MERCY HOSPITAL BERRYVILLE: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MERCY HOSPITAL BERRYVILLE (EIN 71-0759299)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-12
IRS object ID: 202311329349309011
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-12T22:03:26+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

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 EAST 4TH STREET SUITE 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	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	710759299	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mercy Hospital Berryville	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MERC	BusinessNameControlTxt
Phone	3145796100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	214 CARTER STREET	AddressLine1Txt
City	BERRYVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72616	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Sherry Clouse Day	PersonNm
Person Title	VP Finance	PersonTitleTxt
Phone	4793388000	PhoneNum
Signature	2023-05-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Sherry	PersonFirstNm
Person Last	Clouse Day	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Julie Sparks	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RYAN GEHRIG	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2710 RIFE MEDICAL LANE	AddressLine1Txt
City	ROGERS	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72758	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$22,587,537	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1993	FormationYr
Legal Domicile State	AR	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
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	72	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$235,773	PYContributionsGrantsAmt
CY Contributions Grants	$54,030	CYContributionsGrantsAmt
PY Program Service Revenue	$18,127,476	PYProgramServiceRevenueAmt
CY Program Service Revenue	$22,412,694	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$85,859	PYOtherRevenueAmt
CY Other Revenue	$120,813	CYOtherRevenueAmt
PY Total Revenue	$18,449,108	PYTotalRevenueAmt
CY Total Revenue	$22,587,537	CYTotalRevenueAmt
PY Grants And Similar Paid	$71,052	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,608	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$9,762,484	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$12,569,746	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,307,490	PYOtherExpensesAmt
CY Other Expenses	$8,400,530	CYOtherExpensesAmt
PY Total Expenses	$17,141,026	PYTotalExpensesAmt
CY Total Expenses	$21,039,884	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,308,082	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,547,653	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,645,616	TotalAssetsBOYAmt
Total Assets EOY	$5,683,832	TotalAssetsEOYAmt
Total Liabilities BOY	$388,060	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$211,227	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,257,556	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,472,605	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	false	SignificantChangeInd
Expense	$9,232,109	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,731,407	RevenueAmt
Desc	MERCY HOSPITAL BERRYVILLE PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY BY OFFERING ESSENTIAL HEALTH SERVICES TO ITS COMMUNITY. IN ACTIVE PURSUIT OF THIS MISSION, MERCY HOSPITAL BERRYVILLE PROVIDES A WIDE VARIETY OF SERVICES IN THEIR 25 BED FACILITY AND IN FY22, HAD 22,038 TOTAL CASES. MERCY HOSPITAL BERRYVILLE HAS A TEAM OF EXPERT DOCTORS, NURSES AND TECHNICIANS THAT BLEND COMPASSIONATE CARE WITH THE LATEST, MOST ADVANCED DIAGNOSTIC AND TREATMENT RESOURCES IN PROVIDING EMERGENCY CARE. MERCY HOSPITAL BERRYVILLE'S EMERGENCY DEPARTMENT IS READY 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS A YEAR WITH FAST, EXPERIENCED AND PROFESSIONAL CARE. IN FY22, MERCY HOSPITAL BERRYVILLE HAD 9,735 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,416,029	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,070,092	RevenueAmt
Desc	MERCY HOSPITAL BERRYVILLE'S RADIOLOGISTS USE THE LATEST TECHNOLOGIES TO PRODUCE PRECISE IMAGES AND EXACTING TEST RESULTS. MERCY OFFERS A FULL RANGE OF DIAGNOSTIC IMAGING SERVICES FOR ADULTS AND CHILDREN. MERCY RADIOLOGISTS GIVE MORE INSIGHT INTO YOUR CONDITION, SO YOU RECEIVE AN ACCURATE DIAGNOSIS AND THE MOST EFFECTIVE TREATMENT. IN FY22, MERCY HOSPITAL BERRYVILLE HAD 9,585 CASES FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,187,072	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,779,151	RevenueAmt
Desc	MERCY HOSPITAL BERRYVILLE'S PULMONOLOGISTS ARE EXPERIENCED IN DIAGNOSING AND TREATING BREATHING DISORDERS, FROM ASTHMA TO LUNG CANCER TO SLEEP DISORDERS. MERCY'S TEAM OF PULMONOLOGISTS WILL WORK WITH YOU TO MEASURE YOUR LUNG FUNCTION, MAKE AN ACCURATE DIAGNOSIS AND DETERMINE THE RESPIRATORY TREATMENT THAT'S RIGHT FOR YOU. ADDITIONAL RESPIRATORY CONDITIONS MERCY TREATS INCLUDE COPD, PNEUMONIA, AND OBSTRUCTIVE SLEEP APNEA. IN FY22, MERCY HOSPITAL BERRYVILLE HAD 214 CASES AND 833 PATIENT DAYS FOR THIS SERVICE LINE.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$3,827,762	ExpenseAmt
Grant	$69,608	GrantAmt
Revenue	$4,832,043	RevenueAmt
Desc	IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL BERRYVILLE ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; ORTHOPEDICS; REHABILITATION; UROLOGY & NEPHROLOGY; WOMEN & INFANTS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$3,827,762	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$69,608	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$4,832,043	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$17,662,972	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	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	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	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	false	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	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	7	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	Yes (true)	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

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SHERRY CLOUSE DAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4793388000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2710 Rife Medical Lane	AddressLine1Txt
City	ROGERS	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72758	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Charlotte Rankin
CAO/CNO	30.0	30.0	Yes (X)	Yes (X)	$0	$458,200	$54,075
Charles Horton
Physician & Board Member	50.0	0.0	Yes (X)		$0	$250,672	$35,693
Clifford Dean Lee
Board Member (BEG 7/21)	1.0	0	Yes (X)		$0	$0	$0
Jason Tennnant
Board Member	1.0	0	Yes (X)		$0	$0	$0
Linda Tamayo
Board Member (BEG 7/21)	1.0	0	Yes (X)		$0	$0	$0
Richard Taylor MD
Physician & Board Member	1.0	49.0	Yes (X)		$0	$273,177	$33,345
Samuel Rivera
Board Member	1.0	0	Yes (X)		$0	$0	$0
Sandy Martin
Board Member	1.0	0	Yes (X)		$0	$0	$0
Scott Cooper
President, Mercy Clinic NWA & Board Member (BEG 1/22)	1.0	39.0	Yes (X)		$0	$706,538	$15,600
Sr Cabrini Koelsch RSM
Board Member	1.0	2.0	Yes (X)		$0	$0	$0
Stephen Goss
President & Board Member (THRU 12/21)	1.0	39.0	Yes (X)		$0	$693,852	$90,350
Troy Johnson
Board Member	1.0	0	Yes (X)		$0	$0	$0
Christie Eckhardt
VP, Chief Operations Counsel & Secretary	1.0	57.0		Yes (X)	$0	$330,556	$21,872
Jason Wildeman
VP Outpatient Services	5.0	40.0		Yes (X)	$0	$231,773	$24,782
Ryan Gehrig
Community President (BEG 6/1/22)	2.0	48.0		Yes (X)	$0	$1,057,305	$95,101
Sherry Clouse Day
VP Finance & Treasurer	5.0	45.0		Yes (X)	$0	$324,378	$20,679
VonDa Moore
President & DON-Administrator	39.0	1.0		Yes (X)	$0	$117,224	$8,298
Tanya Marion
Regional VP - Human Resources	1.0	50.0			$0	$485,849	$63,701	Yes (X)
Brian Maldonado Lopez
Registered Nurse	40.0	0.0			$0	$109,653	$6,061		Yes (X)
Jodie L Hill
Manager, Therapy Services	40.0	0.0			$0	$123,701	$6,067		Yes (X)
Robert Phillippe
Nurse Anesthetist	40.0	0.0			$0	$237,168	$6,565		Yes (X)
Vickie Allen
Manager - Outpatient Services	40.0	0.0			$0	$106,378	$13,890		Yes (X)
Alan Scarrow MD
Former Officer	0.0	0.0			$0	$1,095,881	$24,153			Yes (X)
Jon Swope
Former Officer	0.0	0.0			$0	$770,349	$30,013			Yes (X)
Kelli Huntley
Former Officer	5.0	45.0			$0	$320,243	$28,761			Yes (X)
Scott Reynolds
Former Officer	0.0	0.0			$0	$410,554	$18,940			Yes (X)
Vi Le
FORMER OFFICER	0.0	50.0			$0	$519,584	$21,737			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,623,035	TotReportableCompRltdOrgAmt
Total Other Compensation	$619,683	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HEALTHTRUST WORKFORCE SOLUTIONS
100 Sawgrass Corp PKWY 6th	SUNRISE	FL	33323	Agency Staffing	$854,205
360 DEGREE MEDICINE
800 Hwy 248 Ste 2E	BRANSON	MO	65616	PHYSICIAN SERVICES	$284,400
AMN HEALTHCARE
12400 High Bluff Drive	SAN DIEGO	CA	92130	Agency Staffing	$202,790
SHARED MEDICAL SERVICES
209 Limestone Pass	COTTAGE GROVE	WI	53527	MRI Services	$104,190
PREMIER SPECIALTY NETWORK LLC
3610 Buttonwood Dr	COLUMBIA	MO	65201	Rheumatology Services	$101,200

