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MERCY HARVARD HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MERCY HARVARD HOSPITAL INC (EIN 31-1551871)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-15
IRS object ID
202511359349316041
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-05-15T17:16:33-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY ADVISORY GROUP LPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MIDLAND COURT PO BOX 8130AddressLine1Txt
CityJANESVILLECityNm
State AbbreviationWIStateAbbreviationCd
ZIP535478130ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311551871EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HARVARD HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARVBusinessNameControlTxt
Phone8159435431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 GRANT STREETAddressLine1Txt
CityHARVARDCityNm
State AbbreviationILStateAbbreviationCd
ZIP60033ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAVON BEAPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8159435431PhoneNum
Signature2025-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHELBY NETZ CPAPreparerPersonNm
PTINP01405265PTIN
Phone6087525835PhoneNum
Preparation2025-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJAVON BEAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 GRANT STREETAddressLine1Txt
CityHARVARDCityNm
State AbbreviationILStateAbbreviationCd
ZIP60033ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$30,619,079GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCYHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF MERCY HARVARD HOSPITAL, INC IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER." THE FOUNDATION OF THIS MISSION IS BASED ON A VISION OF QUALITY: EXCELLENCE IN PATIENT CARE; SERVICE: EXCEPTIONAL PATIENT AND CUSTOMER CARE; PARTNERING: BEST PLACE TO WORK; AND COST: COST-EFFECTIVE CARE, ALONG WITH A COMMITMENT TO THE VALUES OF HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee338TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$32,871PYContributionsGrantsAmt
CY Contributions Grants$22,469CYContributionsGrantsAmt
PY Program Service Revenue$33,435,721PYProgramServiceRevenueAmt
CY Program Service Revenue$30,487,941CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$178,489PYOtherRevenueAmt
CY Other Revenue$108,669CYOtherRevenueAmt
PY Total Revenue$33,647,081PYTotalRevenueAmt
CY Total Revenue$30,619,079CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$234,201CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,114,906PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,022,527CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,606,118PYOtherExpensesAmt
CY Other Expenses$14,399,965CYOtherExpensesAmt
PY Total Expenses$29,721,024PYTotalExpensesAmt
CY Total Expenses$28,656,693CYTotalExpensesAmt
PY Revenues Less Expenses$3,926,057PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,962,386CYRevenuesLessExpensesAmt
Total Assets BOY$35,489,631TotalAssetsBOYAmt
Total Assets EOY$37,472,946TotalAssetsEOYAmt
Total Liabilities BOY$9,765,379TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,819,016TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,724,252NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,653,930NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF MERCY HARVARD HOSPITAL, INC. (MHH) IS "EXCEPTIONAL HEALTH CARE SERVICES WITH A PASSION FOR MAKING LIVES BETTER." THE FOUNDATION OF THIS MISSION IS BASED ON A VISION OF QUALITY: EXCELLENCE IN PATIENT CARE; SERVICE: EXCEPTIONAL PATIENT AND CUSTOMER CARE; PARTNERING: BEST PLACE TO WORK; AND COST: COST-EFFECTIVE CARE, ALONG WITH A COMMITMENT TO THE VALUES OF HEALING IN THE BROADEST SENSE, PATIENTS COME FIRST, TREAT EACH OTHER LIKE FAMILY AND ALWAYS SEEK EXCELLENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,935,226ExpenseAmt
Grant$234,201GrantAmt
Revenue$30,487,941RevenueAmt
DescMERCY HARVARD HOSPITAL, INC. IS LOCATED IN MCHENRY COUNTY, ILLINOIS. IT IS LICENSED FOR 12 ACUTE AND 45 LONG-TERM CARE BEDS. IT IS A CRITICAL ACCESS HOSPITAL WITH 24/7 EMERGENCY SERVICES AND OUTPATIENT SURGERY. IN FISCAL YEAR 2024, MHH PROVIDED INPATIENT CARE FOR 185 PATIENTS, SUPPORTED 5,318 EMERGENCY VISITS, 1,274 OUTPATIENT SURGERY CASES, AND PROVIDED NURSING HOME CARE FOR 39 PATIENTS.Desc
Total Program Service Expenses$22,935,226TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
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 AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee338EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
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 FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOE MALASBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8159716738PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 E RIVERSIDE BLVDAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61114ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
TODD ANDERSON
VP/CFO (TERM 01/2025)1.0062.00Yes (X)$0$890,535$87,531
KIMBERLY SCACCIA
VP - REVENUE CYCLE1.0062.00Yes (X)$0$545,085$60,588
MARK L GOELZER MD
DIRECTOR/PHYSICIAN1.0045.00$0$481,051$33,521Yes (X)
KHRISTINE SCHRADER
RN SHIFT COORDINATOR44.000.00$190,943$0$26,611Yes (X)
BRENDA BOTE-CATACUTAN
RN HOSPITAL ADVANCED47.000.00$170,930$0$36,809Yes (X)
TIMOTHY AUBRY
PHARMACIST SUPERVISOR HOSPITAL40.000.00$184,687$0$14,132Yes (X)
SUSAN TOWNE
ULTRASOUND RADIOGRAPHER 348.000.00$164,076$0$11,293Yes (X)
CHARITO PRESISTO
RN HOSPITAL ADVANCED CERTIFIED43.000.00$158,164$0$5,148Yes (X)
JAVON R BEA
PRESIDENT/CEO (SEE PAGES 62-67)1.0067.00Yes (X)$0$16,001,686$6,756,093Yes (X)
ROWLAND J MCCLELLAN
CHAIR & DIRECTOR1.007.00Yes (X)$0$23,157$0Yes (X)
WESLEY M JOST
DIRECTOR1.007.00$0$13,858$0Yes (X)
KATHERINE A SCHACK
DIRECTOR1.007.00$0$13,663$0Yes (X)
THOMAS R POOL
VICE CHAIR & DIRECTOR1.007.00Yes (X)$0$13,500$0Yes (X)
THOMAS D BUDD
SECRETARY & TREASURER1.007.00Yes (X)$0$13,500$0Yes (X)
DAVE L SYVERSON
DIRECTOR1.007.00$0$12,932$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$868,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$18,008,967TotReportableCompRltdOrgAmt
Total Other Compensation$7,031,726TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROCK VALLEY INDUSTRIESBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line15549 INTERNATIONAL DRIVEAddressLine1Txt
CityROCKFORDCityNm
State AbbreviationILStateAbbreviationCd
ZIP61109ZIPCd
FieldValueIRS element (for citing)
ServicesJANITORIAL SERVICESServicesDesc
Compensation$185,611CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$22,469AllOtherContributionsAmt
Total Contributions$22,469TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE621110$21,846,777$21,846,777
MEDICARE621110$5,721,702$5,721,702
MEDICAID621110$2,919,462$2,919,462
FieldValueIRS element (for citing)
