2015-05-14T09:10:43-05:00 2014-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 500 MIDLAND COURT PO BOX 8130 JANESVILLE WI 535478130 990 2013-07-01 237275336 MERCY FOUNDATION INC MERC 6087566000 PO BOX 5003 - 1000 MINERAL POINT JANESVILLE WI 535475003 JAVON BEA PRESIDENT 6087566000 2015-05-05 1 BRADLEY S MCGUIRE CPA P00643763 6087525835 2015-05-05 X 2013 2016-02-25 16:41:14Z JAVON BEA PO BOX 5003 - 1000 MINERAL POINT JANESVILLE WI 535475003 2115742 0 X N/A X 1972 WI TO SUPPORT MERCY HEALTH SYSTEM CORP, THE HOUSE OF MERCY & MERCY ASSISTED CARE HOSPICE PROGRAM. 3 1 0 75 0 0 309732 427450 121500 106800 65610 225982 -11031 -12838 485811 747394 0 0 0 0 106018 113160 0 0 132386 295919 334362 401937 447522 83874 299872 1616594 1871870 16200 0 1600394 1871870 X TO SUPPORT MERCY HEALTH SYSTEM CORP, THE HOUSE OF MERCY & MERCY ASSISTED CARE HOSPICE PROGRAM. 0 0 184794 HOUSE OF MERCY, A HOMELESS SHELTER, PROVIDED 7,605 SHELTER NIGHTS. A TOTAL OF 295 INDIVIDUALS (162 ADULTS AND 133 CHILDREN) WERE SERVED. 51038 106800 MERCY FOUNDATION PROVIDES SUBSIDY FUNDING FOR THE MERCY HEALTH SYSTEM RESIDENCY PROGRAM. USE OF THESE DONATIONS ARE FOR EDUCATIONAL NECESSITIES OUTSIDE THE NORMAL OPERATING BUDGET OF THE MERCY RESIDENCY PROGRAM. FUNDS COVERED EXPENSES OF A MEDICAL MISSION TO GUATEMALA (IN CONJUNCTION WITH THE SHOULDER TO SHOULDER, INC. ORGANIZATION). 36875 OTHER MISCELLANEOUS PROGRAM EXPENSES 36875 272707 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 X 3 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 WI X SHANNON DUNPHY-ALEXANDER 6087566642 1000 MINERAL POINT JANESVILLE WI 535475003 LARRY E SQUIRE TREASURER & DIRECTOR 1.00 2.00 X X 0 3718 0 MARK GOELZER SECRETARY & DIRECTOR 1.00 55.00 X X 0 433237 28418 JAVON R BEA PRESIDENT & DIRECTOR 1.00 55.00 X X 0 5220365 36645 RICHARD GRUBER VICE-PRESIDENT 1.00 55.00 X 0 207379 27888 BARB BORTNER VICE-PRESIDENT 1.00 55.00 X 0 198844 34313 0 6063543 127264 0 0 1 0 0 160822 1500 265128 427450 FAMILY PRACTICE RESIDENCY PROGRAM 900099 106800 106800 106800 36340 36340 1451553 1261911 189642 189642 189642 93599 160822 106437 -12838 -12838 747394 106800 0 213144 105599 105599 2097 2097 5464 5464 10250 10250 14912 14912 7974 6604 1370 2482 2482 797 797 HOUSE OF MERCY EXP (HOM 184794 184794 RESIDENCY PROGRAM EXPEN 51038 51038 OTHER EXPENSES 33772 23365 10407 OTHER FUNDRAISING EXPEN 14788 14788 13555 12713 256 586 447522 272707 42429 132386 101163 139902 1515431 1697921 0 34047 1616594 1871870 16200 0 16200 0 X 1600394 1871870 1600394 1871870 1616594 1871870 299872 -28396 0 X 0 1 X 1 0 X X 0 0 0 MERCY ASSISTED CARE INC 391035110 9 1 0 1 0 MERCY HEALTH SYSTEM CORPORATION 390816848 3 1 0 1 0 2 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 VARIOUS INVESTMENTS 1697921 F 1697921 CHARITY BALL 163097 104870 58227 7500 1500 1733 13235 3000 48021 JINGLE MINGLE 85089 55952 29137 6170 1600 600 6885 568 14557 2 6235 6235 1068 254421 160822 93599 13670 3100 2333 20120 3568 63646 106437 -12838 0 0 0 0 0 0 0 0 0 MARK GOELZER SECRETARY & DIRECTOR 0 428028 0 0 0 5209 0 15576 0 12842 0 461655 0 0 JAVON R BEA PRESIDENT & DIRECTOR 0 1005629 0 883870 0 3330866 0 16851 0 19794 0 5257010 0 0 RICHARD GRUBER VICE-PRESIDENT 0 136675 0 62153 0 8551 0 13329 0 14559 0 235267 0 0 BARB BORTNER VICE-PRESIDENT 0 135533 0 62671 0 640 0 13029 0 21284 0 233157 0 0 FORM 990, PART VI, SECTION B, LINE 11 MANAGEMENT REVIEWS FORM 990 PRIOR TO FILING AND FORM 990 IS AVAILABLE TO THE BOARD FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO REPORT ALL CONFLICTS OF INTEREST. THE COMPLIANCE OFFICER IS RESPONSIBLE FOR INVESTIGATING ALL CONFLICTS AND REPORTING TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. MERCY ALLIANCE INC 1000 MINERAL POINT JANESVILLE WI 535475003 391679859 MANAGEMENT OF HEALTHCARE ORGANIZATIONS WI 501(C)(3) 11A N/A 0 MERCY HEALTH SYSTEM ASSOCIATION OF VOLUNTEERS 1000 MINERAL POINT JANESVILLE WI 535475003 390912682 TO SUPPORT MERCY HEALTH SYSTEM CORPORATION WI 501(C)(3) 11C MERCY HEALTH SYSTEM CORPORATION 0 MERCY HEALTH SYSTEM CORPORATION 1000 MINERAL POINT JANESVILLE WI 535475003 390816848 MEDICAL HEALTHCARE WI 501(C)(3) 3 MERCY ALLIANCE INC 0 MERCY ASSISTED CARE INC 901 MINERAL POINT JANESVILLE WI 535475003 391035110 HOME HEALTH CARE & SERVICES WI 501(C)(3) 9 MERCY ALLIANCE INC 0 MERCY HARVARD HOSPITAL INC 901 GRANT STREET HARVARD IL 60033 311551871 MEDICAL HEALTHCARE IL 501(C)(3) 3 MERCY ALLIANCE INC 0 HARVARD MEMORIAL HOSPITAL FOUNDATION 901 GRANT STREET HARVARD IL 60033 364308662 TO SUPPORT MERCY HARVARD HOSPITAL, INC. IL 501(C)(3) 11A MERCY HARVARD HOSPITAL INC 0 MERCY CRYSTAL LAKE HOSPITAL AND MEDICAL CENTER 1000 MINERAL POINT JANESVILLE WI 535475003 201673011 NONE IL 501(C)(3) 3 MERCY ALLIANCE INC 0 JANESVILLE MEDICAL CENTER INC 1000 MINERAL POINT JANESVILLE WI 535475003 391520130 MANAGEMENT ENTITY OF UNION EMPLOYEES WI MERCY HEALTH SYSTEM CORPORATION C 0 MERCYCARE INSURANCE COMPANY 3430 PALMER DRIVE JANESVILLE WI 53545 391768192 INSURANCE COMPANY WI MERCY HEALTH SYSTEM CORPORATION C 0 MERCYCARE HMO INC - CONSOLIDATED WITH MERCYCARE INSURANCE CO 3430 PALMER DRIVE JANESVILLE WI 53545 201482553 INSURANCE COMPANY WI MERCY HEALTH SYSTEM CORPORATION C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0