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$32,175	RelatedOrganizationsAmt
Government Grants	$21,855	GovernmentGrantsAmt
Total Contributions	$54,030	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621110	$21,328,999	$21,328,999
OTHER OPERATING REVENUE	900099	$1,083,695	$1,083,695

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$22,412,694	TotalProgramServiceRevenueAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFE & VENDING	900099	$77,097	$77,097
MISCELLANEOUS INCOME	900099	$43,716	$43,716

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$120,813	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$22,587,537	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,412,694	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$120,813	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$69,608	TotalAmt
Program Services	$69,608	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,111,034	TotalAmt
Program Services	$9,970,503	ProgramServicesAmt
Management And General	$1,140,531	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$262,522	TotalAmt
Program Services	$235,574	ProgramServicesAmt
Management And General	$26,948	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$760,139	TotalAmt
Program Services	$684,738	ProgramServicesAmt
Management And General	$75,401	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$436,051	TotalAmt
Program Services	$391,291	ProgramServicesAmt
Management And General	$44,760	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$2,147	TotalAmt
Management And General	$2,147	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$487,507	TotalAmt
Program Services	$455,441	ProgramServicesAmt
Management And General	$32,066	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$305	TotalAmt
Management And General	$305	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$315,365	TotalAmt
Program Services	$214,353	ProgramServicesAmt
Management And General	$101,012	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$273,409	TotalAmt
Program Services	$114,740	ProgramServicesAmt
Management And General	$158,669	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$8,508	TotalAmt
Program Services	$7,125	ProgramServicesAmt
Management And General	$1,383	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$332,035	TotalAmt
Program Services	$316,047	ProgramServicesAmt
Management And General	$15,988	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SHARED SERVICE FEES	$2,916,230	$1,195,654	$1,720,576
BAD DEBT	$2,156,823	$2,156,823
DRUGS & MEDICAL EXPENSES	$1,793,727	$1,793,727
REPAIRS & MAINTENANCE	$41,977	$12,205	$29,772

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,497	TotalAmt
Program Services	$45,143	ProgramServicesAmt
Management And General	$27,354	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$21,039,884	TotalAmt
Program Services	$17,662,972	ProgramServicesAmt
Management And General	$3,376,912	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$227,199	BOYAmt
EOY	$209,431	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	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	$2,736,016	BOYAmt
EOY	$3,219,653	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	$314,361	BOYAmt
EOY	$321,106	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$62,523	BOYAmt
EOY	$22,640	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,343,572	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,467,448	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,270,638	BOYAmt
EOY	$1,876,124	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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

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	$34,879	BOYAmt
EOY	$34,878	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,645,616	BOYAmt
EOY	$5,683,832	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$352,127	BOYAmt
EOY	$175,294	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	$31,871	BOYAmt
EOY	$31,871	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	$4,062	BOYAmt
EOY	$4,062	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$388,060	BOYAmt
EOY	$211,227	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,237,393	BOYAmt
EOY	$5,472,605	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,163	BOYAmt
EOY	$0	EOYAmt

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	$0	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	$4,257,556	BOYAmt
EOY	$5,472,605	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,645,616	BOYAmt
EOY	$5,683,832	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,547,653	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$332,604	OtherChangesInNetAssetsAmt
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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$2,147	OtherActivitiesAmt
Total Lobbying Expenditures	$2,147	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION IS A MEMBER OF AND PAYS DUES TO THE FOLLOWING HOSPITAL ASSOCIATIONS: ARKANSAS HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND CATHOLIC HEALTH ASSOCIATION. FOR THE YEAR ENDED JUNE 30, 2022, DUES WERE $9,505, $2,111 AND $4,246, RESPECTIVELY. APPROXIMATELY 15% OF ARKANSAS HOSPITAL ASSOCIATION DUES, 26.47% OF AMERICAN HOSPITAL ASSOCIATION DUES AND 3.83% OF CATHOLIC HEALTH ASSOCIATION DUES WERE ATTRIBUTABLE TO LOBBYING ACTIVITIES PERFORMED BY THESE ASSOCIATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$58,841	OtherCostOrOtherBasisAmt
Depreciation	$16,411	DepreciationAmt
Book Value	$42,430	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,284,731	OtherCostOrOtherBasisAmt
Depreciation	$5,451,037	DepreciationAmt
Book Value	$1,833,694	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,876,124	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	DUE TO AFFILIATES	Desc
Amt	$4,062	Amt

Field	Value	IRS element (for citing)
Total Liability	$4,062	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 ASC 740 FOOTNOTE	FormAndLineReferenceDesc
Explanation	PRIMARILY ALL OF THE HEALTH SYSTEM ENTITIES ARE RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS CHARITABLE ORGANIZATIONS QUALIFYING UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), BY VIRTUE OF IRS DETERMINATION LETTERS OR INCLUSION IN THE OFFICIAL CATHOLIC DIRECTORY. THE HEALTH SYSTEM COMPLETED AN ANALYSIS OF ITS TAX POSITIONS IN ACCORDANCE WITH APPLICABLE ACCOUNTING GUIDANCE AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED ON THE CONSOLIDATED FINANCIAL STATEMENTS AT JUNE 30, 2022 OR 2021.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$598,598	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$598,598	NetCommunityBenefitExpnsAmt
Total Expense	0.0316	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,990,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,428,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$562,013	NetCommunityBenefitExpnsAmt
Total Expense	0.0297	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,588,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,428,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,160,611	NetCommunityBenefitExpnsAmt
Total Expense	0.0613	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	827	PersonsServedCnt
Total Community Benefit Expns	$9,683	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,683	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$8,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,228	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,000	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	838	PersonsServedCnt
Total Community Benefit Expns	$23,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,911	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	838	PersonsServedCnt
Total Community Benefit Expns	$3,612,732	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,428,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,184,522	NetCommunityBenefitExpnsAmt
Total Expense	0.0626	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$637,308	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$4,427,292	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,429,861	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$2,569	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL BERRYVILLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	214 CARTER STREET	AddressLine1Txt
City	BERRYVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72616	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MERCY.NET	WebsiteAddressTxt
State License	AR 4767	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY HOSPITAL BERRYVILLE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.mercy.net/content/dam/mercy/en/pdf/chna/berryville-chna-2022.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.mercy.net/content/dam/mercy/en/pdf/chip/mercy-berryville-chip-2023.pdf	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.mercy.net/patients-visitors/billing/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE HOSPITAL FACILITY DID INCLUDE A PRIORITIZED LIST OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS IN ITS MOST RECENT CHNA REPORT.
