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Nonprofiteer
← MERCY ASSISTED CARE INC

Form 990 for tax year 2022

Filed by MERCY ASSISTED CARE INC.

Totals

Total revenue
$14,956,480
Total expenses
$12,858,100
Contributions and grants received
$226,181
Grants paid
$0
Program service revenue
$11,260,860
Investment income
-$13,371
Other revenue
$3,482,810
Total assets, end of year
$14,233,277
Total liabilities, end of year
$2,784,179
Net assets or fund balances, end of year
$11,449,098
Program services expenses (Part IX)
$11,384,000
Management and general expenses
$1,474,100
Fundraising expenses
$0
Program service expenses (Part III)
$11,384,000

Program services were 88.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Javon R Bea

    PRESIDENT/CEO (see schedule J, pages 32 - 33)

    Total calculated
    $11,561,020
    From this org
    $0
    From related orgs
    $11,130,143
    Other
    $430,877
    Hours/week
    1 + 66 related

    Schedule J breakdown matched by us

    Base
    $0 + $2,193,820 related
    Bonus
    $0 + $1,660,233 related
    Other
    $0 + $7,276,090 related
    Deferred
    $0 + $413,098 related
    Nontaxable benefits
    $0 + $17,779 related
    Filer's total
    $0 + $11,561,020 related

  • Rowland J McClellan

    Chair & Director

    Total calculated
    $19,324
    From this org
    $0
    From related orgs
    $19,324
    Other
    $0
    Hours/week
    1 + 6 related

  • Thomas D Budd

    secretary & treasurer

    Total calculated
    $12,086
    From this org
    $0
    From related orgs
    $12,086
    Other
    $0
    Hours/week
    1 + 6 related

  • Thomas R Pool

    Vice Chair & Director

    Total calculated
    $13,500
    From this org
    $0
    From related orgs
    $13,500
    Other
    $0
    Hours/week
    1 + 6 related

  • Dave L Syverson

    Director

    Total calculated
    $17,334
    From this org
    $0
    From related orgs
    $17,334
    Other
    $0
    Hours/week
    1 + 6 related

  • Katherine A Schack

    Director

    Total calculated
    $13,500
    From this org
    $0
    From related orgs
    $13,500
    Other
    $0
    Hours/week
    1 + 6 related

  • Mark L Goelzer MD

    Director/Physician

    Total calculated
    $533,652
    From this org
    $0
    From related orgs
    $504,123
    Other
    $29,529
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,319 related
    Bonus
    $0 + $187,404 related
    Other
    $0 + $4,400 related
    Deferred
    $0 + $12,200 related
    Nontaxable benefits
    $0 + $17,329 related
    Filer's total
    $0 + $533,652 related

  • Wesley M Jost

    Director

    Total calculated
    $13,955
    From this org
    $0
    From related orgs
    $13,955
    Other
    $0
    Hours/week
    1 + 6 related

  • Kimberly Scaccia

    VP - Revenue Cycle

    Total calculated
    $564,224
    From this org
    $0
    From related orgs
    $499,300
    Other
    $64,924
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,004 related
    Bonus
    $0 + $147,040 related
    Other
    $0 + $38,256 related
    Deferred
    $0 + $21,669 related
    Nontaxable benefits
    $0 + $43,255 related
    Filer's total
    $0 + $564,224 related

  • Todd Anderson

    Vice President/CFO

    Total calculated
    $905,304
    From this org
    $0
    From related orgs
    $828,491
    Other
    $76,813
    Hours/week
    1 + 61 related

    Schedule J breakdown matched by us

    Base
    $0 + $564,084 related
    Bonus
    $0 + $252,851 related
    Other
    $0 + $11,556 related
    Deferred
    $0 + $40,746 related
    Nontaxable benefits
    $0 + $36,067 related
    Filer's total
    $0 + $905,304 related

