | ContributionsAmt |
| Investment Earnings Or Losses | $656,475 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $45,132 | OtherExpendituresAmt |
| Administrative Expenses | $328 | AdministrativeExpensesAmt |
| End Year Balance | $3,696,049 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,839,116 | BeginningYearBalanceAmt |
| Contributions | $37,162 | ContributionsAmt |
| Investment Earnings Or Losses | $214,551 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,588 | OtherExpendituresAmt |
| Administrative Expenses | $407 | AdministrativeExpensesAmt |
| End Year Balance | $3,084,834 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,745,330 | BeginningYearBalanceAmt |
| Contributions | $3,382 | ContributionsAmt |
| Investment Earnings Or Losses | $278,908 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $185,326 | OtherExpendituresAmt |
| Administrative Expenses | $3,178 | AdministrativeExpensesAmt |
| End Year Balance | $2,839,116 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,600,839 | BeginningYearBalanceAmt |
| Contributions | $2,045 | ContributionsAmt |
| Investment Earnings Or Losses | $268,994 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $119,968 | OtherExpendituresAmt |
| Administrative Expenses | $6,580 | AdministrativeExpensesAmt |
| End Year Balance | $2,745,330 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.14510 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.43790 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.41700 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $143,986 | OtherCostOrOtherBasisAmt |
| Book Value | $143,986 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,523,846 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,369,734 | DepreciationAmt |
| Book Value | $154,112 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,029 | OtherCostOrOtherBasisAmt |
| Depreciation | $62,960 | DepreciationAmt |
| Book Value | $16,069 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,013,927 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,511,473 | DepreciationAmt |
| Book Value | $502,454 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $816,621 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN BENEFICIAL TRUST | $3,051,019 |
| DUE FROM ROCKFORD HEALTH PHYSICIANS | $139,672 |
| LEASE RIGHT OF USE | $12,881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,203,572 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| FIN 47 - ASSET RECOVERY OBLIGATION | $100,000 |
| DUE TO JAVON BEA HOSPITAL | $16,647 |
| DUE TO MERCYHEALTH DEVELOPMENT FOUNDATION | $2,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $119,022 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | FUNDS WERE USED TO PROVIDE A LECTURE SERIES, FOR CONTINUING EDUCATION FOR EMPLOYEES WANTING TO IMPROVE THEIR CREDENTIALS OR TO FOCUS ON A NEW SKILL OR SOME TECHNOLOGY NOT CURRENTLY AVAILABLE IN THE ROCKFORD COMMUNITY. THERE WERE ALSO MISCELLANEOUS PROJECTS DESIGNATED BY THE FOUNDATION BOARD IN ACCORDANCE WITH THE SPECIFIC ENDOWMENT. ALL FUNDS WERE EXPENDED PER THE SPECIFIC DIRECTION OF EACH ENDOWMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAVON R BEA | ||||||||||||||
| PRESIDENT & CEO (SEE PAGES 37-40) | $0 | $1,570,273 | $0 | $1,475,763 | $0 | $8,862,756 | $0 | $602,150 | $0 | $16,911 | $0 | $12,527,853 | $0 | $5,837,133 |
| TODD ANDERSON | ||||||||||||||
| VICE PRESIDENT/CFO | $0 | $545,321 | $0 | $211,257 | $0 | $11,347 | $0 | $11,600 | $0 | $34,182 | $0 | $813,707 | $0 | $0 |
| KIMBERLY SCACCIA | ||||||||||||||
| VP - REVENUE CYCLE | $0 | $310,535 | $0 | $120,856 | $0 | $1,364 | $0 | $11,600 | $0 | $41,388 | $0 | $485,743 | $0 | $0 |