Schedule H, Part V, Section B, Line 3 Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. THE CHNA HAS ALL THE SECTIONS REFERENCED ABOVE AND INCLUDES AN EXECUTIVE SUMMARY, POTENTIALLY AVAILABLE RESOURCES, EVALUATION OF IMPACT, REFERENCES, AND APPENDICES.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT, MERCY BERRYVILLE COLLECTED AND ANALYZED A SIGNIFICANT QUANTITY OF PRIMARY AND SECONDARY DATA. PRIMARY DATA WAS COLLECTED, AND COMMUNITY INPUT WAS SOLICITED, BY MEANS OF THE 2021 NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY, WHICH WAS LED BY MERCY. SECONDARY DATA WAS COLLECTED AND ANALYZED FROM PUBLICLY AVAILABLE DATA RESOURCES AND FROM INTERNAL MERCY DATA. THE THOUGHTS AND OPINIONS OF PEOPLE WITHIN MERCY'S SERVICE AREA OF CARROLL COUNTY WERE CENTRAL TO THE HEALTH NEEDS ASSESSMENT PROCESS. INPUT FROM PEOPLE REPRESENTING BROAD INTERESTS OF THE COMMUNITY WAS SOLICITED THROUGH A ROBUST SURVEY PROCESS GUIDED BY A MERCY-LED COMMUNITY COALITION AND BY SEEKING INPUT FROM COMMUNITY PARTNERS. NORTHWEST ARKANSAS IS HOME TO HISPANIC AND MARSHALLESE MINORITY POPULATIONS THAT INCLUDE MEMBERS WHO ARE LOW INCOME, MEDICALLY UNDERSERVED, AND EXPERIENCE SIGNIFICANT HEALTH DISPARITIES. INPUT FROM THESE GROUPS WAS SOUGHT BY INTENTIONALLY SEEKING OUT THEIR PARTICIPATION IN THE SURVEY AND BY SOLICITING INPUT FROM ORGANIZATIONS REPRESENTING THESE GROUPS. THE FOLLOWING GROUPS TOOK PART IN SOME PHASE OF THE WORK THAT GENERATED BERRYVILLE COMMUNITY HEALTH NEEDS ASSESSMENT: (THE BERRYVILLE COMMUNITY CONSISTS OF: CARROLL COUNTY, AR.) -MERCY COWORKERS WHO SERVED ON TEAMS AND DEVELOPED PROGRAMS TO RESPOND TO IDENTIFIED NEEDS. -ARKANSAS CHILDREN'S NORTHWEST, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES, VA MEDICAL CENTER, WASHINGTON REGIONAL MEDICAL CENTER, AND WHOLE HEALTH INSTITUTE. MERCY CONVENED A COMMUNITY COALITION OF 17 NORTHWEST ARKANSAS HEALTH CARE AND SOCIAL SERVICE ORGANIZATIONS TO CONDUCT A COMPREHENSIVE COMMUNITY HEALTH SURVEY IN 2021. THE SURVEY WAS DEVELOPED TO BUILD ON THE 2018 NWA COMMUNITY HEALTH SURVEY AND TO INCORPORATE INPUT AND SPECIFIC NEEDS OF THE COALITION PARTNERS. THE FINAL SURVEY WAS MADE UP OF 30 QUESTIONS FOCUSED ON HEALTH ISSUES AND NEEDS MOST IMPORTANT TO THE RESPONDENTS, WELLNESS, MENTAL HEALTH, BARRIERS TO CARE, COVID-19 VACCINATION, CHILDHOOD IMMUNIZATIONS, AND THE NWA COVID-19 RESPONSE. THE SURVEY WAS TRANSLATED INTO SPANISH AND MARSHALLESE BY CERTIFIED MEDICAL INTERPRETERS. THE NORTHWEST ARKANSAS COUNCIL HOSTED THE SURVEY ON THEIR WEBSITE FROM JULY TO SEPTEMBER 2021 IN THE THREE LANGUAGES. THE NWA COUNCIL PROMOTED THE SURVEY ON SOCIAL MEDIA, AND EACH PARTNER ORGANIZATION DISTRIBUTED THE SURVEY ELECTRONICALLY TO THEIR CO-WORKERS, PATIENTS, CLIENTS, AND COMMUNITY MEMBERS BY EMAIL AND THROUGH SOCIAL MEDIA. FLYERS AND BUSINESS CARDS WITH QR CODES FOR THE SURVEY IN EACH LANGUAGE WERE PRODUCED AND DISTRIBUTED BY COALITION PARTNERS IN THE COMMUNITY AND AT COMMUNITY EVENTS. SURVEYS WERE ALSO MADE AVAILABLE IN PAPER FORMAT FOR PARTICIPANTS WHO PREFERRED TO COMPLETE IT MANUALLY OR DID NOT HAVE COMPUTER ACCESS. INTENTIONAL EFFORTS WERE MADE TO INCLUDE AND OVERSAMPLE HISPANIC AND MARSHALLESE COMMUNITY MEMBERS BY ATTENDING COMMUNITY EVENTS, REACHING PARTICIPANTS AT WORKPLACES, USING CULTURALLY SPECIFIC SOCIAL MEDIA OUTLETS, AND UTILIZING HISPANIC AND MARSHALLESE COMMUNITY HEALTH WORKERS. 2,231 RESPONSES WERE INCLUDED IN THE FINAL ANALYTIC SAMPLE. 53% OF RESPONDENTS WERE FROM BENTON COUNTY, 39% FROM WASHINGTON COUNTY, 5% FROM CARROLL COUNTY, AND 3% FROM MADISON COUNTY. 1,647 (74%) OF RESPONDENTS WERE WHITE, 194 (9%) WERE HISPANIC, 123 (6%) WERE MARSHALLESE OR OTHER PACIFIC ISLANDER. AMERICAN INDIAN/ALASKA NATIVE, BLACK/AFRICAN AMERICAN, ASIAN, AND OTHER RACES MADE UP THE REMAINDER OF RESPONDENTS. OF THE 2,231 SURVEY RESPONDENTS FROM THE REGION, 5% INDICATED THEY LIVED IN THE BERRYVILLE COMMUNITY. RESPONDENTS WERE ASKED TO RANK COMMUNITY NEEDS, AND THE TOP 5 THAT EMERGED WERE: 1. ACCESS TO AFFORDABLE HEALTH CARE 2. MENTAL OR BEHAVIORAL HEALTH 3. DIABETES 4. HEART DISEASE 5. OBESITY AND OVERWEIGHT
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. THE CHNA WAS NOT CONDUCTED WITH ANOTHER HOSPITAL FACILITY. MERCY HOSPITAL BERRYVILLE PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY PORTION OF THE CHNA.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. THE CHNA ITSELF WAS NOT CONDUCTED WITH ANOTHER ORGANIZATION. THE OTHER ORGANIZATIONS WHO PARTICIPATED IN THE NORTHWEST ARKANSAS COMMUNITY HEALTH SURVEY WERE: ARKANSAS COALITION OF MARSHALLESE, ARKANSAS DEPARTMENT OF HEALTH, BENTON, MADISON, AND WASHINGTON COUNTY HEALTH UNITS, COMMUNITY CLINIC NORTHWEST ARKANSAS, HARK AT THE EXCELLERATE FOUNDATION, MARSHALLESE CONSULATE AND COVID-19 TASK FORCE, NWA COUNCIL HEALTH CARE TRANSFORMATION DIVISION, OZARK GUIDANCE CENTER, UNIVERSITY OF ARKANSAS, UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES NORTHWEST, AND WHOLE HEALTH INSTITUTE.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. IN CONJUNCTION WITH THE CHNA, MERCY HOSPITAL BERRYVILLE'S BOARD ADOPTED AN IMPLEMENTATION STRATEGY IN FY22 RELATED TO THE 2021 CHNA. MERCY HOSPITAL BERRYVILLE WILL ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED BEGINNING IN FY23. MERCY HOSPITAL BERRYVILLE IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY FOCUSING PROGRAMMING, SERVICES AND EDUCATION OR AWARENESS AROUND: (1) ACCESS TO CARE, AND (2) BEHAVIORAL HEALTH. THE FIRST IDENTIFIED NEED OR PRIORITY IS ACCESS TO CARE: (1) INCREASE ACCESS TO HEALTH CARE AND COMMUNITY RESOURCES FOR UNINSURED AND AT RISK PERSONS, AND (2) INCREASE THE NUMBER OF PRACTICING PRIMARY CARE PHYSICIANS IN THE REGION. THE SECOND IDENTIFIED NEED OR PRIORITY IS BEHAVIORAL HEALTH: (1) INCREASE ACCESS TO OUTPATIENT BEHAVIORAL HEALTH SERVICES FOR PRIMARY CARE PATIENTS. FOR ALL THESE IDENTIFIED NEEDS AND PRIORITIES, MERCY BERRYVILLE CONTINUES TO WORK CLOSELY WITH ITS LOCAL PUBLIC SCHOOL SYSTEM, NONPROFIT ORGANIZATIONS, THE CHAMBER OF COMMERCE, AND PUBLIC OFFICIALS TO ENSURE WE ARE COLLABORATIVELY ADDRESSING THE NEEDS OF OUR COMMUNITY IN A MEASURABLE WAY. MERCY BERRYVILLE REMAINS ACTIVELY ENGAGED IN ITS REPRESENTATION ON THE HEALTH COMMISSION TO STAY ATTACHED TO KEY LEADERS IN OUR COMMUNITY AIMING TO ACHIEVE SIMILAR WORK AND OUTCOMES, PARTICULARLY FOR PATIENTS AND OUR VULNERABLE POPULATIONS. OTHER HEALTH ISSUES IDENTIFIED IN THE CHNA PROCESS (DIABETES, HEART DISEASE, AND OBESITY) WERE NOT CHOSEN AS PRIORITY FOCUS AREAS FOR DEVELOPMENT OF THE CURRENT COMMUNITY HEALTH IMPROVEMENT PLAN DUE TO MERCY'S CURRENT LACK OF RESOURCES AVAILABLE TO ADDRESS THESE NEEDS AND THE INTENTION TO FOCUS ON THE TWO PRIORITIZED HEALTH NEEDS.
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - MERCY HOSPITAL BERRYVILLE. OTHER AREAS FROM A NOTICE PERSPECTIVE: FAP IS POSTED IN ALL REGISTRATION AREAS, FULL POLICY AND PLAIN LANGUAGE DOCUMENT POSTED ON WEBSITE, PLAIN LANGUAGE DOCUMENT IS AVAILABLE WHEN REQUESTED, THERE IS A NOTICE ON STATEMENT, AND ALL PATIENTS GET THREE STATEMENTS BEFORE THEY CAN GO TO A COLLECTION AGENCY.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MERCY THERAPY SERVICES BERRYVILLE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	735 HIGHWAY 62 WEST	AddressLine1Txt
City	BERRYVILLE	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72616	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT REHAB	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	N/A
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	THE ORGANIZATION'S COMMUNITY BENEFIT REPORT IS PREPARED BY ITS ULTIMATE PARENT ENTITY, MERCY HEALTH (EIN: 43-1423050).
