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MERCY HEALTH FORT SMITH COMMUNITIES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MERCY HEALTH FORT SMITH COMMUNITIES (EIN 26-1318515)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-12
IRS object ID
202341329349309284
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-12T18:04:48-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261318515EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MERCY HEALTH FORT SMITH COMMUNITIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMERCBusinessNameControlTxt
Phone3145796100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17301 ROGERS AVENUEAddressLine1Txt
CityFORT SMITHCityNm
State AbbreviationARStateAbbreviationCd
ZIP72903ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGRETA WILCHERPersonNm
Person TitleVP OF FINANCEPersonTitleTxt
Phone3145796100PhoneNum
Signature2023-05-12SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGRETAPersonFirstNm
Person LastWILCHERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRYAN GEHRIGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17301 ROGERS AVENUEAddressLine1Txt
CityFORT SMITHCityNm
State AbbreviationARStateAbbreviationCd
ZIP72903ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$449,358GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MERCY.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionAS 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers89TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$31,143PYContributionsGrantsAmt
CY Contributions Grants$145,572CYContributionsGrantsAmt
PY Program Service Revenue$270,105PYProgramServiceRevenueAmt
CY Program Service Revenue$268,626CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$35,160PYOtherRevenueAmt
CY Other Revenue$35,160CYOtherRevenueAmt
PY Total Revenue$336,408PYTotalRevenueAmt
CY Total Revenue$449,358CYTotalRevenueAmt
PY Grants And Similar Paid$265,229PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$326,903CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,562,482PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,109,421CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses-$12,464,502PYOtherExpensesAmt
CY Other Expenses-$12,944,367CYOtherExpensesAmt
PY Total Expenses$363,209PYTotalExpensesAmt
CY Total Expenses$491,957CYTotalExpensesAmt
PY Revenues Less Expenses-$26,801PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$42,599CYRevenuesLessExpensesAmt
Total Assets BOY$6,442,413TotalAssetsBOYAmt
Total Assets EOY$6,116,069TotalAssetsEOYAmt
Total Liabilities BOY$1,087,553TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,075,053TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,354,860NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,041,016NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense-$6,326,479ExpenseAmt
Grant$326,903GrantAmt
Revenue$268,626RevenueAmt
DescMERCY HEALTH FORT SMITH COMMUNITIES IS EXEMPT FROM FEDERAL INCOME TAX AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3) AND QUALIFIES AS A PUBLIC CHARITY UNDER IRC SECTION 509(A)(3).MERCY HEALTH FORT SMITH COMMUNITIES AND ITS SUBSIDIARIES PROVIDE HIGH-QUALITY, COMPASSIONATE, FAITH-BASED CARE IN A VARIETY OF TRADITIONAL MEDICAL SETTINGS. THIS ORGANIZATION PROVIDES SERVICES TO THE COMMUNITIES WE SERVE, WITH PARTICULAR CONCERN FOR THE ECONOMICALLY POOR, IN THE WAY OF INPATIENT HOSPITAL SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM CARE, AND PHYSICIAN CLINIC OFFICE VISITS.MERCY HEALTH FORT SMITH COMMUNITIES IS A SUPPORTING ORGANIZATION OF MERCY HOSPITAL FORT SMITH AND MERCY CLINIC FORT SMITH COMMUNITIES. MERCY HEALTH FORT SMITH COMMUNITIES ALSO PROVIDES SUPPORT SERVICES TO OTHER MEMBERS OF THE MERCY FORT SMITH COMMUNITY, INCLUDING MERCY HOSPITAL BOONEVILLE, MERCY HOSPITAL OZARK, MERCY HOSPITAL PARIS, AND MERCY HOSPITAL WALDRON. THE SUPPORT SERVICES INCLUDE FUNCTIONS THAT, BUT FOR MERCY HEALTH FORT SMITH COMMUNITIES, WOULD BE CONDUCTED BY EACH SEPARATE ORGANIZATION.Desc