| MARK L GOELZER MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $0 | $324,023 | $0 | $116,186 | $0 | $4,400 | $0 | $11,600 | $0 | $16,911 | $0 | $473,120 | $0 | $0 |
| ROBERT WALTERS | ||||||||||||||
| EXECUTIVE DIRECTOR | $227,161 | $0 | $110,566 | $0 | $1,406 | $0 | $12,717 | $0 | $33,047 | $0 | $384,897 | $0 | $0 | $0 |
| SHANNON DUNPHY-ALEXANDER | ||||||||||||||
| SR EXECUTIVE DIRECTOR | $0 | $244,896 | $0 | $74,682 | $0 | $226 | $0 | $11,600 | $0 | $4,764 | $0 | $336,168 | $0 | $0 |
| HENRI C HAFALLA | ||||||||||||||
| PT SUPERVISOR | $118,678 | $0 | $0 | $0 | $2,994 | $0 | $27,348 | $0 | $30,996 | $0 | $180,016 | $0 | $0 | $0 |
| DEBRA A ROLF | ||||||||||||||
| DIRECTOR OF HOMECARE AND HOSPICE | $120,185 | $0 | $18,750 | $0 | $558 | $0 | $22,630 | $0 | $9,217 | $0 | $171,340 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION FOR EXECUTIVES, INCLUDING THE TOP MANAGEMENT OFFICIAL, IS GOVERNED BY THE MHC BOARD OF DIRECTORS (A RELATED ORGANIZATION AND SOLE CORPORATE MEMBER OF VNA). THE MHC BOARD HAS ESTABLISHED A TOTAL COMPENSATION PHILOSOPHY THAT DIRECTS THE COMPENSATION PRACTICES FOR ALL EXECUTIVES FROM ALL RELATED ENTITIES (INCLUDING VNA) THIS BOARD HAS ESTABLISHED A COMPENSATION COMMITTEE TO ESTABLISH AND REVIEW ALL EXECUTIVE COMPENSATION ANNUALLY BASED ON THE ESTABLISHED PHILOSOPHY. AN INDEPENDENT EXTERNAL EXECUTIVE COMPENSATION FIRM PROVIDES CONSULTING ON MHC (INCLUDING VNA) SALARY RANGES AND COMPENSATION PHILOSOPHY. THE APPROPRIATE PEER GROUP FOR COMPENSATION COMPARISON PURPOSES IS OTHER NOT-FOR-PROFIT HEALTHCARE SYSTEMS SIMILAR IN SIZE AND COMPLEXITY. MHC GENERALLY CONDUCTS AN ANALYSIS OF TOTAL COMPENSATION EVERY THREE YEARS BUT MAY CHOOSE TO VARY FROM THIS SCHEDULE AS DETERMINED BY THE COMPENSATION COMMITTEE. THE VNA BOARD OF DIRECTORS CONCEDES THE AUTHORITY TO SET COMPENSATION TO MHC AS THE SOLE CORPORATE MEMBER THIS PROCESS WAS LAST COMPLETED IN 2021. |
| PART I, LINE 4B | INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $5,837,133. |
| PART II, LINE 1: | JAVON 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 $3.4 BILLION IN FY2022. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.9 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,000+ 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 11 STRAIGHT YEARS. THE TURNAROUND OF 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 TWO 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE BOARD OF DIRECTORS SHALL BE ASSISTED THROUGH THE WORK OF VARIOUS STANDING AND SPECIAL COMMITTEES. EACH COMMITTEE SHALL HAVE A CHARTER, WHICH MUST BE APPROVED BY THE BOARD OF DIRECTORS AND WHICH SHALL SPECIFY THE COMPOSITION OF THE COMMITTEE (INCLUDING QUALIFICATIONS OF COMMITTEE MEMBERS, IF ANY), AND THE AUTHORITY AND RESPONSIBILITIES OF THE COMMITTEE. EXCEPT AS SPECIFICALLY DETERMINED BY THE BOARD OF DIRECTORS, COMMITTEES SHALL ACCOUNT DIRECTLY TO THE BOARD OF DIRECTORS THROUGH REGULAR REPORTING AT SUCH TIME IN SUCH FORMAT AS MAY BE DETERMINED BY THE BOARD. TO THE EXTENT PROVIDED BY ITS CHARTER, A STANDING COMMITTEE MAY BE GRANTED THE AUTHORITY TO EXERCISE THE POWER OF THE BOARD BETWEEN BOARD MEETINGS, EXCEPT THAT NO COMMITTEE SHALL TAKE ANY OF THE FOLLOWING ACTIONS: (A) ADOPT A PLAN FOR DISTRIBUTION OF ASSETS OR DISSOLUTION OF THE CORPORATION; (B) FILL VACANCIES ON THE BOARD OR ANY COMMITTEE THEREOF; (C) ELECT, APPOINT OR REMOVE ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER, OR FIX THE COMPENSATION OF ANY COMMITTEE MEMBER; (D) AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR THESE BYLAWS; (E) ADOPT A PLAN OF MERGER OR CONSOLIDATION, OR AUTHORIZE THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY OR ASSETS OF THE CORPORATION; OR (F) AMEND, ALTER, REPEAL OR TAKE ACTION INCONSISTENT WITH ANY RESOLUTION OR ACTION OF THE BOARD IF, BY ITS TERMS, SUCH RESOLUTION OR ACTION PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY A COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF MERCYHEALTH VISITING NURSES, INC. (VNA). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) MAJORITY VOTE. THE FOLLOWING CORPORATION ACTIONS MAY BE TAKEN BY A MAJORITY VOTE OF THE SOLE MEMBER BOARD: (I) ELECTION AND REMOVAL OF THE DIRECTORS OR THE DIRECTORS OF ANY SUBSIDIARY; (II) INITIATION OR APPROVAL OF ANY SALE OR OTHER DISPOSITION OF ASSETS BY THE CORPORATION OF ITS SUBSIDIARY HAVING A BOOK OR MARKET VALUE EXCEEDING $500,000; (III) INITIATION OR APPROVAL OF THE FORMATION OF A NEW SUBSIDIARY, OR AN EQUITY INVESTMENT BY THE CORPORATION OR A SUBSIDIARY IN ANY UNRELATED PERSON; (IV) ADOPTION OF THE ANNUAL CONSOLIDATED OPERATING AND CAPITAL BUDGETS OF THE CORPORATION AND ITS SUBSIDIARIES, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC PLANS AND STRATEGIC CAPITAL PLANS OF THE SYSTEM; (V) INITIATION OR APPROVAL OF UNBUDGETED OR OUT-OF-BUDGET CAPITAL EXPENDITURES BY THE CORPORATION OR ONE OR MORE SUBSIDIARIES THAT EXCEED $500,000 AS EITHER A SINGLE ITEM OR A SERIES OF RELATED ITEMS; (VI) INITIATION OR APPROVAL OF BUDGETED CAPITAL EXPENDITURES BY THE CORPORATION OR ONE OR MORE SUBSIDIARIES EXCEEDING $1,500,000; (VII) APPROVAL OF LOCAL BANKING RELATIONSHIP OF THE CORPORATION OR ITS SUBSIDIARIES AND THE CORPORATION'S OR ANY SUBSIDIARY'S ENGAGEMENT OF INDEPENDENT AUDITORS; (VIII) INITIATION OR APPROVAL OF LOANS OR OTHER INCURRENCE OF DEBT BY THE CORPORATION OR ANY SUBSIDIARY EXCEEDING $500,000; (IX) APPROVAL OF ANY ACTION THAT COULD IMPAIR THE TAX-EXEMPT STATUS OF THE CORPORATION OR ANY SUBSIDIARY; (X) INITIATION OR APPROVAL OF THE HIRING OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, PRESIDENT AND/OR CHIEF OPERATING OFFICER OF CORPORATION OR ANY SUBSIDIARY; (XI) ANY AND ALL ACTIONS TO PROMOTE THE QUALITY OF CARE PROVIDED BY AND THE SAFETY OF PATIENTS SERVED BY CORPORATION OR ITS SUBSIDIARIES; (XII) ANY OTHER ACTION RESERVED TO THE CORPORATION BY THE ARTICLES OF INCORPORATION OR BYLAWS OF A SUBSIDIARY; AND (XIII) APPROVAL OF ANY AND ALL SUCH OTHER MATTERS REGARDING THE CORPORATION AND THE CONDUCT OF ITS BUSINESS ACTIVITIES AND OWNERSHIP OF ITS ASSETS AS MAY RIGHTLY COME BEFORE THE SOLE MEMBER BOARD; (B) SUPERMAJORITY VOTE. THE FOLLOWING CORPORATION ACTIONS MAY BE TAKEN BY A SUPERMAJORITY VOTE OF THE SOLE MEMBER BOARD (AS DEFINED IN THE SOLE MEMBER'S CORPORATE BYLAWS): (I) APPROVAL OF THE SALE, WITHIN A SINGLE YEAR, OF MORE THAN 10% OF THE TOTAL ASSETS INCLUDED WITHIN THE SYSTEM; (II) APPROVAL OF THE STRATEGIC PLANS AND STRATEGIC CAPITAL PLANS OF THE SYSTEM; (III) APPROVAL OF THE ISSUANCE OF INDEBTEDNESS EXCEEDING $5 MILLION ON BEHALF OF THE CORPORATION OR ANY SUBSIDIARY; (IV) INITIATION OR APPROVAL OF ANY ACQUISITION, MERGER, CONSOLIDATION, DISSOLUTION OR OTHER AFFILIATION OF THE CORPORATION OR A SUBSIDIARY WITH AN UNRELATED ENTITY; (V) INITIATION OR APPROVAL OF ANY ACQUISITION, MERGER, CONSOLIDATION, DISSOLUTION, OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR A SUBSIDIARY; (VI) INITIATION OR APPROVAL OF CHANGES TO THE MISSION OF THE CORPORATION OR ANY OTHER AMENDMENT OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR THESE BYLAWS; (VII) INITIATION OR APPROVAL OF CHANGES TO THE MISSION OF A SUBSIDIARY OR ANY OTHER AMENDMENT OR RESTATEMENT OF A SUBSIDIARY'S ARTICLES OF INCORPORATION OR CORPORATE BYLAWS; (VIII) INITIATION OR APPROVAL OF MATERIAL CHANGES TO THE SCOPE OF SERVICES OF CORPORATION OR ITS SUBSIDIARIES IF SUCH CHANGES WOULD HAVE A MATERIAL NET EFFECT (I.E., AN ACTUAL OR REASONABLY FORESEEABLE VALUE OR ECONOMIC EFFECT OF AT LEAST $1,000,000 ON THE OPERATING MARGIN OF CORPORATION OF ITS SUBSIDIARIES; AND (IX) REMOVAL OF ANY DIRECTOR OF THE CORPORATION OR A DIRECTOR OF A SUBSIDIARY BASED UPON A FINDING OF CAUSE, AS THAT TERM IS DEFINED IN SECTION 3.5(A) OF THE BYLAWS. |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE NARRATIVE FOR FORM 990 , PART VI, LINE 6 |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE NARRATIVE FOR FORM 990 , PART VI, LINE 6 |