Total Program Service Revenue$30,487,941TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$79,365$79,365
MEALS ON WHEELS624210$22,009$22,009
MISCELLANEOUS900099$7,295$7,295
FieldValueIRS element (for citing)
Other Revenue Total$108,669OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,619,079TotalRevenueColumnAmt
Related Or Exempt Func Income$30,487,941RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$108,669ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$234,201TotalAmt
Program Services$234,201ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,286,605TotalAmt
Program Services$7,698,988ProgramServicesAmt
Management And General$3,587,617ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,811,480TotalAmt
Program Services$1,230,286ProgramServicesAmt
Management And General$581,194ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$924,442TotalAmt
Program Services$634,196ProgramServicesAmt
Management And General$290,246ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$30,191TotalAmt
Management And General$30,191ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,078TotalAmt
Program Services$1,347ProgramServicesAmt
Management And General$9,731ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$20,460TotalAmt
Management And General$20,460ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,592,436TotalAmt
Program Services$3,443,318ProgramServicesAmt
Management And General$149,118ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,504TotalAmt
Management And General$10,504ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$108,754TotalAmt
Program Services$28,974ProgramServicesAmt
Management And General$79,780ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$29,965TotalAmt
Program Services$22,317ProgramServicesAmt
Management And General$7,648ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$536,386TotalAmt
Program Services$411,817ProgramServicesAmt
Management And General$124,569ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$79,079TotalAmt
Program Services$30,049ProgramServicesAmt
Management And General$49,030ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,047TotalAmt
Program Services$1,201ProgramServicesAmt
Management And General$7,846ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$255,136TotalAmt
Program Services$204,109ProgramServicesAmt
Management And General$51,027ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,547,824TotalAmt
Program Services$1,238,259ProgramServicesAmt
Management And General$309,565ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$794,997TotalAmt
Program Services$662,344ProgramServicesAmt
Management And General$132,653ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBTS$2,699,773$2,699,773
DRUGS & MEDICAL SUPPLIE$2,594,250$2,564,180$30,070
TAXES AND ASSESSMENTS$1,140,413$1,140,413
MAINTENANCE AND REPAIRS$311,306$222,237$89,069

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$628,366TotalAmt
Program Services$467,217ProgramServicesAmt
Management And General$161,149ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,656,693TotalAmt
Program Services$22,935,226ProgramServicesAmt
Management And General$5,721,467ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,867,253BOYAmt
EOY$5,194,442EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,515,044BOYAmt
EOY$1,576,276EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,037,921BOYAmt
EOY$1,136,871EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$37,428BOYAmt
EOY$45,110EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,235,310LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,693,910LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,440,295BOYAmt
EOY$6,541,400EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$20,591,690BOYAmt
EOY$22,978,847EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,489,631BOYAmt
EOY$37,472,946EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,873,223BOYAmt
EOY$1,760,092EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,892,156BOYAmt
EOY$8,058,924EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,765,379BOYAmt
EOY$9,819,016EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,724,252BOYAmt
EOY$27,653,930EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,724,252BOYAmt
EOY$27,653,930EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,489,631BOYAmt
EOY$37,472,946EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,962,386ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$32,708PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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 RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Political Expenditures$0PoliticalExpendituresAmt
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,460OtherActivitiesAmt
Total Lobbying Expenditures$20,460TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PERCENTAGE OF THE 2024 ILLINOIS HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$222,604OtherCostOrOtherBasisAmt
Book Value$222,604BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,972,425OtherCostOrOtherBasisAmt
Depreciation$19,495,833DepreciationAmt
Book Value$3,476,592BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,150,716OtherCostOrOtherBasisAmt
Depreciation$14,386,266DepreciationAmt
Book Value$2,764,450BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$889,565OtherCostOrOtherBasisAmt
Depreciation$811,811DepreciationAmt
Book Value$77,754BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,541,400TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DUE FROM RELATED PARTIES$20,424
UNAMORTIZED BOND FEES$16,588
OTHER RECEIVABLES$76,032
DUE FROM MERCY HEALTH SYSTEM$22,835,613
DUE FROM ROCKFORD HEALTH PHYSICIANS, INC.$6,454
DUE FROM MERCY HEALTH CORPORATION$17,275
DUE FROM VISITING NURSES ASSOCIATION, INC.$6,461
FieldValueIRS element (for citing)
Total Book Value Other Assets$22,978,847TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
DUE TO MERCY HEALTH CORPORATION$5,525,731
THIRD - PARTY PAYABLES$918,469
DUE TO MERCY ASSISTED CARE$636,367
DUE TO JAVON BEA HOSPITAL$572,515
DUE TO MERCY CRYSTAL LAKE, INC.$350,819
DUE TO MERCYHEALTH DEVELOPMENT FOUNDATION$26
OTHER ACCRUALS$54,997
FieldValueIRS element (for citing)
Total Liability$8,058,924TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$78,700TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$78,700NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,788,613TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,919,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,869,151NetCommunityBenefitExpnsAmt
Total Expense0.06580TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,867,313TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,919,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,947,851NetCommunityBenefitExpnsAmt
