MERCY HEALTH PLANS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH PLANS INC (EIN 32-0486150)
- Tax period
- 2022-01-01 to 2022-04-01
- Filed
- 2023-02-15
- IRS object ID
- 202300469349303320
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-15T21:36:27-06:00 | ReturnTs |
| Tax Period End | 2022-04-01 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 E 4TH STREET STE 2900 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320486150 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH PLANS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SHERRY L CLOUSE DAY | InCareOfNm |
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 4176787827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3265 SOUTH NATIONAL AVENUE | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65807 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SARAH ASPERGER | PersonNm |
| Person Title | VP PAYOR REL & CONTR | PersonTitleTxt |
| Phone | 3142901024 | PhoneNum |
| Signature | 2023-02-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SARAH | PersonFirstNm |
| Person Last | ASPERGER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE L SPARKS | PreparerPersonNm |
| PTIN | P01268401 | PTIN |
| Phone | 5136121400 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
| Principal Officer | SARAH ASPERGER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3265 SOUTH NATIONAL AVENUE | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65807 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $109 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $439 | PYInvestmentIncomeAmt |
| CY Investment Income | $109 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $439 | PYTotalRevenueAmt |
| CY Total Revenue | $109 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,218 | PYOtherExpensesAmt |
| CY Other Expenses | $40 | CYOtherExpensesAmt |
| PY Total Expenses | $9,218 | PYTotalExpensesAmt |
| CY Total Expenses | $40 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,779 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $69 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,455,285 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,455,285 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | Yes (true) | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE CORPORATION, IN COMMITMENT TO THE GOSPEL AND IN SERVICE TO THE NEEDS OF PEOPLE, EXISTS TO ADVANCE THE MISSION AND VALUES OF MERCY HEALTH BY CREATING BENEFIT PLANS THAT LINK COMMUNITIES TO A HIGH QUALITY, PREFERRED HEALTH CARE NETWORK; BY ACCEPTING RISK, RESPONSIBILITY AND ACCOUNTABILITY FOR THE HEALTH STATUS, TREATMENT OUTCOMES AND COST EFFECTIVENESS OF CARE; BY TAKING RESPONSIBILITY FOR CONTRIBUTING TO THE LARGER COMMUNITY'S HEALTH AND WELL-BEING; AND BY OPERATING IN A MANNER THAT STEWARDS NEEDED RESOURCES, DEMONSTRATES VALUE AND TREATS ALL INDIVIDUALS WITH DIGNITY AND RESPECT. MERCY HEALTH PLANS, INC. HAS HAD MINIMAL ACTIVITY TO DATE AND THIS ENTITY WAS DISSOLVED AS OF 4/1/2022. | Desc |
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | false | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHERRY L CLOUSE DAY | PersonNm |
| Phone | 4176787827 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3265 SOUTH NATIONAL AVENUE | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65807 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Rogers James | ||||||||
| VP Chief Adult Prmy Care & BM | 0.2 | 59.8 | Yes (X) | $0 | $773,267 | $30,506 | ||
| Michetti Michael | ||||||||
| COO Mercy C & BM THU 12/31/21 | 0.2 | 59.8 | $0 | $634,855 | $9,407 | Yes (X) | ||
| Brown John | ||||||||
| Exec Dir - Client Strategies | 0.2 | 59.8 | Yes (X) | $0 | $76,955 | $27,473 | ||
| Hennessey William | ||||||||
| VP MISSION & SECRETARY | 0.2 | 59.8 | Yes (X) | $0 | $66,934 | $36,739 | Yes (X) | |
| Clouse Day Sherry | ||||||||
| CFO Contracted Revenue & BM | 0.2 | 59.8 | Yes (X) | $0 | $73,034 | $15,925 | ||
| Asperger Sarah | ||||||||
