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Nonprofiteer
← MERCY CARE CENTER

Form 990 for tax year 2022

Filed by MERCY CARE CENTER.

Totals

Total revenue
$1,603,221
Total expenses
$3,937,889
Contributions and grants received
$1,297,230
Grants paid
$0
Program services expenses (Part IX)
$3,937,451
Management and general expenses
$438
Fundraising expenses
$0
Program service expenses (Part III)
$3,937,451

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JOHN CAPASSO

    DIRECTOR, PRES, EVP TH THR 8/22

    Total calculated
    $2,250,598
    From this org
    $0
    From related orgs
    $1,172,736
    Other
    $1,077,862
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $395,221 related
    Bonus
    $0 + $366,306 related
    Other
    $0 + $411,209 related
    Deferred
    $0 + $1,035,175 related
    Nontaxable benefits
    $0 + $42,687 related
    Filer's total
    $0 + $2,250,598 related

  • DANIEL ISACKSEN

    TREASURER AS OF 1/23; TH CFO

    Total calculated
    $1,950,338
    From this org
    $0
    From related orgs
    $1,621,848
    Other
    $328,490
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $966,837 related
    Bonus
    $0 + $570,000 related
    Other
    $0 + $85,011 related
    Deferred
    $0 + $292,650 related
    Nontaxable benefits
    $0 + $35,840 related
    Filer's total
    $0 + $1,950,338 related

  • SHAWN VINCENT

    DORECTOR; PRES & CEO IL/IN REGION

    Total calculated
    $1,856,449
    From this org
    $0
    From related orgs
    $1,555,803
    Other
    $300,646
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $931,306 related
    Bonus
    $0 + $420,750 related
    Other
    $0 + $203,747 related
    Deferred
    $0 + $255,890 related
    Nontaxable benefits
    $0 + $44,756 related
    Filer's total
    $0 + $1,856,449 related

  • TAMMY LUNDSTROM MD

    DIR AS OF 1/23; TH SVP, CMO

    Total calculated
    $1,519,906
    From this org
    $0
    From related orgs
    $1,274,355
    Other
    $245,551
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $752,878 related
    Bonus
    $0 + $337,500 related
    Other
    $0 + $183,977 related
    Deferred
    $0 + $207,975 related
    Nontaxable benefits
    $0 + $37,576 related
    Filer's total
    $0 + $1,519,906 related

  • CHRIS GONZALEZ MD

    DIRECTOR AS OF 1/23; LUMC UROLOGIST

    Total calculated
    $759,954
    From this org
    $0
    From related orgs
    $744,348
    Other
    $15,606
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $726,514 related
    Bonus
    $0
    Other
    $0 + $17,834 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $1,881 related
    Filer's total
    $0 + $759,954 related

  • JILL RAPPIS

    SEC AS OF 1/23; VP MANAGING COUNSEL

    Total calculated
    $600,180
    From this org
    $0
    From related orgs
    $551,282
    Other
    $48,898
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,402 related
    Bonus
    $0 + $95,275 related
    Other
    $0 + $74,605 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $26,023 related
    Filer's total
    $0 + $600,180 related

  • EVA WOJCIK MD

    DIR AS OF 1/23; LUMC PATHOLOGIST

    Total calculated
    $482,200
    From this org
    $0
    From related orgs
    $440,024
    Other
    $42,176
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $430,869 related
    Bonus
    $0
    Other
    $0 + $9,155 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $19,301 related
    Filer's total
    $0 + $482,200 related

  • JOSHUA MOORE

    DIR; SEC THR 12/22; TH VP MGMT CON

    Total calculated
    $451,625
    From this org
    $0
    From related orgs
    $402,567
    Other
    $49,058
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,830 related
    Bonus
    $0 + $80,535 related
    Other
    $0 + $4,202 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $30,758 related
    Filer's total
    $0 + $451,625 related

  • ELIZABETH CURTIS

    DIR, TREAS, & TH VP FIN THR 12/22

    Total calculated
    $365,233
    From this org
    $0
    From related orgs
    $306,331
    Other
    $58,902
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,068 related
    Bonus
    $0 + $62,866 related
    Other
    $0 + $2,397 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $36,027 related
    Filer's total
    $0 + $365,233 related

  • AARON MICHELFELDER MD

    DIR AS OF 1/23; LUMC PC PHYSICIAN

    Total calculated
    $219,807
    From this org
    $0
    From related orgs
    $195,706
    Other
    $24,101
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $194,017 related
    Bonus
    $0
    Other
    $0 + $1,689 related
    Deferred
    $0 + $14,774 related
    Nontaxable benefits
    $0 + $9,327 related
    Filer's total
    $0 + $219,807 related

  • TYRA TOMLIN

    DIR THR 12/22; TH DIR PNO PERF LEAD

    Total calculated
    $203,418
    From this org
    $0
    From related orgs
    $178,160
    Other
    $25,258
    Hours/week
    1 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $160,986 related
    Bonus
    $0 + $16,570 related
    Other
    $0 + $604 related
    Deferred
    $0 + $7,795 related
    Nontaxable benefits
    $0 + $17,463 related
    Filer's total
    $0 + $203,418 related

  • JUWANA JACKSON

    DIR THR 12/22; TH SR PROGRAM CONS

    Total calculated
    $163,579
    From this org
    $0
    From related orgs
    $145,012
    Other
    $18,567
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $141,465 related
    Bonus
    $0
    Other
    $0 + $3,547 related
    Deferred
    $0 + $8,806 related
    Nontaxable benefits
    $0 + $9,761 related
    Filer's total
    $0 + $163,579 related

  • ANITA ALLEN

    PROGRAM MANAGER

    Total calculated
    $121,765
    From this org
    $0
    From related orgs
    $108,401
    Other
    $13,364
    Hours/week
    40

  • SAM MARZO MD

    DIR AS OF 1/23;LUMC OTOLARYNGOLOGIST

    Total calculated
    $107,617
    From this org
    $0
    From related orgs
    $100,147
    Other
    $7,470
    Hours/week
    1 + 49 related

  • ANTONIO ORTIZ

    DIRECTOR AND CHAIR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • DERONDAL BEVLY

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MARION FULCE

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JIM HAIST

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • LOU PIERCE

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • EILEEN WROBLESKI CSC

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ARTHUR ZAYAS MILLER

    DIRECTOR AS OF 1/23

    Total calculated
    $0
    Hours/week
    1 + 2 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 CARE CENTER IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY CARE CENTER'S 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 CARE CENTER'S 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 PAYMENTS IN CALENDAR 2022. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN CAPASSO - $211,334 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/22: JOHN CAPASSO - $1,021,450 ($610,522 PAID IN 2023 AND $410,928 TO BE PAID IN 2024) THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. 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 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN CAPASSO - $169,076 DANIEL ISACKSEN - $66,120 TAMMY LUNDSTROM, MD - $153,936 JILL RAPPIS - $59,200 SHAWN VINCENT - $184,262 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DANIEL ISACKSEN - $283,500 TAMMY LUNDSTROM, MD - $194,250 SHAWN VINCENT - $242,165 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 ($305,000 FOR 2022). THE FOLLOWING PAYOUTS FOR 2022 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ELIZABETH CURTIS - $480 JOSHUA MOORE - $2,599

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
6 May 2024
IRS schema version
2022v5.0
Source object
202421279349301322

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

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