Total Expense0.06860TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,607TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,607NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,079,822TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,575,719DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,504,103NetCommunityBenefitExpnsAmt
Total Expense0.12330TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$500NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,105,929TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,575,719DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,530,210NetCommunityBenefitExpnsAmt
Total Expense0.12420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,973,242TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,495,181DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,478,061NetCommunityBenefitExpnsAmt
Total Expense0.19280TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,699,773BadDebtExpenseAmt
Bad Debt Expense Attributable$219,637BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,443,332ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,643,792CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$200,460MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HARVARD HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1901 GRANT STREETAddressLine1Txt
CityHARVARDCityNm
State AbbreviationILStateAbbreviationCd
ZIP60033ZIPCd
FieldValueIRS element (for citing)
Website AddressMERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHEWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MERCY HARVARD HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/OwnWebsiteURLTxt
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MERCY HARVARD HOSPITALPART V, SECTION B, LINE 5: A COMMUNITY NEEDS ASSESSMENT WAS DONE IN 2023 FOR THE HARVARD AREA AND MCHENRY COUNTY TO IDENTIFY OPPORTUNITIES TO IMPROVE THE HEALTH CARE SYSTEM AND IMPROVE PATIENT CARE AND PREVENTIVE SERVICE UTILIZATION AND THE OVERALL HEALTH AND QUALITY OF LIFE IN THE COMMUNITY.TO GATHER PRIMARY DATA REGARDING HEALTH NEEDS IN MCHENRY COUNTY, MHH AND MHC AFFILIATES CREATED AN ONLINE COMMUNITY HEALTH SURVEY USING THE MACHFORM SURVEY TOOL. THE SURVEY WAS TRANSLATED INTO SPANISH, AND BOTH ENGLISH AND SPANISH VERSIONS WERE ACCESSIBLE VIA LINKS AND QR CODES. METHODS FOR SURVEY DISTRIBUTION INCLUDED SOCIAL MEDIA, MERCYHEALTH'S INTERNAL NEWSLETTER, MERCYHEALTH'S COMMUNITY NEWSLETTER, AND FLYER PLACEMENT AT KEY COMMUNITY LOCATIONS. THE SURVEY WAS DISTRIBUTED BETWEEN JANUARY 10, 2023, AND FEBRUARY 12, 2023. MHH RECEIVED 303 SURVEY RESPONSES. DATA WAS ALSO COLLECTED THROUGH VIRTUAL AND IN-PERSON INTERVIEWS WITH KEY STAKEHOLDERS WHO REPRESENT COMMUNITY ORGANIZATIONS AND, THROUGH THEIR ROLES AS COMMUNITY LEADERS AND ORGANIZERS, POSSESS VALUABLE INSIGHTS INTO HEALTH ISSUES EXPERIENCED BY THE POPULATIONS THEY SERVE. KEY INFORMANTS WERE SELECTED WITH THE GOAL OF GATHERING INFORMATION REFLECTIVE OF A BROAD CROSS-SECTION OF THE COMMUNITY, PARTICULARLY THOSE POPULATIONS UNLIKELY TO RESPOND TO THE SURVEY. SEVEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2023 AND MARCH 2023.REPRESENTATIVES FROM MHH PARTICIPATED IN DEVELOPMENT OF THE MCHENRY COUNTY DEPARTMENT OF HEALTH'S 2022 COMMUNITY HEALTH IMPLEMENTATION PLAN (CHIP) PRIORITIES. MHH IS ALSO A MEMBER OF THE MCHENRY COUNTY DEPARTMENT OF HEALTH'S MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) CORE TEAM. MAPP WORKGROUPS ARE RESPONSIBLE FOR ADDRESSING PRIORITIES OUTLINED IN THE COUNTY'S CHIP. THROUGH THIS WORK, MHH HAS OBTAINED INPUT FROM CORE TEAM MEMBERS ABOUT RESOURCES AVAILABLE TO ADDRESS HEALTH ISSUES IN MCHENRY COUNTY.THE 2023 IMPLEMENTATION STRATEGY FOR THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE THE FOLLOWING PRIORITIES FOR CHRONIC DISEASE AND NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. IN FY24, MHH INITIATED PATIENT OUTREACH FOR A1C CONTROL; CONTINUED EDUCATION FOR MERCYHEALTH STAFF ABOUT IMPORTANCE OF ACCURATE BLOOD PRESSURE SCREENINGS; STAFF ATTENDED VARIOUS COMMUNITY EVENTS TO PROVIDE OUTREACH/EDUCATION ABOUT HEALTHY LIFESTYLE AND WEIGHT MANAGEMENT PROGRAMMING OFFERED AT MERCYHEALTH, AND CONDUCTED FREE BLOOD PRESSURE CHECKS.
MERCY HARVARD HOSPITALPART V, SECTION B, LINE 6B: MERCY HARVARD HOSPITAL WORKED WITH ITS AFFILIATED ORGANIZATION: MERCY HEALTH SYSTEM CORPORATION. MERCY HEALTH SYSTEM HAS CLINIC FACILITIES IN AND AROUND MCHENRY COUNTY.
MERCY HARVARD HOSPITALPART V, SECTION B, LINE 11: WHEN RESPONDENTS WERE ASKED WHICH HEALTH BEHAVIORS SHOULD BE ADDRESSED IN MCHENRY COUNTY, MENTAL HEALTH, MENTAL CONDITIONS, AND SUICIDE WERE MOST FREQUENTLY IDENTIFIED. AMONG RESPONDENTS WHO REPORTED EXPERIENCING BARRIERS ACCESSING MENTAL HEALTH CARE IN THE PAST 12 MONTHS, THE MOST COMMONLY REPORTED BARRIERS WERE WAIT TIMES, AFFORDABILITY, AND INABILITY TO LOCATE A PROVIDER.ALCOHOL AND SUBSTANCE ABUSE WAS THE SECOND-MOST FREQUENTLY IDENTIFIED HEALTH BEHAVIOR THAT SURVEY RESPONDENTS FELT SHOULD BE ADDRESSED IN MCHENRY COUNTY.THE THIRD-MOST FREQUENTLY IDENTIFIED HEALTH NEED WAS NUTRITION, PHYSICAL ACTIVITY, AND OBESITY.THE ABOVE FINDINGS WERE PRESENTED IN APRIL 2023 TO THE MERCYHEALTH EXECUTIVE COUNCIL, COMPRISED OF MERCYHEALTH EXECUTIVE LEADERS. THE EXECUTIVE COUNCIL ACKNOWLEDGES THAT SOME OF THE NEEDS IDENTIFIED, SUCH AS HOUSING, CHILDCARE, AND MENTAL HEALTH, ARE SIGNIFICANT NEEDS; HOWEVER, MHH AS A HOSPITAL LACKS THE EXPERTISE NECESSARY TO APPROPRIATELY ADDRESS THESE NEEDS, AND OTHER COMMUNITY PROVIDERS WHO ALREADY OFFER RELATED SERVICES ARE BETTER POSITIONED TO MORE QUICKLY ADDRESS THEM. THE EXECUTIVE COUNCIL IDENTIFIED THE FOLLOWING AREAS AS PRIORITIES FOR MHH'S 2023 CHNA: 1. CHRONIC DISEASES2. NUTRITION, PHYSICAL ACTIVITY, AND OBESITYTHESE PRIORITY AREAS ADDRESS TWO SIGNIFICANT HEALTH NEEDS THAT HOSPITALS LIKE MHH MAY BE ABLE TO IMPACT, INCLUDING FOR POPULATIONS WHO EXPERIENCE BARRIERS TO ACCESSING HEALTH CARE. ACCORDINGLY, THE EXECUTIVE COUNCIL BELIEVES THAT THE ACTION ITEMS IDENTIFIED IN ITS ASSOCIATED IMPLEMENTATION STRATEGY WILL MAINTAIN OR IMPROVE THE COMMUNITY'S HEALTH STATUS.DURING THE COURSE OF THE FISCAL YEAR 2024, MERCYHEALTH CONTINUED TO PARTICIPATE IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT CLINICS AND IN CONJUNCTION WITH COMMUNITY-BASED ORGANIZATIONS/EVENTS OFFERED SCREENINGS AND EDUCATION. THESE EFFORTS WERE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS.FINALLY, IN THE AREA OF SCREENINGS, MERCYHEALTH PARTNERS ALONG WITH COMMUNITY AGENCIES AND MERCYHEALTH STAFF, OFFERED SCREENINGS AT HEALTH FAIRS, MERCYHEALTH SPONSORED EVENTS, AND THROUGH FREE AND SLIDING FEE SCALE PRIMARY CLINICS IN MCHENRY COUNTY.MERCYHEALTH PROVIDES EXTENSIVE TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS. MERCYHEALTH HAS PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES.