Total Program Service Expenses-$6,326,479TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRETA WILCHERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4793146000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17301 ROGERS AVENUEAddressLine1Txt
CityFORT SMITHCityNm
State AbbreviationARStateAbbreviationCd
ZIP72903ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
GEHRIG RYAN
COMMUNITY PRESIDENT & BOARD MEMBER10.0040.00Yes (X)Yes (X)$0$1,057,305$95,101
RICHARDSON MD DERRICK
PHYSICIAN & BM1.0039.00Yes (X)$0$844,547$19,411
MACKEY DANIEL
PHYSICIAN & BOARD MEMBER1.0045.00Yes (X)$0$735,026$22,186
BAKER SEAN
PHYSICIAN & BOARD MEMBER1.0045.00Yes (X)$0$498,386$9,852
CALLAWAY MD MICHAEL
PHYSICIAN & BM1.0049.00Yes (X)$0$428,796$21,769
GABORNI PAMELA
PHYSICIAN & BM1.0039.00Yes (X)$0$271,904$24,644
ATKINS RSM SR LISA
BOARD MEMBER1.000.00Yes (X)$0$0$0
BAILEY DDS MARK
BOARD MEMBER1.000.00Yes (X)$0$0$0
BARR MICHAEL
BOARD MEMBER1.000.00Yes (X)$0$0$0
BRAU RSM SR MARY ANNRENE
BOARD MEMBER1.002.00Yes (X)$0$0$0
COOLEY JOHN
BOARD MEMBER1.001.00Yes (X)$0$0$0
GATTIS ERIN
BOARD MEMBER1.000.00Yes (X)$0$0$0
KOORIE RSM SR DIANE
BOARD MEMBER1.001.00Yes (X)$0$0$0
SHEPARD RODNEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
SHIPLEY III BENJAMIN
BOARD MEMBER1.000.00Yes (X)$0$0$0
STEC CHRIS
BOARD MEMBER1.000.00Yes (X)$0$0$0
WALKER WILLIAM
BOARD MEMBER1.000.00Yes (X)$0$0$0
RICHMOND JACQUELYNN
VP DEPUTY GENERAL COUNSEL & SEC2.0053.00Yes (X)$0$789,900$84,700
ECKHARDT CHRISTIE
VP, CHIEF OPERATIONS COUNSEL & SECRETARY1.0057.00Yes (X)$0$330,556$21,872
WILCHER GRETA
VP FINANCE & TREASURER5.0045.00Yes (X)$0$311,444$27,114
HUNTON MD DAVID
PRESIDENT - CLINIC10.0040.00$0$782,830$21,129Yes (X)
MARION TANYA
REGIONAL VP - HUMAN RESOURCES1.0050.00$0$485,849$63,701Yes (X)
BEAN PAUL E
CHIEF OF MEDICAL AFFAIRS10.0030.00$0$488,224$27,612Yes (X)
GEIB RYAN C
CHIEF OPERATING OFFICER20.0030.00$0$368,919$58,125Yes (X)
STEC JULIANNE
VP - OPERATIONS15.0035.00$0$269,247$18,636Yes (X)
SOUBIRON CHERI
CHIEF NURSING OFFICER40.000.00$0$284,580$43,044Yes (X)
KUECK JANEEN
VP OPERATIONS40.000.00$0$228,683$10,744Yes (X)
FETSKO BRIAN
VP MISSION40.000.00$0$179,146$11,584Yes (X)
MCFERRAN LLOYD
EXEC DIR - FACILITY SERVICE40.000.00$0$142,857$16,845Yes (X)
HANNA MELISSA K
DIRECTOR - QUALITY IMPROVEMENT40.000.00$0$131,352$26,389Yes (X)
REYNOLDS SCOTT
FORMER OFFICER0.000.00$0$410,554$18,940Yes (X)
SWOPE JON
FORMER KEY EMPLOYEE0.000.00$0$770,349$30,013Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,810,454TotReportableCompRltdOrgAmt
Total Other Compensation$673,411TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAILCO USABusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13186 S SCHOOL AVEAddressLine1Txt
CityFAYETTEVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP72701ZIPCd
FieldValueIRS element (for citing)
ServicesBULK MAIL SERVICEServicesDesc
Compensation$105,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$145,572RelatedOrganizationsAmt
Total Contributions$145,572TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RENTAL INCOME FROM RELATED ORGANI$255,659$255,659
NET PATIENT SERVICE REVENUE$12,475$12,475
OTHER OPERATING REVENUE$492$492
FieldValueIRS element (for citing)
Total Program Service Revenue$268,626TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$35,160RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$35,160RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,160TotalRevenueColumnAmt
Exclusion$35,160ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$449,358TotalRevenueColumnAmt
Related Or Exempt Func Income$268,626RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$35,160ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$326,903TotalAmt
