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Nonprofiteer
← MERCY CARE CENTER

Form 990 for tax year 2023

Filed by MERCY CARE CENTER.

Totals

Total revenue
$1,054,018
Total expenses
$3,811,688
Contributions and grants received
$760,743
Grants paid
$0
Program service revenue
$290,338
Investment income
$1,062
Other revenue
$1,875
Total assets, end of year
$5,739,803
Total liabilities, end of year
$5,800,143
Net assets or fund balances, end of year
-$60,340
Program services expenses (Part IX)
$3,811,688
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$3,811,688

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

  • DANIEL ISACKSEN

    TREASURER; TRINITY HEALTH CFO

    Total calculated
    $2,158,967
    From this org
    $0
    From related orgs
    $1,790,506
    Other
    $368,461
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,076,984 related
    Bonus
    $0 + $630,000 related
    Other
    $0 + $83,522 related
    Deferred
    $0 + $334,525 related
    Nontaxable benefits
    $0 + $33,936 related
    Filer's total
    $0 + $2,158,967 related

  • SHAWN VINCENT

    DORECTOR; PRES & CEO IL/IN REGION

    Total calculated
    $1,859,656
    From this org
    $0
    From related orgs
    $1,556,222
    Other
    $303,434
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $958,837 related
    Bonus
    $0 + $433,373 related
    Other
    $0 + $164,012 related
    Deferred
    $0 + $263,437 related
    Nontaxable benefits
    $0 + $39,997 related
    Filer's total
    $0 + $1,859,656 related

  • TAMMY LUNDSTROM MD

    DIRECTOR; THRINITY HEALTH SVP, CMO

    Total calculated
    $1,509,959
    From this org
    $0
    From related orgs
    $1,267,663
    Other
    $242,296
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $774,480 related
    Bonus
    $0 + $347,625 related
    Other
    $0 + $145,558 related
    Deferred
    $0 + $214,928 related
    Nontaxable benefits
    $0 + $27,368 related
    Filer's total
    $0 + $1,509,959 related

  • JOHN CAPASSO

    FORMER OFFICER

    Total calculated
    $904,210
    From this org
    $0
    From related orgs
    $888,904
    Other
    $15,306
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $888,904 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $15,306 related
    Filer's total
    $0 + $904,210 related

  • CHRIS GONZALEZ MD

    DIRECTOR; LUMC UROLOGIST

    Total calculated
    $759,678
    From this org
    $0
    From related orgs
    $742,950
    Other
    $16,728
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $739,390 related
    Bonus
    $0
    Other
    $0 + $3,560 related
    Deferred
    $0 + $14,850 related
    Nontaxable benefits
    $0 + $1,878 related
    Filer's total
    $0 + $759,678 related

  • JILL RAPPIS

    SECRETARY; VP MANAGING COUNSEL

    Total calculated
    $616,474
    From this org
    $0
    From related orgs
    $570,873
    Other
    $45,601
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $392,724 related
    Bonus
    $0 + $98,133 related
    Other
    $0 + $80,016 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $20,851 related
    Filer's total
    $0 + $616,474 related

  • EVA WOJCIK MD

    DIRECTOR; LUMC PATHOLOGIST

    Total calculated
    $494,304
    From this org
    $0
    From related orgs
    $449,712
    Other
    $44,592
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,616 related
    Bonus
    $0
    Other
    $0 + $6,096 related
    Deferred
    $0 + $24,750 related
    Nontaxable benefits
    $0 + $19,842 related
    Filer's total
    $0 + $494,304 related

  • JOSHUA MOORE

    FORMER OFFICER; SVP GENL COUNSEL

    Total calculated
    $473,469
    From this org
    $0
    From related orgs
    $422,370
    Other
    $51,099
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $332,865 related
    Bonus
    $0 + $84,594 related
    Other
    $0 + $4,911 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $31,299 related
    Filer's total
    $0 + $473,469 related

  • ELIZABETH CURTIS

    FORMER OFFICER

    Total calculated
    $377,072
    From this org
    $0
    From related orgs
    $315,999
    Other
    $61,073
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $248,466 related
    Bonus
    $0 + $65,066 related
    Other
    $0 + $2,467 related
    Deferred
    $0 + $24,503 related
    Nontaxable benefits
    $0 + $36,570 related
    Filer's total
    $0 + $377,072 related

  • AARON MICHELFELDER MD

    DIR; LUMC PRIMARY CARE PHYSICIAN

    Total calculated
    $239,232
    From this org
    $0
    From related orgs
    $213,449
    Other
    $25,783
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $212,994 related
    Bonus
    $0
    Other
    $0 + $455 related
    Deferred
    $0 + $16,200 related
    Nontaxable benefits
    $0 + $9,583 related
    Filer's total
    $0 + $239,232 related

  • DARIS HUANG

    ADVANCED PRACTICE NURSE

    Total calculated
    $151,030
    From this org
    $0
    From related orgs
    $135,614
    Other
    $15,416
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $135,159 related
    Bonus
    $0
    Other
    $0 + $455 related
    Deferred
    $0 + $6,176 related
    Nontaxable benefits
    $0 + $9,240 related
    Filer's total
    $0 + $151,030 related

  • JAWAN LASLEY

    ADVANCED PRACTICE NURSE

    Total calculated
    $143,544
    From this org
    $0
    From related orgs
    $123,140
    Other
    $20,404
    Hours/week
    40

  • ANITA ALLEN

    PROGRAM MANAGER

    Total calculated
    $132,614
    From this org
    $0
    From related orgs
    $118,549
    Other
    $14,065
    Hours/week
    40

  • ALFONSO GARZA

    RADIOLOGY MANAGER

    Total calculated
    $127,174
    From this org
    $0
    From related orgs
    $103,638
    Other
    $23,536
    Hours/week
    40

  • SAM MARZO MD

    DIRECTOR; LUMC OTOLARYNGOLOGIST

    Total calculated
    $107,117
    From this org
    $0
    From related orgs
    $99,647
    Other
    $7,470
    Hours/week
    1 + 49 related

  • ANTONIO ORTIZ

    DIRECTOR; CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • DERONDAL BEVLY

    DIRECTOR; VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • MARION FULCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JIM HAIST

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • LOU PIERCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • EILEEN WROBLESKI CSC

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • SMITA SHAH

    DIRECTOR AS OF 1/24

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ARTHUR ZAYAS MILLER

    DIRECTOR

    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, 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)

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 2023. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN CAPASSO - $610,522 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THIS AMOUNT THAT WAS REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/23: JOHN CAPASSO - $410,928 (PAID IN 2024) THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2023. 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 2023, AND THEIR NON-VESTED BENEFITS FOR 2023 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2023 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JOHN CAPASSO - $255,194 DANIEL ISACKSEN - $63,208 TAMMY LUNDSTROM, MD - $113,932 JILL RAPPIS - $60,976 SHAWN VINCENT - $143,793 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 2023 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DANIEL ISACKSEN - $324,625 TAMMY LUNDSTROM, MD - $200,078 SHAWN VINCENT - $248,587 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 ($330,000 FOR 2023). THE FOLLOWING PAYOUTS FOR 2023 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ELIZABETH CURTIS - $341 JOSHUA MOORE - $3,043

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 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
2023
Filed
12 May 2025
IRS schema version
2023v6.0
Source object
202511329349305286

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