MERCY HARVARD HOSPITALPART V, SECTION B, LINE 13B: PRESUMPTIVE CHARITY CARE HOSPITAL BILLS FOR PATIENTS MEETING CERTAIN MERCYHEALTH REQUIREMENTS ARE CATEGORICALLY REDUCED BY 100% ON AN EPISODIC BASIS FOR ANY PATIENT LIABILITY. ALL THIRD-PARTY LIABILITY MUST BE EXHAUSTED. BASED ON INFORMATION RECEIVED FROM THIRD PARTY SOURCES, MERCYHEALTH MAY CATEGORIZE AN ACCOUNT AS PRESUMPTIVE CHARITY CARE AND REDUCE AMOUNTS UP TO 100%, IF MERCYHEALTH DETERMINES ONE OR MORE OF THE FOLLOWING CRITERIA APPLIES; NO OTHER PROOF OF INCOME WILL BE REQUESTED:I. PATIENT IS CURRENTLY ELIGIBLE FOR MEDICAID FOR OTHER DATES OF SERVICE OR SERVICES DEEMED NON-COVERED BY MEDICAID; OR, II. HOMELESSNESS;III. DECEASED WITH NO ESTATE; IV. MENTAL INCAPACITATION WITH NO ONE TO ACT ON THE PATIENT'S BEHALF;V. CONFIRMED BANKRUPTCY;VI. PATIENT IS ENROLLED IN OR ELIGIBLE FOR AN ASSISTANCE PROGRAM FOR LOW INCOME INDIVIDUALS INCLUDING BUT NOT LIMITED TO:A. WOMEN, INFANT AND CHILDREN NUTRITION PROGRAM (WIC);B. SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP);C. ILLINOIS FREE LUNCH AND BREAKFAST PROGRAM;D. COMMUNITY BASED MEDICAL ASSISTANCE;E. TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF);F. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS;G. RECEIPT OF GRANT ASSISTANCE FOR MEDICAL SERVICES.
MERCY HARVARD HOSPITALPART V, SECTION B, LINE 13H: SEE RESPONSE FOR LINE 13B.
PART V, LINE 16A:WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
PART V, LINE 16B:WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
PART V, LINE 16C:WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/
PART V, LINE 7:HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/ MHH WILL ADOPT THE FOLLOWING IMPLEMENTATION STRATEGIES TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS 2023 COMMUNITY HEALTH NEEDS ASSESSMENT: MAINTAIN PATIENT AND EMPLOYEE EDUCATION ABOUT ACCURATE BLOOD PRESSURE READINGS TO ENSURE ACCURATE DETECTION AND MANAGEMENT OF BLOOD PRESSURE ISSUES WHICH, WHEN UNCONTROLLED, CAN CONTRIBUTE TO CHRONIC DISEASES LIKE HEART AND KIDNEY DISEASE. IMPROVE PERFORMANCE ON QUALITY MEASURES RELATED TO DIABETES CARE MANAGEMENT, INCLUDING A1C COMPLETION, DIABETES EYE EXAM, AND KIDNEY FUNCTION THROUGH PATIENT OUTREACH AND EDUCATION TO EMPLOYEES ABOUT ADDRESSING ALL OUTSTANDING DIABETES CARE NEEDS DURING PATIENT VISITS. CONTINUE SHARING BEST PRACTICES FOR CHRONIC DISEASE MANAGEMENT WITH OTHER HEALTH SYSTEMS. PROVIDE FREE BLOOD PRESSURE CHECKS AND EDUCATION ABOUT HEALTHY LIFESTYLE CHOICES AT COMMUNITY EVENTS. INCREASE REFERRALS INTO MHH'S WEIGHT MANAGEMENT PROGRAM, A COMPREHENSIVE PROGRAM DESIGNED TO HELP PARTICIPANTS GRADUALLY LOSE WEIGHT AND KEEP IT OFF FOR A LIFETIME. RECRUIT ADDITIONAL PROVIDERS (I.E. DIETICIAN, EXERCISE PHYSIOLOGIST, BEHAVIORAL PSYCHOLOGIST) TO MHH'S WEIGHT MANAGEMENT PROGRAM TO ENHANCE ACCESS AND/OR SERVICES AVAILABLE TO PROGRAM PARTICIPANTS. FOR PATIENTS ENROLLED IN MHH'S WEIGHT MANAGEMENT PROGRAM, EXPAND ENGAGEMENT AND EDUCATION ACTIVITIES TO INCREASE ADHERENCE TO TREATMENT PLANS AND DRIVE WEIGHT LOSS OUTCOMES. INCREASE REFERRALS INTO MHH'S CARDIAC REHABILITATION PROGRAM, A COMPREHENSIVE EXERCISE, EDUCATION, AND SUPPORT PROGRAM AIMED AT IMPROVING QUALITY OF LIFE AND DISEASE MANAGEMENT FOR CARDIAC PATIENTS. FOR PATIENTS ENROLLED IN MHH'S CARDIAC REHABILITATION PROGRAM, EXPLORE APPROACHES TO INCREASE ATTENDANCE AND ADHERENCE SUCH AS: 1) DELIVERY MODELS TO ADDRESS PATIENT ACCESS ISSUES INCLUDING TRANSPORTATION AND COPAYS 2) RECOGNITION/INCENTIVE PROGRAM FOR PATIENTS WHO COMPLETE RECOMMENDED NUMBER OF SESSIONS EXPLORE COMMUNITY OUTREACH TO ADDRESS CHILD OBESITY. INCREASE NUMBER OF PATIENTS WHO RECEIVE SIT-TO-STAND FUNCTIONAL ABILITY SCREENINGS AND IF INDICATED PHYSICAL THERAPY REFERRALS AT MEDICARE ANNUAL WELLNESS VISITS THROUGH EMPLOYEE EDUCATION. CONTINUE ATHLETIC TRAINING PARTNERSHIPS TO IMPROVE HEALTH AND MAINTAIN SAFETY OF STUDENT ATHLETES THROUGH EDUCATION ON TOPICS INCLUDING PHYSICAL ACTIVITY, HYDRATION, NUTRITION, INJURY PREVENTION.
