Civic Intelligence

Mhm Support Services

990 • Fiscal year 2018 • EIN 20-2553101

Jul 01, 2017 to Jun 30, 2018 • Filed on May 05, 2019

Refreshing map…

14528 South Outer Forty Rd Ste 100Chesterfield, MO 63017

(314) 579-6100

Siviq Scores

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

Liabilities / Assets

99th percentile

1.85x

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

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Liabilities / Revenue

70th percentile

0.82x

Higher debt load relative to revenue than 70% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Net Margin

27th percentile

0.1%

Higher net margin than 27% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2018

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2018

Asset Growth

90th percentile

21%

Faster asset growth than 90% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Revenue Growth

84th percentile

21%

Faster revenue growth than 84% of similar nonprofits.

2018 filings • 501(c)3 • $250M-$1B nonprofits • Annualized from 2017 to 2018

Assets

Up

$383,759,637

Up $65,935,717 (+21%) from 2017

Net Assets

Down

-$324,643,880

Down $7,895,967 (-2.5%) from 2017

Liabilities

Up

$708,403,517

Up $73,831,684 (+12%) from 2017

Revenue

Up

$867,709,519

Up $152,590,880 (+21%) from 2017

Expenses

Up

$866,715,868

Up $172,760,640 (+25%) from 2017

Net Income

Down

$993,651

Down $20,169,760 (-95%) from 2017

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

2018

Assets$383,759,637
Liabilities$708,403,517
Net Assets-$324,643,880

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

2018

Revenue$867,709,519
Expenses$866,715,868
Net Income$993,651
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 5, 2019
Return Version
2017v2.3
Gross Receipts
$867,709,519
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$198,190,994$198,264,984▲ $73,990
Accounts Receivable$17,223,322$38,639,432▲ $21,416,110
Prepaid Expenses and Deferred Charges$26,023,000$26,388,727▲ $365,727
Inventories for Sale or Use$3,452,591$15,499,144▲ $12,046,553
Pledges and Grants Receivable$699$40,191▲ $39,492
Cash and Non-Interest-Bearing Accounts$0$30,795▲ $30,795
Savings and Temporary Cash Investments$0$0→ $0
Other Notes and Loans Receivable, Net$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$317,823,920$383,759,637▲ $65,935,717
Other Assets Total$72,933,314$104,896,364▲ $31,963,050
Liabilities
Accounts Payable and Accrued Expenses$453,432,150$521,298,243▲ $67,866,093
Other Liabilities$180,888,359$176,328,106▼ $4,560,253
Mortgage Notes Payable Secured by Investment Property$0$10,452,329▲ $10,452,329
Grants Payable$251,324$324,839▲ $73,515
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$634,571,833$708,403,517▲ $73,831,684
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$-316,747,913$-324,643,880▼ $7,895,967
Total Net Assets Fund Balance$-316,747,913$-324,643,880▼ $7,895,967
Total Liabilities and Net Assets / Fund Balance$317,823,920$383,759,637▲ $65,935,717

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$93,465,536$762,665,611$856,131,147
Buildings$46,742,194$31,601,226$78,343,420
Land$37,430,960-$37,430,960
Other Land Buildings$17,620,013$7,140,515$24,760,528
Leasehold Improvements$3,006,281$14,822,063$17,828,344
Other Assets Org$2,826,255--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Britton JamesPresident - CEO Mercy Health-$1,265,974$2,647,125$3,913,099
McCurry MichaelExec VP/COO & Board MemberPT$857,267$845,301$1,702,568
McQueary MD Fred GPres-Amb Care & Chief Clin OffPT$822,780$712,380$1,535,160
Sock ShannonTreasurer & CFO, EXEC VPPT$713,095$718,360$1,431,455
Ford FredSenior VP - Ambulatory carePT$640,710$782,531$1,423,241
Wheeler PhilipSecretary & Sr VP/Gen. counselPT$610,154$760,541$1,370,695
Williams CynthiaSenior VP - Chief admin. off.PT$529,973$569,543$1,099,516
Gunter MarcusCOO - Mercy ClinicsFT$546,792$465,772$1,012,564
Moore VanceSenior VP - OperationsPT$527,980$480,492$1,008,472
Vitiello JonathanSenior VP-Financial operationsFT$511,534$454,372$965,906
Martinez Cesar DPresident Contract RevenueFT$531,980$376,943$908,923
Hoffman GilbertVP-Chief information officerFT$474,370$429,177$903,547
Trulove RonChief Reimb & Rev OPT. OFFICERFT$398,504$430,669$829,173

Highest Paid Contractors

ContractorServicesLocationCompensation
World Wide TechnologySoftware ConsultingPO BOX 957653, St Louis, MO 63195$18,590,903
Epic Systems CorporationSoftware ConsultingPO BOX 88314, Milwaukee, WI 53288$14,463,195
Microsoft CorporationSoftware ConsultingPO BOX 844510, Dallas, TX 75284$12,736,801
Xtend HealthcareCollection Services500 W MAIN ST STE 14, Hendersonville, TN 37075$8,595,475
Ge Health CareMaintenancePO BOX 843553, Dallas, TX 75284$7,467,714
Revenue and Support

Revenue Composition

Contributions and Grants
$8,430,016
Program Service Revenue
$830,671,640
Investment Income
$142,376
Other Revenue
$28,465,487
All Other Contributions
$5,695,229
Change in Net Assets
$993,651
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$519,578,108
Salaries, Compensation, and Employee Benefits$345,320,866
Grants and Similar Amounts Paid$1,816,894
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$313,001,135--$313,001,135
Information Technology$85,864,998--$85,864,998
Depreciation Depletion$57,711,183--$57,711,183
Fees for Services Other$56,962,210--$56,962,210
Office Expenses$48,421,184--$48,421,184
All Other Expenses$18,702,914--$18,702,914
Occupancy$13,938,789--$13,938,789
Current Officers, Directors, Trustees, and Key Employees$12,205,288--$12,205,288
Payroll Taxes$11,479,936--$11,479,936
Advertising$10,299,865--$10,299,865
Travel$9,661,210--$9,661,210
Pension Plan Contributions$8,742,459--$8,742,459
Insurance$6,723,532--$6,723,532
Fees for Services Legal$5,862,733--$5,862,733
Other Expenses$2,037,031--$2,037,031
Grants to Domestic Orgs$1,668,854--$1,668,854
Fees for Services Accounting$1,237,716--$1,237,716
Fees for Services Lobbying$320,139--$320,139
Interest$294,819--$294,819
Grants to Domestic Individuals$140,540--$140,540
Conferences and Meetings$88,676--$88,676
Foreign Grants$7,500--$7,500
Other Employee Benefits$-107,952--$-107,952
Total Functional Expenses$866,715,868$0$0$866,715,868
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mercy HealthChesterfield, MO501(c)(3)Support Mission$550,295
Maryville UniversitySt Louis, MO501(c)(3)Support Mission$250,000
Concordance Acad Project CopeSt Louis, MO501(c)(3)Support Mission$100,000
Stl Symphony OrchestraSt Louis, MO501(c)(3)Support Mission$89,660
United Way of Greater St LouisSt Louis, MO501(c)(3)Support Mission$50,000
Coca Ctr of Creative ArtsSt Louis, MO501(c)(3)Support Mission$27,500
Webster UnivSt Louis, MO501(c)(3)Support Mission$27,500
Mercy Health Foundation NwaRogers, AR501(c)(3)Support Mission$26,000
Archdiocese of St Louis Catholic CharitiesSt Louis, MO501(c)(3)Support Mission$25,000
Catholic Charities USAAlexandria, VA501(c)(3)Support Mission$25,000
Christus HlthIrving, TX501(c)(3)Support Mission$25,000
Fair Stl FoundSt Louis, MO501(c)(3)Support Mission$25,000
Otsl Opera Theatre of St LouisSt Louis, MO501(c)(3)Support Mission$25,000
Nami StlBrentwood, MO501(c)(3)Support Mission$23,303
Mercy Family CenterMetairie, LA501(c)(3)Support Mission$22,500
Found for Franklin CntyUnion, MO501(c)(3)Support Mission$21,407
Mercy Mission Clinical ServicesHot Springs, AR501(c)(3)Support Mission$20,000
Restoration Village MinistriesLittle Flock, AR501(c)(3)Support Mission$20,000
Childrens Advocacy Ctr BentonRogers, AR501(c)(3)Support Mission$18,750
Grace Ctr of Southern OkArdmore, OK501(c)(3)Support Mission$17,500
Mercy Health Foundation StlSt Louis, MO501(c)(3)Support Mission$16,500
Aha Amer Heart AssocDallas, TX501(c)(3)Support Mission$15,000
Lifehouse Crisis Maternity HomSpringfield, MO501(c)(3)Support Mission$14,000
Jvchc Advocates Healthy CommSpringfield, MO501(c)(3)Support Mission$12,500
Stl Integrated Hlth NetworkSt Louis, MO501(c)(3)Support Mission$12,500
Watered Gardens MissionJoplin, MO501(c)(3)Support Mission$12,432
Health Alliance for the UninsuredOklahoma City, OK501(c)(3)Support Mission$12,125
Stl Business JournalSt Louis, MON/aSupport Mission$11,200
Comm Hlth Clinic JoplinJoplin, MO501(c)(3)Support Mission$11,000
Casa De MisericordiaLaredo, TX501(c)(3)Support Mission$10,000
El Reno Blessing BasketsEl Reno, OK501(c)(3)Support Mission$10,000
Grand CtrSt Louis, MO501(c)(3)Support Mission$10,000
Hannah House Tree of Life PrevFt Smith, AR501(c)(3)Support Mission$10,000
Indep CtrSt Louis, MO501(c)(3)Support Mission$10,000
Institute for Peace & JusticeSt Louis, MOC-corpSupport Mission$10,000
Mo Chamb Comm Mo Legislative SJefferson City, MO501(c)(6)Support Mission$10,000
St Louis Art Museum FoundationSt Louis, MO501(c)(3)Support Mission$10,000
Stl Comm FoundSt Louis, MO501(c)(3)Support Mission$10,000
Stl Sci CtrSt Louis, MO501(c)(3)Support Mission$10,000
Thompson Found for AutismSt Louis, MO501(c)(3)Support Mission$10,000
Good Shepherd Comm ClinicArdmore, OK501(c)(3)Support Mission$9,250
Mo History MuseumSt Louis, MO501(c)(3)Support Mission$8,500
Lincoln Cnty Hlth DeptTroy, MOGOV'TSupport Mission$8,332
Boy Scouts of America Greater St LouisSt Louis, MO501(c)(3)Support Mission$7,500
Care to LearnSt Louis, MO501(c)(3)Support Mission$7,500
Loving Choices Nwa Womens ResoRogers, AR501(c)(3)Support Mission$7,500
Mercy Health Foundation OkcOklahoma City, OK501(c)(3)Support Mission$7,000
Stl Police FoundSt Louis, MO501(c)(3)Support Mission$5,500
C Sara FoundArdmore, OK501(c)(3)Support Mission$5,082
Good Shepherd Catholic SchoolOklahoma City, OK501(c)(3)Support Mission$5,018

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
No
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

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

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$124,895,996
Deferred Compensation$26,230,573
Workers Compensation Reserve$18,935,911
Unrestricted Minority Interest$6,265,626
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
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, Question 11B

Dscr of 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 finance department of mercy health to ensure accuracy and consistency with other related organizations' forms 990. After questions arising from the reviews are addressed and incorporated into the form 990, a revised draft is provided to the finance department of mercy health for review. 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, 2018. This process is administered at the mercy health level by mercy's corporate compliance 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 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 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.

Filing and Contact Details

Filer

Filer Name
Mhm Support Services
EIN
20-2553101
In Care Of
% SHANNON SOCK
Phone
3145796100
Address
14528 SOUTH OUTER FORTY RD STE 100, Chesterfield, MO 63017

Signing Officer

Name
Shannon Sock
Title
Executive VP & CFO
Phone
3145796100
Signed
2019-05-05
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Shannon Sock
Formed
2004
Legal Domicile
Mo
Voting Board Members
3
Independent Board Members
0
Employees
45,294
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
312 WALNUT STREET STE 1900, CINCINNATI, OH 45202
Preparer
Tricia M Johnson
Phone
5136121400
Supplemental Narrative

Additional Explanations

Form 990, Part V, Question 1A

Form 1099/1096 vendors for the filing organization are paid by mercy health (ein 43-1423050). As such, required form 1099 and form 1096 reporting is made for the entire health system (with limited exceptions) under the mercy health ein. The number disclosed in part v, 1a relates to research participants paid by mhm support services. Form 990, part vi, question 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 president 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 XI, Line 9

Other change in net assets transfers to/from affiliates ($ 8,850,377) net activity related to disc ops ($39,241) total ($8,889,618)

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 2018 (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 of the mercy health board of directors. Audit results are communicated to this committee.

Form 990, Part XII, Question 3A and 3B

Single audit act and omb circular a-133 mercy health undergoes a consolidated a-133 audit every year and did so for the fiscal year ending june 30, 2018. Each entity that receives federal funds during the year is included on the schedule of expenditures of federal awards (sefa) and is also included in the population available for audit. The filing entity received federal funds during the year ended june 30, 2018, was included on the mercy health consolidated sefa, and therefore, was also included in the population available for audit.

Financial Statement Notes

Form 990, Schedule D, Part X, Line 2

Asc 740 footnote primarily all of the health system entities are recognized by the internal revenue service (irs) as exempt from federal income tax under section 501(a) of the internal revenue code as charitable organizations qualifying under internal revenue code section 501(c)(3), by virtue of irs determination letters or inclusion in the official catholic directory. The health system completed an analysis of its tax positions in accordance with applicable accounting guidance and determined that no amounts were required to be recognized on the consolidated financial statements at june 30, 2018 or 2017.

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Filings

Peer Organizations

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