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, COLUMN (A) ARE $21,083,299. INCLUDED IN THIS AMOUNT WAS BAD DEBT EXPENSE (CHARGES) OF $2,156,823. EXPENSES FOR THE PURPOSE OF CALCULATING LINE 7, COLUMN (F) ARE $18,926,476.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE, AT COST, BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENT ACCOUNTS WAS MULTIPLIED BY A RATIO OF COST TO CHARGES. THE RATIO OF COST TO CHARGES USED WAS BASED ON DETAILED COST ACCOUNT, WHERE AVAILABLE. WHERE COST ACCOUNTING IS NOT AVAILABLE, COST REPORT COST TO CHARGE RATIOS WERE UTILIZED.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE FILING ORGANIZATION DETERMINED THAT THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS $0. ALTHOUGH THE CHARITY CARE POLICY REQUIRES THE PARTICIPATION OF THE PATIENT REQUESTING ASSISTANCE, WE HAVE A PROCESS UNDER PRESUMPTIVE CHARITY TO ADDRESS ACCOUNTS FOR PATIENTS WHO DO NOT PROVIDE THE INFORMATION. WE BELIEVE THAT OUR CHARITY POLICY IS COMPREHENSIVE ENOUGH TO CAPTURE ALMOST ALL PATIENTS WHO QUALIFY FOR CHARITY CARE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	IN MAY 2014, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) AND INTERNATIONAL ACCOUNTING STANDARDS BOARD ISSUED ACCOUNTING STANDARDS UPDATE (ASU) 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). THE HEALTH SYSTEM ADOPTED ASU 2014-09 ON JULY 1, 2018 USING A FULL RETROSPECTIVE BASIS. UPON ADOPTION, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS PATIENT SERVICE REVENUE. AS SUCH, BAD DEBT EXPENSE IS NOT REFERENCED IN MERCY HEALTH AND SUBSIDIARIES AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS TRACKED FOR FORM 990 REPORTING AS FOLLOWS: PATIENT ACCOUNTS RECEIVABLE THAT ARE DEEMED UNCOLLECTIBLE, INCLUDING THOSE PLACED WITH COLLECTION AGENCIES, ARE INITIALLY CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH COLLECTION POLICIES OF THE HEALTH SYSTEM AND, IN CERTAIN CASES, ARE RECLASSIFIED TO CHARITY CARE IF DEEMED TO OTHERWISE MEET THE HEALTH SYSTEM'S CHARITY CARE POLICY. THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES BASED UPON THE PAYOR COMPOSITION AND AGING OF RECEIVABLES WITH CONSIDERATION OF THE HISTORICAL PAYMENT AND WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE RECEIVABLES TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. AFTER SATISFACTION OF AMOUNTS DUE FROM INSURANCE, THE HEALTH SYSTEM FOLLOWS ESTABLISHED GUIDELINES FOR PLACING PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	IT IS THE POSITION OF MERCY THAT 100% OF ANY SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS AMOUNT REPRESENTS COST OF PROVIDING SERVICES THAT REMAIN UNCOMPENSATED TO THE PROVIDER. THE UNREIMBURSED COSTS OF MEDICARE IS CALCULATED BY THE GROSS CHARGES NET OF THE COST TO CHARGE RATIO LESS ANY PAYMENTS, DEDUCTIONS OR REIMBURSEMENTS USING THE ANNUAL MEDICARE COST REPORT (CMS FORM 2552-96).
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	MERCY'S COLLECTION POLICY PROVIDES THAT MERCY WILL PERFORM A REASONABLE COMMUNICATION AND/OR REVIEW OF PATIENT ACCOUNTS AS IT RELATES TO ANY SERVICE PROVIDED AT OUR FACILITIES BEFORE TURNING THE ACCOUNT TO BAD DEBT OR TAKING LEGAL ACTION FOR NONPAYMENT. MERCY ACTIVELY SCRUBS ACCOUNTS FOR PAYOR PLAN COVERAGE, INCLUDING MEDICAID. IN THE EVENT AN ACCOUNT IS TURNED TO COLLECTIONS AND IS IDENTIFIED IN NEED OF FINANCIAL ASSISTANCE DUE TO CIRCUMSTANCE CHANGES, OR IS NOW REQUESTING ASSISTANCE, THE ACCOUNTS ARE RETURNED BY THE AGENCY AND CONSIDERED FOR CHARITY IF THE PATIENT PROVIDES THE REQUESTED INFORMATION. IF THE PATIENT FAILS TO RETURN THE INFORMATION, THE ACCOUNT WILL QUALIFY FOR COLLECTIONS. MERCY UTILIZES THE EXPERIAN TOOL TO ENHANCE THE ABILITY TO DETERMINE THE CHARITY QUALIFICATION PRIOR TO TURNING TO BAD DEBT, A PROCESS KNOWN AS PRESUMPTIVE CHARITY FOR ALL COMMUNITIES EXCEPT JOPLIN, MAUDE NORTON, CARTHAGE AND SOUTHEAST KANSAS. THIS PRESUMPTIVE SCREENING PROCESS DETAILS EVALUATIONS THAT TAKE PLACE PRIOR TO PATIENT BILLING AND ADDITIONALLY PRIOR TO BAD DEBT PLACEMENT. THE PRESUMPTIVE SCREENING WAS PER ENCOUNTER AND DID NOT PROMOTE ANY LOOK-BACK ADJUSTMENTS. MERCY WILL GRANT CHARITY IN SITUATIONS WHERE THERE HAS BEEN AN INABILITY TO OBTAIN INFORMATION FROM PATIENTS OR THE INFORMATION PROVIDED IS NOT COMPLETE ENOUGH TO MAKE A CHARITY DETERMINATION WHEN A PATIENT HAS SUBMITTED AN APPLICATION. MERCY WILL PURSUE APPROPRIATE MEANS IN THE COLLECTION OF DELINQUENT ACCOUNTS FROM PATIENTS WITH AN ESTABLISHED ABILITY TO PAY OR AN UNWILLINGNESS TO COOPERATE IN VALIDATING ELIGIBILITY FOR FINANCIAL ASSISTANCE. THESE APPROPRIATE MEANS MAY INCLUDE LEGAL ACTION CONSISTENT WITH MERCY MISSION AND VALUES AFTER SENDING 3 MONTHLY STATEMENTS WITH THE FINAL INCLUDING NOTIFICATION; IF NO RESOLUTION THEY WILL BE TURNED TO COLLECTIONS. ADDITIONALLY, THEY MAY INCLUDE LIENS UPON REAL PROPERTY AND REASONABLE WAGE GARNISHMENTS. LEGAL ACTIONS WILL GENERALLY NOT INCLUDE BANK GARNISHMENTS, REPOSSESSION OF ASSETS OR FORECLOSURES TO ENSURE SATISFACTION OF A LIEN. MERCY HAS POLICIES AND PROCEDURES ESTABLISHED TO ADDRESS THE INITIATION OF LEGAL ACTION AND ANNUALLY REVIEW COMPLIANCE WITH POLICIES BUT ENSURE 120 DAYS OF BILLING AND COLLECTIONS OCCUR PRIOR TO ANY EXTRAORDINARY COLLECTIONS ARE PURSUED.
Schedule H, Part V, Section B, Line 16a FAP website	- MERCY HOSPITAL BERRYVILLE: Line 16a URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MERCY HOSPITAL BERRYVILLE: Line 16b URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MERCY HOSPITAL BERRYVILLE: Line 16c URL: https://www.mercy.net/patients-visitors/billing/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	MERCY HOSPITAL BERRYVILLE BELIEVES THAT ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS COMPREHENSIVE ENOUGH TO CAPTURE SUBSTANTIALLY ALL OF THE COMMUNITY'S NEEDS. THEREFORE, NO FURTHER STEPS WERE TAKEN TO IDENTIFY ADDITIONAL NEEDS. THE NEEDS ASSESSMENT PROCESS INCLUDES MEASUREMENT OF A WIDE VARIETY OF DEMOGRAPHIC AND PUBLIC HEALTH INDICATORS, INCLUDING THOSE MEASURING SOCIAL DETERMINANTS OF HEALTH AND THOSE FOCUSED PARTICULARLY ON UNDERSERVED AND VULNERABLE POPULATIONS. HOSPITAL UTILIZATION DATA IS ALSO COLLECTED. THE PROCESS INCLUDED A COMMUNITY-WIDE ELECTRONIC HEALTH NEEDS SURVEY, AND A HEALTH SURVEY FOCUSED SPECIFICALLY ON UNINSURED PATIENTS. MERCY REFINES ITS IMPLEMENTATION STRATEGIES TO MEET THE NEEDS OF THE COMMUNITY AND MONITORS PROGRESS THROUGH BY PERIODIC REVIEW BY THE HOSPITAL'S COMMUNITY BOARD.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	MERCY INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY THROUGH SEVERAL MEANS. IF AT ANY TIME A PATIENT EXPRESSES HARDSHIP AND INABILITY TO PAY, THE ACCOUNT IS PLACED FOR REVIEW. IN ADDITION, PATIENTS HAVE SIGNAGE ABOUT THE POLICY AT THE ACCESS POINTS, AND ALL STAFF WORKING WITH THE PATIENT AT POINT OF SERVICE, SCHEDULING, CUSTOMER SERVICE, AND EVEN THROUGH THE MEDICAID ELIGIBILITY SCREENING HAVE THE MEANS TO SEND THE ACCOUNT FOR REVIEW. THERE IS THE PLAIN LANGUAGE SUMMARY THAT IS BEING PROVIDED TO ALL WHOM EXPRESS HARDSHIP, IN ADDITION TO THE WEB ADDRESS PROVIDING THE APPLICATION, POLICIES, AND EVEN HOW UNINSURED ACCOUNTS ARE HANDLED. LASTLY, THE STATEMENTS MESSAGE TO THE PATIENT THAT MERCY DOES HAVE A FINANCIAL ASSISTANCE PROGRAM AND TO CALL TO SEE IF THEY ARE ELIGIBLE. MERCY STAFFS INTERNAL RESOURCES CERTIFIED TO ASSIST PATIENTS WITH MEDICAID APPLICATIONS AS WELL.
Schedule H, Part VI, Line 4 Community information	THE PRIMARY SERVICE AREA FOR MERCY HOSPITAL BERRYVILLE INCLUDES CARROLL COUNTY, ARKANSAS AND BARRY COUNTY, MISSOURI. THE FOLLOWING INFORMATION IS DERIVED FROM THE ADVISORY BOARD DEMOGRAPHICS. THE AREA'S POPULATION IS 28,667. THE MEDIAN HOUSEHOLD INCOME IS $49,000. 49.4% OF THE POPULATION IS 45 AND OLDER. 87% OF THE POPULATION IS A HIGH SCHOOL GRAD OR GREATER AND THE MEDIAN AGE IS 45.
Schedule H, Part VI, Line 5 Promotion of community health	MERCY HOSPITAL BERRYVILLE PROVIDES QUALITY MEDICAL HEALTH CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. MERCY IS A CATHOLIC HEALTH CARE CORPORATION THAT, PURSUANT TO THE ORGANIZATIONAL CORE BELIEF THAT HEALTH CARE SERVICES ARE A VITAL AND INTEGRAL PART OF THE CHURCH'S HEALING MISSION, ENGAGES IN A MINISTRY WHICH PROVIDES GENERAL ACUTE CARE, AMBULATORY, LONG-TERM AND HOME CARE HEALTH SERVICES TO INDIVIDUALS AND FAMILIES IN ITS COMMUNITIES. MERCY OFFERS SERVICES AND PROGRAMS WHICH FURTHER HEALTH PROMOTION, MAINTENANCE AND CARE TO THE COMMUNITY. PROGRAMS PROVIDED TO MEET THE COMMUNITY INCLUDE SUPPORT GROUPS FOR VARIOUS CONDITIONS, EDUCATIONAL PROGRAMS, HEALTH RESOURCE COORDINATION, COMMUNITY BLOOD DRIVES AND HEALTH FAIRS. MERCY HOSPITAL BERRYVILLE IS GOVERNED BY A BOARD OF DIRECTORS WHICH INCLUDES REPRESENTATION FROM COMMUNITY LEADERS IN THE ORGANIZATION'S PRIMARY SERVICE AREAS. ALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY. ANY POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY BOARD MEMBERS ARE REVIEWED AND RESOLVED. THIS PROCESS ENSURES THAT PUBLIC, RATHER THAN PRIVATE, INTERESTS ARE SERVED BY MERCY. SURPLUS FUNDS AND UNRESTRICTED ASSETS HELD BY MERCY HOSPITAL BERRYVILLE ARE REINVESTED IN PATIENT CARE, MEDICAL EDUCATION AND RESEARCH INITIATIVES WHICH SUPPORT THE ORGANIZATION'S MISSION TO DELIVER COMPASSIONATE CARE AND EXCEPTIONAL HEALTH CARE SERVICES TO THE COMMUNITIES IT SERVES.
Schedule H, Part VI, Line 6 Affiliated health care system	THE FILING ORGANIZATION IS PART OF MERCY HEALTH ("MERCY"). MERCY IS A MISSOURI NON-PROFIT CORPORATION WITH ITS HEADQUARTERS ("MINISTRY OFFICE") IN ST. LOUIS, MISSOURI. MERCY PROVIDES HEALTH CARE SERVICES IN FOUR STATES - ARKANSAS, KANSAS, MISSOURI, AND OKLAHOMA - AND HAS OUTREACH MINISTRIES LOCATED IN ARKANSAS, LOUISIANA, MISSISSIPPI, AND TEXAS. MERCY'S MISSION IS "AS THE SISTERS OF MERCY BEFORE US, WE BRING TO LIFE THE HEALING MINISTRY OF JESUS THROUGH OUR COMPASSIONATE CARE AND EXCEPTIONAL SERVICE." AS OF JUNE 30, 2022, MERCY FACILITIES INCLUDED 30 ACUTE CARE HOSPITALS, 5 HEART HOSPITALS, 5 REHAB HOSPITALS, 2 CHILDREN'S HOSPITALS, 2 ORTHOPEDIC HOSPTIALS, AND 1 VIRTUAL CARE COMMAND CENTER. FOR THE FISCAL YEAR ENDED JUNE 30, 2022, MERCY HAD MORE THAN 10.4 MILLION CLINIC AND OUTPATIENT VISITS, APPROXIMATELY 2,300 EMPLOYED PHYSICIANS, AND APPROXIMATELY 42,000 FULL-TIME EQUIVALENT EMPLOYEES, MAKING MERCY THE SIXTH LARGEST CATHOLIC HEALTH SYSTEM IN THE UNITED STATES. MERCY IS SPONSORED BY MERCY HEALTH MINISTRY, WHICH IS GOVERNED BY MEMBERS THAT INCLUDE SISTERS OF MERCY. MANY SERVICES THAT ARE ESSENTIAL TO FULFILLING MERCY'S MISSION ARE CENTRALIZED AT THE MINISTRY OFFICE. SUCH CENTRALIZED SERVICES INCLUDE: FINANCE (INCLUDING TREASURY, FINANCIAL ACCOUNTING AND REPORTING, REVENUE MANAGEMENT, INTERNAL AUDIT, ACCOUNTS PAYABLE AND PAYROLL OPERATIONS, ANALYTICS AND DECISION SUPPORT); ENVIRONMENTAL SERVICES SUPPORT; CLINICAL INTEGRATION; CARE MANAGEMENT; CLINICAL PERFORMANCE ACCELERATION; CLINICAL ENGINEERING; CLINICAL QUALITY MANAGEMENT; COMPLIANCE; GRANTS AND RESEARCH SERVICES; LEGAL AND COMPLIANCE COUNSEL; MARKETING AND COMMUNICATIONS; PLANNING, DESIGN AND CONSTRUCTION; PRODUCT DEVELOPMENT INFORMATICS; REAL ESTATE; SUPPLY CHAIN MANAGEMENT; MANAGED CARE STRATEGY SUPPORT; HUMAN RESOURCES (INCLUDING COMPENSATION, BENEFITS AND RECRUITING); MISSION SERVICES AND ETHICS; PHILANTHROPY SUPPORT; INFORMATION TECHNOLOGY; AND, COMMUNITY RELATIONS. THE CENTRALIZATION OF SUCH SUPPORT SERVICES ENABLES MERCY TO ENSURE THAT EACH OF ITS COMMUNITIES, WHETHER LARGE OR SMALL, HAS THE SERVICES IT NEEDS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
OZARK AIDS RESOURCES & SERVICE INC
214 CARTER STREET	BERRYVILLE	AR	72616	710732495	501(c)(3)	$6,000	MISSION SUPPORT
Mercy Health Foundation Berryville
214 CARTER STREET	BERRYVILLE	AR	72616	710759301	501(c)(3)	$53,054	Hospital support

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE ASSISTANCE PROVIDED IS INTENDED TO BE USED FOR THE GENERAL OPERATING PURPOSES OF THE DONEE. THE USE OF GRANT FUNDS IS NOT MONITORED AFTER GRANTS ARE GIVEN. HOWEVER, ONE OF THE GRANTEES IS PART OF MERCY HEALTH AND THEREFORE A RELATED ORGANIZATION TO MERCY HOSPITAL BERRYVILLE. LEADERSHIP OF THE HOSPITAL AND THE GRANTEE COMMUNICATE ON HOW FUNDS ARE USED, ALTHOUGH THERE IS NO FORMAL MONITORING PROCESS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
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 (16 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
Charlotte Rankin
CAO/CNO	$0	$298,870	$0	$127,121	$0	$32,209	$0	$47,851	$0	$6,224	$0	$512,275	$0	$0
Scott Cooper
President, Mercy Clinic NWA & Board Member (BEG 1/22)	$0	$631,806	$0	$26,900	$0	$47,832	$0	$7,250	$0	$8,350	$0	$722,138	$0	$0
Stephen Goss
President & Board Member (THRU 12/21)	$0	$388,149	$0	$176,276	$0	$129,427	$0	$76,514	$0	$13,836	$0	$784,202	$0	$78,031
Charles Horton
Physician & Board Member	$0	$227,359	$0	$10,506	$0	$12,807	$0	$17,516	$0	$18,177	$0	$286,365	$0	$0
Richard Taylor MD
Physician & Board Member	$0	$185,103	$0	$10,498	$0	$77,576	$0	$19,926	$0	$13,419	$0	$306,522	$0	$0
Kelli Huntley
Former Officer	$0	$240,946	$0	$68,869	$0	$10,428	$0	$21,726	$0	$7,035	$0	$349,004	$0	$0
Vi Le
FORMER OFFICER	$0	$349,840	$0	$117,337	$0	$52,407	$0	$4,159	$0	$17,578	$0	$541,321	$0	$0
Scott Reynolds
Former Officer	$0	$0	$0	$0	$0	$410,554	$0	$18,940	$0	$0	$0	$429,494	$0	$0
Alan Scarrow MD
Former Officer	$0	$1,005,397	$0	$45,095	$0	$45,389	$0	$9,217	$0	$14,936	$0	$1,120,034	$0	$0
Jon Swope
Former Officer	$0	$0	$0	$0	$0	$770,349	$0	$30,013	$0	$0	$0	$800,362	$0	$0
Sherry Clouse Day
VP Finance & Treasurer	$0	$206,367	$0	$75,392	$0	$42,619	$0	$7,161	$0	$13,518	$0	$345,057	$0	$0
Christie Eckhardt
VP, Chief Operations Counsel & Secretary	$0	$237,476	$0	$77,869	$0	$15,211	$0	$7,250	$0	$14,622	$0	$352,428	$0	$0
Ryan Gehrig
Community President (BEG 6/1/22)	$0	$417,730	$0	$434,937	$0	$204,638	$0	$76,672	$0	$18,429	$0	$1,152,406	$0	$152,619
Jason Wildeman
VP Outpatient Services	$0	$158,552	$0	$44,002	$0	$29,219	$0	$7,195	$0	$17,587	$0	$256,555	$0	$0
Tanya Marion
Regional VP - Human Resources	$0	$282,629	$0	$146,119	$0	$57,101	$0	$48,928	$0	$14,773	$0	$549,550	$0	$20,957
Robert Phillippe
Nurse Anesthetist	$0	$197,152	$0	$1,000	$0	$39,016	$0	$5,935	$0	$630	$0	$243,733	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	MERCY HOSPITAL BERRYVILLE RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
Schedule J, Part I, Line 4a Severance or change-of-control payment	THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT AS NOTED: JON SWOPE - $770,349 SCOTT REYNOLDS - $410,554
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	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. THE INDIVIDUALS REPORTABLE ON THIS RETURN WHO PARTICIPATE IN THE SUPPLEMENTAL RETIREMENT PLANS INCLUDE: TANYA MARION, VI LE, STEPHEN GOSS AND RYAN GEHRIG. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUALS RECEIVED PAYOUTS FROM THE PLAN DURING THE YEAR: TANYA MARION - $20,957 STEPHEN GOSS - $78,031 RYAN GEHRIG - $152,619
Schedule J, Part II	THE AMOUNT REPORTED FOR TANYA MARION, RYAN GEHRIG AND STEPHEN GOSS IN COLUMN (F) ARE EITHER INCLUDED IN B(I) BASE COMPENSATION, B(II) AS BONUS AND INCENTIVE COMPENSATION, OR B(III) AS OTHER REPORTABLE COMPENSATION. THESE AMOUNTS ARE A PAYOUT OF THE SUPPLEMENTAL RETIREMENT PLAN AND EXECUTIVE RETENTION PLAN AND WERE INCLUDED IN COLUMN (C) OF PREVIOUSLY FILED FORMS 990.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 3,827,762 including grants of $ 69,608)(Revenue $ 4,832,043) IN ADDITION TO THE PROGRAM SERVICES DESCRIBED ABOVE, MERCY HOSPITAL BERRYVILLE ALSO SERVES PATIENTS IN ADDITIONAL SERVICE LINES, INCLUDING BUT NOT LIMITED TO THE FOLLOWING AREAS: GASTROENTEROLOGY; ORTHOPEDICS; REHABILITATION; UROLOGY & NEPHROLOGY; WOMEN & INFANTS.
Form 990, Part V, Line 1a FORM 1099/1096 FILING	VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, 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, Line 2a W-3 FILING	MOST 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 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	FOR THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS), THE ORGANIZATION 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, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES	FOR THOSE CLASSIFIED AS KEY EMPLOYEES, THE ORGANIZATION USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND REVIEW/APPROVAL OF EXECUTIVE MANAGEMENT. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS, AND A REVIEW WAS COMPLETED DURING THE REPORTING YEAR.
Form 990, Part VI, Line 6 Classes of members or stockholders	THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE CORPORATE MEMBER HAS THE AUTHORITY TO: -APPOINT MEMBERS OF THE BOARD, AS NOMINATED BY THE BOARD OF THE CORPORATION, SUBJECT TO THE RESTRICTIONS SET FORTH IN ARTICLE V HEREIN; AND, -APPOINT, SUBJECT TO RECOMMENDATIONS BY THE BOARD, OR REMOVE THE PRESIDENT OF THE CORPORATION, SUBJECT TO THE REQUIREMENTS SET FORTH IN ARTICLE VII HEREIN;
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SUBJECT TO CONSULTATION WITH THE BOARD OF DIRECTORS, THE FOLLOWING GOVERNANCE DECISIONS ARE RESERVED TO THE SOLE CORPORATE MEMBER: -TO REVIEW, AMEND, AND APPROVE THE MISSION, VISION, AND VALUES OF THE CORPORATION AS RECOMMENDED BY THE BOARD; -TO AMEND THE ARTICLES OF INCORPORATION AND BYLAWS, SUBJECT TO RESTRICTIONS SET FORTH IN ARTICLES XI AND XII; -TO REVIEW, AMEND, AND APPROVE THE STRATEGIC PLAN, GOALS AND OBJECTIVES OF MERCY HOSPITAL BERRYVILLE (EIN: 71-0759299) OF THE CORPORATION; -TO REVIEW, AMEND, AND APPROVE THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION; -TO REVIEW OR APPROVE ANY CAPITAL EXPENDITURES OR RECOMMENDATIONS NOT PREVIOUSLY APPROVED AS PART OF THE CORPORATION'S BUDGETS AND/OR STRATEGIC PLAN; -TO LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION SUBJECT TO THRESHOLDS ESTABLISHED FROM TIME TO TIME BY MERCY HEALTH AND ANY APPLICABLE LEASE AGREEMENT WITH CARROLL COUNTY ARKANSAS; -TO ENCUMBER THE ASSETS OF THE CORPORATION OR ANY CORPORATION CONTROLLED BY THE CORPORATION, EXCEPT FOR MERCY HEALTH FOUNDATION BERRYVILLE. -TO AUTHORIZE AND APPROVE THE INCURRENCE OF DEBT BY THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION (OTHER THAN DEBT INCURRED FOR THE ACQUISITION OF GOODS THAT ARE ACQUIRED 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, CONSOLIDATE, OR DISSOLVE THE CORPORATION; -TO LEASE, MANAGE, PURCHASE, OR AFFILIATE WITH ANOTHER HEALTH FACILITY OR HEALTH CARE SYSTEM; AND, -TO RESIGN AS CORPORATE MEMBER.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 DIRECTOR OF FINANCE AND 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 VARIOUS REVIEWS ARE ADDRESSED AND INCORPORATED INTO THE FORM 990, A REVISED DRAFT IS MADE AVAILABLE TO THE FILING ORGANIZATION'S LEADERSHIP TEAM FOR THEIR REVIEW. THE FORM 990 IS THEN SIGNED AND FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	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 JUNE 30, 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. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Line 19 Required documents available to the public	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
Form 990, Part VII, Section A	FORMER EMPLOYEE COMPENSATION IS REPORTED FOR THE CALENDAR YEAR ENDING WITHIN THE ORGANIZATION'S FISCAL YEAR WHILE AVERAGE HOURS ARE BASED ON THE FISCAL YEAR PERIOD FROM JULY 1, 2021 THROUGH JUNE 30, 2022.
IMPACT OF COVID-19 PANDEMIC	EARLY IN 2020, THE MERCY HEALTH SYSTEM WAS CALLED TO SERVE AS THE COVID-19 PANDEMIC SWEPT ACROSS THE WORLD. DURING FY22, THE IMPACT OF COVID-19 AND INFLATION HAS BEEN AND STILL IS SIGNIFICANT TO OUR COMMUNITIES WITH CHANGES IN PATIENT CARE REVENUES DUE TO SURGES, INCREASING THE COSTS OF SALARIES AND AGENCY LABOR, AND SUPPLY CHAIN IMPACTS. ALL MERCY FACILITIES ADJUSTED OPERATIONS FOR THE IMPACTS OF THE PANDEMIC. IN ADDITION, MERCY FOUNDATIONS AND OUTREACH MINISTRIES EXPERIENCED LIMITATIONS IN FUNDRAISING FOR PROGRAM AND CAPITAL SUPPORT EFFORTS THAT ASSIST THE UNDERSERVED IN OUR COMMUNITIES. MERCY DID RECEIVE FUNDING FROM THE CORONAVIRUS AID RELIEF AND ECONOMIC SECURITY ACT ("CARES ACT"). MERCY RECEIVED CARES ACT FUNDING FOR THE PAST THREE YEARS ACROSS VARIOUS ENTITIES AND RECOGNIZED A PORTION OF THIS FUNDING IN OTHER OPERATING REVENUE. THESE FUNDS HELPED TO OFFSET REVENUE LOSSES AND ADDITIONAL EXPENSES INCURRED DUE TO THE PANDEMIC; HOWEVER, THESE FUNDS FELL SHORT OF THE SYSTEM LOSSES EXPERIENCED SINCE THE START OF THE PANDEMIC. MERCY CONTINUES TO MONITOR THE IMPACTS OF THE PANDEMIC BOTH TO THE HEALTH SYSTEM AND THE COMMUNITIES SERVED AS WE CONTINUE TO PROVIDE ASSISTANCE AND MAINTAIN ACCESS TO CARE WITHIN OUR COMMUNITIES.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Transfers (to)/from Mercy - -315463; Net Contributions - 2977; Restricted Specific Purpose - -20162; Non operating revenue/expense - 44;
Form 990, Part XII, Line 2c AUDIT OF FINANCIAL STATEMENTS	THE FILING ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED IN MERCY HEALTH AND SUBSIDIARIES ANNUAL FINANCIAL STATEMENT AUDIT. MERCY HEALTH AND SUBSIDIARIES RECEIVED AN UNQUALIFIED OPINION FROM THE EXTERNAL AUDITORS FOR FISCAL 2022 (THE TAX YEAR CURRENTLY BEING REPORTED). HOWEVER, NO SEPARATE AUDIT OPINION WAS ISSUED ON THE FINANCIAL STATEMENTS OF THE FILING ORGANIZATION. 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.
Form 990, Part XII, Line 3a AND 3B	SINGLE AUDIT ACT AND 2 CFR 200 AUDIT MERCY HEALTH UNDERGOES A CONSOLIDATED 2 CFR 200 AUDIT EVERY YEAR AND THIS AUDIT WAS COMPLETED FOR THE FISCAL YEAR ENDING JUNE 30, 2022 BY MARCH 31, 2023. EACH ENTITY THAT RECEIVES FEDERAL FUNDS DURING THE YEAR IS INCLUDED ON THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA) AND IS ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT. IF THE FILING ENTITY RECEIVED FEDERAL FUNDS DURING THE YEAR ENDED JUNE 30, 2022, IT WILL BE INCLUDED ON THE MERCY HEALTH CONSOLIDATED SEFA, AND THEREFORE, ALSO INCLUDED IN THE POPULATION INCLUDED IN THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (69 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	Address Line2USAddress/AddressLine2Txt
Casa de Misericordia
1000 Mier St	Laredo	TX	78040	742912461	Women's domestic violence shelter	TX	501(c)(3)	7	Mercy Ministries of Laredo	Yes (true)
McAuley Portfolio Management Company
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	261708048	Portfolio Management.	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy ACO Clinical Services Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	464504901	Virtual Care Center	MO	501(c)(3)	3	Mercy Health	Yes (true)
Mercy Clinic East Communities
645 Maryville Centre Drive	St Louis	MO	63141	431771217	Physician Group	MO	501(c)(3)	10	Mercy Health East Communities	Yes (true)	Suite 100
Mercy Clinic Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72903	261318597	Physician Clinic	AR	501(c)(3)	3	Mercy Health Fort Smith Communities	Yes (true)
Mercy Clinic Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	270473057	Physician Group	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Clinic Springfield Communities
1965 Fremont Street Suite 2950	Springfield	MO	65804	431560263	Physician Group	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Family Center
110 Veterans Blvd	Metairie	LA	70005	721069468	Family counseling service	LA	501(c)(3)	7	Mercy Health	Yes (true)
Mercy Health
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	431423050	Corporate Office	MO	501(c)(3)	1	NA	false
Mercy Health East Communities
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	431718408	Health System	MO	501(c)(3)	Type I	Mercy Health	Yes (true)
Mercy Health Fort Smith Communities
7301 Rogers Avenue	Fort Smith	AR	72917	261318515	Holding Company	AR	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Foundation
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	200901499	Foundation	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Foundation Ada
430 N Monte Vista Street	Ada	OK	74820	463596274	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Ada Inc	Yes (true)
Mercy Health Foundation Ardmore
1011 14th Avenue NW	Ardmore	OK	73401	710962525	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Ardmore Inc	Yes (true)
Mercy Health Foundation Berryville
214 Carter Street	Berryville	AR	72616	710759301	Foundation	AR	501(c)(3)	Type I	Mercy Hospital Berryville	Yes (true)
Mercy Health Foundation Fort Scott
401 Woodland Hills Blvd	Fort Scott	KS	66701	481077073	Foundation	KS	501(c)(3)	7	Mercy Kansas Communities Inc	Yes (true)
Mercy Health Foundation Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72917	237330425	Foundation	AR	501(c)(3)	7	Mercy Health Fort Smith Communities	Yes (true)
Mercy Health Foundation Jefferson
1400 US Highway 61 South	Festus	MO	63028	462797051	Foundation	MO	501(c)(3)	Type II	Mercy Hospital Jefferson	Yes (true)
Mercy Health Foundation Joplin
100 Mercy Way	Joplin	MO	64804	270906136	Foundation	MO	501(c)(3)	7	Mercy Health Southwest MissouriKansas Communities	Yes (true)
Mercy Health Foundation Lebanon
100 Hospital Drive	Lebanon	MO	65536	822514567	Foundation	MO	501(c)(3)	Type II	Mercy Hospital Lebanon	Yes (true)
Mercy Health Foundation Lincoln
1000 East Cherry Street	Troy	MO	63379	811477159	Foundation	MO	501(c)(3)	Type II	Mercy Hospitals East Communities	Yes (true)
Mercy Health Foundation Northwest Arkansas
2710 Rife Medical Lane	Rogers	AR	72758	710601687	Foundation	AR	501(c)(3)	7	Mercy Hospital Rogers	Yes (true)
Mercy Health Foundation of Oklahoma
4300 W Memorial Road	Oklahoma City	OK	73120	454732301	Foundation	OK	501(c)(3)	Type I	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Health Foundation Oklahoma City
4300 W Memorial Road	Oklahoma City	OK	73120	463184231	Foundation	OK	501(c)(3)	Type I	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Health Foundation Springfield
1235 E Cherokee Street	Springfield	MO	65804	320195818	Foundation	MO	501(c)(3)	Type II	Mercy Health Springfield Communities	Yes (true)
Mercy Health Foundation St Francis
100 W Highway 60	Mountain View	MO	65548	431873914	Foundation	MO	501(c)(3)	Type I	Mercy St Francis Hospital	Yes (true)
Mercy Health Foundation St Louis
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	562410020	Foundation	MO	501(c)(3)	Type II	Mercy Health East Communities	Yes (true)
Mercy Health Foundation Washington
901 E Fifth Street	Washington	MO	63090	562410022	Foundation	MO	501(c)(3)	Type II	Mercy Health East Communities	Yes (true)
Mercy Health Northwest Arkansas Communities
2710 Rife Medical Lane	Rogers	AR	72758	621684203	Physician Group	AR	501(c)(3)	10	Mercy Health	Yes (true)
Mercy Health Oklahoma Communities Inc
4300 W Memorial Road	Oklahoma City	OK	73120	731453048	Health System	OK	501(c)(3)	Type I	Mercy Health	Yes (true)
Mercy Health Plans of Missouri Inc
3265 S National Avenue	Springfield	MO	65807	320481419	HMO	MO	501(c)(4)		Mercy Health	Yes (true)
Mercy Health Plans Inc
3265 S National Avenue	Springfield	MO	65807	320486150	PPO	MO	501(c)(4)		Mercy Health Plans of Missouri Inc	Yes (true)
Mercy Health Southwest MissouriKansas Communities
100 Mercy Way	Joplin	MO	64804	300584463	Health System	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Health Springfield Communities
1235 E Cherokee Street	Springfield	MO	65804	431856028	Health System	MO	501(c)(3)	Type II	Mercy Health	Yes (true)
Mercy Hospital Ada Inc
430 N Monte Vista Street	Ada	OK	74820	462288155	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Ardmore Inc
1011 14th Avenue NW	Ardmore	OK	73401	731500629	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Aurora
500 Porter Avenue	Aurora	MO	65605	431936696	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Booneville
880 West Main Street	Booneville	AR	72927	463851119	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Carthage
3125 Dr Russell Smith Way	Carthage	MO	64836	453808607	Hospital	MO	501(c)(3)	3	Mercy Health Southwest MissouriKansas Communities	Yes (true)
Mercy Hospital Cassville
94 Main Street	Cassville	MO	65625	431936699	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Columbus
220 Pennsylvania Avenue	Columbus	KS	66725	270842031	Hospital	KS	501(c)(3)	3	Mercy Health Southwest MissouriKansas Communities	Yes (true)
Mercy Hospital El Reno Inc
2115 Parkview Drive	El Reno	OK	73036	272716065	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospital Fort Smith
7301 Rogers Avenue	Fort Smith	AR	72903	710240352	Hospital	AR	501(c)(3)	3	Mercy Health Fort Smith Communities	Yes (true)
Mercy Hospital Healdton Inc
3462 Hospital Rd	Healdton	OK	73438	263173902	Hospital	OK	501(c)(3)	3	Mercy Hospital Ardmore Inc	Yes (true)
Mercy Hospital Jefferson
1400 Highway 61 South	Festus	MO	63028	430687077	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
Mercy Hospital Joplin
100 Mercy Way	Joplin	MO	64804	270814858	Hospital	MO	501(c)(3)	3	Mercy Health Southwest MissouriKansas Communities	Yes (true)
Mercy Hospital Kingfisher Inc
1000 Kingfisher Regional	Kingfisher	OK	73750	463433074	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)	Hospital Circle
Mercy Hospital Lebanon
100 Hospital Drive	Lebanon	MO	65536	431767432	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Lincoln
1000 East Cherry Street	Troy	MO	63379	472219204	Hospital	MO	501(c)(3)	3	Mercy Hospitals East Communities	Yes (true)
Mercy Hospital Logan County Inc
200 South Academy	Guthrie	OK	73044	452998842	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospital Oklahoma City Inc
4300 W Memorial Road	Oklahoma City	OK	73120	730579285	Hospital	OK	501(c)(3)	3	Mercy Health Oklahoma Communities Inc	Yes (true)
Mercy Hospital Ozark
801 W River Street	Ozark	AR	72949	710689680	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Paris
500 E Academy	Paris	AR	72855	710655753	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Rogers
2710 Rife Medical Lane	Rogers	AR	72758	710294390	Hospital	AR	501(c)(3)	3	Mercy Health Northwest Arkansas Communities	Yes (true)
Mercy Hospital Springfield
1235 E Cherokee Street	Springfield	MO	65804	440552485	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
Mercy Hospital Tishomingo Inc
1000 South Byrd	Tishomingo	OK	73460	274433830	Hospital	OK	501(c)(3)	3	Mercy Hospital Ada Inc	Yes (true)
Mercy Hospital Waldron
1341 W 6th Street	Waldron	AR	72958	710557895	Hospital	AR	501(c)(3)	3	Mercy Hospital Fort Smith	Yes (true)
Mercy Hospital Watonga Inc
500 Clarence Nash Blvd	Watonga	OK	73772	455199762	Hospital	OK	501(c)(3)	3	Mercy Hospital Oklahoma City Inc	Yes (true)
Mercy Hospitals East Communities
615 S New Ballas Road	St Louis	MO	63141	430653493	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
Mercy Kansas Communities Inc
401 Woodland Hills Blvd	Ft Scott	KS	66701	480956045	Hospital	KS	501(c)(3)	3	Mercy Health Southwest MissouriKansas Communities	Yes (true)
Mercy Ministries of Laredo
2500 Zacatecas St	Laredo	TX	78046	200198462	Outreach	TX	501(c)(3)	7	Mercy Health	Yes (true)
Mercy Research
524 North Booneville Avenue	Springfield	MO	65802	870796305	Research	MO	501(c)(3)	4	Mercy Health	Yes (true)
Mercy St Francis Hospital
100 W Highway 60	Mountain View	MO	65548	440607149	Hospital	MO	501(c)(3)	3	Mercy Health Springfield Communities	Yes (true)
MHM Support Services
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	202553101	Centralized Health System Functions	MO	501(c)(3)	Type I	Mercy Health	Yes (true)
Mission Clinical Services
300 Werner Street	Hot Springs	AR	71913	134239691	Child advocacy center	AR	501(c)(3)	3	Mercy Health	Yes (true)
Mercy Health Foundation South (fka St Anthony's Charitable Foundation)
10010 Kennerly Road	St Louis	MO	63128	261516789	Fundraising	MO	501(c)(3)	Type I	Mercy Hospital South (fka St Anthony's Medical Center)	Yes (true)
Mercy Hospital South (fka St Anthony's Medical Center)
10010 Kennerly Road	St Louis	MO	63128	430980256	Hospital	MO	501(c)(3)	3	Mercy Health East Communities	Yes (true)
St Anthony's Physician Organization
10010 Kennerly Road	St Louis	MO	63128	431784536	Health care	MO	501(c)(3)	3	Mercy Hospital South (fka St Anthony's Medical Center)	Yes (true)
Mercy Specialty Hospital Southeast Kansas
1619 W 7th Street	Galena	KS	66739	843730625	Hospital	KS	501(c)(3)	3	Mercy Health Southwest MOKS Communities	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt
Fort Smith Emergency Medical Services
1701 S Greenwood	Fort Smith	AR	72901	710416615	Emergency Medical Services	AR	NA
Plaza Surgery Services Company LLC
12700 Southfork Road	St Louis	MO	63128	204709312	Inactive	MO	NA
St Edward Mercy Medical Center Multi-Purpose Office Building Horizontal Pro
7301 Rogers Avenue	Fort Smith	AR	72903	710554050	Office Building	AR	NA	perty
Platinum CPS Holdings LLC
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	842493007	Holding Company	MO	NA
Maryville Cancer Center LLC
2227 Vadalabene Drive	Maryville	IL	62062	813385885	Outpatient Center	IL	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 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	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
Frontenac Properties Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	521914421	Holding company	DE	NA	C Corporation
Mercy Commercial Services Inc
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	464953543	Corporate Parent of VCC taxable commercial services	MO	NA	C Corporation
Mercy Health Center Condominium Inc
4300 W Memorial Rd	Oklahoma City	OK	73120	680640970	Real estate	OK	NA	C Corporation
Mercy Managed Care Corporation
14528 S Outer Forty Suite 100	Chesterfield	MO	63017	731441665	Holding company	OK	NA	C Corporation
St Anthony's Physician Organization of Illinois
10010 Kennerly Road	St Louis	MO	63128	320457168	Health Care	MO	NA	C Corporation
McAuley Insurance Company Ltd
				000000000	Inactive		NA	C Corporation	Aon House 30 Woodbourne Avenue	Pembroke	bermuda	BD	HM08	BD

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	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	Yes (true)	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM Support Services
Q	$10,583,160	FMV
Mercy Hospital Rogers
Q	$2,646,929	FMV
Mercy ACO Clinical Services
Q	$52,003	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule R, Part II MERCY HOSPITALS EAST COMMUNITIES

MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.

Schedule R, Part V

LAWSON ERP SOFTWARE IS THE PRIMARY ACCOUNTING SOFTWARE USED BY MERCY HEALTH SYSTEM, INC. AND SUBSIDIARIES. THE MAJORITY OF THE INTERCOMPANY/RELATED ORGANIZATION TRANSACTIONS ARE PROCESSED THROUGH LAWSON VIA INTERCOMPANY JOURNAL ENTRIES. WITH THE CURRENT DESIGN OF THE ERP SYSTEM, THERE ARE VARIOUS LIMITATIONS ON THE RELATED ORGANIZATION INFORMATION THAT CAN BE EXTRACTED FROM LAWSON. DUE TO THESE LIMITATIONS, MOST OF THE RELATED ORGANIZATION ACTIVITY FOR THE FILING ORGANIZATION HAS BEEN CLASSIFIED ON SCHEDULE R, PART V, IN LINES P AND Q.