Mercy

Legal name: MHM Support Services

Nonprofit profile at a glance

EIN
202553101
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Chesterfield, MO, USA
Phone
3145796100
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate
Affiliation
Christianity

Official website

Reported finances

Revenue
$1,656,435,434
Expenses
$1,714,673,169
Assets
$764,774,089
Liabilities
$1,456,927,551

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

Leadership & pay

28 people listed

Executive titles in this filing

  • Shannon Sock (EVP, CSO & COO, President)
  • John Mohart MD (EVP, Chief Operating Officer & President (start 01/2025))
  • Dave Thompson (SVP, Chief Growth Officer & President, Population Health)
  • Jeffrey Ciaramita MD (President, Specialty Service Lines)
  • John G Helton MD (President, Primary Care)
  • Stephen L Mackin (President, Mercy Health CEO)

Highest reported compensation

  • Stephen L Mackin (President, Mercy Health CEO): $8,335,401 total reported compensation
  • Shannon Sock (EVP, CSO & COO, President): $8,311,222 total reported compensation
  • Joseph Kelly (EVP, Chief Strategy & Technology Officer): $3,394,702 total reported compensation

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

Overview

Mission

As the Sisters of Mercy before us, we bring to life the healing ministry of Jesus through our compassionate care and exceptional service. Transforming the Health of Our Communities Our Mercy health system was founded by the Sisters of Mercy in 1986. But our heritage goes back more than 195 years. It began with an Irish woman named Catherine McAuley, who was determined to help women and children in Dublin experiencing poverty. Though Catherine had a modest upbringing, she received an unexpected inheritance that allowed her to fulfill that dream. In 1827, she opened the first House of Mercy in Dublin, intending to teach skills to women and educate children. Many volunteers came to help. A few years later, Catherine founded the Sisters of Mercy, one of the first religious orders whose Sisters were free to walk among the poor and.

What it reported doing in 2024

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. Mhm support services conducts centralized activities and functions and provides centralized services that are essential to carrying out the hospital members' exempt purposes. The services include treasury, information technology, clinical quality management, legal and compliance counsel, compensation and benefits, consulting, performance management, revenue management, capital management, clinical engineering, and clinical safety. As a supporting organization by providing these services, it allows the supported organizations to further their exempt purposes.

Operating model

Revenue model
Other-operating. 100% of the money available for current operations came from other operating 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 expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 89
  • Transparency & Controls: 73
  • Accountability: 32
  • Sustainability: 16
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 100%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 78.1%; rating input score 78; 17th percentile among comparable filings
  • 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: 7 of 9 controls in place; rating input score 78
    • 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: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -3.5%; rating input score 15; 15th percentile among comparable filings
  • Total-asset coverage ratio: 0.45; rating input score 16; 16th percentile among comparable filings
  • Liabilities to assets ratio: 1.91; rating input score 2; 2nd percentile among comparable filings
  • Officer compensation ratio: 3%; rating input score 37; 37th percentile among comparable filings

Growth

  • Program expense growth: 9.4% per year; rating input score 100; 72nd percentile among comparable filings
  • Revenue growth: 9.2% per year; rating input score 100; 73rd percentile among comparable filings
  • Asset growth: 5.1% per year; rating input score 100; 37th percentile among comparable filings

Details

  • What they do: 1 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 100% of revenue deployed · 100% of spending went to programs
  • Governance: 0 of 3 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $1.7B in reported program spending
  • Leadership: top reported pay $8.3M · 28 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $45.4M reported
  • Consistency: 41 of 42 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 78 filed money-flow records
  • Related organizations: 133 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 — Sustainability: Operating margin scored 15/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 16/100.
  • High — Sustainability: Liabilities to assets ratio scored 2/100.
  • Moderate — Sustainability: Officer compensation ratio scored 37/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.