Civic Intelligence

Mercy Health Plans Inc

EIN 32-0486150 • 501(c)4 • Springfield, MO

Profile

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

3265 South National AvenueSpringfield, MO 65807

www.mercy.net

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2022

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)4 • <$500k nonprofits • Source year 2022

Net Margin

95th percentile

63%

Higher net margin than 95% of similar nonprofits.

501(c)4 • <$500k nonprofits • Source year 2022

Top Officer Pay

100th percentile

$803,773

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 737406.4% of source-year revenue.

501(c)4 • <$500k nonprofits • Source year 2022

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

10th percentile

-75%

Faster revenue growth than 10% of similar nonprofits.

501(c)4 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$0

Down $2,455,285 (-100%) from 2021

Liabilities

Flat

$0

Flat from 2021

Net Assets

Down

$0

Down $2,455,285 (-100%) from 2021

Revenue

Down

$109

Down $330 (-75%) from 2021

Expenses

Down

$40

Down $9,178 (-100%) from 2021

Net Income

Up

$69

Up $8,848 (+101%) from 2021

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2019: $2,447,282Liabilities 2019: $580Net Assets 2019: $2,446,7022019Assets 2020: $2,454,851Liabilities 2020: $20,371Net Assets 2020: $2,434,4802020Assets 2021: $2,455,285Liabilities 2021: $0Net Assets 2021: $2,455,2852021Assets 2022: $0Liabilities 2022: $0Net Assets 2022: $02022

Highlighted filing

2022

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40K$20K$0-$20KRevenue 2019: $13,688Expenses 2019: $22,788Net Income 2019: -$9,1002019Revenue 2020: $1,784Expenses 2020: $19,990Net Income 2020: -$18,2062020Revenue 2021: $439Expenses 2021: $9,218Net Income 2021: -$8,7792021Revenue 2022: $109Expenses 2022: $40Net Income 2022: $692022

Highlighted filing

2022

Revenue$109
Expenses$40
Net Income$69

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Apr 1, 2022
Signed
Feb 13, 2023
Return Version
2021v4.2
Gross Receipts
$109
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
Pd in Cap Srpls Land Bldg Eqp Fund$2,455,285$0▼ $2,455,285
Cash and Non-Interest-Bearing Accounts$1,773,077$0▼ $1,773,077
Savings and Temporary Cash Investments$682,208$0▼ $682,208
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$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
Land, Buildings, and Equipment, Net$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$2,455,285$0▼ $2,455,285
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,455,285$0▼ $2,455,285
Total Liabilities and Net Assets / Fund Balance$2,455,285$0▼ $2,455,285
Compensation and Service Providers

Employees

NameTitleOtherTotal
Brown JohnExec Director - Client Strategies$104,428$104,428
Hennessey WilliamVP Mission & Secretary$103,673$103,673
Clouse Day SherryCFO Contracted Revenue & BM$88,959$88,959
Asperger SarahVP Payor Rel Contracting & Pre$71,631$71,631

Board Members and Trustees

NameTitle
Michetti MichaelCOO Mercy C & BM THU 12/31/21
Rogers JamesVP Chief Adult Prmy Care & BM

Highest Paid Contractors

ContractorServicesLocationCompensation
None---
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$109
Other Revenue
$0
Change in Net Assets
$69
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$40
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Service Investment Mgmnt Fees-$40-$40
Total Functional Expenses$0$40$0$40
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
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
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
No
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, Line 6A, Line 7A, 7B

Classes of members or stockholders the filing organization has a sole corporate member, mercy health plans of missouri, inc. The following corporate powers and responsibilities shall be reserved solely unto the corporate member: -to approve the mission and establish the philosophy according to which the corporation and any corporation controlled by the corporation shall operate; -to amend the articles of incorporation and bylaws of the corporation and to amend the articles of incorporation and bylaws of any corporation controlled by the corporation; -to appoint and remove members of the board of directors of the corporation and members of the board of directors of any corporation controlled by the corporation; -to nominate for appointment by the board or directors, and remove, the president of the corporation and the president of any corporation controlled by the corporation; -to approve or amend the strategic plan, goals, and objectives of the corporation and of any corporation controlled by the corporation; -to approve and amend the operating, capital and construction budgets for the corporation and of any corporation controlled by the corporation; -to lease or sell substantially all of the assets of the corporation or any corporation controlled by the corporation; -to encumber any or all of the assets of the corporation or any corporation controlled by the corporation; -to authorize and approve the incurrence of debt by the corporation or any corporation 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; -to merge, dissolve, or abandon the corporation or any corporation controlled by the corporation; and, -to approve the creation, ownership, or acquisition of, or affiliation with, any other organization by the corporation.

Form 990, Part VI, Question 8B

Description of practice re: documentation of mtgs & action of committees the bylaws provide the option of having committees. However, for the tax year ending 4/1/2022, there were no committees operating on behalf of the governing body.

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 finance team, including the vice president of finance. The draft form 990 is also reviewed by mercy health's tax department, 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, 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 december 31, 2022. 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.

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 organzation 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. 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 as required.

Filing and Contact Details

Filer

Filer Name
Mercy Health Plans Inc
EIN
32-0486150
In Care Of
% SHERRY L CLOUSE DAY
Phone
4176787827
Address
3265 SOUTH NATIONAL AVENUE, SPRINGFIELD, MO 65807

Signing Officer

Name
Sarah Asperger
Title
VP Payor Rel & Contr
Phone
3142901024
Signed
2023-02-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sarah Asperger
Formed
2016
Legal Domicile
Mo
Voting Board Members
6
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
221 E 4TH STREET STE 2900, CINCINNATI, OH 45202
Preparer
Julie L Sparks
Phone
5136121400
Supplemental Narrative

Additional Explanations

FORM 990, Part III, LINE 3

Mercy health plans, inc. Dissolved in april 2022 and all activity has ceased. 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 mercy health system (with limited exceptions) under the mercy health ein.

Form 990, Part V, Question 2A

W-3 filing employees are paid by a related organization under a common paymaster arrangement. As such, required payroll filing (including w-2 and w-3's) is reported under the related organization, mhm support services, ein 20-2553101.

Form 990, Part XI, Line 9

Other changes in net assets net transfers (to)/from affiliates $-2,455,354

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 2022 (parts of which are included in the tax year currently being reported). 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.

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IRS990/Desc0THE CORPORATION, IN COMMITMENT TO THE GOSPEL AND IN SERVICE TO THE NEEDS OF PEOPLE, EXISTS TO ADVANCE THE MISSION AND VALUES OF MERCY HEALTH BY CREATING BENEFIT PLANS THAT LINK COMMUNITIES TO A HIGH QUALITY, PREFERRED HEALTH CARE NETWORK; BY ACCEPTING RISK, RESPONSIBILITY AND ACCOUNTABILITY FOR THE HEALTH STATUS, TREATMENT OUTCOMES AND COST EFFECTIVENESS OF CARE; BY TAKING RESPONSIBILITY FOR CONTRIBUTING TO THE LARGER COMMUNITY'S HEALTH AND WELL-BEING; AND BY OPERATING IN A MANNER THAT STEWARDS NEEDED RESOURCES, DEMONSTRATES VALUE AND TREATS ALL INDIVIDUALS WITH DIGNITY AND RESPECT. MERCY HEALTH PLANS, INC. HAS HAD MINIMAL ACTIVITY TO DATE AND THIS ENTITY WAS DISSOLVED AS OF 4/1/2022.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Michetti Michael
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Rogers James
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0COO Mercy C & BM THU 12/31/21
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1VP Chief Adult Prmy Care & BM
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0MERCY HEALTH PLANS, INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT AS NOTED: Michael Michetti - $119,548
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2MERCY OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. WILLIAM HENNESSEY AND JAMES ROGERS PARTICIPATED IN THE SUPPLEMENTAL RETIREMENT PLANS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). MERCY HEALTH ALSO OFFERS INCENTIVE COMPENSATION PROGRAMS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATES BASED ON COMPENSATION AND LENGTH OF TENURE IN THE PLAN. JAMES ROGERS PARTICIPATED IN THE INCENTIVE COMPENSATION PROGRAMS. THE ANNUAL ACCRUALS FOR THESE PROGRAMS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C).
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, SCHEDULE J, PART I, QUESTION 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, SCHEDULE J, PART I, QUESTION 4A
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, SCHEDULE J, PART I, QUESTION 4B
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12022-04-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0320481419
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(c)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(c)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0Actual cost
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0MERCY HEALTH PLANS OF MISSOURI INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm1MERCY HEALTH PLANS OF MISSOURI INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt03265 SOUTH NATIONAL AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt13265 SOUTH NATIONAL AVENUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0SPRINGFIELD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1SPRINGFIELD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MO
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1MO
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd065807
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IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0Prior to dissolution, intercompany transfers of assets were made. On 04/26/2022 all assets were transferred to Mercy Health Plans of Missouri, Inc.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0Schedule N, Line 1
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MERCY HEALTH PLANS, INC. DISSOLVED IN APRIL 2022 AND ALL ACTIVITY HAS CEASED. 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 MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1W-3 FILING EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH PLANS OF MISSOURI, INC. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY CORPORATION CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AND MEMBERS OF THE BOARD OF DIRECTORS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO NOMINATE FOR APPOINTMENT BY THE BOARD OR DIRECTORS, AND REMOVE, THE PRESIDENT OF THE CORPORATION AND THE PRESIDENT OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE AND AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO LEASE OR SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION 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; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP, OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DESCRIPTION OF PRACTICE RE: DOCUMENTATION OF MTGS & ACTION OF COMMITTEES THE BYLAWS PROVIDE THE OPTION OF HAVING COMMITTEES. HOWEVER, FOR THE TAX YEAR ENDING 4/1/2022, THERE WERE NO COMMITTEES OPERATING ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DSCR 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 FINANCE TEAM, INCLUDING THE VICE PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, 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, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DESCRIPTION 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 DECEMBER 31, 2022. 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANZATION 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. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7AVAIL 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 AS REQUIRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8OTHER CHANGES IN NET ASSETS NET TRANSFERS (TO)/FROM AFFILIATES $-2,455,354
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9AUDIT 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 2022 (PARTS OF WHICH ARE INCLUDED IN THE TAX YEAR CURRENTLY BEING REPORTED). 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.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, Part III, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART V, QUESTION 2A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, LINE 6A, LINE 7A, 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, QUESTION 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, QUESTION 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, QUESTION 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART VI, QUESTIONS 15A & 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART VI, QUESTION 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8FORM 990, PART XI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9FORM 990, PART XII, QUESTION 2C
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