Mhm Support Services EIN 20-2553101

Mhm Support Services FY2023 filing

EIN  20-2553101 Supporting organization Chesterfield, MO Founded 2004
Form 990 (PDF)
You’re viewing the FY2023 filing — not the latest on file. See the latest (FY2024) →
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Verified accurate 7/3/26 · see original filing: IRS
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Size
$100M+
What they do
Provides centralized administrative, IT, legal, and financial support services to help affiliated tax-exempt hospitals deliver compassionate healthcare.
Leadership
James Britton · President, Mercy Health CEO (thru 4/2022) · $8.3M
Money in and out
$1.4B revenue, $1.5B expenses
Bottom line
-6% net inflow

Provides centralized administrative, IT, legal, and financial support services to help affiliated tax-exempt hospitals deliver compassionate healthcare. For fiscal year 2023 it reported $1.4B in revenue, $1.5B in expenses, and $-428.0M in net assets.Pt I

Money in and out · FY2023
Total revenue
$1.4B
Pt VIII · Ln 12
Total expenses
$1.5B
Pt IX · Ln 25
Net assets
$-428.0M
Pt X · Ln 32
Revenue less expenses (Pt I · Ln 19): −$76.8M
Where spending went · Part IX cols B–D
Program services $1.00
Net inflow
-6%
revenue over expenses, this year
Pass-through gifts
0%
of revenue from contributions
Program spending
100%
of expenses reach stated programs

Summary of the Filing

Part I · fiscal year 2023 · Form 990
Revenue
$1.4B
FY2023▲ +12%
Expenses
$1.5B
FY2023▲ +15%
Total assets
$801.9M
FY2023▲ +16%
Total liabilities
$1.2B
FY2023▼ -13%
Total revenue
$1.4B
Pt VIII · Ln 12
Total expenses
$1.5B
Pt IX · Ln 25
Net assets
$-428.0M
Pt X · Ln 32
Revenue less expensesPt I · Ln 19−$76.8M
Total assetsPt X · Ln 16$801.9M
Program-expense ratioPt IX · col B100%
Voting members of governing bodyPt I · Ln 33
Independent voting membersPt I · Ln 4pending
Mission & Programs · Part III

Where the work happens

1 program service account for $1.5B of program spending, described in the organization's own filed words · FY2022.
01

MHM support services is organized and at all times is operated as an integral part of the operating hospital members of the controlled group of tax-exempt organizations which share a common parent with MHM support services.

$1.5Bprogram expense

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Identity & Classification

Form 990 Header · IRS Business Master File
Legal nameHdr · item CMhm Support Services
EINHdr · item D20-2553101
Principal addressHdr · item CChesterfield, MO
WebsiteHdr · item Jwww.mercy.net
Year of formationHdr · item L2004
State of legal domicileHdr · item MMO
Exempt statusHdr · item I501(c)(3) · active
NTEE classificationIRS BMFNonprofit
Ruling yearIRS BMFMar 1946

Governance & Policies

Part VI
Voting members of the governing bodyPt VI · Ln 1a3
Independent voting membersPt VI · Ln 1bpending
Conflict-of-interest policyPt VI · Ln 12aYes
Whistleblower policyPt VI · Ln 13Yes
Document retention policyPt VI · Ln 14Yes
CEO/top-official compensation independently reviewedPt VI · Ln 15aNo
Family or business relationships among officers/directorsPt VI · Ln 2No

Officers, Directors & Key Employees

Part VII, Section A · reportable compensation · most recent filed roster (FY2022); the FY2023 filing did not itemize Part VII
President, Mercy Health CEO (thru 4/2022)
$8,342,589Pt VII · Sec A
President, Mercy Health CEO (beg 4/2022)
$3,215,797Pt VII · Sec A
EVP, Cso & COO, President
$2,434,362Pt VII · Sec A
Former Key Employee
$2,171,277Pt VII · Sec A
EVP, Chief Administrative Officer
$1,383,481Pt VII · Sec A
President, Primary Care
$1,373,847Pt VII · Sec A
EVP, Digital Transformation & Business Development Officer
$1,304,726Pt VII · Sec A
SVP, General Counsel & Secretary
$1,256,638Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2024FY2023FY2022FY2021FY2020
Britton James$14,670,072$3,039,972
Swope Jon$8,438,629
James Britton$2,130,158$2,570,286$8,342,589$3,804,440
Shannon Sock$8,048,004$3,118,808$2,434,362$2,422,966
Stephen L Mackin$7,558,489$5,005,266$3,215,797$1,494,690
Wheeler Philip$5,694,303$1,040,864
McQueary MD Fred G$5,494,015$2,056,444
Sock Shannon$4,942,479$2,097,807

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Statement of Revenue

Part VIII
Program service revenue$1.3B · 97%
Other revenue$38.9M · 3%
Investment income$7.0M · 1%
Program service revenue97%$1.3B
Other revenue3%$38.9M
Investment income1%$7.0M
Contributions & grants$529K
Total revenueLn 12$1.4B

Statement of Functional Expenses

Part IX · allocated across program, management, and fundraising
Allocation · columns B–D
Program services $1.00
Program services100%$1.5B
Total functional expensesLn 25$1.5B

Balance Sheet

Part X · end of year
CashLn 1$112.2M
Total assetsLn 16$801.9M
Total liabilitiesLn 26$1.2B
Total net assetsLn 32$-428.0M
Months of cash on handcomputed0.9

Financial Metrics

Form 990 · FY2023 · each ratio shown with the dollars behind it
Liquidity & Payout
Operating runway
Highly liquid reserves $112.2M · Operating expenses/yr $1.5B
0.9 months
Where the money goes
Program services
Program services $1.5B · Total expenses $1.5B
100%
Management & General
Management & general $0 · Total expenses $1.5B
0%
Fundraising
Fundraising $0 · Total expenses $1.5B
0%
Cost to raise $1
Fundraising expense (3-yr avg) $0 · Solicited contributions (3-yr avg) $483K
Solicited contributions below reporting floor
Where the money comes from
Contribution dependence
Contributions & grants $529K · Total revenue $1.4B
0%
Government reliance
Government grants — · Total revenue $1.4B
Earned-income share
Program service revenue $1.3B · Total revenue $1.4B
97%
Investment reliance
Investment income $7.0M · Total revenue $1.4B
+1%
Program self-sufficiency
Program service revenue $1.3B · Total expenses $1.5B
92%
Growth & trend
Revenue growth (YoY)
This year $1.4B · Prior year $1.2B
+12%
Net-asset trend (YoY)
End of year $-428.0M · Beginning of year —
Beginning net assets not meaningfully positive — showing dollar change
Balance sheet
Surplus Margin
Revenue $1.4B · Expenses $1.5B
-6%
Liabilities-to-Assets
Total liabilities — · Total assets $801.9M
Net-asset ratio
Net assets $-428.0M · Total assets $801.9M
-53%
Marketable Investment Share
Publicly traded securities (Pt X, ln 11) $0 · Other securities (Pt X, ln 12) — · Total assets (Pt X, ln 16) $801.9M
0%
People & payroll
Highest Reported Total Compensation
Individual James Britton · Reported title President, Mercy Health CEO (THRU 4/2022) · Highest reported compensation $8.3M · Total expenses $1.5B
1%
Personnel share
Salaries, benefits & payroll (Pt IX 5-10) $477.4M · Total expenses $1.5B
33%
Peer comparison

Same NTEE category, revenue band, and state where available. Descriptive — not a grade.

MetricThis orgPeer medianPercentile
Program ratio 100%
Overhead ratio 0%
Fundraising cost ratio 0%
Revenue growth 12%
Investment management fee ratio 0%
Legal fee ratio 1%
Accounting fee ratio 0%

Straight from the Form 990 — descriptive, not an evaluation. A ratio is hidden when its base is zero or too small to be meaningful; the dollars are always shown.

Grants

Schedule I · received and paid
Grants received · FY2024
Rx FoundationFY2024$300K
Mercy HealthFY2024$213K
Total grants receivedfrom 5 funders$1.0M
See all 5 funders →
Grants paid · 313 grants · $8.1M · 2019–2024
Lindenwood Education SystemMO · FY2024$100,000
Cooper Anthony Child Advocacy CenterAR · FY2024$55,000
Mercy Ministries of LaredoTX · FY2024$53,335
Heartland Forward INCAR · FY2024$50,000
Unitemized GrantFY2024$39,500
Free Store Ministry INCMO · FY2024$30,000
Casa De MisericordiaTX · FY2024$30,000
Watered GardensMO · FY2024$25,000
Our Neighbors Cupboard INCOK · FY2024$25,000
Life Change SwmoMO · FY2024$23,000
See all 313 grants →

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Filings & Schedule Manifest

Part IV
III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
FY2024$1.5B revenue · ⤓ 990 PDF
FY2023$1.4B revenue · viewing · ⤓ 990 PDF
FY2022$1.2B revenue · ⤓ 990 PDF
FY2021$1.3B revenue · ⤓ 990 PDF
FY2020$1.0B revenue · ⤓ 990 PDF

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Sources

Every figure above is drawn from these filings
Form 990 e-file (XML) · FY2023IRS
Classification, formation year, addressIRS Business Master File
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