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Nonprofiteer
← MERCY HOSPITAL TISHOMINGO INC

Form 990 for tax year 2022

Filed by MERCY HOSPITAL TISHOMINGO INC.

Totals

Total revenue
$9,960,767
Total expenses
$9,551,270
Contributions and grants received
$30,115
Grants paid
$693
Program services expenses (Part IX)
$7,113,260
Management and general expenses
$2,438,010
Fundraising expenses
$0
Program service expenses (Part III)
$7,113,260

Program services were 74.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CIARAMITA MD JEFFREY

    PRESIDENT, SPECIALTY SERVICE LINES

    Total calculated
    $1,392,094
    From this org
    $0
    From related orgs
    $1,249,223
    Other
    $142,871
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $840,716 related
    Bonus
    $0 + $364,187 related
    Other
    $0 + $44,320 related
    Deferred
    $0 + $127,141 related
    Nontaxable benefits
    $0 + $15,730 related
    Filer's total
    $0 + $1,392,094 related

  • GILBERT SHELLEY

    DIRECTOR - NURSING & BM

    Total calculated
    $163,376
    From this org
    $0
    From related orgs
    $139,137
    Other
    $24,239
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $125,158 related
    Bonus
    $0 + $3,863 related
    Other
    $0 + $10,116 related
    Deferred
    $0 + $6,706 related
    Nontaxable benefits
    $0 + $17,533 related
    Filer's total
    $0 + $163,376 related

  • MOHART MD JOHN

    PRESIDENT, MERCY COMMUNITIES & CHAIRMAN OF BOARD

    Total calculated
    $863,525
    From this org
    $0
    From related orgs
    $703,915
    Other
    $159,610
    Hours/week
    1 + 59 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,752 related
    Bonus
    $0 + $444,205 related
    Other
    $0 + $50,958 related
    Deferred
    $0 + $139,819 related
    Nontaxable benefits
    $0 + $19,791 related
    Filer's total
    $0 + $863,525 related

  • WALGREN LAURA A

    PHYSICIAN ASSISTANT & BM

    Total calculated
    $302,195
    From this org
    $0
    From related orgs
    $274,501
    Other
    $27,694
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $230,948 related
    Bonus
    $0 + $12,000 related
    Other
    $0 + $31,553 related
    Deferred
    $0 + $14,555 related
    Nontaxable benefits
    $0 + $13,139 related
    Filer's total
    $0 + $302,195 related

  • BOSTROM MARVIN

    RADIOLOGIC TECHNOLOGIST II & BM

    Total calculated
    $70,765
    From this org
    $0
    From related orgs
    $61,517
    Other
    $9,248
    Hours/week
    40

  • CLOUSE DAY SHERRY

    VP, FINANCE & TREASURER

    Total calculated
    $330,121
    From this org
    $0
    From related orgs
    $299,124
    Other
    $30,997
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $213,563 related
    Bonus
    $0 + $28,979 related
    Other
    $0 + $56,582 related
    Deferred
    $0 + $16,300 related
    Nontaxable benefits
    $0 + $14,697 related
    Filer's total
    $0 + $330,121 related

  • 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

  • GEBHART JIM

    COMMUNITY PRESIDENT HOSPITAL

    Total calculated
    $1,052,182
    From this org
    $0
    From related orgs
    $947,016
    Other
    $105,166
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $551,746 related
    Bonus
    $0 + $345,546 related
    Other
    $0 + $49,724 related
    Deferred
    $0 + $91,467 related
    Nontaxable benefits
    $0 + $13,699 related
    Filer's total
    $0 + $1,052,182 related

  • COOPER SCOTT

    PHYSICIAN ASSISTANT

    Total calculated
    $217,491
    From this org
    $0
    From related orgs
    $194,245
    Other
    $23,246
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $172,656 related
    Bonus
    $0 + $12,000 related
    Other
    $0 + $9,589 related
    Deferred
    $0 + $6,192 related
    Nontaxable benefits
    $0 + $17,054 related
    Filer's total
    $0 + $217,491 related

  • HADDOCK ELIZABETH M

    PHYSICIAN ASSISTANT

    Total calculated
    $171,412
    From this org
    $0
    From related orgs
    $159,264
    Other
    $12,148
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $131,024 related
    Bonus
    $0 + $9,750 related
    Other
    $0 + $18,490 related
    Deferred
    $0 + $5,041 related
    Nontaxable benefits
    $0 + $7,107 related
    Filer's total
    $0 + $171,412 related

  • MCMILLIN LORI A

    ADMINISTRATOR - RURAL FACILITIES

    Total calculated
    $167,241
    From this org
    $0
    From related orgs
    $153,937
    Other
    $13,304
    Hours/week
    10 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $129,429 related
    Bonus
    $0 + $10,870 related
    Other
    $0 + $13,638 related
    Deferred
    $0 + $6,014 related
    Nontaxable benefits
    $0 + $7,290 related
    Filer's total
    $0 + $167,241 related

  • SALTIEL STEVEN E

    ADVANCED PRACTICE RN - CERT NP

    Total calculated
    $291,291
    From this org
    $0
    From related orgs
    $272,021
    Other
    $19,270
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $224,091 related
    Bonus
    $0 + $12,000 related
    Other
    $0 + $35,930 related
    Deferred
    $0 + $12,732 related
    Nontaxable benefits
    $0 + $6,538 related
    Filer's total
    $0 + $291,291 related

  • SANDOVAL KELLY

    MANAGER - LAB OPERATIONS

    Total calculated
    $166,527
    From this org
    $0
    From related orgs
    $141,788
    Other
    $24,739
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $115,785 related
    Bonus
    $0
    Other
    $0 + $26,003 related
    Deferred
    $0 + $8,917 related
    Nontaxable benefits
    $0 + $15,822 related
    Filer's total
    $0 + $166,527 related

  • BROWN MORRIS

    FORMER OFFICER

    Total calculated
    $172,762
    From this org
    $0
    From related orgs
    $154,850
    Other
    $17,912
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $116,598 related
    Bonus
    $0 + $11,293 related
    Other
    $0 + $26,959 related
    Deferred
    $0 + $4,921 related
    Nontaxable benefits
    $0 + $12,991 related
    Filer's total
    $0 + $172,762 related

  • ENLOE TRACY

    FORMER OFFICER

    Total calculated
    $693,030
    From this org
    $0
    From related orgs
    $653,251
    Other
    $39,779
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $316,175 related
    Bonus
    $0 + $296,761 related
    Other
    $0 + $40,315 related
    Deferred
    $0 + $21,314 related
    Nontaxable benefits
    $0 + $18,465 related
    Filer's total
    $0 + $693,030 related

  • FARRELL TERENCE

    FORMER OFFICER

    Total calculated
    $593,183
    From this org
    $0
    From related orgs
    $525,317
    Other
    $67,866
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $295,495 related
    Bonus
    $0 + $198,008 related
    Other
    $0 + $31,814 related
    Deferred
    $0 + $53,596 related
    Nontaxable benefits
    $0 + $14,270 related
    Filer's total
    $0 + $593,183 related

  • STITT BOBBY J

    FORMER OFFICER

    Total calculated
    $233,066
    From this org
    $0
    From related orgs
    $206,347
    Other
    $26,719
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $173,845 related
    Bonus
    $0 + $17,268 related
    Other
    $0 + $15,234 related
    Deferred
    $0 + $8,696 related
    Nontaxable benefits
    $0 + $18,023 related
    Filer's total
    $0 + $233,066 related

  • LE BICH-VI

    FORMER KEY EMPLOYEE

    Total calculated
    $498,197
    From this org
    $0
    From related orgs
    $461,851
    Other
    $36,346
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,004 related
    Bonus
    $0 + $45,101 related
    Other
    $0 + $54,746 related
    Deferred
    $0 + $17,233 related
    Nontaxable benefits
    $0 + $19,113 related
    Filer's total
    $0 + $498,197 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 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)

FORM 990, SCHEDULE J, PART I, QUESTION 3
THE FILING ORGANIZATION RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART II
THE AMOUNTS REPORTED FOR TRACY ENLOE IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

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
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202431319349303913

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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