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Nonprofiteer
← MERCY HOSPITAL JEFFERSON

Form 990 for tax year 2022

Filed by MERCY HOSPITAL JEFFERSON.

Totals

Total revenue
$218,754,264
Total expenses
$198,753,168
Contributions and grants received
$290,778
Grants paid
$197,444
Program service revenue
not reported
Investment income
not reported
Other revenue
not reported
Total assets, end of year
not reported
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
not reported
Program services expenses (Part IX)
$184,395,057
Management and general expenses
$14,358,111
Fundraising expenses
$0
Program service expenses (Part III)
$184,395,057

Program services were 92.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Ammons Carl E Eric

    President, Mercy Hospital Jefferson

    Total calculated
    $734,330
    From this org
    $0
    From related orgs
    $627,764
    Other
    $106,566
    Hours/week
    50 + 5 related

    Schedule J breakdown matched by us

    Base
    $0 + $344,356 related
    Bonus
    $0 + $229,557 related
    Other
    $0 + $53,851 related
    Deferred
    $0 + $91,626 related
    Nontaxable benefits
    $0 + $14,940 related
    Filer's total
    $0 + $734,330 related

  • Carron RSM Sr Judith Ann

    Board Member

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • Francis Richard Blake

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Gannon Elaine

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Iyer MD Karthik

    Physician & Board Member

    Total calculated
    $564,972
    From this org
    $0
    From related orgs
    $536,279
    Other
    $28,693
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $498,859 related
    Bonus
    $0 + $16,380 related
    Other
    $0 + $21,040 related
    Deferred
    $0 + $13,251 related
    Nontaxable benefits
    $0 + $15,442 related
    Filer's total
    $0 + $564,972 related

  • McCaffrey Dena

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • McKenna William

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Peyton MD Jacob

    Physician & Board Member

    Total calculated
    $513,786
    From this org
    $0
    From related orgs
    $478,377
    Other
    $35,409
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $448,492 related
    Bonus
    $0 + $8,916 related
    Other
    $0 + $20,969 related
    Deferred
    $0 + $16,070 related
    Nontaxable benefits
    $0 + $19,339 related
    Filer's total
    $0 + $513,786 related

  • Riordan MD Tracy

    Physician & Board Member

    Total calculated
    $737,390
    From this org
    $0
    From related orgs
    $682,953
    Other
    $54,437
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $581,315 related
    Bonus
    $0 + $27,037 related
    Other
    $0 + $74,601 related
    Deferred
    $0 + $34,698 related
    Nontaxable benefits
    $0 + $19,739 related
    Filer's total
    $0 + $737,390 related

  • Blair RSM Christine

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Charleville Tiffany

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Dix Denise

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Reuss Doug

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Eckhardt Christie

    VP, Chief Operations Counsel & Secretary

    Total calculated
    $333,270
    From this org
    $0
    From related orgs
    $307,029
    Other
    $26,241
    Hours/week
    1 + 57 related

    Schedule J breakdown matched by us

    Base
    $0 + $244,381 related
    Bonus
    $0 + $30,223 related
    Other
    $0 + $32,425 related
    Deferred
    $0 + $10,189 related
    Nontaxable benefits
    $0 + $16,052 related
    Filer's total
    $0 + $333,270 related

  • Eckenfels Daniel

    VP Finance/CAO

    Total calculated
    $361,822
    From this org
    $0
    From related orgs
    $332,037
    Other
    $29,785
    Hours/week
    45 + 15 related

    Schedule J breakdown matched by us

    Base
    $0 + $280,407 related
    Bonus
    $0 + $30,188 related
    Other
    $0 + $21,442 related
    Deferred
    $0 + $10,239 related
    Nontaxable benefits
    $0 + $19,546 related
    Filer's total
    $0 + $361,822 related

