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Nonprofiteer
← MERCY HOSPITAL ADA INC

Form 990 for tax year 2022

Filed by MERCY HOSPITAL ADA INC.

Totals

Total revenue
$118,193,815
Total expenses
$118,651,372
Contributions and grants received
$607,104
Grants paid
$223,251
Program services expenses (Part IX)
$91,529,751
Management and general expenses
$27,121,621
Fundraising expenses
$0
Program service expenses (Part III)
$91,529,751

Program services were 77.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ANDERSON MICHAEL D

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CURRY MD MICHAEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • HENDRICKS RSM SR REBECCA ANN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 9 related

  • JONES BRIGETTE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KOORIE RSM SR DIANE

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LASSITER DAVID

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MIXON SHIRLEY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • NABERHAUS CAROL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ROBERTSON REGINA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • THOMPSON DEBRA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CLARK LUCAS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • COOK MD AUDRA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KEEL L JAY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MCDANIEL JOY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • PETETE VICKY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • BROWN MORRIS

    EXECUTIVE DIRECTOR, FINANCE

    Total calculated
    $172,762
    From this org
    $0
    From related orgs
    $154,850
    Other
    $17,912
    Hours/week
    5 + 45 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

  • 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

  • FARRELL TERENCE

    PRESIDENT

    Total calculated
    $593,183
    From this org
    $0
    From related orgs
    $525,317
    Other
    $67,866
    Hours/week
    10 + 40 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

  • ARRIAGA KRISTINE

    MANAGER, ED

    Total calculated
    $241,653
    From this org
    $0
    From related orgs
    $226,972
    Other
    $14,681
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $216,291 related
    Bonus
    $0
    Other
    $0 + $10,681 related
    Deferred
    $0 + $2,900 related
    Nontaxable benefits
    $0 + $11,781 related
    Filer's total
    $0 + $241,653 related

  • GRIFFIN TYLER

    REGISTERED NURSE

    Total calculated
    $215,824
    From this org
    $0
    From related orgs
    $207,861
    Other
    $7,963
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $183,519 related
    Bonus
    $0 + $3,825 related
    Other
    $0 + $20,517 related
    Deferred
    $0 + $7,878 related
    Nontaxable benefits
    $0 + $85 related
    Filer's total
    $0 + $215,824 related

  • MOODY LARA

    CLINICAL NURSE EDUCATOR

    Total calculated
    $217,014
    From this org
    $0
    From related orgs
    $201,908
    Other
    $15,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $199,987 related
    Bonus
    $0 + $1,800 related
    Other
    $0 + $121 related
    Deferred
    $0 + $1,782 related
    Nontaxable benefits
    $0 + $13,324 related
    Filer's total
    $0 + $217,014 related

  • O'GRADY MD S M

    PHARMACIST

    Total calculated
    $220,407
    From this org
    $0
    From related orgs
    $192,558
    Other
    $27,849
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $155,894 related
    Bonus
    $0 + $6,929 related
    Other
    $0 + $29,735 related
    Deferred
    $0 + $11,021 related
    Nontaxable benefits
    $0 + $16,828 related
    Filer's total
    $0 + $220,407 related

  • STANDLEE CYNTHIA

    VP NURSING

    Total calculated
    $204,550
    From this org
    $0
    From related orgs
    $190,237
    Other
    $14,313
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $152,829 related
    Bonus
    $0 + $19,179 related
    Other
    $0 + $18,229 related
    Deferred
    $0 + $7,763 related
    Nontaxable benefits
    $0 + $6,550 related
    Filer's total
    $0 + $204,550 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

  • SORENSEN DONN

    FORMER OFFICER

    Total calculated
    $956,180
    From this org
    $0
    From related orgs
    $937,784
    Other
    $18,396
    Hours/week
    0 + 60 related

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $450,000 related
    Other
    $0 + $487,784 related
    Deferred
    $0 + $18,396 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $956,180 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

  • 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)

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 I, QUESTION 4A
THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION: DONN SORENSEN - $487,784
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

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
202421319349304107

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

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