  • Brandon Cooley

    Home Health Therapy Supervisor

    Total calculated
    $154,512
    From this org
    $142,434
    From related orgs
    $0
    Other
    $12,078
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,766
    Bonus
    $15,668
    Other
    $0
    Deferred
    $5,697
    Nontaxable benefits
    $6,381
    Filer's total
    $154,512

  • Dawn Klockow

    Director of Home Health

    Total calculated
    $191,376
    From this org
    $155,368
    From related orgs
    $0
    Other
    $36,008
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,217
    Bonus
    $21,006
    Other
    $8,145
    Deferred
    $6,516
    Nontaxable benefits
    $29,492
    Filer's total
    $191,376

  • Kaylie Fuhrman

    RN HOME HEALTH HOSPICE 5

    Total calculated
    $200,519
    From this org
    $162,051
    From related orgs
    $0
    Other
    $38,468
    Hours/week
    54.7

    Schedule J breakdown matched by us

    Base
    $155,023
    Bonus
    $0
    Other
    $7,028
    Deferred
    $3,229
    Nontaxable benefits
    $35,239
    Filer's total
    $200,519

  • Shelley Herbst-Nguyen

    Home Health Therapy Supervisor

    Total calculated
    $129,111
    From this org
    $123,885
    From related orgs
    $0
    Other
    $5,226
    Hours/week
    40

  • Traci Heitzelman

    RN HOME HEALTH HOSPICE 1

    Total calculated
    $181,887
    From this org
    $161,022
    From related orgs
    $0
    Other
    $20,865
    Hours/week
    54

    Schedule J breakdown matched by us

    Base
    $147,090
    Bonus
    $3,642
    Other
    $10,290
    Deferred
    $6,501
    Nontaxable benefits
    $14,364
    Filer's total
    $181,887

  • James Davis

    former VICE-PRESIDENT

    Total calculated
    $248,165
    From this org
    $0
    From related orgs
    $213,871
    Other
    $34,294
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $79,369 related
    Bonus
    $0
    Other
    $0 + $134,502 related
    Deferred
    $0 + $4,471 related
    Nontaxable benefits
    $0 + $29,823 related
    Filer's total
    $0 + $248,165 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
  • 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)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE CEO IS PAID FROM A RELATED ORGANIZATION, MERCY HEALTH SYSTEM OF THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. THE VICE CHAIR, AND SECRETARY/TREASURER. THE COMPENSATION COMMITTEE IS ASSISTED CORPORATION (MHSC). MHSC USES THE FOLLOWING TO ESTABLISH THE COMPENSATION FORM 990 OF OTHER ORGANIZATION, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION MERCY COMPENSATION COMMITTEE OF MHSC IS COMPRISED OF THE BOARD CHAIRPERSON, BY INDEPENDENT LEGAL COUNSEL AND AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE, LEGAL COUNSEL, AND THE COMPENSATION CONSULTANT MEET THROUGHOUT THE YEAR AND REPORT DIRECTLY TO THE BOARD OF DIRECTORS ANNUALLY. THIS PROCESS WAS COMPLETED FOR 2022.
Schedule J, Part I, Line 4a Severance or change-of-control payment
James Davis received 26 weeks severance pay $119,025 in 2022.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
INCENTIVE PLAN DISTRIBUTION: JAVON R. BEA - $4,953,609 Todd Anderson participated in the 457(f) plan during Calendar year 2022. However, he did not receive a payout during calendar year 2022.
Schedule J, Part II
JAVON R. BEA - DEFERRED COMPENSATION PAYMENT MR. BEA HAS BEEN EMPLOYED BY MHSC AS PRESIDENT AND CEO OVER THE PAST 30 YEARS. DURING THIS TIME, MR. BEA HAS LED AN INCREDIBLE TRANSFORMATION TAKING A SMALL, SINGLE, STAND-ALONE COMMUNITY HOSPITAL AND CREATING A VERTICALLY INTEGRATED HEALTH SYSTEM WITH 85 FACILITIES IN 50 COMMUNITIES THROUGHOUT SOUTHERN WISCONSIN AND NORTHERN ILLINOIS, INCREASING GROSS REVENUE FROM $33 MILLION TO OVER $3.6 BILLION IN FY2023. THIS HAS ALLOWED THE HEALTH SYSTEM TO GO FROM SERVING 89,000 PATIENTS IN 1989 TO OVER 1.8 MILLION PATIENTS TODAY WORKING TOGETHER WITH OVER 7,500+ PARTNERS IN HEALTH CARE. TODAY, MHSC HAS BECOME THE LARGEST EMPLOYER IN SOUTHERN WISCONSIN AND NORTHERN ILLINOIS. THIS GROWTH CAN BE ATTRIBUTED TO MR. BEA'S VISIONARY LEADERSHIP. LEADERSHIP THAT HAS LED TO MHSC RECEIVING NUMEROUS NATIONAL RECOGNIZED AWARDS INCLUDING BEING NAMED THE FIRST FULLY INTEGRATED HEALTH SYSTEM TO RECEIVE THE MALCOLM BALDRIGE NATIONAL QUALITY AWARD, THE MAGNET RECOGNITION AWARD, BEING RANKED #1 AND #2 ON AARP'S TOP 100 BEST PLACES TO WORK FOR WORKERS OVER 50 AND BEING RANKED IN THE TOP 25 ON THE TOP 100 INTEGRATED HEALTHCARE NETWORKS LIST BY MODERN HEALTHCARE FOR OVER 12 STRAIGHT YEARS. THE TURNAROUND OF THE MHSC IMPLEMENTED BY MR. BEA IS UNPARALLELED. BY PIONEERING A "PARTNERSHIP MODEL" OF COMPENSATION AND DESIGNING A CUSTOM CULTURE OF EXCELLENCE, MR. BEA IS VITAL TO THE DECADES-LONG AND CONTINUING GROWTH AT MHSC. THIS SUCCESS HAS MADE MR. BEA A HIGHLY SOUGHT AFTER SPEAKER AND CONSULTANT AS HE IS NOW WELL-RENOWNED FOR HIS INNOVATIONS IN THE AREAS OF INTEGRATED HEALTHCARE AND PHYSICIAN PARTNERSHIP MODELS. THE TREMENDOUS SUCCESS OF MHSC UNDER THE LEADERSHIP OF MR. BEA HAS ALLOWED HIM TO RECEIVE PAYOUTS FROM A DEFERRED COMPENSATION PACKAGE WHICH MHSC HAS BEEN PAYING INTO OVER MANY YEARS. THESE PAYMENTS ONLY BECAME PAYABLE IF MHSC ATTAINED CERTAIN DEFINED FINANCIAL AND STRATEGIC GOALS AND THE AMOUNTS ARE AT RISK EVERY SINGLE YEAR. AS INDICATED ABOVE, MANY OF THESE GOALS WERE ACHIEVED WITHIN THE PAST FEW YEARS RESULTING IN A RELEASE OF THESE DEFERRED PAYMENTS WHICH IMPACTED MR. BEA'S COMPENSATION REPORTING. THE SETTING OF THESE GOALS WERE LAID OUT BY THE BOARD OF DIRECTORS IN COOPERATION WITH NATIONALLY RECOGNIZED COMPENSATION ATTORNEYS AND CONSULTANTS TO MAKE SURE ALL FACTORS WERE TAKEN INTO CONSIDERATION. MR. BEA'S COMPENSATION HAS ALSO BEEN SCRUTINIZED BY NUMEROUS OUTSIDE ORGANIZATIONS AND MOST IMPORTANTLY, THE INTERNAL REVENUE SERVICE; AND HAS PASSED INSPECTION IN EACH CASE. TOTAL COMPENSATION IS APPROVED ANNUALLY BY THE BOARD OF DIRECTORS OF MHSC.

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.

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349317702

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