PART V, LINE 22D:MERCYHEALTH WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS FOR EMERGENCY MEDICAL CARE OR MEDICALLY NECESSARY CARE. TO CALCULATE THE AGB, MERCYHEALTH USES THE "LOOK-BACK" METHOD DESCRIBED IN SECTION 4(B)(2) OF THE IRS AND TREASURY'S 501(R) FINAL RULE.IN THIS METHOD, MERCYHEALTH USES DATA BASED ON CLAIMS SENT TO MEDICARE'S FEE-FOR-SERVICE PROGRAM AND ALL PRIVATE COMMERCIAL INSURERS FOR EMERGENCY MEDICAL CARE AND MEDICALLY NECESSARY CARE OVER THE PAST YEAR TO DETERMINE THE PERCENTAGE OF GROSS CHARGES THAT IS TYPICALLY ALLOWED BY THESE INSURERS. MERCYHEALTH USES DATA FOR A 12-MONTH PERIOD BEGINNING APRIL 1 THROUGH MARCH 31 AND WILL ADJUST THE AGB PERCENTAGE YEARLY, EFFECTIVE EACH JULY 1. THE CURRENT AGB FOR EACH HOSPITAL IS LISTED IN THE FINANCIAL ASSISTANCE SUPPORTING INFORMATION ON OUR WEBSITE AT WWW.MERCYHEALTHSYSTEM.ORG OR AVAILABLE FREE OF CHARGE.MERCYHEALTH WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO INSURED PATIENTS FOR EMERGENCY MEDICAL CARE OR MEDICALLY NECESSARY CARE.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - MERCYHEALTH CARE CENTER
901 GRANT STREETHARVARDIL60033NURSING HOME FACILITY
2 - MERCY HARVARD HOSPITAL CLINIC
1001 GRANT STREETHARVARDIL60033PHYSICIAN CLINIC
3 - MERCY HARVARD REHAB AND FITNESS CENTER
1000 N HAYES STREETHARVARDIL60033REHABILITATION CENTER

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:THE HOSPITAL OFFERS A 25% SELF-PAY DISCOUNT TO ALL UNINSURED PATIENTS ON ALL MEDICALLY NECESSARY SERVICES. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON THE FOLLOWING: INDIVIDUAL OR HOUSEHOLD INCOME, INDIVIDUAL OR HOUSEHOLD ASSETS, HOUSEHOLD SIZE, AND OTHER SOURCES OF PAYMENT FOR SERVICES. THE AMOUNT OF ASSISTANCE IS BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THEIR OUTSTANDING BALANCE. IF PATIENT INCOME AND HOUSEHOLD ASSETS ARE LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES, THEN MERCYHEALTH WILL COVER 100% OF THEIR OUTSTANDING BALANCE. IF THE PATIENT'S INCOME AND HOUSEHOLD ASSETS FALL BETWEEN 201% AND 300% OF THE FEDERAL POVERTY GUIDELINES, THEN A PATIENT'S REMAINING BALANCE CAN BE REDUCED AS MUCH AS 90% AND PAYMENT ARRANGEMENTS CAN BE EXTENDED FOR AS LONG AS TWENTY-FOUR MONTHS OR LONGER IF THERE ARE EXTENUATING CIRCUMSTANCES.FOR MEDICALLY NECESSARY PROCEDURES, UNDER HUBDA AN ILLINOIS LAW, A PATIENT RESIDING IN ILLINOIS MAY BE ELIGIBLE BASED ON 300% OF THE FEDERAL POVERTY GUIDELINES.MERCYHEALTH MAY CATEGORIZE AN ACCOUNT AS PRESUMPTIVE CHARITY CARE AND REDUCE AMOUNTS UP TO 100%, IF MERCYHEALTH DETERMINES CERTAIN CRITERIA APPLIES SUCH AS HOMELESSNESS OR DECEASED WITHOUT AN ESTATE.
PART I, LINE 6A:MERCY HEALTH SYSTEM CORP., A RELATED ORGANIZATION OF MERCY HARVARD HOSPITAL, PREPARED A COMMUNITY BENEFIT REPORT.
PART I, LINE 7:A COST-TO-CHARGE RATIO METHODOLOGY WAS USED TO DETERMINE COSTS ASSOCIATED WITH CHARITY CARE, UNREIMBURSED MEDICAID, AND OTHER MEANS TESTED GOVERNMENT PROGRAMS.THE COST-TO-CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2: RATIO OF PATIENT CARE COST-TO CHARGE. THE COST OF THE OTHER BENEFITS REFERENCED IN THE TABLE OF LINE 7 (COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS; SUBSIDIZED HEALTH SERVICES; CASH AND IN-KIND CONTRIBUTIONS) WERE DETERMINED USING ACTUAL DEPARTMENT/SERVICE SPECIFIC DATA AND /OR COST ACCOUNTING DERIVED DATA.
PART I, LN 7 COL(F):BAD DEBT EXPENSE IS ACCOUNTED FOR AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION. SEE BELOW: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE.
PART I, LINE 5B:ACTUAL REVENUE WAS HIGHER THAN BUDGETED, AND AS SUCH THE ANTICIPATED CHARITY IMPACT WOULD BE HIGHER. THE ORGANIZATION STILL PROVIDED CARE REGARDLESS OF ANY INDIVIDUAL'S ABILITY TO PAY.
PART III, LINE 2:THE COST OF BAD DEBT EXPENSE WAS DETERMINED BY APPLYING THE COST-TO-CHARGE RATIO TO THOSE CHARGES ESTIMATED AND EXPENSED AS UNCOLLECTIBLE.
PART III, LINE 3:THE ESTIMATE OF BAD DEBT DOLLARS THAT MAY HAVE BEEN COVERED THROUGH MERCY HARVARD HOSPITAL'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY (HAD THE PROPER PAPERWORK BEEN COMPLETED BY THE INDIVIDUAL NEEDING ASSISTANCE) IS ESTIMATED AT 20.02%. THIS FIGURE WAS BASED ON THE PERCENT OF BAD DEBT ACCOUNT DOLLARS THAT ARE RECLASSIFIED FOR CHARITY AND/OR BANKRUPTCY PURPOSES.
PART III, LINE 4:BAD DEBT EXPENSE IS ACCOUNTED FOR AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION. GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2024, AND 2023, WAS NOT SIGNIFICANT. CONSISTENT WITH THE CORPORATION'S MISSION, CARE IS PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, THE CORPORATION HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE CORPORATION EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. THE CORPORATION'S POLICY IS TO PROVIDE A DISCOUNT FROM ESTABLISHED CHARGES TO UNINSURED PATIENTS. THIS POLICY DID NOT CHANGE IN 2024 AND 2023.
PART III, LINE 8:DATA FOR LINES 5 AND 6 OF PART III AND THE MEDICARE SHORTFALL IS BASED ON MERCY HARVARD HOSPITAL'S MEDICARE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1, LN 7G AS CALCULATED BY OUR COST ACCOUNTING ANALYSIS. A COMBINATION OF COST ACCOUNTING AND THE MEDICARE COST TO CHARGE RATIO WAS USED FOR THE COMPUTATION OF SUBSIDIZED PROGRAMS.
