Civic Intelligence

Mercy Clinic Springfield Communities

990 • Fiscal year 2018 • EIN 43-1560263

Jul 01, 2017 to Jun 30, 2018 • Filed on May 15, 2019

1235 E CherokeeSpringfield, MO 65804

(314) 579-6100

Siviq Scores

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

Liabilities / Assets

80th percentile

0.69x

Higher debt load relative to assets than 80% of similar nonprofits.

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

Liabilities / Revenue

11th percentile

0.11x

Higher debt load relative to revenue than 11% of similar nonprofits.

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

Net Margin

3rd percentile

-37%

Higher net margin than 3% of similar nonprofits.

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

Top Officer Pay

78th percentile

$1,717,509

Higher top officer pay than 78% of similar nonprofits.

Top officer pay equals 0.5% of source-year revenue.

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

Asset Growth

73rd percentile

8.4%

Faster asset growth than 73% of similar nonprofits.

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

Revenue Growth

32nd percentile

1.3%

Faster revenue growth than 32% of similar nonprofits.

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

Assets

Up

$51,344,988

Up $3,958,434 (+8.4%) from 2017

Net Assets

Down

$16,040,329

Down $1,213,679 (-7.0%) from 2017

Liabilities

Up

$35,304,659

Up $5,172,113 (+17%) from 2017

Revenue

Up

$326,905,038

Up $4,350,291 (+1.3%) from 2017

Expenses

Up

$447,381,264

Up $24,851,879 (+5.9%) from 2017

Net Income

Down

-$120,476,226

Down $20,501,588 (-21%) from 2017

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0-$50MAssets 2010: $57,831,035Liabilities 2010: $36,329,401Net Assets 2010: $21,501,6342010Assets 2011: $53,327,228Liabilities 2011: $41,847,716Net Assets 2011: $11,479,5122011Assets 2012: $58,086,100Liabilities 2012: $55,133,481Net Assets 2012: $2,952,6192012Assets 2013: $57,572,288Liabilities 2013: $46,696,011Net Assets 2013: $10,876,2772013Assets 2014: $57,205,418Liabilities 2014: $59,464,236Net Assets 2014: -$2,258,8182014Assets 2015: $60,228,482Liabilities 2015: $100,712,436Net Assets 2015: -$40,483,9542015Assets 2016: $46,030,796Liabilities 2016: $49,828,816Net Assets 2016: -$3,798,0202016Assets 2017: $47,386,554Liabilities 2017: $30,132,546Net Assets 2017: $17,254,0082017Assets 2018: $51,344,988Liabilities 2018: $35,304,659Net Assets 2018: $16,040,3292018Assets 2019: $53,759,026Liabilities 2019: $29,767,663Net Assets 2019: $23,991,3632019Assets 2020: $37,444,929Liabilities 2020: $18,039,083Net Assets 2020: $19,405,8462020Assets 2021: $40,041,965Liabilities 2021: $18,047,383Net Assets 2021: $21,994,5822021Assets 2022: $40,852,946Liabilities 2022: $15,519,566Net Assets 2022: $25,333,3802022Assets 2023: $47,689,778Liabilities 2023: $29,204,206Net Assets 2023: $18,485,5722023Assets 2024: $39,836,961Liabilities 2024: $26,383,688Net Assets 2024: $13,453,2732024

Highlighted filing

2018

Assets$51,344,988
Liabilities$35,304,659
Net Assets$16,040,329

Operations Trend

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

$1.0B$500M$0-$500MExpenses 2010: $394,817,3982010Expenses 2011: $472,533,0092011Expenses 2012: $493,712,1182012Expenses 2013: $513,167,6812013Revenue 2014: $456,946,497Expenses 2014: $534,390,405Net Income 2014: -$77,443,9082014Revenue 2015: $467,008,777Expenses 2015: $562,117,338Net Income 2015: -$95,108,5612015Revenue 2016: $326,672,161Expenses 2016: $429,243,292Net Income 2016: -$102,571,1312016Revenue 2017: $322,554,747Expenses 2017: $422,529,385Net Income 2017: -$99,974,6382017Revenue 2018: $326,905,038Expenses 2018: $447,381,264Net Income 2018: -$120,476,2262018Revenue 2019: $327,110,214Expenses 2019: $456,392,993Net Income 2019: -$129,282,7792019Revenue 2020: $280,967,485Expenses 2020: $412,407,266Net Income 2020: -$131,439,7812020Revenue 2021: $290,486,116Expenses 2021: $397,332,618Net Income 2021: -$106,846,5022021Revenue 2022: $275,026,170Expenses 2022: $415,944,102Net Income 2022: -$140,917,9322022Revenue 2023: $292,118,412Expenses 2023: $447,580,256Net Income 2023: -$155,461,8442023Revenue 2024: $562,940,167Expenses 2024: $671,778,331Net Income 2024: -$108,838,1642024

Highlighted filing

2018

Revenue$326,905,038
Expenses$447,381,264
Net Income-$120,476,226
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 15, 2019
Return Version
2017v2.3
Gross Receipts
$326,905,038
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
Accounts Receivable$27,037,802$29,730,361▲ $2,692,559
Land, Buildings, and Equipment, Net$18,593,171$19,674,912▲ $1,081,741
Inventories for Sale or Use$1,228,033$1,434,556▲ $206,523
Cash and Non-Interest-Bearing Accounts$46,020$98,855▲ $52,835
Prepaid Expenses and Deferred Charges$12,371$5,961▼ $6,410
Savings and Temporary Cash Investments$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
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$47,386,554$51,344,988▲ $3,958,434
Other Assets Total$469,157$400,343▼ $68,814
Liabilities
Accounts Payable and Accrued Expenses$30,132,546$29,134,443▼ $998,103
Other Liabilities$0$6,170,216▲ $6,170,216
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
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$30,132,546$35,304,659▲ $5,172,113
Net Assets / Fund Balance
Unrestricted Net Assets$17,254,008$16,040,329▼ $1,213,679
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$17,254,008$16,040,329▼ $1,213,679
Total Liabilities and Net Assets / Fund Balance$47,386,554$51,344,988▲ $3,958,434

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$9,368,720$27,936,537$37,305,257
Buildings$2,117,701$17,588,929$19,706,630
Land$5,438,586-$5,438,586
Other Land Buildings$1,720,702$559,839$2,280,541
Leasehold Improvements$1,029,203$490,765$1,519,968
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Wotherspoon Barbara EPhysicianFT$862,793$883,259$1,717,509
Scott MD Wendell JPhysicianFT$1,607,544$52,875$1,689,770
Lee MD SunghoonPhysicianFT$1,397,174$191,536$1,594,692
Ehtesham Moneeb MPhysicianFT$1,399,961$200,455$1,588,066
Coger Brenton RPhysicianFT$1,255,190$174,891$1,459,002
Wyrsch MD Robert BPhysician VPFT$972,760$173,722$1,190,853
Cochran MD DavidPhysician VPFT$791,008$153,492$982,044
Snider DO JessicaPhysician & Board memberFT$693,186$118,393$811,579
Carlson JayPhysician & Board memberFT$651,085$138,339$789,424
Hawkins MD JohnPhysician & Board memberFT$594,551$164,663$759,214
Khoshyomn MD SamiPhysician VPFT$615,723$149,899$750,066
Meystrik MD RosellenPhysician & Board memberFT$597,257$94,758$692,015
Bumberry MD JohnPhysician & Board memberFT$515,564$156,552$672,116
Williams MD RickPhysician & Board memberFT$513,268$138,015$651,283
Burson MD JohnPhysician VPFT$496,922$137,871$634,793
Ledger MD GregoryPhysician VPFT$471,706$91,872$609,687
Maynard MD GregPhysician & Board memberFT$429,959$107,997$537,956
Shah MD BharatPhysician & Board memberFT$434,834$98,289$533,123
Barbe MD David OPhysicianFT$334,777$179,588$514,365
Neely MD Brianformer key employee-$458,240$22,788$502,988
Wood MD MaryPhysician & Board memberFT$370,819$84,900$455,719
Allam MD BalaPhysician & Board memberFT$380,388$57,760$438,148
Zhu LirongPhysican & Board memberFT$317,909$94,801$412,710
Butler MD ConniePhysician & Board memberFT$262,359$87,254$349,613
Huss MD Randall DPhysician & Board memberFT$219,108$129,807$348,915
Hopkins MD John JackPhysician & Board memberFT$246,851$100,799$347,650
Andrews MD ElizabethPhysician & Board memberFT$220,265$125,289$345,554
Fulnecky MD EricPhysician & Board memberFT$261,908$75,784$337,692
Vincent JenineVP-OperationsFT$200,610$89,155$266,481
Lewis MD StephaniePhysician & Board memberFT$201,587$63,485$265,072
Barnett MD W MarkPhysician & Board memberFT$201,735$60,882$262,617

Board Members and Trustees

NameTitle
Scarrow Md AlanPresident Sprg Comms thru 9/17
Swope JonPresident, central communities
Davison Justin CVice President Finance
Stangeland Stuart GCOO Springfield Clinic & Board
Reynolds ScottCFO CTRL COMMUNITIES Thru 5/18
Goodwin KevinFormer key employee
Hover MD Alexander Rformer key employee
Cavagnol MD RobertPhysician VP
McNay MD JenniferPhysician VP
Marion TanyaRegional VP-Human Resources
Burke JamesRegional VP-Legal THRU 4/18
Stutzman TedVP Ops-cardiology Thru 7/17
Rash KevinVP Ops-surgical Svcs Thru 4/18
Dent Ronald LVP-Ambulatory finance
Fuhr EricVP-Clinical operations
Carlson AaronVP-Operations
Earnest LindaVP-Operations
Globig DavidVP-Operations
Gooch AmandaVP-Operations
Whitten AdamVP-Operations
Hannasch Susan KVP-Regional General Counsel

Highest Paid Contractors

ContractorServicesLocationCompensation
Weatherby LocumsPhysician StaffingPO Box 972633, Dallas, TX 75397$2,005,978
ComphealthPhysician StaffingPO Box 972651, Dallas, TX 75397$1,015,811
Locum Leaders of MissouriPhysician Staffing12400 High Bluff Dr, San Diego, CA 92130$649,531
ImagewearOptical Equip. Svcs.801 12th Ave N, Minneapolis, MN 55411$383,959
Newman Frank R JrPhysician Staffing1324 E Lakepoint Ct, Springfield, MO 65804$355,058
Revenue and Support

Revenue Composition

Contributions and Grants
$462,445
Program Service Revenue
$325,916,418
Investment Income
$477,563
Other Revenue
$48,612
All Other Contributions
$4,945
Change in Net Assets
$-120,476,226
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$325,135,225
Other Expenses$122,246,039
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$270,352,107$783,212-$271,135,319
Occupancy$20,957,768$134,351-$21,092,119
Other Employee Benefits$19,899,388$425,998-$20,325,386
Payroll Taxes$12,650,405$192,887-$12,843,292
Current Officers, Directors, Trustees, and Key Employees$11,347,824$46,891-$11,394,715
Insurance$8,543,008--$8,543,008
Pension Plan Contributions$7,887,960$166,640-$8,054,600
Fees for Services Other$5,342,405$56,890-$5,399,295
Office Expenses$4,631,943$34,050-$4,665,993
Depreciation Depletion$2,543,050$618,830-$3,161,880
Comp Disqual Persons$1,376,243$5,670-$1,381,913
Other Expenses$1,180,128$4,103-$1,184,231
All Other Expenses$388,944$17,034-$405,978
Travel$388,332$2,869-$391,201
Advertising$359,134$2,500-$361,634
Information Technology$11,344--$11,344
Conferences and Meetings$3,976--$3,976
Total Functional Expenses$444,445,593$2,935,671$0$447,381,264
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Thomas LewisFamily of board memberEmploymentNo$390,676
Barbara BumberryFamily of board memberEmploymentNo$367,499
Karen HopkinsFamily of board memberEmploymentNo$246,021
Cindy HoovensFamily of board memberEmploymentNo$36,009
Meera ScarrowFamily of officerEmploymentNo$32,720
Karen CoxFamily member of officeEmploymentNo$16,709
Debbie BarbeFamily of key employeeEmploymentNo$12,607

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
Due to Affiliates$6,170,216
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
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, 7A, & 7B

Classes of members or stockholders the filing organization has a sole corporate member, mercy health springfield communities. The following corporate powers and responsibilities shall be reserved solely to the 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 article x of these bylaws; -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 chief executive officer of the corporation or any organization controlled by the corporation; -to approve or amend the overall strategic goals and objectives of the corporation or any organization controlled by the corporation; -to approve or amend the consolidated operating, capital, and construction budgets (including aggregate physician compensation models) 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 the corporate member; -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 any amount established from time to time by mercy; -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 that are acquired 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 organization controlled by the corporation, subject to approval by the board as required pursuant to chapter 355 of the revised statutes of missouri for nonprofit corporations; and, -to approve the creation, ownership or acquisition of, or affiliation with, any other organization controlled by the corporation.

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 director of finance and 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 various reviews are addressed and incorporated into the form 990, a revised draft is made available to both the filing organization's leadership team, including the cfo and ceo, and the stewardship committee of the mercy health springfield communities board of directors for their review. Mercy health springfield communities is the sole corporate member of the filing organization and has ultimate responsibility for all financial decisions. 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, Lines 15A & 15B

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.

Filing and Contact Details

Filer

Filer Name
Mercy Clinic Springfield Communities
EIN
43-1560263
In Care Of
% JUSTIN DAVISON
Phone
3145796100
Address
1235 E Cherokee, Springfield, MO 65804

Signing Officer

Name
Justin Davison
Title
VP-finance
Phone
3145796100
Signed
2019-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Justin Davison
Formed
1999
Legal Domicile
Mo
Voting Board Members
19
Independent Board Members
0
Employees
717
Volunteers
108

Preparer

Firm
Ernst & Young US Llp
Address
312 WALNUT STREET STE 1900, CINCINNATI, OH 45202
Preparer
Abbey E Leibel
Phone
5136121400
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 mercy health system (with limited exceptions) under the mercy health ein.

Form 990 Part XI Line 9

Other changes in net assets net transfers to/from affiliates $119,262,547

Form 990, Part XII, Question 2C

Audit of financial statements the filing organization's financial statements were included in mercy health and subsidiaries 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.

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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IRS990/Form990PartVIISectionAGrp/PersonNm1Andrews MD Elizabeth
IRS990/Form990PartVIISectionAGrp/PersonNm2Barnett MD W Mark
IRS990/Form990PartVIISectionAGrp/PersonNm3Bumberry MD John
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IRS990/Form990PartVIISectionAGrp/PersonNm7Hawkins MD John
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IRS990/Form990PartVIISectionAGrp/PersonNm9Huss MD Randall D
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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$39.8$26.4$13.5$563$672$109
2023Detailed filing. Detailed filing data is available for this year.$47.7$29.2$18.5$292$448$155
2022Detailed filing. Detailed filing data is available for this year.$40.9$15.5$25.3$275$416$141
2021Detailed filing. Detailed filing data is available for this year.$40.0$18.0$22.0$290$397$107
2020Detailed filing. Detailed filing data is available for this year.$37.4$18.0$19.4$281$412$131
2019Detailed filing. Detailed filing data is available for this year.$53.8$29.8$24.0$327$456$129
2018Detailed filing. Detailed filing data is available for this year.$51.3$35.3$16.0$327$447$120
2017Detailed filing. Detailed filing data is available for this year.$47.4$30.1$17.3$323$423$100.0
2016Detailed filing. Detailed filing data is available for this year.$46.0$49.8$3.80$327$429$103
2015Detailed filing. Detailed filing data is available for this year.$60.2$101$40.5$467$562$95.1
2014Detailed filing. Detailed filing data is available for this year.$57.2$59.5$2.26$457$534$77.4
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.6$46.7$10.9$513
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$58.1$55.1$2.95$494
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$53.3$41.8$11.5$473
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$57.8$36.3$21.5$395
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2018 filings • 501(c)3 • $250M-$1B nonprofits