Mercy

Legal name: Mercy Aco Clinical Services

Nonprofit profile at a glance

EIN
464504901
IRS 990 coverage
2014–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Chesterfield, MO, USA
Phone
405-615-6674
Rating
68
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Ambulatory Health Center, Community Clinic
Affiliation
Christianity

Official website

Reported finances

Revenue
$125,501,264
Expenses
$128,385,227
Assets
$38,990,654
Liabilities
$6,239,964

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

11 people listed

Executive titles in this filing

  • HELTON MD JOHN G (PRESIDENT, PRIMARY CARE)
  • THOMPSON DAVE (SVP, CHIEF GROWTH OFFICER & PRESIDENT, POPULATION)

Highest reported compensation

  • SOCK SHANNON (EVP, CSO & COO & BOARD MEMBER): $8,311,222 total reported compensation
  • HELTON MD JOHN G (PRESIDENT, PRIMARY CARE): $2,191,476 total reported compensation
  • THOMPSON DAVE (SVP, CHIEF GROWTH OFFICER & PRESIDENT, POPULATION): $1,951,998 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Mercy is a Catholic health system committed to providing compassionate, high-quality, affordable healthcare services.

What it reported doing in 2024

Mercy aco clinical services combines people and technology to extend healthcare services well beyond the walls of physicians' offices, hospital campuses and other traditional facilities. Telehealth is the primary vehicle in which mercy aco clinical services will improve access to healthcare and to develop care management when physical distance separates the provider and the patient. Services primarily include, but are not limited to eicu, telestroke, teleperinatal, sepsis, disease management, case management and care management.

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. A relatively small share of voting board members are independent and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 86
  • Transparency & Controls: 71
  • Accountability: 28
  • Sustainability: 29
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 97.3%; rating input score 97
  • Program expense ratio: 95.2%; rating input score 95
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 6 of 9 controls in place; rating input score 67
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -2.3%; rating input score 18; 18th percentile among comparable filings
  • Total-asset coverage ratio: 0.3; rating input score 10; 10th percentile among comparable filings
  • Liabilities to assets ratio: 0.16; rating input score 74; 74th percentile among comparable filings
  • Officer compensation ratio: 0.9%; rating input score 76; 76th percentile among comparable filings

Growth

  • Program expense growth: 9% per year; rating input score 100; 70th percentile among comparable filings
  • Revenue growth: 14.1% per year; rating input score 100; 87th percentile among comparable filings
  • Asset growth: 1.4% per year; rating input score 100; 12th percentile among comparable filings

Details

  • What they do: 3 programs and campaigns described on the official site · 4 operating locations identified
  • Where the money goes: 97.3% of revenue deployed · 95.2% of spending went to programs
  • Governance: 0 of 3 board members independent · 6 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $122.2M in reported program spending
  • Leadership: top reported pay $8.3M · 11 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $12.9M reported
  • Consistency: 27 of 27 current checks pass
  • Schedules: 6 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 11 filing years from 2014 to 2024
  • Contacts: How to reach this organization
  • Related organizations: 83 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 3 of 9 not reported.
  • High — Sustainability: Operating margin scored 18/100.
  • High — Sustainability: Total-asset coverage ratio scored 10/100.