PART III, LINE 9B:MERCY HARVARD HOSPITAL HAS A STRONG COMMITMENT TO PROVIDE QUALITY PATIENT CARE FOR ALL INDIVIDUALS. EMERGENCY STABILIZING SERVICES WILL NEVER BE DENIED NOR DELAYED ON THE PATIENT'S ABILITY TO PAY. AT MERCYHEALTH, ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT REGARDLESS OF THEIR ABILITY TO PAY. MERCYHEALTH ASSISTS PATIENTS APPLYING FOR INSURANCE INCLUDING, AUTOMOBILE ACCIDENTS, CRIME VICTIMS, WORKERS COMPENSATION, MEDICAID, COBRA, LOCAL ASSISTANCE AND/OR HOSPITAL FINANCIAL ASSISTANCE, AND COPAY ASSISTANCE PROGRAMS. IF PATIENTS DO NOT QUALIFY FOR ANY OF THESE, MERCYHEALTH MAY EXTEND PAYMENT OPTIONS SUCH AS MONTHLY PAYMENTS, CREDIT CARD PAYMENTS OR FINANCIAL ASSISTANCE. PATIENTS WHO ARE SELF-PAY, REGARDLESS OF WHETHER THEY QUALIFY FOR MERCY HARVARD HOSPITAL'S (MHH) COMMUNITY CARE PROGRAM, RECEIVE A 25% DISCOUNT FROM MHH'S STANDARD FEE SCHEDULE IN 2024. SELF-PAY PATIENTS MEET WITH PATIENT FINANCIAL COUNSELORS AND DISCUSS PAYMENT OPTIONS INCLUDING MHH'S COMMUNITY CARE PROGRAM. PATIENTS MUST APPLY FOR COMMUNITY CARE AND SUPPLY MERCY WITH THE NECESSARY FINANCIAL AND OTHER INFORMATION REQUIRED. PATIENTS WHO QUALIFY FOR COMMUNITY CARE BENEFITS WILL RECEIVE A REDUCTION IN THE BALANCE OWED, EXTENDED PAYMENT TERMS, OR BOTH. THE AMOUNT OF THE COMMUNITY CARE BENEFIT WILL BE BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THE OUTSTANDING BALANCE.
PART VI, LINE 2:THE HOSPITALS OF MERCY HEALTH CORPORATION, INC. WORK IN CONJUNCTION WITH THE PUBLIC HEALTH DEPARTMENTS OF ROCK (WI), WALWORTH (WI), MCHENRCY (IL) AND WINNEBAGO (IL) COUNTIES TO COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS FOR EACH REGION AND WORK TO ADDRESS THOSE NEEDS. COLLABORATION VARIED BY COUNTY AND INDEPENDENT REPORTS FOR EACH HOSPITAL WERE CREATED TO ENSURE IT MET IRS STANDARDS. COLLABORATIVE EXAMPLES OF MERCYHEALTH ORGANIZATIONS PROVIDING CARE TO THE COMMUNITY INCLUDE (BUT NOT LIMITED TO):RONALD MCDONALD CARE MOBILE: THE MOBILE UNIT PROVIDES FREE MEDICAL CARE TO UNINSURED AND UNDERINSURED CHILDREN IN FIVE NORTHERN ILLINOIS COUNTIES. SINCE ITS INCEPTION IN 2003, IT HAS PROVIDED $3.2 MILLION IN FREE CARE TO MORE THAN 10,380 CHILDREN. THE CARE MOBILE IS COMPLETELY FUNDED BY PHILANTHROPY FROM THE MERCYHEALTH DEVELOPMENT FOUNDATION, JAVON BEA HOSPITAL AUXILIARY, AND THE RONALD MCDONALD CHARITIES OF MADISON.HEALTHNET FREE CLINIC IN JANESVILLE,WISCONSIN; FAMILY HEALTH PARTNERSHIP CLINIC AND WELL CHILD CLINIC IN WOODSTOCK, IL; HARVARD FREE CLINIC IN MCHENRY COUNTY, ILLINOIS; AND THE BRIDGE CLINIC OF ROCKFORD, ILLINOIS, ARE SOME OF THE VENUES FOR UNINSURED OR UNDERINSURED INDIVIDUALS TO RECEIVE CARE. MANY MERCYHEALTH PHYSICIANS AND OTHER HEALTH CARE PROVIDERS VOLUNTEER THEIR SERVICES AT THESE CLINICS.ROCKFORD RESCUE MISSION: MERCYHEALTH RESIDENTS VOLUNTEER THEIR TIME TO PROVIDE CARE AT THE ROCKFORD RESCUE MISSION HOMELESS SHELTER.JAVON BEA HOSPITAL PARTNERS WITH A SILVER LINING FOUNDATION TO PROVIDE SCREENING MAMMOGRAMS AND OTHER BREAST RELATED SERVICES FOR UNINSURED OR UNDERINSURED WOMEN.RED CROSS: MERCYHEALTH HOSTS REGULAR BLOOD DRIVES AND PARTNERS IN COOPERATIVE VOLUNTEER EFFORTS.UNITED WAY: MERCYHEALTH HOSTS AN ANNUAL GIVING FUNDRAISING CAMPAIGN TO RAISE MONEY FOR UNITED WAY IN ALL ITS COUNTIES.AREA POLICE AND FIRE DEPARTMENTS: PROVIDE FREE OR REDUCED-COST PARAMEDIC/EMT EDUCATIONAL OPPORTUNITIES.EMPLOYEE PARTICIPATION ON COMMUNITY BOARDS. AN EXAMPLE: COMMUNITY ACTION, INC., A NOT-FOR-PROFIT ORGANIZATION OFFERING PROGRAMS TO FIGHT POVERTY IN ROCK AND WALWORTH COUNTIES.
PART VI, LINE 3:ALL UNINSURED PATIENTS ARE NOTIFIED OF MERCY'S FINANCIAL AIDE POLICY UPON REGISTRATION. INFORMATION IS ALSO AVAILABLE AT THE HEALTH SYSTEM'S WEBSITE, IN OUR EMERGENCY ROOMS, MEDICAL LABS, ADMITTING DEPARTMENTS, OUTPATIENT RADIOLOGY, REGISTRATION DESKS, PATIENT FINANCIAL SERVICES OFFICES, AND WITH THE PATIENT FINANCIAL COUNSELORS. APPROPRIATE PERSONNEL HAVE BEEN TRAINED ON HOW TO INTERACT WITH PATIENTS ABOUT FINANCIAL AID AVAILABILITY, AND HOW TO DIRECT PATIENTS TO APPROPRIATE FINANCIAL AID STAFF. THE HOSPITALS HAVE TRANSLATION SERVICES AVAILABLE AS NEEDED.
PART VI, LINE 4:MERCY HARVARD HOSPITAL IS LOCATED IN MCHENRY COUNTY, ILLINOIS. IT IS LICENSED FOR 12 ACUTE AND 45 LONG- TERM CARE BEDS. IT IS A CRITICAL ACCESS HOSPITAL WITH 24/7 EMERGENCY SERVICES AND OUTPATIENT SURGERY. SINCE 2003 AND ITS AFFILIATION WITH MERCY HEALTH CORPORATION, MERCY HARVARD HOSPITAL HAS BEEN ABLE TO PROVIDE A NEW LEVEL OF CARE WITH MORE MEDICAL SPECIALTIES.APPROXIMATELY 16% OF MCHENRY COUNTY RESIDENTS LIVE IN HOUSEHOLDS WITH INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL.THE HOSPITAL'S PAYOR DEMOGRAPHICS INCLUDE 39.67% MEDICARE, AND 19.52% MEDICAID FOR THE FISCAL YEAR OF JULY 1, 2023 - JUNE 30, 2024 (AS DETERMINED BY CHARGES BILLED).
PART VI, LINE 5:MERCY HARVARD HOSPITAL HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. MERCY HARVARD HOSPITAL HAS A GOVERNING BODY IN WHICH INDEPENDENT COMMUNITY MEMBERS COMPRISE A MAJORITY OF THE BOARD.
PART VI, LINE 6:MERCY HARVARD HOSPITAL PROVIDES ACUTE CARE SERVICES IN MCHENRY COUNTY, ILLINOIS. IT IS PART OF A LARGER INTEGRATED HEALTH CARE SYSTEM AND IS AFFILIATED WITH OTHER SEPARATELY REPORTED ORGANIZATIONS KNOWN COLLECTIVELY AS "MERCYHEALTH".MERCY HEALTH CORPORATION IS THE PARENT COMPANY OF MERCY HEALTH SYSTEM CORPORATION, MERCY ASSISTED CARE INC., MERCY HARVARD HOSPITAL, INC., MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER INC., JAVON BEA HOSPITAL, ROCKFORD HEALTH PHYSICIANS, AND MERCYHEALTH VISITING NURSES ASSOCIATION INC.MERCY HEALTH SYSTEM CORPORATION OPERATES TWO HOSPITALS AND HAS COMMUNITY CLINICS LOCATED THROUGHOUT SIX COUNTIES OF WISCONSIN AND ILLINOIS. MERCY ASSISTED CARE ALONG WITH MERCYHEALTH VISITING NURSES ASSOCIATION, INC. PROVIDES HOME HEALTH SERVICES, HOSPICE, AND DURABLE MEDICAL EQUIPMENT SERVICES; THUS, PROVIDING CONTINUATION OF CARE. JAVON BEA HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF ROCKFORD, ILLINOIS AND THE SURROUNDING COMMUNITIES. ROCKFORD HEALTH PHYSICIANS PROVIDES PHYSICIAN AND AMBULATORY CARE SERVICES AT SEVERAL ILLINOIS SITES. MERCYHEALTH WORKS WITH MERCYHEALTH DEVELOPMENT FOUNDATION, INC. TO OPERATE A HOMELESS SHELTER IN JANESVILLE, WISCONSIN. THE HOUSE OF MERCY HOMELESS CENTER PROVIDES SHELTER, SUPPORT, AND TRAINING TO WOMEN, CHILDREN, AND FAMILIES TO HELP FIGHT HOMELESSNESS. IT OPENED IN 1996 AND PROVIDED 10,134 SHELTER NIGHTS FOR 298 INDIVIDUALS IN FISCAL 2024.MERCY HOSPITAL ASSOCIATION OF VOLUNTEERS, INC. IS ONE AN ENTITY WITH MERCYHEALTH'S VOLUNTEERS. VOLUNTEERS NUMBERED 560 IN CALENDAR YEAR 2024 AND PROVIDED MORE THAN 27,000 HOURS OF COMMUNITY SERVICES. THIS ORGANIZATION NOT ONLY SUPPORTS MERCYHEALTH'S SERVICES, BUT PROVIDES BENEFITS TO THE COMMUNITY AS A WHOLE. IN CONJUNCTION WITH MERCY HEALTH SYSTEM CORPORATION'S MEAL PREPARATION, THE VOLUNTEERS PARTICIPATE IN AND OVERSEE A MEALS -ON- WHEELS PROGRAM: PARTICIPANT/NUTRITION- SPECIFIC MEALS ARE PREPARED AND DELIVERED TO THE ELDERLY NEEDING ASSISTANCE IN JANESVILLE. THE VOLUNTEER ASSOCIATION RUNS A HOSPITALITY HOUSE IN WHICH FAMILY MEMBERS OF PATIENTS ARE OFFERED FREE HOUSING DURING THEIR LOVED ONES EXTENDED HOSPITAL STAY AND REHABILITATION.
PART VI, LINE 7, REPORTS FILED WITH STATESIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCHARITY CARE (GROSS CHARGES) - MERCY HARVARD HOSPITALGrantTypeTxt
Recipient363RecipientCnt
Cash Grant$234,201CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL ASSISTS INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED BY PROVIDING CHARITY CARE. THIS IS APPLIED BY FOLLOWING THE HOSPITAL'S CHARITY CARE POLICY. THIS POLICY IS ADMINISTERED THROUGH THE PATIENT FINANCIAL SERVICE AND PATIENT ACCESS DEPARTMENTS OF THE HOSPITAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 (9 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
TODD ANDERSON
VP/CFO (TERM 01/2025)$0$583,582$0$298,099$0$8,854$0$49,833$0$37,698$0$978,066$0$0
KIMBERLY SCACCIA
VP - REVENUE CYCLE$0$364,549$0$174,918$0$5,618$0$28,911$0$31,677$0$605,673$0$0
MARK L GOELZER MD
DIRECTOR/PHYSICIAN$0$246,712$0$227,923$0$6,416$0$15,657$0$17,864$0$514,572$0$0
KHRISTINE SCHRADER
RN SHIFT COORDINATOR$159,791$0$0$0$31,152$0$9,346$0$17,265$0$217,554$0$0$0
BRENDA BOTE-CATACUTAN
RN HOSPITAL ADVANCED$155,515$0$0$0$15,415$0$8,715$0$28,094$0$207,739$0$0$0
TIMOTHY AUBRY
PHARMACIST SUPERVISOR HOSPITAL$167,173$0$0$0$17,514$0$2,754$0$11,378$0$198,819$0$0$0
SUSAN TOWNE
ULTRASOUND RADIOGRAPHER 3$146,669$0$0$0$17,407$0$8,315$0$2,978$0$175,369$0$0$0
CHARITO PRESISTO
RN HOSPITAL ADVANCED CERTIFIED$140,913$0$2,498$0$14,753$0$2,349$0$2,799$0$163,312$0$0$0
JAVON R BEA
PRESIDENT/CEO (SEE PAGES 62-67)$0$1,816,003$0$0$0$14,185,683$0$6,738,431$0$17,662$0$22,757,779$0$12,669,012

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATION, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE MHSC COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE FULL BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2023.
PART I, LINE 4BINCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $8,510,830
PART I, LINE 7BONUSES RECEIVED BY THE OFFICERS FOR MHSC ARE BASED UPON TWO CRITERIA: 1) FINANCIAL PERFORMANCE - UP TO 25% OF BASE SALARY WILL BE PAID BASED ON MEETING BUDGETARY GOALS. 2) LONG TERM INCENTIVE - BASED UPON STRATEGIC IMPLEMENTATION. EMPLOYEES CAN EARN UP TO ANOTHER 25% OF BASE SALARY TO BE PAID OUT OVER 3 YEARS AND IS BASED ON RETENTION AND LONG TERM GOALS.
