MERCY HEALTH SYSTEM CORPORATION: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH SYSTEM CORPORATION (EIN 39-0816848)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202541359349315964
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-15T17:23:31-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | 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 ADVISORY GROUP LP | 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 | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390816848 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SYSTEM CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 6087566000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5003 - 1000 MINERAL POINT | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535475003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAVON BEA | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6087566000 | PhoneNum |
| Signature | 2025-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHELBY NETZ CPA | PreparerPersonNm |
| PTIN | P01405265 | PTIN |
| Phone | 6087525835 | PhoneNum |
| Preparation | 2025-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAVON BEA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5003 - 1000 MINERAL POINT | AddressLine1Txt |
| City | JANESVILLE | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 535475003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $765,574,521 | 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 | 1972 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE AND PROTECT THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH OUR MISSION, THE MISSION OF MERCY HEALTH SYSTEM CORPORATION 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 Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 4678 | TotalEmployeeCnt |
| Total Volunteers | 560 | TotalVolunteersCnt |
| Total Gross UBI | $9,420,793 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $719,258 | PYContributionsGrantsAmt |
| CY Contributions Grants | $867,920 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $672,076,926 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $675,122,333 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,641,987 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,137,188 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,480,342 | PYOtherRevenueAmt |
| CY Other Revenue | $43,933,075 | CYOtherRevenueAmt |
| PY Total Revenue | $685,918,513 | PYTotalRevenueAmt |
| CY Total Revenue | $723,060,516 | 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 | $352,939,822 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $377,834,465 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $273,680,850 | PYOtherExpensesAmt |
| CY Other Expenses | $291,785,305 | CYOtherExpensesAmt |
| PY Total Expenses | $626,620,672 | PYTotalExpensesAmt |
| CY Total Expenses | $669,619,770 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $59,297,841 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $53,440,746 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $870,399,620 | TotalAssetsBOYAmt |
| Total Assets EOY | $936,012,324 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $369,997,359 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $382,169,317 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $500,402,261 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $553,843,007 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF MERCY HEALTH SYSTEM CORPORATION (MHSC) 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $536,392,287 | ExpenseAmt |
| Revenue | $708,193,788 | RevenueAmt |
| Desc | HOSPITAL DISCHARGES 7,316, NURSING HOME ADMISSIONS 232, BIRTHS 754, OUTPATIENT AND INPATIENT SURGERIES 10,913.MHSC CONTINUES ITS TRADITION OF GIVING BACK TO EACH OF THE COMMUNITIES SERVED IN A WIDE VARIETY OF FASHIONS. MHSC CONTRIBUTES TO THE AREA OF PUBLIC HEALTH SERVICES. THIS INCLUDES EXTENSIVE DONATIONS OF TIME AND SUPPLIES TO HEALTHNET OF ROCK COUNTY, A LARGE FREE PRIMARY CARE CLINIC SERVING THE REGION. MORE THAN EIGHTY PERCENT OF THE PHYSICIAN SERVICES PROVIDED AT THE CLINIC ARE SUPPLIED THROUGH MHSC. IN ADDITION, MHSC ASSISTS OPEN ARMS FREE CLINIC, A NOT-FOR-PROFIT THAT SERVES LOW-INCOME RESIDENTS IN WALWORTH COUNTY, WISCONSIN. ADDITIONALLY, MHSC AND ITS AFFILIATES' STAFF PROVIDE HEALTH SCREENING AND RELATED SERVICES AT NUMEROUS EVENTS IN ROCK AND WALWORTH COUNTIES IN WISCONSIN AND MCHENRY, BOONE AND WINNEBAGO COUNTY IN ILLINOIS.MHSC ALSO PROVIDES FINANCIAL AND IN-KIND CONTRIBUTIONS TO OTHER PRIVATE AND NOT FOR PROFIT HEALTH RELATED AGENCIES AND ORGANIZATIONS IN OUR SERVICE AREA. BENEFICIARIES INCLUDED BUT ARE NOT LIMITED TO THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, UNITED WAY ORGANIZATIONS IN ROCK, WALWORTH, AND MCHENRY COUNTIES, YMCA CARE HOUSE, YMCA, AMERICAN LUNG ASSOCIATION, WALWORTH COUNTY ALLIANCE FOR CHILDREN, TURNING POINT WOMEN'S CENTER IN MCHENRY, OPEN ARMS FREE CLINIC, AND THE RED CROSS, TO NAME JUST A FEW RECIPIENTS. MHSC ALSO ENCOURAGES ITS PARTNERS (EMPLOYEES) TO DONATE THEIR TIME AND ENERGY TO SUPPORT COMMUNITY BASED CAUSES. THOUSANDS OF HOURS EACH YEAR ARE DONATED TO NOT FOR PROFIT AND PUBLIC AGENCIES THROUGHOUT OUR SERVICE AREA. EXAMPLES OF VOLUNTEER ACTIVITIES BEING SUPPORTED INCLUDE NURSING SERVICES AT COMMUNITY AND FREE CLINICS THROUGHOUT THE REGION, MEALS ON WHEELS DELIVERY ACTIVITIES, ACTIVE INVOLVEMENT AS GOVERNING BOARD MEMBERS FOR SUCH ORGANIZATIONS AS UNITED WAY, CRIME STOPPERS, ROTARY BOTANICAL GARDENS, HEALTHNET, AND MANY OTHER ORGANIZATIONS.THE COMMUNITY BENEFIT PRIORITIES FOR MHTC ARE MENTAL HEALTH, MATERNAL AND CHILD HEALTH, AND ACCESS TO CARE. IN FY24 MERCYHEALTH FOCUSED ON RECRUITING NEW PROVIDERS IN PRIMARY CARE AND PSYCHIATRY, EXPANDING SERVICES IN RESPONSE TO COMMUNITY DEMAND FOR AUTISM AND DIALYSIS, AND ADDING NEW MENTAL HEALTH PROGRAMS INCLUDING AN ED BRIDGE CLINIC AND TRANSCRANIAL MAGNETIC STIMULATION. WE LAUNCHED A COMMUNITY HEALTHCARE FINANCIAL LITERACY CAMPAIGN. THE OBSTETRICS DEPARTMENT ADOPTED BIRTH EQUITY INITIATIVES INCLUDING IMPLICIT BIAS TRAINING AND SOCIAL DETERMINANTS OF HEALTH SCREENING FOR ALL PRENATAL PATIENTS.THE COMMUNITY BENEFIT PRIORITIES FOR WALWORTH ARE MENTAL HEALTH AND NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. IN FY24 MERCYHEALTH EXPANDED MENTAL HEALTH SERVICES IN WALWORTH COUNTY BY ADDING NEW PROVIDERS AND AN AUTISM PROGRAM. IN ADDITION, MERCYHEALTH IS INCREASING COMMUNITY AWARENESS OF THE IMPORTANCE OF WEIGHT MANAGEMENT AND CARDIAC REHABILITATION.ANOTHER EXAMPLE OF MHSC'S COMMITMENT TO THE COMMUNITY IS ITS SUPPORT OF THE OPERATIONS THROUGH OFFERING SAFE RESIDENCE TO HOMELESS FAMILIES AT THE HOUSE OF MERCY HOMELESS CENTER. IT OPENED IN 1996 AND SERVES ABOUT 255 INDIVIDUALS A YEAR, MANY WHO ARE CHILDREN. THE CENTER OFFERS A SAFE HARBOR FOR THESE INDIVIDUALS AS WELL AS CASE MANAGEMENT, ASSISTANCE WITH JOB SEARCHES, FINDING PERMANENT HOUSING AND EDUCATION. | Desc |
| Total Program Service Expenses | $536,392,287 | 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 | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| 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 | Yes (1) | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 239 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4678 | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOE MALAS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8159716738 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8201 E RIVERSIDE BLVD | AddressLine1Txt |
| City | ROCKFORD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61114 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| SHAHID SHEKHANI | ||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $2,485,832 | $0 | $41,648 | ||
| DAVID NELSEN | ||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,511,329 | $0 | $54,465 | ||
| IMDAD AHMED | ||||||||
| PHYSICIAN | 30.00 | 0.00 | Yes (X) | $1,483,423 | $0 | $39,533 | ||
| MANISHA GHARIA | ||||||||
| PHYSICIAN | 32.00 | 0.00 | Yes (X) | $1,339,347 | $0 | $16,693 | ||
| CRAIG LYON | ||||||||
| PHYSICIAN | 40.00 | 0.00 | Yes (X) | $1,205,134 | $0 | $31,534 | ||