| VP Payor Rel Contracting & Pre | 0.2 | 59.8 | Yes (X) | $0 | $45,923 | $25,708 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,670,968 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $145,758 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109 | TotalRevenueColumnAmt |
| Exclusion | $109 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $109 | TotalRevenueColumnAmt |
| Exclusion | $109 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40 | TotalAmt |
| Management And General | $40 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $40 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,773,077 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $682,208 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,285 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,285 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,285 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,455,285 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $69 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$2,455,354 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michetti Michael | ||||||||||||||
| COO Mercy C & BM THU 12/31/21 | $0 | $0 | $0 | $443,136 | $0 | $191,719 | $0 | $9,407 | $0 | $0 | $0 | $644,262 | $0 | $0 |
| Rogers James | ||||||||||||||
| VP Chief Adult Prmy Care & BM | $0 | $30,403 | $0 | $0 | $0 | $742,864 | $0 | $26,949 | $0 | $3,557 | $0 | $803,773 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE J, PART I, QUESTION 3 | MERCY HEALTH PLANS, INC. RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS. |
| FORM 990, SCHEDULE J, PART I, QUESTION 4A | THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT AS NOTED: Michael Michetti - $119,548 |
| FORM 990, SCHEDULE J, PART I, QUESTION 4B | MERCY OFFERS SUPPLEMENTAL RETIREMENT PLANS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATE BASED ON COMPENSATION, AGE AT THE TIME OF BENEFIT COMMENCEMENT, LENGTH OF SERVICE WITH THE COMPANY AND/OR ITS AFFILIATES, AND LENGTH OF TENURE IN THE PLAN. THE PLANS ARE CLOSED TO NEW ENTRANTS. WILLIAM HENNESSEY AND JAMES ROGERS PARTICIPATED IN THE SUPPLEMENTAL RETIREMENT PLANS. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). MERCY HEALTH ALSO OFFERS INCENTIVE COMPENSATION PROGRAMS TO CERTAIN EXECUTIVES WHICH PROVIDE BENEFITS UPON VESTING DATES BASED ON COMPENSATION AND LENGTH OF TENURE IN THE PLAN. JAMES ROGERS PARTICIPATED IN THE INCENTIVE COMPENSATION PROGRAMS. THE ANNUAL ACCRUALS FOR THESE PROGRAMS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C). |
Schedule N IRS990ScheduleN
Liquidation Of Assets Table LiquidationOfAssetsTableGrp
Liquidation Of Assets Detail LiquidationOfAssetsDetail (2 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| MERCY HEALTH PLANS OF MISSOURI INC | |||||||||
| CASH | 2022-04-01 | $1,773,007 | Actual cost | 320481419 | 3265 SOUTH NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 501(c)(3) |
| MERCY HEALTH PLANS OF MISSOURI INC | |||||||||
| CASH | 2022-04-01 | $682,317 | Actual cost | 320481419 | 3265 SOUTH NATIONAL AVENUE | SPRINGFIELD | MO | 65807 | 501(c)(3) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule N, Line 1 | FormAndLineReferenceDesc |
| Explanation | Prior to dissolution, intercompany transfers of assets were made. On 04/26/2022 all assets were transferred to Mercy Health Plans of Missouri, Inc. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, Part III, LINE 3 | MERCY HEALTH PLANS, INC. DISSOLVED IN APRIL 2022 AND ALL ACTIVITY HAS CEASED. FORM 990, PART V, QUESTION 1A FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART V, QUESTION 2A | W-3 FILING EMPLOYEES ARE PAID BY A RELATED ORGANIZATION UNDER A COMMON PAYMASTER ARRANGEMENT. AS SUCH, REQUIRED PAYROLL FILING (INCLUDING W-2 AND W-3'S) IS REPORTED UNDER THE RELATED ORGANIZATION, MHM SUPPORT SERVICES, EIN 20-2553101. |
| FORM 990, PART VI, LINE 6A, LINE 7A, 7B | CLASSES OF MEMBERS OR STOCKHOLDERS THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH PLANS OF MISSOURI, INC. THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES SHALL BE RESERVED SOLELY UNTO THE CORPORATE MEMBER: -TO APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION AND ANY CORPORATION CONTROLLED BY THE CORPORATION SHALL OPERATE; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPOINT AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION AND MEMBERS OF THE BOARD OF DIRECTORS OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO NOMINATE FOR APPOINTMENT BY THE BOARD OR DIRECTORS, AND REMOVE, THE PRESIDENT OF THE CORPORATION AND THE PRESIDENT OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE OR AMEND THE STRATEGIC PLAN, GOALS, AND OBJECTIVES OF THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO APPROVE AND AMEND THE OPERATING, CAPITAL AND CONSTRUCTION BUDGETS FOR THE CORPORATION AND OF ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO LEASE OR SELL SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS IN THE ORDINARY COURSE OF BUSINESS) AND TO GRANT ANY SECURITY INTERESTS, PLACE ANY ENCUMBRANCES, ENTER INTO ANY COVENANTS, AND EXECUTE ANY DOCUMENTS AND TAKE ANY ACTIONS NECESSARY OR APPROPRIATE IN CONNECTION WITH THE INCURRENCE OF SUCH DEBT; -TO MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION; AND, -TO APPROVE THE CREATION, OWNERSHIP, OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION BY THE CORPORATION. |
| FORM 990, PART VI, QUESTION 8B | DESCRIPTION OF PRACTICE RE: DOCUMENTATION OF MTGS & ACTION OF COMMITTEES THE BYLAWS PROVIDE THE OPTION OF HAVING COMMITTEES. HOWEVER, FOR THE TAX YEAR ENDING 4/1/2022, THERE WERE NO COMMITTEES OPERATING ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, QUESTION 11B | DSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING INFORMATION PROVIDED BY THE FILING ORGANIZATION. A DRAFT FORM 990 IS REVIEWED BY THE FILING ORGANIZATION'S FINANCE TEAM, INCLUDING THE VICE PRESIDENT OF FINANCE. THE DRAFT FORM 990 IS ALSO REVIEWED BY MERCY HEALTH'S TAX DEPARTMENT, TO ENSURE ACCURACY AND CONSISTENCY WITH OTHER RELATED ORGANIZATIONS' FORMS 990. AFTER QUESTIONS ARISING FROM THE REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS. |
| FORM 990, PART VI, QUESTION 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED DECEMBER 31, 2022. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE QUESTIONNAIRES ARE REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S CHIEF FINANCIAL OFFICER, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. |
| FORM 990, PART VI, QUESTIONS 15A & 15B | OFFICERS & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT, AND REVIEW/APPROVAL OF COMPENSATION BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, QUESTION 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST AS REQUIRED. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS NET TRANSFERS (TO)/FROM AFFILIATES $-2,455,354 |
| FORM 990, PART XII, QUESTION 2C | AUDIT OF FINANCIAL STATEMENTS THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN THE MERCY HEALTH ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2022 (PARTS OF WHICH ARE INCLUDED IN THE TAX YEAR CURRENTLY BEING REPORTED). THE ULTIMATE RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE EXTERNAL AUDITOR LIES WITH THE STEWARDSHIP COMMITTEE OF THE MERCY HEALTH BOARD OF DIRECTORS. AUDIT RESULTS ARE COMMUNICATED TO THIS COMMITTEE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (71 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Casa de Misericordia | ||||||||||
| 1000 Mier St | Laredo | TX | 78040 | 742912461 | SHELTER | TX | 501c3 | 7 | MM LAREDO | Yes (true) |
| McAuley Portfolio Management Company | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 261708048 | PORT MGMT | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy ACO Clinical Services Inc | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464504901 | VIRTUAL CARE | MO | 501c3 | 3 | Mercy Health | Yes (true) |
| Mercy Clinic East Communities | ||||||||||
| 645 MARYVILLE CTR STE 100 | St Louis | MO | 63141 | 431771217 | PHYS GROUP | MO | 501c3 | 10 | MH EAST COMM | Yes (true) |
| Mercy Clinic Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 261318597 | PHYS CLINIC | AR | 501c3 | 3 | MH FS COMM | Yes (true) |
| Mercy Clinic Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 270473057 | PHYS GROUP | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Clinic Springfield Communities | ||||||||||
| 1965 Fremont St Suite 2950 | Springfield | MO | 65804 | 431560263 | PHYS GROUP | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Family Center | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | LA | 63017 | 721069468 | COUNSELING | LA | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Health | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431423050 | Corporate Off | MO | 501c3 | 1 | NA | false |
| Mercy Health East Communities | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431718408 | HLTH SYSTEM | MO | 501c3 | 12a | Mercy Health | Yes (true) |
| Mercy Health Fort Smith Communities | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 261318515 | HOLDING CO | AR | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Foundation | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 200901499 | Foundation | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Foundation Ada | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 463596274 | Foundation | OK | 501c3 | 12a | MH ADA INC | Yes (true) |
| Mercy Health Foundation Ardmore | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 710962525 | Foundation | OK | 501c3 | 12a | MH ARDMORE | Yes (true) |
| Mercy Health Foundation Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759301 | Foundation | AR | 501c3 | 12a | MH BERRYVILL | Yes (true) |
| Mercy Health Foundation Fort Scott | ||||||||||
| 401 Woodland Hills Blvd | Fort Scott | KS | 66701 | 481077073 | Foundation | KS | 501c3 | 7 | M KS COMM | Yes (true) |
| Mercy Health Foundation Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72917 | 237330425 | Foundation | AR | 501c3 | 7 | MH FS COMM | Yes (true) |
| Mercy Health Foundation Jefferson | ||||||||||
| 1400 US Highway 61 South | Festus | MO | 63028 | 462797051 | Foundation | MO | 501c3 | 12b | MH JEFFERSON | Yes (true) |
| Mercy Health Foundation Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270906136 | Foundation | MO | 501c3 | 7 | MH SW MOKS | Yes (true) |
| Mercy Health Foundation Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 822514567 | Foundation | MO | 501c3 | 12b | MH LEBANON | Yes (true) |
| Mercy Health Foundation Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 811477159 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation NW Arkansas | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710601687 | Foundation | AR | 501c3 | 7 | MH ROGERS | Yes (true) |
| Mercy Health Foundation of Oklahoma | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 454732301 | Foundation | OK | 501c3 | 12a | MH OK COMM | Yes (true) |
| Mercy Health Foundation Oklahoma City | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 463184231 | Foundation | OK | 501c3 | 12a | MH OK CITY | Yes (true) |
| Mercy Health Foundation Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 320195818 | Foundation | MO | 501c3 | 12b | MH SF COMM | Yes (true) |
| Mercy Health Foundation St Francis | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 431873914 | Foundation | MO | 501c3 | 12a | M ST FRANCIS | Yes (true) |
| Mercy Health Foundation St Louis | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 562410020 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health Foundation Washington | ||||||||||
| 901 E Fifth Street | Washington | MO | 63090 | 562410022 | Foundation | MO | 501c3 | 12b | MH EAST COMM | Yes (true) |
| Mercy Health Northwest Arkansas Communit | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 621684203 | PHYS GROUP | AR | 501c3 | 10 | Mercy Health | Yes (true) |
| Mercy Health Oklahoma Communities Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 731453048 | HLTH SYSTEM | OK | 501c3 | 12a | Mercy Health | Yes (true) |
| Mercy Health Plans of Missouri Inc | ||||||||||
| 3265 S National Avenue | Springfield | MO | 65807 | 320481419 | HMO | MO | 501c4 | N/A | Mercy Health | Yes (true) |
| MERCY HEALTH SW MOKS COMMUNITIES | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 300584463 | HLTH SYSTEM | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Health Springfield Communities | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 431856028 | HLTH SYSTEM | MO | 501c3 | 12b | Mercy Health | Yes (true) |
| Mercy Hospital Ada Inc | ||||||||||
| 430 N Monte Vista Street | Ada | OK | 74820 | 462288155 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Ardmore Inc | ||||||||||
| 1011 14th Avenue NW | Ardmore | OK | 73401 | 731500629 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Aurora | ||||||||||
| 500 Porter Avenue | Aurora | MO | 65605 | 431936696 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Berryville | ||||||||||
| 214 Carter Street | Berryville | AR | 72616 | 710759299 | Hospital | AR | 501c3 | 3 | MH NW AK COM | Yes (true) |
| Mercy Hospital Booneville | ||||||||||
| 880 West Main Street | Booneville | AR | 72927 | 463851119 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Carthage | ||||||||||
| 3125 Dr Russell Smith Way | Carthage | MO | 64836 | 453808607 | Hospital | MO | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital Cassville | ||||||||||
| 94 Main Street | Cassville | MO | 65625 | 431936699 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Columbus | ||||||||||
| 220 Pennsylvania Avenue | Columbus | KS | 66725 | 270842031 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital El Reno Inc | ||||||||||
| 2115 Parkview Drive | El Reno | OK | 73036 | 272716065 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Fort Smith | ||||||||||
| 7301 Rogers Avenue | Fort Smith | AR | 72903 | 710240352 | Hospital | AR | 501c3 | 3 | MH FS COMM | Yes (true) |
| Mercy Hospital Healdton Inc | ||||||||||
| 3462 Hospital Rd | Healdton | OK | 73438 | 263173902 | Hospital | OK | 501c3 | 3 | MH ARDMORE | Yes (true) |
| Mercy Hospital Jefferson | ||||||||||
| 1400 Highway 61 South | Festus | MO | 63028 | 430687077 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| Mercy Hospital Joplin | ||||||||||
| 100 Mercy Way | Joplin | MO | 64804 | 270814858 | Hospital | MO | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Hospital Kingfisher Inc | ||||||||||
| 1000 KINGFISHER REG HOSP | Kingfisher | OK | 73750 | 463433074 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Lebanon | ||||||||||
| 100 Hospital Drive | Lebanon | MO | 65536 | 431767432 | Hospital | MO | 501c3 | 3 | MH FS COMM | Yes (true) |
| Mercy Hospital Lincoln | ||||||||||
| 1000 East Cherry Street | Troy | MO | 63379 | 472219204 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| Mercy Hospital Logan County Inc | ||||||||||
| 200 South Academy | Guthrie | OK | 73044 | 452998842 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| Mercy Hospital Oklahoma City Inc | ||||||||||
| 4300 W Memorial Road | Oklahoma City | OK | 73120 | 730579285 | Hospital | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Mercy Hospital Ozark | ||||||||||
| 801 W River Street | Ozark | AR | 72949 | 710689680 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Paris | ||||||||||
| 500 E Academy | Paris | AR | 72855 | 710655753 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Rogers | ||||||||||
| 2710 Rife Medical Lane | Rogers | AR | 72758 | 710294390 | Hospital | AR | 501c3 | 3 | MH NW AK COM | Yes (true) |
| Mercy Hospital Springfield | ||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 440552485 | Hospital | MO | 501c3 | 3 | MH SF COMM | Yes (true) |
| Mercy Hospital Tishomingo Inc | ||||||||||
| 1000 South Byrd | Tishomingo | OK | 73460 | 274433830 | Hospital | OK | 501c3 | 3 | MH ADA INC | Yes (true) |
| Mercy Hospital Waldron | ||||||||||
| 1341 W 6th Street | Waldron | AR | 72958 | 710557895 | Hospital | AR | 501c3 | 3 | MH FT SMITH | Yes (true) |
| Mercy Hospital Watonga Inc | ||||||||||
| 500 Clarence Nash Blvd | Watonga | OK | 73772 | 455199762 | Hospital | OK | 501c3 | 3 | MH OK CITY | Yes (true) |
| MERCY HOSPITALS EAST COMMUNITIES | ||||||||||
| 615 S New Ballas Road | St Louis | MO | 63141 | 430653493 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| MERCY KANSAS COMMUNITIES INC | ||||||||||
| 401 Woodland Hills Blvd | Ft Scott | KS | 66701 | 480956045 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
| Mercy Ministries of Laredo | ||||||||||
| 2500 Zacatecas | Laredo | TX | 78046 | 200198462 | Outreach | TX | 501c3 | 7 | Mercy Health | Yes (true) |
| Mercy Research | ||||||||||
| 524 North Booneville Avenue | Springfield | MO | 65802 | 870796305 | Research | MO | 501c3 | 4 | Mercy Health | Yes (true) |
| Mercy St Francis Hospital | ||||||||||
| 100 W Highway 60 | Mountain View | MO | 65548 | 440607149 | Hospital | MO | 501c3 | 3 | MH FS COMM | Yes (true) |
| MHM Support Services | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 202553101 | CTRL SYS FUNC | MO | 501c3 | 12a | Mercy Health | Yes (true) |
| Mission Clinical Services | ||||||||||
| 300 Werner Street | Hot Springs | AR | 71913 | 134239691 | CHILD ADVOC | AR | 501c3 | 3 | Mercy Health | Yes (true) |
| Mercy Health Foundation South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 261516789 | Fundraising | MO | 501c3 | 12a | MH SOUTH | Yes (true) |
| Mercy Hospital South | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 430980256 | Hospital | MO | 501c3 | 3 | MH EAST COMM | Yes (true) |
| St Anthony's Physician Organization | ||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 431784536 | Health care | MO | 501c3 | 3 | MH SOUTH | Yes (true) |
| St Mary's Hospital of Enid Oklahoma Inc | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 730614655 | Inactive | OK | 501c3 | 3 | MH OK COMM | Yes (true) |
| Unity Ambulatory Care | ||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 431861745 | Inactive | MO | 501c3 | 12c | MH EAST COMM | Yes (true) |
| MERCY SPECIALTY HOSPITAL SE KS | ||||||||||
| 1619 W 7th Street | Galena | KS | 66739 | 843730625 | Hospital | KS | 501c3 | 3 | MH SW MOKS | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|
| FORT SMITH EMS | ||||||||
| 1701 S Greenwood | FT SMITH | AR | 72901 | 710416615 | EMERGENCY MEDICAL | AR | NA | |
| PLAZA SURG SVCS CO | ||||||||
| 12700 SOUTHFORK RD | St Louis | MO | 63128 | 204709312 | Inactive | MO | NA | |
| ST ED MER MED MOB | ||||||||
| 7301 ROGERS | FT SMITH | AR | 72903 | 710554050 | Office Building | AR | NA | |
| MERCY AMBU SURG CTR | ||||||||
| 7301 ROGERS | FT SMITH | AR | 72903 | 710827721 | Ambul Surg Ct | AR | NA | |
| PLATINUM CPS HLDNGS | ||||||||
| 14528 S OUTER 40 | Chesterfield | MO | 63017 | 842493007 | Holding Company | MO | NA | |
| Maryville Cncer CTR | ||||||||
| 2227 Vadalabene | Maryville | IL | 62062 | 813385885 | Outpatient Center | IL | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Frontenac Properties Inc | |||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 521914421 | HOLDING CO | DE | NA | C-CORP | |||||
| Inveno Health Inc | |||||||||||||
| 1235 E Cherokee Street | Springfield | MO | 65804 | 264509571 | Product Commerce | MO | NA | C-CORP | |||||
| Mercy Commercial Services Inc | |||||||||||||
| 14528 South Outer Forty Suite 100 | Chesterfield | MO | 63017 | 464953543 | PARENT OF VCC | MO | NA | C-CORP | |||||
| Mercy Health Center Condominium Inc | |||||||||||||
| 4300 W Memorial Rd | Oklahoma City | OK | 73120 | 680640970 | Real estate | OK | NA | C-CORP | |||||
| Mercy Managed Care Corporation | |||||||||||||
| 14528 S Outer Forty Suite 100 | Chesterfield | MO | 63017 | 731441665 | Holding co | OK | NA | C-CORP | |||||
| UHL Corp Inc | |||||||||||||
| 645 Maryville Centre Drive Suite 1 | St Louis | MO | 63141 | 742499535 | Holding co | MO | NA | C-CORP | |||||
| ST ANTHONY'S PHYSICIAN ORG OF ILLINOIS | |||||||||||||
| 10010 Kennerly Road | St Louis | MO | 63128 | 320457168 | Health Care | MO | NA | C-CORP | |||||
| McAuley Insurance Company Ltd | |||||||||||||
| 000000000 | Inactive | NA | C-Corp | Aon House 30 Woodbourne Avenue | Pembroke | BD | HM 08 | BD | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHM Support Services | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $160,090 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | MERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883. | ExplanationTxt |