| FORM 990, PART VI, SECTION B, LINE 11B | MANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MHC COMPLIANCE DEPARTMENT IS RESPONSIBLE FOR SENDING OUT A COPY OF THE POLICY WITH THE CONFLICT OF INTEREST FORM INCLUDED EACH YEAR. EACH MEMBER OF THE BOARD IS TO COMPLETE THE FINANCIAL INTEREST DISCLOSURE STATEMENT WHICH IS A PART OF THE POLICY. THE MHC COMPLIANCE DEPARTMENT REVIEWS AND RETAINS THESE STATEMENTS. IF A CONFLICT IS IDENTIFIED, ALL AFFECTED PARTIES ARE INFORMED, POTENTIAL CONFLICTS ARE REVIEWED AND APPROPRIATE ACTIONS ARE TAKEN AS A RESULT OF THE REVIEW. EMPLOYEES ARE GIVEN THE POLICY AND A STATEMENT TO COMPLETE AT THE BEGINNING OF THE YEAR OR AS A NEW PARTY IS HIRED OR JOINS THE VNA BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 1,482,262. MANAGEMENT AND GENERAL EXPENSES 237,862. TOTAL EXPENSES 1,720,124. |
| FORM 990, PART XI, LINE 9: | UNRESTRICTED FUNDS - MHDF -366,236. CHANGES IN PENSION OBLIGATION OTHER THAN PENSION EXPENSE -143,030. POST RETIREMENT MEDICAL BENEFIT ADJUSTMENT 88,549. TEMPORARILY RESTRICTED FUNDS 11,606. PERMANENTLY RESTRICTED FUNDS -58,094. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JAVON BEA HOSPITAL | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 362167847 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCYHEALTH DEVELOPMENT FOUNDATION | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363197918 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12A, I | MERCY HEALTH CORPORATION | 0 | |
| ROCKFORD HEALTH PHYSICIANS | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 363907436 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS | |||||||||||
| 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 390912682 | SUPPORT OF HEALTHCARE | WI | 501(C)(3) | LINE 12C, III-FI | MERCY HEALTH SYSTEM CORPORATION | 0 | |
| MERCY HEALTH SYSTEM CORPORATION | |||||||||||
| 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 390816848 | HEALTHCARE | WI | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY ASSISTED CARE INC | |||||||||||
| 901 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 391035110 | HEALTHCARE | WI | 501(C)(3) | LINE 10 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HARVARD HOSPITAL INC | |||||||||||
| 901 GRANT STREET | HARVARD | IL | 60033 | 311551871 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER | |||||||||||
| 200 LAKE AVE | WOODSTOCK | IL | 60098 | 201673011 | NONE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HEALTH CORPORATION | |||||||||||
| 2400 N ROCKTON AVE | ROCKFORD | IL | 61103 | 472158680 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROCKFORD HEALTH INSURANCE LTD | |||||||||||||
| WELLESLEY HOUSE SO 2ND FL | PEMBROKE HM | BD | INSURANCE | BD | N/A | C | 0 | ||||||
| JANESVILLE MEDICAL CENTER INC | |||||||||||||
| MANAGEMENT OF UNION EMPLOYEES | N/A | C | 0 | 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 391520130 | WI | ||||
| MERCYCARE INSURANCE COMPANY | |||||||||||||
| INSURANCE | N/A | C | 0 | 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 391768192 | WI | ||||
| MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO | |||||||||||||
| INSURANCE | N/A | C | 0 | 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 201482553 | WI | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |