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Nonprofiteer
← MERCY SPECIALIST PHYSICIANS INC

Form 990 for tax year 2023

Filed by MERCY SPECIALIST PHYSICIANS INC.

Totals

Total revenue
$404,101
Total expenses
$386,691
Contributions and grants received
$0
Grants paid
$0
Program services expenses (Part IX)
$381,987
Management and general expenses
$4,704
Fundraising expenses
$0
Program service expenses (Part III)
$381,987

Program services were 98.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DEBORAH BITSOLI

    DIRECTOR; PRESIDENT; CHAIR

    Total calculated
    $873,882
    From this org
    $0
    From related orgs
    $740,080
    Other
    $133,802
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $530,118 related
    Bonus
    $0 + $134,352 related
    Other
    $0 + $75,610 related
    Deferred
    $0 + $100,163 related
    Nontaxable benefits
    $0 + $33,639 related
    Filer's total
    $0 + $873,882 related

  • ROBERT ROOSE MD

    DIRECTOR; MERCY HOSPITAL PRESIDENT

    Total calculated
    $646,082
    From this org
    $0
    From related orgs
    $570,168
    Other
    $75,914
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $464,964 related
    Bonus
    $0 + $94,577 related
    Other
    $0 + $10,627 related
    Deferred
    $0 + $41,745 related
    Nontaxable benefits
    $0 + $34,169 related
    Filer's total
    $0 + $646,082 related

  • VIKRAM SONDHI

    MEDICAL DIRECTOR

    Total calculated
    $515,171
    From this org
    $463,528
    From related orgs
    $0
    Other
    $51,643
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $436,722
    Bonus
    $0
    Other
    $26,806
    Deferred
    $19,800
    Nontaxable benefits
    $31,843
    Filer's total
    $515,171

  • MARK KENTON

    MEDICAL DIR/CHAIR EMERGENCY MEDICINE

    Total calculated
    $496,933
    From this org
    $453,204
    From related orgs
    $0
    Other
    $43,729
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $452,165
    Bonus
    $0
    Other
    $1,039
    Deferred
    $14,850
    Nontaxable benefits
    $28,879
    Filer's total
    $496,933

  • MATTHEW CAUCHON

    ASST. DIRECTOR - EMERGENCY MEDICAL

    Total calculated
    $491,688
    From this org
    $444,588
    From related orgs
    $0
    Other
    $47,100
    Hours/week
    44 + 1 related

    Schedule J breakdown matched by us

    Base
    $443,903
    Bonus
    $0
    Other
    $685
    Deferred
    $14,850
    Nontaxable benefits
    $32,250
    Filer's total
    $491,688

  • MIKE RYAN

    DIR, SEC, TREAS; REG VP OF FINANCE

    Total calculated
    $483,458
    From this org
    $0
    From related orgs
    $434,394
    Other
    $49,064
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $359,657 related
    Bonus
    $0 + $73,130 related
    Other
    $0 + $1,607 related
    Deferred
    $0 + $18,177 related
    Nontaxable benefits
    $0 + $30,887 related
    Filer's total
    $0 + $483,458 related

  • JONATHAN LANDRY

    EMERGENCY MEDICINE PHYSICIAN

    Total calculated
    $461,253
    From this org
    $432,043
    From related orgs
    $0
    Other
    $29,210
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $431,465
    Bonus
    $0
    Other
    $578
    Deferred
    $14,850
    Nontaxable benefits
    $14,360
    Filer's total
    $461,253

  • TYLER CHRISTENSEN

    EMERGENCY MEDICINE PHYSICIAN

    Total calculated
    $422,284
    From this org
    $405,142
    From related orgs
    $0
    Other
    $17,142
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $404,616
    Bonus
    $0
    Other
    $526
    Deferred
    $14,850
    Nontaxable benefits
    $2,292
    Filer's total
    $422,284

  • STUART ROSENBERG

    FORMER KEY EMPLOYEE

    Total calculated
    $397,541
    From this org
    $0
    From related orgs
    $366,907
    Other
    $30,634
    Hours/week
    0 + 1 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $366,907 related
    Deferred
    $0 + $7,070 related
    Nontaxable benefits
    $0 + $23,564 related
    Filer's total
    $0 + $397,541 related

  • DANIEL KEENAN

    FORMER OFFICER; SVP GOV'T RELATIONS

    Total calculated
    $386,372
    From this org
    $0
    From related orgs
    $330,684
    Other
    $55,688
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $268,525 related
    Bonus
    $0 + $55,608 related
    Other
    $0 + $6,551 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $35,888 related
    Filer's total
    $0 + $386,372 related

  • JAMES HARRIS

    FMR OFFICER; TH OF NE DIR OF REIMB

    Total calculated
    $277,482
    From this org
    $0
    From related orgs
    $231,090
    Other
    $46,392
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $207,021 related
    Bonus
    $0 + $21,530 related
    Other
    $0 + $2,539 related
    Deferred
    $0 + $17,812 related
    Nontaxable benefits
    $0 + $28,580 related
    Filer's total
    $0 + $277,482 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
MERCY SPECIALIST PHYSICIANS IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY SPECIALIST PHYSICIANS' PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY SPECIALIST PHYSICIANS' PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENT IN CALENDAR 2023. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: STUART ROSENBERG - $345,046 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNT, WHICH WAS UNPAID AS OF 12/31/23: STUART ROSENBERG - $6,766 (PAID IN 2024) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUT FOR 2023 FOR THE PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DEBORAH BITSOLI - $58,783 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2023 ARE INCLUDED IN COLUMN C OF SCHUEDLE J, PART II: DEBORAH BITSOLI - $85,313 ROBERT ROOSE - $26,895 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($330,000 FOR 2023). THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: DANIEL KEENAN - $662 ROBERT ROOSE - $7,441 STUART ROSENBERG - $3,514 MIKE RYAN -$0

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202531339349306708

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