| TODD ANDERSON | ||||||||
| VP/CFO (TERM TERM 01/2025) | 55.00 | 8.00 | $890,535 | $0 | $87,531 | Yes (X) | ||
| KIMBERLY SCACCIA | ||||||||
| VP - REVENUE CYCLE | 55.00 | 8.00 | $545,085 | $0 | $60,588 | Yes (X) | ||
| JOANNA BENNING | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $541,630 | $0 | $30,213 | Yes (X) | ||
| ALEN BRCIC | ||||||||
| VICE-PRESIDENT (TERM 02/2024) | 55.00 | 0.00 | $486,302 | $0 | $60,222 | Yes (X) | ||
| MARK L GOELZER MD | ||||||||
| DIRECTOR/PHYSICIAN | 55.00 | 8.00 | $481,051 | $0 | $33,521 | Yes (X) | ||
| KARA SANKEY | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $464,898 | $0 | $45,245 | Yes (X) | ||
| E PATRICK CRANLEY | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $443,138 | $0 | $61,084 | Yes (X) | ||
| JENNIFER HALLATT | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $455,216 | $0 | $47,846 | Yes (X) | ||
| ALIAKBAR ABDULLA OLIA | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $446,908 | $0 | $55,569 | Yes (X) | ||
| AMY WHITAKER | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $384,272 | $0 | $18,636 | Yes (X) | ||
| LADD UDY | ||||||||
| VICE-PRESIDENT | 55.00 | 0.00 | $291,010 | $0 | $46,103 | Yes (X) | ||
| TYLER KILLPACK | ||||||||
| VICE-PRESIDENT (EFF. 08/2023) | 55.00 | 0.00 | $209,599 | $0 | $38,952 | Yes (X) | ||
| BRADLEY OLSON | ||||||||
| VICE-PRESIDENT (EFF. 10/2023) | 55.00 | 0.00 | $89,626 | $0 | $6,159 | Yes (X) | ||
| JAVON R BEA | ||||||||
| PRESIDENT/CEO (SEE PAGES 74-80) | 60.00 | 8.00 | $16,001,686 | $0 | $6,756,093 | Yes (X) | Yes (X) | |
| WESLEY M JOST | ||||||||
| DIRECTOR | 1.00 | 7.00 | $13,858 | $0 | $0 | Yes (X) | ||
| KATHERINE A SCHACK | ||||||||
| DIRECTOR | 1.00 | 7.00 | $13,663 | $0 | $0 | Yes (X) | ||
| THOMAS R POOL | ||||||||
| VICE CHAIR & DIRECTOR | 1.00 | 7.00 | $13,500 | $0 | $0 | Yes (X) | Yes (X) | |
| THOMAS D BUDD | ||||||||
| SECRETARY & TREASURER | 1.00 | 7.00 | $13,500 | $0 | $0 | Yes (X) | Yes (X) | |
| DAVE L SYVERSON | ||||||||
| DIRECTOR | 1.00 | 7.00 | $12,932 | $0 | $0 | Yes (X) | ||
| ROWLAND J MCCLELLAN | ||||||||
| CHAIR & DIRECTOR | 1.00 | 7.00 | $23,157 | $0 | $0 | Yes (X) | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $29,846,631 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $7,531,635 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 609 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CALIBER HEALTHCARE SOLUTIONS LLC | |||||
| 433 E LAS COLINAS BLVD 350 | IRVING | TX | 75039 | PHYSICIAN PURCHASED LABOR SERVICES | $1,305,293 |
| AMERICAN MEDICAL IMAGING LLC | |||||
| 315 DEADERICK STREET 1550-143 | NASHVILLE | TN | 37238 | HEALTHCARE TECHNOLOGY SERVICES | $898,416 |
| PRN HEALTH SERVICES LLC | |||||
| 1101 E SOUTH RIVER ST | APPLETON | WI | 54915 | HEALTHCARE PURCHASED LABOR SERVICES | $701,886 |
| ENCORE ONE LLC | |||||
| 10350 BREN RD W | MINNETONKA | MN | 55343 | JANITORIAL SERVICES | $539,110 |
| TRUSTAFF | |||||
| 4675 CORNELL RD | CINCINNATI | OH | 45241 | PURCHASED LABOR/STAFFING | $439,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $499,636 | RelatedOrganizationsAmt |
| Government Grants | $355,914 | GovernmentGrantsAmt |
| All Other Contributions | $12,370 | AllOtherContributionsAmt |
| Total Contributions | $867,920 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| PATIENT SERVICE REVENU | 621110 | $656,625,485 | $656,625,485 | ||
| MERCYCARE EXPENSES | 561000 | $8,896,830 | $8,896,830 | ||
| OTHER PROGRAM REVENUE | 900099 | $8,063,766 | $8,063,766 | ||
| CAFETERIA | 722210 | $1,300,138 | $1,300,138 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $236,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $236,114 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $675,122,333 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $183,984 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $43,295 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $140,689 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,689 | TotalRevenueColumnAmt |
| Exclusion | $140,689 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,019,304 | SecuritiesAmt |
| Other | $8,409,282 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $27,801,226 | SecuritiesAmt |
| Other | $8,490,172 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,218,078 | SecuritiesAmt |
| Other | -$80,890 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,137,188 | TotalRevenueColumnAmt |
| Exclusion | $3,137,188 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $36,682,599 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $6,179,312 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,503,287 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,979,324 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $523,963 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER NON OPERATING RE | 900099 | $9,547,587 | $9,547,587 |
| OUT OF ROOM REVENUE | 900099 | $1,310,484 | $1,310,484 |
| MISCELLANEOUS REVENUE | 900099 | $1,192,088 | $1,192,088 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,238,940 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,238,940 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,289,099 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $723,060,516 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $708,193,788 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $9,420,793 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,578,015 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,169,324 | TotalAmt |
| Management And General | $29,169,324 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,859,827 | TotalAmt |
| Program Services | $254,120,875 | ProgramServicesAmt |
| Management And General | $37,738,952 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,453,489 | TotalAmt |
| Program Services | $1,962,791 | ProgramServicesAmt |
| Management And General | $490,698 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,646,585 | TotalAmt |
| Program Services | $28,517,268 | ProgramServicesAmt |
| Management And General | $7,129,317 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,705,240 | TotalAmt |
| Program Services | $14,137,003 | ProgramServicesAmt |
| Management And General | $4,568,237 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $641,514 | TotalAmt |
| Management And General | $641,514 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,802 | TotalAmt |
| Program Services | $26,080 | ProgramServicesAmt |
| Management And General | $96,722 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,529 | TotalAmt |
| Management And General | $21,529 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,980 | TotalAmt |
| Program Services | $93,221 | ProgramServicesAmt |
| Management And General | $946,759 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,355,726 | TotalAmt |
| Program Services | $2,006 | ProgramServicesAmt |
| Management And General | $1,353,720 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,857,359 | TotalAmt |
| Program Services | $1,893,495 | ProgramServicesAmt |
| Management And General | $3,963,864 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,143,371 | TotalAmt |
| Program Services | $2,044,726 | ProgramServicesAmt |
| Management And General | $7,098,645 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,130,204 | TotalAmt |
| Program Services | $4,467,717 | ProgramServicesAmt |
| Management And General | $1,662,487 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $986,008 | TotalAmt |
| Program Services | $511,387 | ProgramServicesAmt |
| Management And General | $474,621 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,065,748 | TotalAmt |
| Program Services | $67,891 | ProgramServicesAmt |
| Management And General | $997,857 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,272,276 | TotalAmt |
| Program Services | $5,817,821 | ProgramServicesAmt |
| Management And General | $1,454,455 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,226,532 | TotalAmt |
| Program Services | $21,781,226 | ProgramServicesAmt |
| Management And General | $5,445,306 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,575,655 | TotalAmt |
| Program Services | $6,060,524 | ProgramServicesAmt |
| Management And General | $1,515,131 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $138,802,655 | $136,786,452 | $2,016,203 |
| PURCHASED LABOR & CONTR | $32,566,134 | $22,330,921 | $10,235,213 |
| BAD DEBTS | $26,887,973 | $26,887,973 | |
| PHYSICIAN LOCUM FEES | $2,739,095 | $2,739,095 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,350,744 | TotalAmt |
| Program Services | $6,143,815 | ProgramServicesAmt |
| Management And General | $16,206,929 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $669,619,770 | TotalAmt |
| Program Services | $536,392,287 | ProgramServicesAmt |
| Management And General | $133,227,483 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,930 | BOYAmt |
| EOY | $24,075 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,119,688 | BOYAmt |
| EOY | $293,279,687 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,483,156 | BOYAmt |
| EOY | $45,860,011 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,465,272 | BOYAmt |
| EOY | $14,105,383 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,264,012 | BOYAmt |
| EOY | $5,724,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $708,456,236 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $455,553,909 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,572,830 | BOYAmt |
| EOY | $252,902,327 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,406,063 | BOYAmt |
| EOY | $73,031,397 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,948,572 | BOYAmt |
| EOY | $27,352,490 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,114,097 | BOYAmt |
| EOY | $223,732,452 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,399,620 | BOYAmt |
| EOY | $936,012,324 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,505,849 | BOYAmt |
| EOY | $90,677,657 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,491,510 | BOYAmt |
| EOY | $291,491,660 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,997,359 | BOYAmt |
| EOY | $382,169,317 | 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 | $500,402,261 | BOYAmt |
| EOY | $553,843,007 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,402,261 | BOYAmt |
| EOY | $553,843,007 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $870,399,620 | BOYAmt |
| EOY | $936,012,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $53,440,746 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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) |
|---|---|---|
| Political Expenditures | $0 | PoliticalExpendituresAmt |
| Volunteer Hours | 0 | VolunteerHoursCnt |
| 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 | $21,529 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $21,529 | 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 | A PERCENTAGE OF THE 2024 WISCONSIN HOSPITAL ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION DUES WERE USED FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,773,388 | OtherCostOrOtherBasisAmt |
| Book Value | $28,773,388 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $387,448,823 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,704,424 | DepreciationAmt |
| Book Value | $164,744,399 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,037,473 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,988,065 | DepreciationAmt |
| Book Value | $49,408 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $275,967,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,198,799 | DepreciationAmt |
| Book Value | $53,768,735 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,229,018 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,662,621 | DepreciationAmt |
| Book Value | $5,566,397 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $252,902,327 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $914,825 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED COMPENSATION | Desc |
| Book Value | $72,116,572 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $73,031,397 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| UNAMORTIZED DEBT ISSUE COSTS | $1,037,605 |
| PHYSICIAN LOAN RECIEVABLES | $951,589 |
| DUE FROM OTHER RELATED PARTIES | $213,837,152 |
| INTANGIBLE ASSETS | $5,283,161 |
| OPERATING LEASE | $2,563,535 |
| OTHER RECEIVABLES | $59,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $223,732,452 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $76,510,781 |
| DUE TO MERCY HEALTH CORPORATION | $159,654,313 |
| DUE TO THIRD PARTIES | $12,110,198 |
| ACCRUED LIABILITY UNDER SELF-INSURANCE PROGRAM | $39,082,404 |
| LEASE LIABILITY | $1,861,068 |
| ACCRUED RETIREMENT | $2,272,896 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $291,491,660 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,673,981 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,673,981 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,022,313 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,264,188 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,758,125 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05410 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,012,763 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,885,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,127,387 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,709,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,149,564 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,559,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $863,230 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $305,686 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $557,544 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,604,553 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,512,803 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,091,750 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00950 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,561,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,886,076 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,675,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $78,575 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $61,472 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,103 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $515,028 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $515,028 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,623,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,766,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,857,333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,332,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,915,601 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,416,826 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07230 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $180 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $180 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,025,608 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,145,877 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,098,813 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,104,658 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$39,005,845 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | ||||||||||
| 1 | 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | ||||||||||
| 2 | N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | MERCYHEALTHSYSTEM.ORG/LOCATION/MERCYHE | Yes (X) | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Prior CHNA ImpactPriorCHNAImpactInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-J | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/ | Yes (1) | 22 | Yes (1) | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/ | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 22 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (X) | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/ | Yes (1) | 22 | Yes (1) | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/ | 0 | Yes (1) | Yes (X) | 200.000000000000 | 300.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | SEE PART V, PAGE 8 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 5: A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS DONE IN 2023 FOR ROCK 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.MHTC (MERCYHEALTH HOSPITAL AND TRAUMA CENTER) CREATED AN ONLINE COMMUNITY HEALTH SURVEY USING THE MACHFORM SURVEY TOOL. THE SURVEY WAS TRANSLATED INTO SPANISH, AND BOTH ENGLISH AND SPANISH VERSIONS WERE ACCESSIBLE VIA LINKS AND QR CODES. METHODS FOR SURVEY DISTRIBUTION INCLUDED SOCIAL MEDIA, MERCYHEALTH'S INTERNAL NEWSLETTER, MERCYHEALTH'S COMMUNITY NEWSLETTER, AND FLYER PLACEMENT AT KEY COMMUNITY LOCATIONS. THE SURVEY WAS DISTRIBUTED BETWEEN JANUARY 10, 2023 AND FEBRUARY 12, 2023. MHTC RECEIVED 537 SURVEY RESPONSES.ONCE THE SURVEY CLOSED, THE COLLECTED DATA WAS AGGREGATED AND VISUALIZATIONS WERE CREATED TO ILLUSTRATE DEMOGRAPHICS OF RESPONDENTS AND DISTRIBUTIONS FOR RESPONSES TO ALL QUESTIONS. NOT SURE/NO ANSWER/MISSING DATA WERE EXCLUDED FROM STATISTICAL ANALYSIS.AS A QUALITATIVE SUPPLEMENT TO SURVEY DATA, PRIMARY DATA WAS ALSO COLLECTED THROUGH VIRTUAL AND IN-PERSON INTERVIEWS WITH KEY INFORMANTS. KEY INFORMANTS ARE STAKEHOLDERS WHO REPRESENT COMMUNITY ORGANIZATIONS AND, THROUGH THEIR ROLES AS COMMUNITY LEADERS AND ORGANIZERS, POSSESS VALUABLE INSIGHTS INTO HEALTH ISSUES EXPERIENCED BY THE POPULATIONS THEY SERVE. KEY INFORMANTS WERE SELECTED WITH THE GOAL OF GATHERING INFORMATION REFLECTIVE OF A BROAD CROSS-SECTION OF THE COMMUNITY, PARTICULARLY THOSE POPULATIONS UNLIKELY TO RESPOND TO THE SURVEY. TWELVE KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN JANUARY 2023 AND MARCH 2023.MHTC PARTICIPATES IN THE HEALTH EQUITY ALLIANCE OF ROCK COUNTY (HEAR), A COALITION SUPPORTED AND FACILITATED BY THE ROCK COUNTY PUBLIC HEALTH DEPARTMENT AND COMPRISED OF HEALTH SYSTEMS, COMMUNITY-BASED ORGANIZATIONS, AND GOVERNMENT AGENCIES. OTHER ORGANIZATIONS PARTICIPATING IN HEAR INCLUDE SSM HEALTH, BELOIT HEALTH SYSTEM, HEALTH NET, COMMUNITY HEALTH SYSTEMS, INC., HEAD START, SCHOOL DISTRICT OF BELOIT, COMMUNITY ACTION, AND BUILDING A SAFER EVANSVILLE. TOGETHER, THESE ORGANIZATIONS REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS INCLUDING UNINSURED AND UNDERINSURED PATIENTS, CHILDREN IN LOW-INCOME FAMILIES, UNHOUSED INDIVIDUALS, AND AT-RISK YOUTH. FOR ROCK COUNTY, HEAR HELPS GUIDE THE COMMUNITY HEALTH ASSESSMENT (CHA) AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), AND IMPLEMENTS STRATEGIES TO MEET THE GOALS SET FORTH IN THE IMPROVEMENT PLAN. REPRESENTATIVES FROM MHTC PARTICIPATED IN HEAR THROUGHOUT THIS ANALYSIS AND OBTAINED INPUT FROM HEAR MEMBERS ABOUT RESOURCES AVAILABLE TO ADDRESS HEALTH ISSUES IN ROCK COUNTY.IN LATE 2022, MHTC SOLICITED AND RECEIVED INPUT FROM THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SPECIFICALLY REGARDING SURVEY DESIGN AND KEY INFORMANT INTERVIEWS. THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH SHARED FINDINGS FROM FOCUS GROUPS AND KEY INFORMANT INTERVIEWS CONDUCTED AS PART OF THE COUNTY'S 2021 CHA. FOR PURPOSES OF COMPARISON WITH DATA COLLECTED FOR ROCK COUNTY'S CHA, MHTC ADDED SURVEY QUESTIONS SPECIFICALLY FOCUSED ON MENTAL HEALTH AND ACCESS TO CARE, THE TWO FOCUS AREAS FOR ROCK COUNTY'S 2022 CHIP.MHTC ALSO CONDUCTED A KEY INFORMANT INTERVIEW WITH THE ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH'S PUBLIC HEALTH STRATEGIST/HEAR COORDINATOR.THE 2023 IMPLEMENTATION STRATEGY FOR THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED SEVERAL AREAS AS PRIORITIES. MHSC IS FOCUSING ON THE FOLLOWING THREE PRIORITIES INCLUDING MENTAL HEALTH; ACCESSIBLE AND AFFORDABLE HEALTH CARE; AND MATERNAL, INFANT AND CHILD HEALTH TO IMPROVE THE COMMUNITY'S HEALTH STATUS.IN FY24, MHSC INCREASED BEHAVIORAL HEALTH SERVICES WITH A PARTNERSHIP WITH HEALTHNET IN ROCK COUNTY. THREE MHSC PROVIDERS WILL BEGIN SEEING PATIENTS AT HEALTHNET, ENSURING GREATER ACCESS TO CRITICAL MENTAL HEALTH CARE FOR THOSE IN NEED. THE ADDITION OF MERCYHEALTH BEHAVIORAL HEALTH PROVIDERS WILL ALLOW HEALTHNET TO SERVE MORE PATIENTS STRUGGLING WITH ANXIETY, DEPRESSION, TRAUMA, AND OTHER BEHAVIORAL HEALTH CONDITIONS. MERCYHEALTH HAS BEEN A PROUD PARTNER OF HEALTHNET FOR MANY YEARS, WORKING HAND-IN-HAND TO IMPROVE THE HEALTH AND WELL-BEING OF THE AREA'S UNINSURED AND UNDERINSURED RESIDENTS. AS PART OF THIS PARTNERSHIP, A MERCYHEALTH FAMILY MEDICINE PHYSICIAN AND FACULTY MEMBER OF THE MERCYHEALTH FAMILY MEDICINE RESIDENCY PROGRAM, SERVES AS HEALTHNET'S MEDICAL ADVISOR. SHE IS INSTRUMENTAL IN ENGAGING MERCYHEALTH RESIDENT PHYSICIANS, WHO PROVIDE CARE TO HEALTHNET PATIENTS. IN ADDITION, OTHER MERCYHEALTH MEDICAL PROVIDERS AND STAFF VOLUNTEER THEIR TIME AND TALENTS AS WELL.MHSC ALSO OFFERED FREE CANCER SCREENINGS. SCREENINGS CAN DETECT CANCER AT ITS EARLIEST STAGES, OFTEN BEFORE SYMPTOMS APPEAR. EARLY DETECTION USUALLY LEADS TO MORE EFFECTIVE TREATMENT AND BETTER OUTCOMES. REGULAR SCREENINGS ARE RECOMMENDED BASED ON AGE, GENDER, FAMILY HISTORY AND OTHER RISK FACTORS TO MAXIMIZE BENEFITS. SCREENINGS CAN PROVIDE REASSURANCE AND PEACE OF MIND FOR INDIVIDUALS, KNOWING THEY ARE TAKING PROACTIVE STEPS TOWARD THEIR HEALTH.MERCYHEALTH'S ACCOUNTABLE CARE ORGANIZATION (ACO) MAINTAINED TOP QUALITY SCORES IN 2023, CONTRIBUTING TO SIGNIFICANT MEDICARE SAVINGS. THIS QUALITY AND COST PERFORMANCE WAS ACHIEVED THROUGH MERCYHEALTH'S PARTICIPATION IN THE MEDICARE SHARED SAVINGS PROGRAM, A FEDERAL PROGRAM FOCUSED ON IMPROVING MEDICARE BENEFICIARIES' HEALTH OUTCOMES WHILE MAINTAINING COST-EFFECTIVENESS.MERCYHEALTH'S ACO INCLUDES ABOUT 14,000 MEDICARE BENEFICIARIES AND IS ONE OF MORE THAN 400 ACOS IN THE UNITED STATES, INCLUDING MORE THAN 30 WITH A PRESENCE IN ILLINOIS AND WISCONSIN. PHYSICIANS AND CLINICIAN TEAMS WITHIN MERCYHEALTH PROVIDE MEDICARE BENEFICIARIES WITH SAFE, HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE CARE, ALL WITHIN A PATIENT-CENTERED AND FAMILY-FRIENDLY EXPERIENCE.MEDICARE EVALUATES HOW WELL EACH ACO MEETS GOALS RELATED TO QUALITY AND PATIENT EXPERIENCE EVERY YEAR. ACOS WHO MEET QUALITY REQUIREMENTS RECEIVE A PORTION OF ANY SAVINGS THAT RESULT FROM REDUCING COSTS, WHICH CAN BE USED TO RE-INVEST IN PATIENT CARE CAPABILITIES.AMONG THE HIGHLIGHTS FOR MERCYHEALTH'S ACO RESULTS IN 2023:- QUALITY SCORE OF 89.8%, COMPARED TO A NATIONAL AVERAGE ACO QUALITY SCORE OF 82.3%- TOTAL SAVINGS TO MEDICARE OF $16 MILLION- MEDICARE EXPENSES PER BENEFICIARY OF $10,695, WHICH IS IN THE BOTTOM 20% OF MEDICARE ACOS NATIONWIDE FOR SPENDING (LOWER EXPENSE PER BENEFICIARY IS FAVORABLE, ESPECIALLY WHEN COMBINED WITH AN ABOVE AVERAGE QUALITY SCORE)ADOPTED BIRTH EQUITY INITIATIVES TO RAISE AWARENESS OF HEALTH DISPARITIES THAT EXIST WITHIN ROCK COUNTY AND RAISE AWARENESS AMONG PROVIDERS AND STAFF ABOUT THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, IMPLICIT BIAS, AND RESPECTFUL CARE PRACTICES. MHTC IS WORKING WITH OTHER MERCYHEALTH HOSPITALS AND THE ROCK COUNTY HEALTH DEPARTMENT TO SCREEN OB PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS AND CONNECT PATIENTS TO NEEDED RESOURCES EARLY IN PREGNANCY TO REDUCE THE IMPACT OF NEGATIVE SOCIAL DETERMINANTS OF HEALTH ON MATERNAL AND INFANT HEALTH. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 5: IN WALWORTH COUNTY, MERCY HOSPITAL WALWORTH (MWH) DEVELOPED SURVEY QUESTIONS IN COLLABORATION WITH ADVOCATE AURORA AND THE WALWORTH COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. JKV RESEARCH USED THESE QUESTIONS TO CONDUCT AN ONLINE SURVEY USING THE SURVEY MONKEY SURVEY TOOL. THE SURVEY WAS ACCESSIBLE VIA LINKS AND A QR CODE. METHODS FOR SURVEY DISTRIBUTION INCLUDED SOCIAL MEDIA, MERCYHEALTH'S INTERNAL NEWSLETTER, MERCYHEALTH'S COMMUNITY NEWSLETTER, AND FLYER PLACEMENT AT KEY COMMUNITY LOCATIONS. THE SURVEY WAS DISTRIBUTED BETWEEN NOVEMBER 1, 2022 AND JANUARY 26, 2023. THE SURVEY RECEIVED 555 RESPONSES.ONCE THE SURVEY CLOSED, THE COLLECTED DATA WAS AGGREGATED AND STRATIFIED BY JKV RESEARCH, LLC. NOT SURE/NO ANSWER/MISSING DATA ARE EXCLUDED FROM THIS REPORT.AS A QUALITATIVE SUPPLEMENT TO THE SURVEY DATA, PRIMARY DATA WAS ALSO COLLECTED THROUGH VIRTUAL AND IN-PERSON INTERVIEWS WITH KEY INFORMANTS. KEY INFORMANTS ARE STAKEHOLDERS WHO REPRESENT COMMUNITY ORGANIZATIONS AND, THROUGH THEIR ROLES AS COMMUNITY LEADERS AND ORGANIZERS, POSSESS VALUABLE INSIGHTS INTO HEALTH ISSUES EXPERIENCED BY THE POPULATIONS THEY SERVE. KEY INFORMANTS WERE SELECTED WITH THE GOAL OF GATHERING INFORMATION REFLECTIVE OF A BROAD CROSS-SECTION OF THE COMMUNITY, PARTICULARLY THOSE POPULATIONS UNLIKELY TO RESPOND TO THE SURVEY. NINETEEN KEY INFORMANT INTERVIEWS WERE CONDUCTED BETWEEN DECEMBER, 2022 AND FEBRUARY, 2023. INTERVIEWS WERE CONDUCTED BY REPRESENTATIVES FROM MHW AND ADVOCATE AURORA. NOTES FROM INTERVIEWS WERE REVIEWED AND FINDINGS SUMMARIZED BY JKV RESEARCH, LLC.MWH FOUND TWO PRIORITIES TO IMPROVE THE HEALTH IN WALWORTH COUNTY, 1. MENTAL HEALTH AND 2. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY. THESE PRIORITY AREAS ADDRESS TWO SIGNIFICANT HEALTH NEEDS THAT HOSPITALS LIKE MHW CAN IMPACT, INCLUDING FOR POPULATIONS WHO EXPERIENCE BARRIERS TO ACCESSING HEALTHCARE.MHW COLLABORATES WITH MERCYHEALTH BEHAVIORAL HEALTH TO REFER PATIENTS FOR OUTPATIENT BEHAVIORAL HEALTH COUNSELING AT OUR CLINIC IN WILLIAMS BAY, WHICH OFFERS A TEAM OF 5 TO 7 THERAPISTS AND A FULL-TIME CHILD PSYCHIATRIST. MHW ALSO COLLABORATES WITH MERCYHEALTH BEHAVIORAL HEALTH TO PROVIDE TELEHEALTH SERVICES TO THE EMERGENCY DEPARTMENT (ED) AND MEDICAL UNITS AT MHW.MHW IS REPRESENTED IN MERCYHEALTH'S SYSTEM-WIDE OPIOID STEWARDSHIP STEERING COMMITTEE, WHICH IS RESPONSIBLE FOR REVIEWING DATA RELATED TO OPIOID PRESCRIBING AND DISPENSING PATTERNS, AS WELL AS NURSING PAIN ASSESSMENT AND REASSESSMENT PRACTICES. WISCONSIN PHYSICIANS ARE REQUIRED TO TAKE TWO HOURS OF CONTINUING MEDICAL EDUCATION SPECIFICALLY ON SAFE OPIOID PRESCRIBING PRACTICES. MERCYHEALTH MADE CME EDUCATION AVAILABLE TO MHW PHYSICIANS.MERCYHEALTH OPENED A NEW AUTISM CENTER IN WALWORTH COUNTY. THE UPDATED FACILITY ALLOWS MERCYHEALTH TO EXPAND TREATMENT OPTIONS WITH BOTH IN-HOME AND CLINIC-BASED APPLIED BEHAVIOR ANALYSIS SERVICES FOR CHILDREN. THE CENTER IS DESIGNED TO CREATE A COMFORTABLE AND WELCOMING ENVIRONMENT FOR PATIENTS AND THEIR FAMILIES. MERCYHEALTH PROVIDES COMPREHENSIVE AND FOCUSED TREATMENT TO INDIVIDUALS RANGING IN AGE FROM TWO INTO YOUNG ADULTHOOD. FAMILY TREATMENT GUIDANCE SERVICES TO FAMILIES WITH CHILDREN IN THE PROGRAM IS ALSO PROVIDED.MERCY PARTNERS WITH MULTIPLE COMMUNITY-BASED ORGANIZATIONS IN ROCK AND WALWORTH COUNTY WORKED TOGETHER TO ACCOMPLISH SUCCESSFUL IMPLEMENTATION OF THESE STRATEGIES. DURING THE COURSE OF THIS YEAR, AND THE PRIOR TAX YEARS, MERCY PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MERCY ALSO PROVIDES FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS.IN ADDITION, MERCY PROVIDES EXTENSIVE TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS FOR OUR PATIENTS. MERCY HAS PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 6A: ROCK COUNTY NEEDS ASSESSMENT- HOSPITALS: HOSPITALS SUCH AS SSM HEALTH, AND BELOIT HEALTH SYSTEM ARE A PART OF HEAR (HEALTH EQUITY ALLIANCE OF ROCK COUNTY) WHICH HELPED TO GUIDE THE COMMUNITY HEALTH ASSESSMENT (CHA). |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 6A: SURVEY WAS DEVELOPED IN COLLABORATION WITH ADVOCATE AURORA. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 6B: MERCY HEALTH SYSTEM CORPORATION WORKED WITH THE FOLLOWING ORGANIZATIONS INCLUDING SUPPORT FROM HEALTH EQUITY ALLIANCE OF ROCK COUNTY (HEAR), AND ITS MEMBERS THAT INCLUDE COMMUNITY-BASED ORGANIZATIONS AND GOVERNMENT AGENCIES. ROCK COUNTY DEPARTMENT OF PUBLIC HEALTH AND IN WALWORTH, WALWORTH COUNTY DIVISION OF HEALTH AND HUMAN SERVICES. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 6B: WALWORTH COUNTY DIVISION OF HEALTH AND HUMAN SERVICES. |
| MERCYHEALTH HOSPITAL AND TRAUMA CENTER-JANESVILLE | PART V, SECTION B, LINE 11: IN ROCK COUNTY:MHTC'S PLAN IN ROCK COUNTY IS TO IMPROVE THE HEALTH OF PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. MERCYHEALTH IS RECRUITING MORE MENTAL HEALTH PROVIDERS, INCREASING CARE TRANSITION SERVICES, EXPANDING SCHOOL BASED MENTAL HEALTH SERVICES, AND EXPLORING NEW SERVICES. MHTC CONTINUES COMMUNITY PARTNERSHIPS TO ENSURE EFFECTIVE COLLABORATION, COORDINATION OF MENTAL HEALTH RESOURCES, EDUCATION AND OFFER SUPPORT TO HELP REDUCE ACCESS TO OPIATES, AND CO-SPONSOR EVENTS RELATED TO MENTAL HEALTH AWARENESS.MHTC IS RECRUITING NEW PROVIDERS TO ROCK COUNTY TO AID IN THE ACCESSIBILITY AND AFFORDABILITY OF HEALTH CARE IN THE AREA. MERCY IS INVESTING IN BY OPENING THE MERCYHEALTH KIDNEY CARE AND DIALYSIS CENTER. MHTC IS INCREASING AWARENESS OF FINANCIAL ASSISTANCE RESOURCES, VIRTUAL CARE OR TELEHEALTH OPTIONS, AND INCREASING ACCESS TO DISCHARGE MEDICATION IN THE FREE MEDS-TO BEDS PROGRAM.MATERNAL, INFANT AND CHILD HEALTH ARE BEING ADDRESSED BY MHTC IN ROCK COUNTY, BY ADOPTING BIRTH EQUITY INITIATIVES, SCREENING OB PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS, AND OFFERING SAME-DAY PEDIATRIC APPOINTMENTS TO THOSE WHO PRESENT AT URGENT CARE TO BUILD CONNECTIONS WITH A PEDIATRICIAN. |
| MERCYHEALTH HOSPITAL AND MEDICAL CENTER-WALWORTH | PART V, SECTION B, LINE 11: MERCY WALWORTH HOSPITAL'S PLAN IN WALWORTH COUNTY ADDRESSES MENTAL HEALTH NEEDS BY RECRUITING ADDITIONAL PROVIDERS, EXPANDING SCHOOL-BASED MENTAL HEALTH SERVICES, AND EXPLORING THE PROVISION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE SETTINGS. NUTRITION, PHYSICAL ACTIVITY AND OBESITY NEEDS ARE BEING ADDRESSED BY INCREASING REFERRALS TO WALWORTH'S WEIGHT MANAGEMENT PROGRAM, AND CARDIAC REHABILITATION PROGRAMS. RECRUITING PROVIDERS, EXPLORING COMMUNITY OUTREACH OPTIONS TO ADDRESS CHILD OBESITY, AND CONTINUATION OF ITS ATHLETIC TRAINING PROGRAM AS WELL AS TRAINING ADDITIONAL RESIDENT PHYSICIANS.MERCYHEALTH PARTICIPATED IN NUMEROUS COMMUNITY HEALTH FAIRS, PROVIDED FREE SCREENINGS AT OUR CLINICS AND IN CONJUNCTION WITH COMMUNITY BASED ORGANIZATIONS, OFFERED SCREENINGS TO FREE AND SLIDING FEE SCHEDULE PRIMARY CARE CLINICS, AND SCHOOL DISTRICTS IN BOTH COUNTIES. MERCY ALSO PROVIDED FINANCIAL INCENTIVES FOR THEIR EMPLOYEES TO PARTICIPATE IN SMOKING CESSATION PROGRAMS. ALL OF THESE EFFORTS ARE SUPPORTED THROUGH BROAD BASED MARKETING AND ADVERTISING PROGRAMS DIRECTED TO AUDIENCES IN BOTH COUNTIES PROMOTING THESE PROGRAMS. MERCYHEALTH PROVIDES EXTENSIVE TELEMEDICINE SERVICES TO INCREASE VIRTUAL ACCESS TO PATIENTS. MERCYHEALTH HAS PROVIDERS ON CALL THAT ARE AVAILABLE TO ASSIST EMS CREWS IN THE FIELD WITH TRAUMA-RELATED EMERGENCIES AND CRITICAL ILLNESSES. |
| PART V, LINE 16A: | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16B: | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ |
| PART V, LINE 16C: | HTTPS://WWW.MERCYHEALTHSYSTEM.ORG/PATIENTSVISITORS/BILLING-INFORMATION/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 48 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - MERCY MANOR TRANSITION CENTER | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | SKILLED NURSING/SUB-ACUTE CARE FACILITY |
| 2 - MERCYHEALTH REGIONAL CANCER CENTER RADIA | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | RADIATION ONCOLOGY CLINIC/RADIATION THERAPY FACILITY |
| 3 - HOUSE OF MERCY HOMELESS SHELTER | ||||
| 320 LINCOLN STREET | JANESVILLE | WI | 53548 | HOMELESS CENTER |
| 4 - MERCYHEALTH ALGONQUIN | ||||
| 2401 HARNISH DRIVE SUITE 101 | ALGONQUIN | WI | 60102 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - MERCYHEALTH BARRINGTON | ||||
| 500 WEST HIGHWAY 22 | BARRINGTON | IL | 60010 | OUTPATIENT PHYSICIAN CLINIC |
| 6 - MERCYHEALTH BELOIT | ||||
| 2825 PRAIRIE AVENUE | BELOIT | WI | 53511 | OUTPATIENT PHYSICIAN CLINIC |
| 7 - MERCYHEALTH BRODHEAD | ||||
| 2310 FIRST CENTER AVENUE | BRODHEAD | WI | 53520 | OUTPATIENT PHYSICIAN CLINIC |
| 8 - MERCYHEALTH EAST | ||||
| 3524 EAST MILWAUKEE STREET | JANESVILLE | WI | 53546 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 9 - MERCYHEALTH EAST PHARMACY | ||||
| 3524 EAST MILWAUKEE STREET | JANESVILLE | WI | 53546 | RETAIL PHARMACY |
| 10 - MERCYHEALTH SOUTH | ||||
| 849 KELLOGG AVENUE | JANESVILLE | WI | 53546 | RESIDENCY PROGRAM / OUTPATIENT PHYSICIAN CLINIC |
| 11 - MERCYHEALTH WEST | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC & MEDICAL ONCOLOGY |
| 12 - MERCYHEALTH WEST PHARMACY | ||||
| 1000 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | RETAIL PHARMACY |
| 13 - MERCYHEALTH CRYSTAL LAKE SOUTH | ||||
| 415-A CONGRESS PARKWAY | CRYSTAL LAKE | IL | 60014 | OUTPATIENT PHYSICIAN CLINIC |
| 14 - MERCYHEALTH DELAVAN | ||||
| 1038 E GENEVA STREET | DELAVAN | WI | 53115 | OUTPATIENT PHYSICIAN CLINIC |
| 15 - MERCYHEALTH EDGERTON | ||||
| 217 N MAIN STREET | EDGERTON | WI | 53534 | OUTPATIENT PHYSICIAN CLINIC |
| 16 - MERCYHEALTH EVANSVILLE | ||||
| 300 UNION STREET | EVANSVILLE | WI | 53536 | OUTPATIENT PHYSICIAN CLINIC/BEHAVIORAL HEALTH CLINIC |
| 17 - MERCYHEALTH HARVARD SOUTH | ||||
| 348 S DIVISION | HARVARD | IL | 60033 | OUTPATIENT PHYSICIAN CLINIC |
| 18 - MERCYHEALTH MALL | ||||
| 1010 NORTH WASHINGTON | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY/CARDIAC REHAB |
| 19 - MERCYHEALTH MALL PHARMACY | ||||
| 1010 NORTH WASHINGTON | JANESVILLE | WI | 53548 | RETAIL PHARMACY |
| 20 - MERCYHEALTH LAKE GENEVA | ||||
| 350 PELLER ROAD | LAKE GENEVA | WI | 53147 | OUTPATIENT PHYSICIAN CLINIC |
| 21 - MERCYHEALTH MCHENRY | ||||
| 3922 MERCY DRIVE | MCHENRY | IL | 60050 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 22 - MERCYHEALTH MILTON | ||||
| 725 SOUTH JANESVILLE STREET | MILTON | WI | 53563 | OUTPATIENT PHYSICIAN CLINIC |
| 23 - MERCYHEALTH MILTON PHARMACY | ||||
| 725 SOUTH JANESVILLE STREET | MILTON | WI | 53563 | RETAIL PHARMACY |
| 24 - MERCYHEALTH NORTHWEST WOMEN'S GROUP | ||||
| 47 WEST ACORN LANE | LAKE IN THE HILLS | IL | 601564804 | OUTPATIENT PHYSICIAN CLINIC |
| 25 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | PHYSICIAN & THERAPIST SERVICES: MENTAL HEALTH & ADDICTION TREATMENT |
| 26 - MERCYHEALTH DIALYSIS CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | DIALYSIS CENTER |
| 27 - MERCYHEALTH LUNG CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | PHYSICIANS CLINIC & SLEEP DISORDER CENTER |
| 28 - MERCYHEALTH AUTISM CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | AUTISM AND BEHAVIORAL SERVICES |
| 29 - MERCYHEALTH RICHMOND | ||||
| 9715 PRAIRIE RIDGE | RICHMOND | IL | 60071 | OUTPATIENT PHYSICIAN CLINIC |
| 30 - MERCYHEALTH SPORTS MEDICINE AND REHAB | ||||
| 557 NORTH WASHINGTON | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY |
| 31 - MERCYHEALTH TERRACE | ||||
| 510 N TERRACE STREET | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC |
| 32 - MERCYHEALTH WHITEWATER | ||||
| 507 WEST MAIN STREET | WHITEWATER | WI | 53190 | OUTPATIENT PHYSICIAN CLINIC |
| 33 - MERCYHEALTH SPORTS MEDICINE & REHAB | ||||
| 519 WEST MAIN STREET | WHITEWATER | WI | 53190 | OUTPATIENT PHYSICIAN CLINIC AND REHABILITATION FACILITY |
| 34 - MERCYHEALTH WOODSTOCK | ||||
| 2000 LAKE AVENUE | WOODSTOCK | IL | 60098 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE FACILITY |
| 35 - MERCYHEALTH WOODSTOCK PHARMACY | ||||
| 2000 LAKE AVENUE | WOODSTOCK | IL | 60098 | RETAIL PHARMACY |
| 36 - MERCYHEALTH ELKHORN | ||||
| 839 N WISCONSIN STREET | ELKHORN | WI | 53121 | OUTPATIENT PHYSICIAN CLINIC |
| 37 - MERCYCARE BUILDING | ||||
| 580 N WASHINGTON STREET | JANESVILLE | WI | 53548 | AUTISM PROGRAM/EMS TRAINING |
| 38 - MERCYHEALH SLEEP DISORDERS CENTER | ||||
| 903 MINERAL POINT AVENUE | JANESVILLE | WI | 53548 | OUTPATIENT PHYSICIAN CLINIC/SLEEP STUDY CENTER |
| 39 - MERCYHEALTH WALWORTH | ||||
| N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE |
| 40 - MERCYHEALTH WALWORTH PHARMACY | ||||
| N2950 STATE ROAD 67 | LAKE GENEVA | WI | 53147 | RETAIL PHARMACY |
| 41 - MERCYHEALTH AUTISM CENTER - WALWORTH | ||||
| N2846 STATE ROAD 67 | WILLIAMS BAY | WI | 53191 | AUTISM AND BEHAVIORAL SERVICES |
| 42 - MH BEHAVIORAL HEALTH CLINIC - BELOIT | ||||
| 1400 E INMAN PARKWAY SUITE B | BELOIT | WI | 53511 | BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH |
| 43 - MH BEHAVIOR HEALTH CLINIC - CRYSTAL LAKE | ||||
| 415-A CONGRESS PKWY | CRYSTAL LAKE | IL | 60014 | BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH |
| 44 - MERCYHEALTH NORTH | ||||
| 3400 DEERFIELD DR | JANESVILLE | WI | 53546 | OUTPATIENT PHYSICIAN CLINIC/URGENT CARE |
| 45 - MERCY CRYSTAL LAKE PHYSICAL THERAPY | ||||
| 741 MCHENRY AVE STE E | CRYSTAL LAKE | IL | 60014 | OUTPATIENT THERAPY CLINIC |
| 46 - MERCYHEALTH CHILD & ADOLESCENT TREATMENT | ||||
| 2600 HUMES RD STE 100 | JANESVILLE | WI | 53545 | CHILD AND ADOLESCENT DAY TREATMENT/MENTAL HEALTH CENTER |
| 47 - MERCYHEALTH DELAVAN | ||||
| 1038 E GENEVA ST | DELAVAN | WI | 53115 | FAMILY MEDICINE, LAB, RADIOLOGY |
| 48 - MERCYHEALTH BEHAVIORAL HEALTH CLINIC | ||||
| N2846 STATE ROAD 67 | WILLIAMS BAY | WI | 53191 | BEHAVIORAL HEALTH, CLINIC-BASED COUNSELING, COUNSELING, MENTAL HEALTH |
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART I, LINE 6A: | MERCY HEALTH SYSTEM CORPORATION, PREPARED A COMMUNITY BENEFIT REPORT AND IS ON THE WEBSITE WWW.MERCYHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-NEEDS/. |
| 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 OF $26,887,973 WAS NOT INCLUDED AS AN EXPENSE WHEN CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| SCHEDULE H, PART I, LINE 5B AND 5C: | 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 I, LINE 7G: | DIABETES EDUCATION/CLINIC WAS INCLUDED IN THIS LINE: EXPENSES IN COLUMN C TOTALED $480,372 AND COLUMN E HAD $239,428 OF NET EXPENSES. |
| PART I, LINE 7, COLUMN F: | BAD DEBT OF $26,887,973 WAS NOT INCLUDED AS AN EXPENSE WHEN CALCULATING THE PERCENTAGE IN THIS COLUMN. |
| PART III, LINE 2: | 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 III, LINE 3: | THE ESTIMATE OF BAD DEBT DOLLARS THAT MAY HAVE BEEN COVERED THROUGH MERCY HEALTH SYSTEM CORP.'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY (HAD THE PROPER PAPER WORK BEEN COMPLETED BY THE INDIVIDUAL NEEDING ASSISTANCE) IS ESTIMATED AT 16.31%. THIS FIGURE WAS BASED ON THE PERCENT OF BAD DEBT ACCOUNT DOLLARS THAT ARE RECLASSIFIED FOR CHARITY AND/OR BANKRUPTCY PURPOSES. |
| PART III, LINE 4: | BAD DEBT EXPENSE IS ACCOUNTED FOR IN THE FOLLOWING MANNER (AS DETAILED IN NOTE 1 OF THE AUDITED FINANCIAL STATEMENTS OF MERCY HEALTH CORPORATION).GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FOR THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEARS ENDED JUNE 30, 2024, 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. |
| PART III, LINE 8: | DATA FOR LINES 5 AND 6 OF PART III AND THE MEDICARE SHORTFALL IS BASED ON MERCY HEALTH SYSTEM CORPORATION'S MEDICARE COST REPORT. MEDICARE COSTS ARE ELIMINATED FROM THE SUBSIDIZED PROGRAMS ON PART 1, LINE 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 HEALTH SYSTEM CORPORATION 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 MERCY HEALTH SYSTEM CORPORATION (MHS), ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT REGARDLESS OF THEIR ABILITY TO PAY. MHS 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, MHS 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 HEALTH SYSTEM CORPORATION'S COMMUNITY CARE PROGRAM, RECEIVE A 25% DISCOUNT FROM MHS' STANDARD FEE SCHEDULE IN 2024. SELF-PAY PATIENTS MEET WITH PATIENT FINANCIAL COUNSELORS AND DISCUSS PAYMENT OPTIONS INCLUDING MHS' COMMUNITY CARE PROGRAM. PATIENTS MUST APPLY FOR COMMUNITY CARE AND SUPPLY MERCY WITH THE NECESSARY FINANCIAL AND OTHER INFORMATION REQUIRED. PATIENTS WHO QUALIFY FOR COMMUNITY CARE BENEFITS WILL RECEIVE A REDUCTION IN THE BALANCE OWED, EXTENDED PAYMENT TERMS, OR BOTH. THE AMOUNT OF THE COMMUNITY CARE BENEFIT WILL BE BASED ON THE PATIENT'S ABILITY TO PAY AND THE SIZE OF THE OUTSTANDING BALANCE. |
| SCHEDULE H, PART V, LINE 22D: | MHTC AND ALL OF MERCYHEALTH WILL NOT CHARGE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE 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. |
| PART VI, LINE 2: | IN ADDITION TO THE HEALTH NEEDS ASSESSMENT - MERCYHEALTH IS WORKING TO: WORK WITH OTHER COMMUNITY SERVICES AND THROUGH MEDICARE ACO TO PROACTIVELY MANAGE AND IMPROVE THE CHRONIC DISEASE STATE OF OUR PATIENTS, AND TO CONTINUE MEDICARE ACO WELLNESS VISITS TO PROACTIVELY MANAGE THE HEALTH OF MEDICARE PATIENTS. MAINTAIN CLINICAL TEAMS TO WORK WITH SELECTED NURSING HOME PATIENTS TO ENSURE APPROPRIATE TRANSITIONAL CARE AND MANAGE AND PROVIDE INTERVENTIONS AS NECESSARY FOR VARIOUS ACUTE AND CHRONIC DISEASES. IN ADDITION, SUB ACUTE CARE WAS ADDED TO ALLOW PATIENTS TO TRANSITION AFTER A MAJOR ILLNESS OR INJURY AND MAINTAIN A HEALTHY LIFESTYLE.MAINTAIN MULTIDISCIPLINARY PALLIATIVE CARE SERVICES FOR ADULTS TO FORMULATE PLANS OF CARE, IDENTIFY RESOURCES, AND PROVIDE SUPPORT FOR BOTH PATIENTS AND FAMILIES FOR VARIOUS CHRONIC AND ACUTE DISEASES.IMPROVE THE HEALTH OF PATIENTS WITH SPECIFIC NEEDS, INCLUDING GERIATRIC HEALTH NEEDS AND SUBSTANCE ABUSE BY OFFERING A WIDE ARRAY OF COMMUNITY EDUCATIONAL HEALTH & SCREENING PROGRAMS.REDUCE THE LIKELIHOOD OF OPIOID ADDICTION BEGINNING OR CONTINUING BY MONITORING OPIOID PRESCRIPTIONS AMONG PHYSICIANS, OFFERING PROVIDER EDUCATION AND OFFERING ADDICTION COUNSELING.MHTC CONTINUES TO PARTICIPATE IN PROJECT SEARCH, A 10- MONTH SCHOOL-TO-WORK TRANSITION PROGRAM FOR STUDENTS WITH DISABILITIES THAT TAKES PLACE ENTIRELY IN THE WORKPLACE. PROJECT SEARCH STUDENTS WORK IN THREE INTERNSHIPS SUPPORTED BY AN ONSITE SKILLS TRAINER AND SUPERVISED BY A MERCYHEALTH MANAGER. THROUGH PARTICIPATION IN PROJECT SEARCH, STUDENTS ACQUIRE COMPETITIVE AND TRANSFERABLE JOB SKILLS, AS WELL AS INCREASED INDEPENDENCE, CONFIDENCE, AND SELF-ESTEEM.PROVIDE JOB TRAINING AND EMPLOYMENT OPPORTUNITIES TO DISABLED YOUNG ADULT COMMUNITY MEMBERS IN COLLABORATION WITH RAMP AND THE ILLINOIS DEPARTMENT OF HUMAN SERVICES BY ESTABLISHING PROJECT SEARCH.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.ROCK RIVER VALLEY BLOOD CENTER AND THE 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. |
| 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, 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 HOSPITAL AND TRAUMA CENTER:MERCY HOSPITAL AND TRAUMA CENTER IS LOCATED IN JANESVILLE, WI: ROCK COUNTY. IT IS ONE OF TWO ACUTE CARE HOSPITALS IN JANESVILLE, WI. IT IS LICENSED FOR 240 ACUTE BEDS. IT HAS 24/7 EMERGENCY SERVICES, WITH A TRAUMA II DESIGNATION. IT IS A TEACHING HOSPITAL WITH A RESIDENCY PROGRAM.UNEMPLOYMENT IN ROCK COUNTY (2022) WAS AT 3.6%; A DECLINE FROM 2020'S 7.1%. THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS AND ROADMAPS SHOWED THAT ROCK COUNTY PERFORMED WORSE THAN WISCONSIN WITH LOWER MEDIAN INCOME; A HIGHER PERCENTAGE OF PUBLIC SCHOOL-ENROLLED CHILDREN WHO RECEIVE FREE OR REDUCED-PRICE LUNCH; A HIGHER PERCENTAGE OF INCOME SPENT ON CHILDCARE IN TWO-CHILD HOUSEHOLDS; A HIGHER PERCENTAGE OF THE TOTAL POPULATION WHO EXPERIENCES FOOD INSECURITY; A HIGHER PERCENTAGE OF LOW-INCOME POPULATION WITH LIMITED ACCESS TO HEALTHY FOODS; AND A HIGHER AVERAGE AIRPOLLUTION PARTICULATE PER CUBIC METER. MEDIAN GROSS YEARLY HOUSEHOLD INCOME FOR ROCK COUNTY WAS AT $66,400 COMPARED TO WISCONSIN'S $67,200 AND THE NATIONAL AVERAGE OF $69,700. PER THE 2020 US CENSUS BUREAU, 25% OF ROCK COUNTY RESIDENTS ARE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL.MERCY WALWORTH HOSPITAL:MERCY WALWORTH HOSPITAL IS LOCATED IN LAKE GENEVA WI WHICH IS IN WALWORTH COUNTY, WI. IT IS A CRITICAL ACCESS HOSPITAL LICENSED FOR 25 ACUTE BEDS THAT PROVIDES 24/7 EMERGENCY SERVICES.UNEMPLOYMENT IN WALWORTH COUNTY (2022) WAS AT 2.2%; A DECLINE FROM 2020'S 4.2%. THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE'S COUNTY HEALTH RANKINGS AND ROADMAPS SHOWED THAT WALWORTH COUNTY PERFORMED WORSE THAN WISCONSIN AS A WHOLE WHEN IT CAME TO WALWORTH COUNTY SPENDING A HIGHER PERCENTAGE OF INCOME BEING SPENT ON CHILDCARE IN TWO-CHILD HOUSEHOLDS; A HIGHER PERCENTAGE OF LOW-INCOME POPULATION WITH LIMITED ACCESS TO HEALTHY FOODS. PER THE 2020 US CENSUS BUREAU, 22% OF WALWORTH COUNTY RESIDENTS ARE LIVING BELOW 200% OF THE FEDERAL POVERTY LEVEL.MERCY HEALTH SYSTEM CORP'S PAYOR:DEMOGRAPHICS FOR ITS HOSPITALS INCLUDE 53.90% MEDICARE, AND 12.70% MEDICAID FOR THE FISCAL YEAR OF JULY 1, 2022 - JUNE 30, 2023 (AS DETERMINED BY CHARGES BILLED). |
| PART VI, LINE 5: | MERCY HEALTH SYSTEM CORP HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS. MERCY HEALTH SYSTEM CORP. HAS A GOVERNING BODY COMPRISED OF A MAJORITY OF INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY. |
| PART VI, LINE 6: | MERCY HEALTH SYSTEM CORPORATION HAS TWO HOSPITALS THAT PROVIDE ACUTE CARE SERVICES IN ROCK AND WALWORTH COUNTIES OF WISCONSIN. MERCY HEALTH SYSTEM CORP ALSO OPERATES COMMUNITY CLINICS LOCATED THROUGHOUT SIX COUNTIES OF WISCONSIN AND ILLINOIS. IT IS PART OF A LARGER INTEGRATED HEALTHCARE SYSTEM AND IS AFFILIATED WITH OTHER SEPARATELY REPORTED ORGANIZATIONS COLLECTIVELY KNOWN AS "MERCYHEALTH."MERCY HEALTH IS THE ULTIMATE PARENT COMPANY OF MERCY HEALTH SYSTEM CORPORATION, MERCY HARVARD HOSPITAL, INC., MERCY ASSISTED CARE INC., JAVON BEA HOSPITAL AND ROCKFORD HEALTH PHYSICIANS.MERCY HARVARD HOSPITAL PROVIDES ACUTE CARE SERVICES IN MCHENRY COUNTY, ILLINOIS, ALONG WITH JAVON BEA HOSPITAL (ROCKFORD), ROCKFORD HEALTH PHYSICIANS, AND VISITING NURSES ASSOCIATION OF ROCKFORD.MERCY ASSISTED CARE PROVIDES HOME HEALTH SERVICES, HOSPICE, AND DME (DURABLE MEDICAL EQUIPMENT) SERVICES; THUS PROVIDING CONTINUATION OF CARE TO MERCYHEALTH PATIENTS AND THE COMMUNITY AS A WHOLE.JAVON BEA HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES TO RESIDENTS OF ROCKFORD, ILLINOIS AND THE SURROUNDING COMMUNITIES. THE ROCKFORD HEALTH PHYSICIANS PROVIDE PHYSICIAN AND AMBULATORY CARE SERVICES AT SEVERAL ILLINOIS SITES. MERCY HEALTH SYSTEM CORP. WORKS WITH THE MERCY FOUNDATION, INC. TO OPERATE A HOMELESS SHELTER IN JANESVILLE, WI: THE HOUSE OF MERCY HOMELESS CENTER PROVIDES SHELTER, SUPPORT, AND TRAINING TO WOMEN, CHILDREN, AND FAMILIES TO HELP FIGHT HOMELESSNESS. IT OPENED IN 1996, AND PROVIDED 8,135 SHELTER NIGHTS FOR 193 INDIVIDUALS IN FY2023 (JULY 1, 2022- JUNE 30, 2023).MERCY HOSPITAL ASSOCIATION OF VOLUNTEERS, INC. IS THE ORGANIZATION/TAX ENTITY OF MERCY'S VOLUNTEERS. VOLUNTEERS NUMBERED 234 IN CALENDAR YEAR 2023. THIS ORGANIZATION NOT ONLY SUPPORTS MERCY'S SERVICES, BUT PROVIDES BENEFITS TO THE COMMUNITY AS A WHOLE. IN CONJUNCTION WITH MERCY HEALTH SYSTEM'S MEAL PREPARATION, THE VOLUNTEERS PARTICIPATE IN AND OVERSEE A MEALS-ON-WHEELS PROGRAM: PARTICIPANT/NUTRITION SPECIFIC MEALS ARE PREPARED AND DELIVERED TO THE ELDERLY NEEDING ASSISTANCE IN JANESVILLE. THE VOLUNTEER ASSOCIATION RUNS A HOSPITALITY HOUSE IN WHICH FAMILY MEMBERS OF PATIENTS ARE OFFERED FREE HOUSING DURING THEIR LOVED ONES EXTENDED HOSPITAL STAY AND REHABILITATION. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | WI,IL |
| LINE 6 | MHSC FILES A COMMUNITY BENEFIT REPORT WITHIN WI WITH THE WISCONSIN HOSPITAL ASSOCIATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SHAHID SHEKHANI | ||||||||||||||
| PHYSICIAN | $293,118 | $0 | $2,163,864 | $0 | $28,850 | $0 | $17,807 | $0 | $23,841 | $0 | $2,527,480 | $0 | $0 | $0 |
| DAVID NELSEN | ||||||||||||||
| PHYSICIAN | $688,829 | $0 | $800,000 | $0 | $22,500 | $0 | $14,060 | $0 | $40,405 | $0 | $1,565,794 | $0 | $0 | $0 |
| IMDAD AHMED | ||||||||||||||
| PHYSICIAN | $590,452 | $0 | $871,321 | $0 | $21,650 | $0 | $3,897 | $0 | $35,636 | $0 | $1,522,956 | $0 | $0 | $0 |
| MANISHA GHARIA | ||||||||||||||
| PHYSICIAN | $384,347 | $0 | $925,000 | $0 | $30,000 | $0 | $16,158 | $0 | $535 | $0 | $1,356,040 | $0 | $0 | $0 |
| CRAIG LYON | ||||||||||||||
| PHYSICIAN | $700,837 | $0 | $482,647 | $0 | $21,650 | $0 | $3,897 | $0 | $27,637 | $0 | $1,236,668 | $0 | $0 | $0 |
| TODD ANDERSON | ||||||||||||||
| VP/CFO (TERM TERM 01/2025) | $583,582 | $0 | $298,099 | $0 | $8,854 | $0 | $49,833 | $0 | $37,698 | $0 | $978,066 | $0 | $0 | $0 |
| KIMBERLY SCACCIA | ||||||||||||||
| VP - REVENUE CYCLE | $364,549 | $0 | $174,918 | $0 | $5,618 | $0 | $28,911 | $0 | $31,677 | $0 | $605,673 | $0 | $0 | $0 |
| JOANNA BENNING | ||||||||||||||
| VICE-PRESIDENT | $348,564 | $0 | $191,103 | $0 | $1,963 | $0 | $29,085 | $0 | $1,128 | $0 | $571,843 | $0 | $0 | $0 |
| ALEN BRCIC | ||||||||||||||
| VICE-PRESIDENT (TERM 02/2024) | $333,355 | $0 | $146,095 | $0 | $6,852 | $0 | $26,008 | $0 | $34,214 | $0 | $546,524 | $0 | $0 | $0 |
| MARK L GOELZER MD | ||||||||||||||
| DIRECTOR/PHYSICIAN | $246,712 | $0 | $227,923 | $0 | $6,416 | $0 | $15,657 | $0 | $17,864 | $0 | $514,572 | $0 | $0 | $0 |
| KARA SANKEY | ||||||||||||||
| VICE-PRESIDENT | $321,109 | $0 | $135,509 | $0 | $8,280 | $0 | $17,054 | $0 | $28,191 | $0 | $510,143 | $0 | $0 | $0 |
| E PATRICK CRANLEY | ||||||||||||||
| VICE-PRESIDENT | $284,324 | $0 | $145,965 | $0 | $12,849 | $0 | $22,978 | $0 | $38,106 | $0 | $504,222 | $0 | $0 | $0 |
| JENNIFER HALLATT | ||||||||||||||
| VICE-PRESIDENT | $299,855 | $0 | $150,762 | $0 | $4,599 | $0 | $16,991 | $0 | $30,855 | $0 | $503,062 | $0 | $0 | $0 |
| ALIAKBAR ABDULLA OLIA | ||||||||||||||
| VICE-PRESIDENT | $287,401 | $0 | $148,183 | $0 | $11,324 | $0 | $19,627 | $0 | $35,942 | $0 | $502,477 | $0 | $0 | $0 |
| AMY WHITAKER | ||||||||||||||
| VICE-PRESIDENT | $272,016 | $0 | $101,250 | $0 | $11,006 | $0 | $17,343 | $0 | $1,293 | $0 | $402,908 | $0 | $0 | $0 |
| LADD UDY | ||||||||||||||
| VICE-PRESIDENT | $192,271 | $0 | $96,708 | $0 | $2,031 | $0 | $16,712 | $0 | $29,391 | $0 | $337,113 | $0 | $0 | $0 |
| TYLER KILLPACK | ||||||||||||||
| VICE-PRESIDENT (EFF. 08/2023) | $176,425 | $0 | $33,000 | $0 | $174 | $0 | $7,511 | $0 | $31,441 | $0 | $248,551 | $0 | $0 | $0 |
| JAVON R BEA | ||||||||||||||
| PRESIDENT/CEO (SEE PAGES 74-80) | $1,816,003 | $0 | $0 | $0 | $14,185,683 | $0 | $6,738,431 | $0 | $17,662 | $0 | $22,757,779 | $0 | $12,669,012 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | 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 4B | INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $8,510,830 |
| 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd | TransactionTransactionAmt |
|---|---|---|---|
| KRISTEN GOELZER | |||
| FAMILY MEMBER OF MARK GOELZER, DIRECTOR | EMPLOYMENT - PHYSICIAN | 0 | |
| JOANNA BENNING | |||
| FAMILY MEMBER OF JAVON BEA, PRESIDENT/CEO | EMPLOYMENT - VICE PRESIDENT | 0 | $571,843 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | THE VOTING MEMBERS OF THE EXECUTIVE COMMITTEE CONSISTS OF EIGHT INDIVIDUALS, EACH OF WHOM SHALL HAVE A VOTE, INCLUDING THE CEO, THE CHAIRMAN, VICE-CHAIRMAN, IMMEDIATE PAST CHAIRMAN, TREASURER, AND THREE ADDITIONAL DIRECTORS OF THE BOARD. AT LEAST ONE MEMBER OF THE EXECUTIVE COMMITTEE SHALL BE A PHYSICIAN. THE EXECUTIVE COMMITTEE SHALL IN ALL INSTANCES BE COMPRISED OF AT LEAST 51% COMMUNITY MEMBERS. IN THE EVENT THAT ONE OR MORE OF THE AFOREMENTIONED VOTING MEMBERS OF THE EXECUTIVE COMMITTEE IS UNABLE TO SERVE IN SUCH CAPACITY, THEN THE CHAIRMAN OF THE CORPORATION SHALL DESIGNATE A REPLACEMENT FROM AMONG THE BOARD MEMBERS. THE EXECUTIVE COMMITTEE SHALL MEET AS NEEDED. WHEN THE BOARD OF DIRECTORS IS NOT IN SESSION, THE EXECUTIVE COMMITTEE SHALL HAVE ALL THE POWERS, DUTIES, RESPONSIBILITIES AND AUTHORITY OF THE BOARD, EXCEPT AS PROHIBITED BY LAW. |
| FORM 990, PART VI, SECTION A, LINE 2 | FAMILY RELATIONSHIP: JAVON R. BEA (FATHER) & JOANNA BEA BENNING (DAUGHTER) |
| FORM 990, PART VI, SECTION A, LINE 6 | MERCY HEALTH CORPORATION (MHC) IS THE SOLE CORPORATE MEMBER OF MERCY HEALTH SYSTEM CORPORATION (MHSC). THE SOLE MEMBER SHALL HAVE THE 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 7A | SEE NARRATIVE FOR PART VI, LINE 6 |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE NARRATIVE FOR 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 | BY WRITTEN POLICY, MHC SENDS OUT, ON AN ANNUAL BASIS, THE CORPORATE CONFLICT AND DUALITY OF INTEREST POLICY TO ALL BOARD MEMBERS, CORPORATE OFFICERS AND OTHER KEY INDIVIDUALS (THOSE HAVING RESPONSIBILITY AND AUTHORITY TO MAKE FINAL DECISIONS REGARDING THE ACQUISITION OF PRODUCTS OR SERVICES). EACH RECIPIENT IS REQUIRED TO COMPLETE A FINANCIAL INTEREST DISCLOSURE STATEMENT, WHICH IS SUBMITTED TO THE MHC COMPLIANCE DEPARTMENT FOR REVIEW. WITH RESPECT TO PHYSICIANS AND MANAGERS WHO ARE KEY INDIVIDUALS, ANY POTENTIAL CONFLICT OF INTEREST IS REVIEWED WITH THE APPROPRIATE EXECUTIVE STAFF MEMBER FOR FOLLOW UP WITH THE DISCLOSING PARTY IN ORDER TO REVIEW THE MATTER IN MORE DETAIL. THIS INCLUDES EMPHASIZING THAT THE DISCLOSING PARTY IS NOT PERMITTED TO PARTICIPATE IN ANY NEGOTIATIONS FOR THE PURCHASE OF ANY PRODUCTS OR SERVICES WHERE THE CONFLICT IS DEEMED MATERIAL OR AUTHORIZE THE SUBSEQUENT PURCHASE OF RELATED GOODS AND SERVICES. THE DISCLOSING PARTY IS ALSO REQUIRED TO IDENTIFY EACH AND EVERY INSTANCE OF A POTENTIAL CONFLICT AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. A SIMILAR PROCESS IS FOLLOWED FOR THE BOARD OF DIRECTORS, EXCEPT THAT ANY POTENTIAL CONFLICT IS REVIEWED BY THE BOARD'S GOVERNANCE COMMITTEE. BOARD MEMBERS MAY COMMENT ON TRANSACTIONS WHERE THERE IS A POTENTIAL CONFLICT BUT CANNOT VOTE ON THE RELATED MATTER AND MAY BE REQUIRED TO LEAVE ANY MEETING WHERE THE POTENTIAL CONFLICT IS REVIEWED BY THE BOARD OR WHERE THE BOARD TAKES ACTION TO EITHER APPROVE OR NOT APPROVE THE PROPOSED TRANSACTION. A BOARD MEMBER ALSO HAS A CONTINUING DUTY TO REPORT ANY CONFLICTS AS THEY MAY ARISE IN THE ORDINARY COURSE OF BUSINESS. IN THE EVENT THAT A POTENTIAL CONFLICT OF INTEREST IS REPORTED OR DISCOVERED OUTSIDE THE ESTABLISHED PROCESS, APPROPRIATE REVIEW AND ACTION WOULD BE TAKEN. THIS PROCESS WAS LAST COMPLETED IN 2022, WHEN THE QUESTIONNAIRES WERE SENT TO ADDRESS ANY 2021 CONFLICTS IDENTIFIED. MHC AND MHSC HAVE THE SAME BOARD, AND THEREFORE THE MHC QUESTIONNAIRE IS USED TO ALSO ADDRESS POTENTIAL AND ACTUAL CONFLICTS FOR THE FILING ORGANIZATION. THE MHC CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MHCS COMPENSATION COMMITTEE IS COMPRISED OF THE BOARD CHAIRPERSON, VICE CHAIR AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2024. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | |
| 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 | |||||||||||
| 875 S ROUTE 31 | CRYSTAL LAKE | IL | 60014 | 201673011 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCY HEALTH CORPORATION | |||||||||||
| 8201 E RIVERSIDE BLVD | ROCKFORD | IL | 61114 | 472158680 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| JAVON BEA HOSPITAL | |||||||||||
| 8201 E RIVERSIDE BLVD | ROCKFORD | IL | 61114 | 362167847 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
| MERCYHEALTH DEVELOPMENT FOUNDATION | |||||||||||
| 8201 E RIVERSIDE BLVD | ROCKFORD | IL | 61114 | 363197918 | SUPPORT OF HEALTHCARE | IL | 501(C)(3) | LINE 12A, I | MERCY HEALTH CORPORATION | 0 | |
| MERCYHEALTH VISITING NURSES ASSOCIATION | |||||||||||
| 8201 E RIVERSIDE BLVD | ROCKFORD | IL | 61114 | 362167945 | HEALTHCARE | IL | 501(C)(3) | LINE 10 | MERCY HEALTH CORPORATION | 0 | |
| ROCKFORD HEALTH PHYSICIANS | |||||||||||
| 8201 E RIVERSIDE BLVD | ROCKFORD | IL | 61114 | 363907436 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | MERCY HEALTH CORPORATION | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Share Of Total IncomeShareOfTotalIncomeAmt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JANESVILLE MEDICAL CENTER INC | |||||||||||||||||
| 1000 MINERAL POINT AVE | JANESVILLE | WI | 53548 | 391520130 | MANAGEMENT OF UNION EMPLOYEES | WI | MERCY HEALTH SYSTEM CORPORATION | C | $200 | 1.00000 | Yes (1) | ||||||
| MERCYCARE INSURANCE COMPANY | |||||||||||||||||
| 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 391768192 | INSURANCE | WI | MERCY HEALTH SYSTEM CORPORATION | C | $81,869,045 | 1.00000 | Yes (1) | $148,513,407 | |||||
| MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO | |||||||||||||||||
| 580 N WASHINGTON ST | JANESVILLE | WI | 53546 | 201482553 | INSURANCE | WI | MERCY HEALTH SYSTEM CORPORATION | C | 1.00000 | Yes (1) | |||||||
| ROCKFORD HEALTH INSURANCE LTD | |||||||||||||||||
| INSURANCE | C | 0 | WELLESLEY HOUSE SO 2ND FL | PEMBROKE HM | BD | BD | N/A | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCYCARE INSURANCE COMPANY | ||
| Q | $8,896,830 | COST OF SERVICES PROVIDED |
| MERCYCARE INSURANCE COMPANY | ||
| A | $137,664 | COST OF PROPERTY PROVIDED |