  • Beffa Alisyn

    CNO/COO

    Total calculated
    $272,425
    From this org
    $0
    From related orgs
    $244,741
    Other
    $27,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $200,389 related
    Bonus
    $0 + $22,991 related
    Other
    $0 + $21,361 related
    Deferred
    $0 + $9,319 related
    Nontaxable benefits
    $0 + $18,365 related
    Filer's total
    $0 + $272,425 related

  • Meyer Michele

    VP Operations

    Total calculated
    $314,658
    From this org
    $0
    From related orgs
    $284,875
    Other
    $29,783
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $206,303 related
    Bonus
    $0 + $32,298 related
    Other
    $0 + $46,274 related
    Deferred
    $0 + $15,670 related
    Nontaxable benefits
    $0 + $14,113 related
    Filer's total
    $0 + $314,658 related

  • Kennon William D

    Director - Pharmacy Services

    Total calculated
    $229,756
    From this org
    $0
    From related orgs
    $205,726
    Other
    $24,030
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $166,568 related
    Bonus
    $0 + $7,122 related
    Other
    $0 + $32,036 related
    Deferred
    $0 + $12,686 related
    Nontaxable benefits
    $0 + $11,344 related
    Filer's total
    $0 + $229,756 related

  • Lee-Moss Jennifer

    Manager, Hospital Pharmacy Operations

    Total calculated
    $215,608
    From this org
    $0
    From related orgs
    $188,454
    Other
    $27,154
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $151,203 related
    Bonus
    $0
    Other
    $0 + $37,251 related
    Deferred
    $0 + $8,348 related
    Nontaxable benefits
    $0 + $18,806 related
    Filer's total
    $0 + $215,608 related

  • Porterhouse Cheri

    Registered Nurse

    Total calculated
    $202,977
    From this org
    $0
    From related orgs
    $189,390
    Other
    $13,587
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $177,496 related
    Bonus
    $0 + $1,250 related
    Other
    $0 + $10,644 related
    Deferred
    $0 + $8,214 related
    Nontaxable benefits
    $0 + $5,373 related
    Filer's total
    $0 + $202,977 related

  • Robbins Jill L

    Registered Nurse

    Total calculated
    $340,763
    From this org
    $0
    From related orgs
    $321,250
    Other
    $19,513
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $292,447 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $27,303 related
    Deferred
    $0 + $14,127 related
    Nontaxable benefits
    $0 + $5,386 related
    Filer's total
    $0 + $340,763 related

  • Taylor Sara

    Physician Assistant

    Total calculated
    $218,216
    From this org
    $0
    From related orgs
    $206,948
    Other
    $11,268
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $192,458 related
    Bonus
    $0
    Other
    $0 + $14,490 related
    Deferred
    $0 + $11,268 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $218,216 related

  • Johnston Jeffrey A

    Former Officer

    Total calculated
    $2,194,975
    From this org
    $0
    From related orgs
    $2,171,276
    Other
    $23,699
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + -$10,246 related
    Bonus
    $0 + $1,300,000 related
    Other
    $0 + $881,522 related
    Deferred
    $0 + $23,649 related
    Nontaxable benefits
    $0 + $50 related
    Filer's total
    $0 + $2,194,975 related

  • Matejka Cheryl L

    Former Officer

    Total calculated
    $1,325,464
    From this org
    $0
    From related orgs
    $1,197,639
    Other
    $127,825
    Hours/week
    0 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $671,340 related
    Bonus
    $0 + $387,006 related
    Other
    $0 + $139,293 related
    Deferred
    $0 + $113,518 related
    Nontaxable benefits
    $0 + $14,307 related
    Filer's total
    $0 + $1,325,464 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, and on a Form 990-PF Part VIII's — 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

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 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 4a
The following received severance pay: Jeffrey Johnston $854,474
Part I, Line 3
Mercy Health (parent company) is responsible for establishing the compensation of the organization's CEO/Executive Director. The following methods were used by Mercy Health to establish compensation: -Independent compensation consultant -Written employment contract -Compensation survey or study -Approval by the board or compensation committee

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
8 May 2024
IRS schema version
2022v5.0
Source object
202421319349302502

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