PART II, LINE 1:JAVON R. BEA DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 36 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 89 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $4.1 BILLION IN FY2024. 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 7,500+ PARTNERS IN HEALTH CARE AND OVER 800 EMPLOYED PHYSICIANS. 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 OVER THE YEARS 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 FROM THE PRESIDENT OF THE UNITED STATES IN THE OVAL OFFICE, 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. 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 FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSIST OF EIGHT INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND TWO ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW.
FORM 990, PART VI, SECTION A, LINE 6MERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF MERCY HARVARD HOSPITAL, INC. (MHH). THE SOLE MEMBER SHALL HAVE POWERS AND VOTING RIGHTS TO DO THE FOLLOWING: (A) APPOINT ALL THE DIRECTORS OF THE CORPORATION (B) NOMINATE TO THE CORPORATION'S BOARD OF DIRECTORS ALL CANDIDATES FOR SELECTION AS THE CORPORATION PRESIDENT (C) APPROVE EXPRESSLY ALL AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION AND BYLAWS (D) APPROVE ANNUAL BUDGETS, AND STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS OF THE CORPORATION (E) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AUTHORIZING THE PLEDGE OR TRANSFER OF ASSETS TO MHC OR AS DIRECTED BY MHC, OR THE EXECUTION OF CONTRACTS) WHICH WOULD IMPROVE THE CREDIT WORTHINESS OR OTHERWISE RESULT IN FINANCIAL BENEFIT TO MHC AND ITS TAX-EXEMPT AFFILIATED CORPORATIONS (PROVIDED THAT UNDER NO CIRCUMSTANCES MAY MHC REQUIRE TRANSFER OF ASSETS IN VIOLATION OF LAW OR THE TERMS OF ANY CHARITABLE TRUST OR DONATION) (F) APPROVE ALL CONTRACTS OF INDEBTEDNESS EFFECTIVE FOR LONGER THAN EIGHTEEN MONTHS (G) APPROVE ALL PLANS OF MERGER OR CONSOLIDATION (H) APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION (I) APPROVE A VOLUNTARY DISSOLUTION OF THE CORPORATION (J) APPROVE MATERIAL AMENDMENTS TO THE CORPORATION'S STANDARD FORM OF PHYSICIAN EMPLOYMENT AGREEMENT, PROVIDED THE CORPORATION SHALL HAVE THE AUTHORITY TO NEGOTIATE THE TERMS AND CONDITIONS OF INDIVIDUAL PHYSICIAN EMPLOYMENT AGREEMENTS SO LONG AS THE NEGOTIATED TERMS AND CONDITIONS ARE CONSISTENT WITH THE REQUIREMENTS OF APPLICABLE LAW AND THE STRATEGIC, LONG-RANGE AND HEALTH MANPOWER DEVELOPMENT PLANS APPROVED BY MHC (K) APPROVE MATERIAL AMENDMENTS TO THE STANDARD COMPENSATION SYSTEM USED BY THE CORPORATION TO ESTABLISH INDIVIDUAL PHYSICIAN COMPENSATION (L) REQUIRE THE CORPORATION'S BOARD OF DIRECTORS TO TAKE ANY ACTION (INCLUDING AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS), OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, IF MHC DETERMINES THAT FAILURE TO TAKE THE ACTION, OR TO MODIFY OR RESCIND AN ACTION ALREADY TAKEN, MAY RESULT IN THE CORPORATIONS FAILURE TO OBTAIN OR MAINTAIN ITS EXEMPTION AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE CODE
FORM 990, PART VI, SECTION A, LINE 7ASEE NARRATIVE FOR PART VI, LINE 6
FORM 990, PART VI, SECTION A, LINE 7BSEE NARRATIVE FOR PART VI, LINE 6
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEWS THE FORM 990 BEFORE FILING AND IT IS AVAILABLE TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CBY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE MHC COMPLIANCE DEPARTMENT FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2024, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2023 CONFLICTS IDENTIFIED. MHC AND MHH HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 1,170,634. MANAGEMENT AND GENERAL EXPENSES 149,118. TOTAL EXPENSES 1,319,752. PHYSICIAN LOCUM SERVICES: PROGRAM SERVICE EXPENSES 2,272,684. TOTAL EXPENSES 2,272,684.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS
1000 MINERAL POINT AVEJANESVILLEWI53548390912682SUPPORT OF HEALTHCAREWI501(C)(3)LINE 12C, III-FIMERCY HEALTH SYSTEM CORPORATION0
MERCY HEALTH SYSTEM CORPORATION
1000 MINERAL POINT AVEJANESVILLEWI53548390816848HEALTHCAREWI501(C)(3)LINE 3MERCY HEALTH CORPORATION0
MERCY ASSISTED CARE INC
901 GRANT STREETHARVARDIL60033391035110HEALTHCAREIL501(C)(3)LINE 10MERCY HEALTH CORPORATION0
MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER
875 S ROUTE 31CRYSTAL LAKEIL60014201673011HEALTHCAREIL501(C)(3)LINE 3MERCY HEALTH CORPORATION0
MERCY HEALTH CORPORATION
8201 E RIVERSIDE BLVDROCKFORDIL61114472158680SUPPORT OF HEALTHCAREIL501(C)(3)LINE 12A, I0N/A
JAVON BEA HOSPITAL
8201 E RIVERSIDE BLVDROCKFORDIL61114362167847HEALTHCAREIL501(C)(3)LINE 3MERCY HEALTH CORPORATION0
MERCYHEALTH DEVELOPMENT FOUNDATION
8201 E RIVERSIDE BLVDROCKFORDIL61114363197918SUPPORT OF HEALTHCAREIL501(C)(3)LINE 12A, IMERCY HEALTH CORPORATION0
MERCYHEALTH VISITING NURSES ASSOCIATION
8201 E RIVERSIDE BLVDROCKFORDIL61114362167945HEALTHCAREIL501(C)(3)LINE 10MERCY HEALTH CORPORATION0
ROCKFORD HEALTH PHYSICIANS
8201 E RIVERSIDE BLVDROCKFORDIL61114363907436HEALTHCAREIL501(C)(3)LINE 3MERCY HEALTH CORPORATION0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
JANESVILLE MEDICAL CENTER INC
1000 MINERAL POINTJANESVILLEWI53548391520130MANAGEMENT OF UNION EMPLOYEESWIN/AC0
MERCYCARE INSURANCE COMPANY
580 N WASHINGTON STJANESVILLEWI53546391768192INSURANCEWIN/AC0
MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO
580 N WASHINGTON STJANESVILLEWI53546201482553INSURANCEWIN/AC0
ROCKFORD HEALTH INSURANCE LTD
INSURANCEN/AC0WELLESLEY HOUSE SO 2ND FLPEMBROKE HMBDBD
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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd