Civic Intelligence

Mhm Support Services

990 • Fiscal year 2014 • EIN 20-2553101

Jul 01, 2013 to Jun 30, 2014 • Filed on May 12, 2015

14528 South Outer Forty RoadSuite 10063017

(314) 579-6100

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

99th percentile

1.60x

Higher debt load relative to assets than 99% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Liabilities / Revenue

78th percentile

1.03x

Higher debt load relative to revenue than 78% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Net Margin

8th percentile

-8.1%

Higher net margin than 8% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Top Officer Pay

71st percentile

$1,291,369

Higher top officer pay than 71% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2014

Asset Growth

10th percentile

-3.9%

Faster asset growth than 10% of similar nonprofits.

2014 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2013 to 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

Down

$398,836,597

Down $16,124,547 (-3.9%) from 2013

Net Assets

Down

-$238,087,818

Down $68,484,396 (-40%) from 2013

Liabilities

Up

$636,924,415

Up $52,359,849 (+9.0%) from 2013

Revenue

$616,461,935

No earlier filing loaded for comparison.

Expenses

Up

$666,523,549

Up $72,531,561 (+12%) from 2013

Net Income

-$50,061,614

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0B$1.0B$0-$1.0B-$2.0BAssets 2010: $398,396,796Liabilities 2010: $306,510,000Net Assets 2010: $91,886,7962010Assets 2011: $571,497,942Liabilities 2011: $400,569,236Net Assets 2011: $170,928,7062011Assets 2012: $497,713,976Liabilities 2012: $359,238,431Net Assets 2012: $138,475,5452012Assets 2013: $414,961,144Liabilities 2013: $584,564,566Net Assets 2013: -$169,603,4222013Assets 2014: $398,836,597Liabilities 2014: $636,924,415Net Assets 2014: -$238,087,8182014Assets 2015: $356,920,995Liabilities 2015: $630,484,094Net Assets 2015: -$273,563,0992015Assets 2016: $402,586,876Liabilities 2016: $579,847,076Net Assets 2016: -$177,260,2002016Assets 2017: $317,823,920Liabilities 2017: $634,571,833Net Assets 2017: -$316,747,9132017Assets 2018: $383,759,637Liabilities 2018: $708,403,517Net Assets 2018: -$324,643,8802018Assets 2019: $376,241,500Liabilities 2019: $895,507,263Net Assets 2019: -$519,265,7632019Assets 2020: $863,957,773Liabilities 2020: $1,773,261,492Net Assets 2020: -$909,303,7192020Assets 2021: $614,659,607Liabilities 2021: $1,875,064,663Net Assets 2021: -$1,260,405,0562021Assets 2022: $689,585,405Liabilities 2022: $1,419,726,373Net Assets 2022: -$730,140,9682022Assets 2023: $801,938,139Liabilities 2023: $1,229,932,034Net Assets 2023: -$427,993,8952023

Highlighted filing

2014

Assets$398,836,597
Liabilities$636,924,415
Net Assets-$238,087,818

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5B$1.0B$500M$0-$500MExpenses 2010: $365,636,3642010Expenses 2011: $429,483,7532011Expenses 2012: $552,761,4942012Expenses 2013: $593,991,9882013Revenue 2014: $616,461,935Expenses 2014: $666,523,549Net Income 2014: -$50,061,6142014Revenue 2015: $665,816,955Expenses 2015: $699,534,667Net Income 2015: -$33,717,7122015Revenue 2016: $644,374,341Expenses 2016: $700,813,252Net Income 2016: -$56,438,9112016Revenue 2017: $715,118,639Expenses 2017: $693,955,228Net Income 2017: $21,163,4112017Revenue 2018: $867,709,519Expenses 2018: $866,715,868Net Income 2018: $993,6512018Revenue 2019: $965,404,009Expenses 2019: $1,050,087,426Net Income 2019: -$84,683,4172019Revenue 2020: $1,018,170,808Expenses 2020: $1,105,061,927Net Income 2020: -$86,891,1192020Revenue 2021: $1,289,803,506Expenses 2021: $1,122,130,994Net Income 2021: $167,672,5122021Revenue 2022: $1,227,902,351Expenses 2022: $1,266,030,520Net Income 2022: -$38,128,1692022Revenue 2023: $1,376,481,170Expenses 2023: $1,453,247,210Net Income 2023: -$76,766,0402023

Highlighted filing

2014

Revenue$616,461,935
Expenses$666,523,549
Net Income-$50,061,614
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 12, 2015
Return Version
2013v4.0
Gross Receipts
$616,461,935
Mission and Program Overview

Mission

As the sisters of mercy before us, we bring to life the healing ministry of jesus through our compassionate care and exceptional service.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$361,373,708$321,546,221▼ $39,827,487
Accounts Receivable$9,837,256$28,783,048▲ $18,945,792
Prepaid Expenses and Deferred Charges$18,494,726$20,843,057▲ $2,348,331
Other Notes and Loans Receivable, Net$13,777,686$14,733,002▲ $955,316
Inventories for Sale or Use$9,378,468$10,748,070▲ $1,369,602
Pledges and Grants Receivable$7,952$4,399▼ $3,553
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$414,961,144$398,836,597▼ $16,124,547
Other Assets Total$2,091,348$2,178,800▲ $87,452
Liabilities
Accounts Payable and Accrued Expenses$181,196,292$358,540,665▲ $177,344,373
Other Liabilities$396,521,375$272,072,950▼ $124,448,425
Deferred Revenue$5,971,676$5,585,132▼ $386,544
Grants Payable$875,223$725,668▼ $149,555
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$584,564,566$636,924,415▲ $52,359,849
Net Assets / Fund Balance
Temporarily Rstr Net Assets$3$3→ $0
Permanently Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-169,603,425$-238,087,821▼ $68,484,396
Total Net Assets Fund Balance$-169,603,422$-238,087,818▼ $68,484,396
Total Liabilities and Net Assets / Fund Balance$414,961,144$398,836,597▼ $16,124,547

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$196,869,803$502,140,480$699,010,283
Buildings$53,868,177$2,782,067$56,650,244
Other Land Buildings$40,642,179$0$40,642,179
Land$23,445,797-$23,445,797
Leasehold Improvements$6,720,265$13,795,972$20,516,237
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Hale MD PhD ThomasExec med director - care innovFT$488,437$309,961$798,398
Smith MD TimothyVP-ResearchFT$472,932$301,365$774,297
Trulove RonChief reimbursement & revenueFT$318,792$436,598$755,390
Gunter MD MarcSenior VP-Women's servicesFT$473,920$276,834$750,754
Veremakis Md ChristopherMedical Director-mercy VirtualFT$361,222$303,142$664,364
Vitiello JonathanSR VP-Financial ops start 2/14PT$318,639$290,522$609,161
Waskiewicz AnthonyVP- Chief Investment OfficerPT$362,327$239,812$602,139
Beekman Sheri DChief rev cycle off-thru 2/14FT$290,427$231,790$522,217
Pursley JanetVP-Care managementFT$276,131$210,847$486,978
Thompson CurtisVP-Payor relations,contractingFT$283,005$182,959$465,964
Rosburg CynthiaChief HR OfficerFT$207,779$151,634$359,413
Gilham CharlesChief Compliance -start 03/14FT$222,918$118,447$341,365
Bader TerryVP-Design & ConstructionFT$209,591$131,276$340,867
Hannasch SusanVP-Chief compliance-thru 03/14FT$195,919$132,236$328,155
Glancy MarieFormer key employee-$263,341$273,341$273,341

Board Members and Trustees

NameTitle
McCurry MichaelExec VP/Chief operating off.
Jaacks JamesFormer officer
Wheeler PhilipSecy & Sr VP/General Counsel
Ford FredSenior VP - Ambulatory care
Mercer CynthiaSenior VP - Human resources
Akins JuliaSenior VP - Marketing
O'Toole BrianSenior VP - Mission
Moore VanceSenior VP-Operations
Combs Randall JTreas & Exec VP/CFO-thru 02/14
Sock ShannonTreasurer & CFO start 02/14
Hoffman GilbertVP-Chief information officer

Highest Paid Contractors

ContractorServicesLocationCompensation
Epic Systems CorporationSoftware Consulting-$10,066,154
Ge Health CareMaintenance-$6,818,272
Accretive HealthPhysician Advisory-$5,258,731
Conroy Media LtdMedia Services-$5,004,479
Icon Identity SolutionsConstruction Service-$4,268,243
Revenue and Support

Revenue Composition

Contributions and Grants
$1,094,096
Program Service Revenue
$609,961,304
Investment Income
$30,226
Other Revenue
$5,376,309
All Other Contributions
$393,902
Change in Net Assets
$-50,061,614
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$337,733,250
Other Expenses$326,488,518
Grants and Similar Amounts Paid$2,301,781
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$287,893,656$0$0$287,893,656
Depreciation Depletion$84,909,232$0$0$84,909,232
Information Technology$57,312,049$0$0$57,312,049
Fees for Services Other$35,334,963--$35,334,963
Office Expenses$27,675,732$0$0$27,675,732
All Other Expenses$26,260,759--$26,260,759
Payroll Taxes$19,958,212$0$0$19,958,212
Occupancy$14,536,295$0$0$14,536,295
Other Employee Benefits$12,498,228$0$0$12,498,228
Pension Plan Contributions$12,269,973$0$0$12,269,973
Advertising$7,850,082$0$0$7,850,082
Travel$7,826,842$0$0$7,826,842
Fees for Services Legal$4,568,717$0$0$4,568,717
Current Officers, Directors, Trustees, and Key Employees$4,321,981--$4,321,981
Other Expenses$3,543,124$0$0$3,543,124
Grants to Domestic Orgs$2,214,404--$2,214,404
Insurance$2,181,396$0$0$2,181,396
Fees for Services Accounting$1,507,463$0$0$1,507,463
Comp Disqual Persons$791,200$0$0$791,200
Conferences and Meetings$364,707$0$0$364,707
Fees for Services Lobbying$349,762$0$0$349,762
Grants to Domestic Individuals$87,377--$87,377
Interest$-1,122,029$0$0$-1,122,029
Total Functional Expenses$666,523,549$0$0$666,523,549
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
43-0653369-501(c)(3)Support Mission$250,000
43-0653244-501(c)(3)Support Mission$125,000
27-2128072-501(c)(3)Support Mission$125,000
13-5613797-501(c)(3)Support Mission$85,000
71-0568795-501(c)(3)Support Mission$50,000
13-5563422-501(c)(3)Support Mission$50,000
80-0455890-501(c)(3)Lighthouse Program & Crisis Maternity Home$50,000
43-1395056-501(c)(3)Support Mission$45,000
43-6203095-501(c)(14)Support Mission$40,000
72-1069468-501(c)(3)Fleur De Lis & Community Hope Projects$40,000
71-0388927-501(c)(3)Community Dental Clinic Grant$40,000
27-0906136-501(c)(3)Recovery & Resilience Project$40,000
43-0666769-501(c)(3)Support Mission$35,000
37-1227890-501(c)(3)Support Mission$30,000
43-0714167-501(c)(3)Support Mission$30,000
43-0903657-501(c)(3)Ambassadors for Children$26,295
43-6078016-501(c)(3)Support Mission$25,000
71-0601687-501(c)(3)Snackpacks for Kids (samaritan Community Center)$25,000
43-1082063-501(c)(3)Harmony House$23,800
56-2410020-501(c)(3)Support Mission$23,000
20-4574229-501(c)(3)Family Long Term Sustainability Project$22,375
71-0236913-501(c)(3)Cooper Anthony Child Advocacy$20,500
35-2203101-501(c)(3)Child & Family Development$20,500
26-0326513-501(c)(3)Support Mission$20,000
43-1496632-501(c)(3)Support Mission$20,000
27-0487290-501(c)(3)Support Mission$20,000
73-1509801-501(c)(3)Diversity Program$18,580
46-3184231-501(c)(3)Diabetes Program$17,750
73-0579285-501(c)(3)Diabetes Program$17,550
43-1746582-501(c)(3)Support Mission$15,000
80-0351285-501(c)(3)Support Mission$15,000
43-1863752-501(c)(3)Vaccines$14,000
43-1646222-501(c)(3)Support Mission$13,000
46-3184231-501(c)(3)Support Good Shepherd Catholic School Diversity Program$12,500
45-2808714-501(c)(3)Diversity Program$12,500
56-2410022-501(c)(3)Medication Assistance$12,000
43-0652676-501(c)(3)Support Mission$11,000
43-1799627-501(c)(3)Support Mission$10,000
43-1195240-501(c)(3)Support Mission$10,000
59-1970458-501(c)(3)Support Mission$10,000
13-1846366-501(c)(3)Support Mission$10,000
27-1297885-501(c)(3)Support Mission$10,000
43-1374479-501(c)(3)Support Mission$10,000
43-1298527-501(c)(3)Hospital Order of Protection & Empowerment$9,650
36-2549037-501(c)(3)Support Mission$9,009
27-5088124-501(c)(3)Medication Assistance$8,500
43-0718811-501(c)(3)Support Mission$8,000
58-1671313-501(c)(3)Food for Hungry Kids$7,500
43-1024440-501(c)(3)Support Mission$7,400
43-1820354-501(c)(3)Teen Mom Doula Support$7,350
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Joseph DrozdaFamily member of key empEmploymentNo$270,221
Janine FordFamily member of DirectorEmploymentNo$145,188
Ryan BaderFamily member of key empEmploymentNo$134,427
Lisa BeekmanFamily member of key empEmploymentNo$83,772
Brooke SchulteFamily member of key empEmploymentNo$82,109
Anna CombsFamily member of DirectorEmploymentNo$75,483

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Insurance Reserves$136,421,027
Due to Affiliates$110,100,882
Workers Compensation Reserve$22,772,289
Unrestricted Minority Interest$2,778,752
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Questions 6, 7A & 7B

Description of classes of members or stockholders the filing organization has a sole corporate member, mercy health. The following corporate powers and responsibilities are reserved solely to the sole corporate member: -to approve and establish the mission and philosophy according to which the corporation and all organizations controlled by the corporation shall operate; -to adopt or amend the articles of incorporation and bylaws of the corporation in accordance with articles ix and x of these bylaws and to amend the organizational documents of any organization controlled by the corporation; -to appoint or remove, with or without cause, any member of the board of directors of the corporation; -to appoint or remove, with or without cause, the ceo of the corporation or any organization controlled by the corporation; -to approve or amend the overall strategic, long range, business plans, goals, and objectives of the corporation or any organization controlled by the corporation; -to approve or amend the consolidated operating and capital budgets for the corporation or any organization controlled by the corporation and changes in budgets in excess of an amount established from time to time by mercy health; -to authorize and approve the lease or sale of any of the assets of the corporation or any organization controlled by the corporation in excess of an amount established from time to time by mercy health; -to encumber any or all of the assets of the corporation or any organization controlled by the corporation; -to authorize and approve the incurrence of debt by the corporation or any organization controlled by the corporation (other than debt incurred for the acquisition of goods in the ordinary course of business) and to grant any security interests, place any encumbrances, enter into any covenants, and execute any documents and take any actions necessary or appropriate in connection with the incurrence of such debt; and -to merge, dissolve, or abandon the corporation or any organization controlled by the corporation, subject to approval by the board as required pursuant to the missouri nonprofit corporation act.

Form 990, Part VI, Question 11B

Dscr the process used by management &/or governing body to review 990 the form 990 is prepared by an independent accounting firm, using information provided by the filing organization. A draft form 990 is reviewed by the filing organization's tax compliance team; members of this team are from various departments, including finance, legal, human resources and tax. After questions arising from the various reviews are addressed and incorporated into the form 990, a revised draft is provided to the filing organization's leadership team, including the ceo, cfo, and general counsel for review. Once reviewed and approved by the filing organization's leadership team, the form 990 is then signed and filed with the irs.

Form 990, Part VI, Question 12C

Description of process to monitor transactions for conflicts of interest officers, directors, key employees and other disqualified persons are required to complete a conflict of interest questionnaire annually and did so in the normal course for the year ended june 30, 2014. This process is administered at the mercy health level by mercy's business risk (internal audit) department. The questionnaires are reviewed with leadership at the local level and potential conflicts discussed and resolved. The conflicts and their respective resolutions are shared at the mercy level with a team including mercy's chief financial officer, chief compliance officer and other members of finance, legal and hr. Summary results are reviewed with mercy's stewardship committee (formerly finance, audit and compliance committee) of the board of directors.

Form 990, Part VI, Questions 15A & 15B

Officers & positions for which process was used, & year process was begun for those classified as officers (and thus disqualified persons), the organization relies upon mercy health, which uses the following to establish the compensation: external market salary surveys, external market salary studies, engagement of an independent compensation consultant, and review/approval of compensation by the compensation committee of the board of mercy health. For those classified as key employees, the organization relies upon mercy health, which uses the following to establish the compensation: external market salary surveys, external market salary studies, and review/approval of executive management. Compensation reviews are completed on an annual basis and a review was completed during the reporting year.

Form 990, Part VI, Question 19

Avail of gov docs, conflict of interest policy, & fin stmt to gen public governing documents, conflict of interest policy, and financial statements are made available upon request but are not published publicly.

Form 990, Part VII, Section A, Column B

Average hours per week the hours per week disclosed in part vii is the average hours the listed person worked or devoted per week while employed or associated with the filing organization and related organizations (if applicable).

Filing and Contact Details

Filer

EIN
20-2553101
In Care Of
% SHANNON SOCK
Phone
3145796100

Signing Officer

Name
Shannon Sock
Title
Exec VP & CFO
Signed
2015-05-12

Organization Details

Principal Officer
Shannon Sock
Formed
2004
Legal Domicile
Mo
Voting Board Members
8
Independent Board Members
0
Employees
4,842
Volunteers
0

Preparer

Preparer
Jennifer L Richter
Supplemental Narrative

Additional Explanations

Form 990, Part V, Question 1A

Form 1099/1096 filing vendors for the filing organization are paid by mercy health (ein 43-1423050). As such, all required form 1099 and form 1096 reporting is made for the entire health system (with limited exceptions) under the mercy health ein.

Form 990, Part XI, Line 9

Other change in net assets transfers to affiliates: $9,607,283 transfers related to sale of hot springs: ($27,248,630) total: ($17,641,347)

Form 990, Part XII, Question 2C

Audit of financial statements the filing organization's financial statements were included in the mercy health annual financial statement audit. Mercy health and subsidiaries received an unqualified opinion from the external auditors for fiscal 2014 (the tax year currently being reported). However, no separate audit opinion was issued on the financial statements of the filing organization. The ultimate responsibility for oversight of the financial statement audit and selection of the external auditor lies with the stewardship committee (formerly finance, audit, and compliance committee) of the mercy health board of directors. Audit results are communicated to this committee.

Financial Statement Notes

Form 990, Schedule D, Part X, Line 2

Asc 740 footnote the consolidated audited financial statements of mercy health and affiliates do not include a footnote to report the organization's liability for uncertain tax provisions under asc 740, as they are deemed immaterial for disclosure.

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Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $250M-$1B nonprofits