Program Services$326,903ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,144,586TotalAmt
Management And General$10,144,586ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$434,006TotalAmt
Management And General$434,006ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,834,537TotalAmt
Management And General$1,834,537ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$696,292TotalAmt
Management And General$696,292ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$468,208TotalAmt
Management And General$468,208ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$120,583TotalAmt
Management And General$120,583ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$480,581TotalAmt
Management And General$480,581ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$170,304TotalAmt
Management And General$170,304ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,913TotalAmt
Management And General$36,913ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$35,507TotalAmt
Management And General$35,507ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$588,452TotalAmt
Management And General$588,452ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,423,694TotalAmt
Management And General$1,423,694ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SHARED SERVICE FEES-$16,643,260-$6,823,737-$9,819,523
DRUGS & MEDICAL EXPENSE$170,355$170,355
SUBSCRIPTIONS$37,772$37,772
BOARD EXPENSES$36,402$36,402

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$130,122TotalAmt
Management And General$130,122ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$491,957TotalAmt
Program Services-$6,326,479ProgramServicesAmt
Management And General$6,818,436ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,365,746LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,249,677LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,442,413BOYAmt
EOY$6,116,069EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,442,413BOYAmt
EOY$6,116,069EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,124BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,085,429BOYAmt
EOY$1,075,053EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,087,553BOYAmt
EOY$1,075,053EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,354,860BOYAmt
EOY$5,041,016EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,354,860BOYAmt
EOY$5,041,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,442,413BOYAmt
EOY$6,116,069EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$42,599ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$271,245OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MERCY CLINIC FORT SMITH COMMUNITIES
2613185973Yes (1)$0$0
MERCY HOSPITAL FORT SMITH
7102403523Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,388,775OtherCostOrOtherBasisAmt
Book Value$1,388,775BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,037,220OtherCostOrOtherBasisAmt
Depreciation$389,773DepreciationAmt
Book Value$2,647,447BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,093,873OtherCostOrOtherBasisAmt
Depreciation$73,799DepreciationAmt
Book Value$1,020,074BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,845,878OtherCostOrOtherBasisAmt
Depreciation$11,786,105DepreciationAmt
Book Value$1,059,773BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,116,069TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationASC 740 FOOTNOTE 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
FORT SMITH PUBLIC SCHOOLS
3205 JENNY LINDFORT SMITHAR72902716020978GOV'T$105,000$0FOOTBALL STADIUM/SCIENCE LABS FOR HIGH SCHOOLS
UNITED WAY
PO BOX 2300FORT SMITHAR72902710329530501 (C) (3)$45,000$0COMMUNITY ASSISTANCE, DETERMINED BY UNITED WAY
GOOD SAMARITAN CLINIC
615 NORTH B STFORT SMITHAR72901710863639501 (C) (3)$32,500$0MEDICAL SERVICES TO INDIGENT RESIDENTS OF FORT SMITH
FORT SMITH CHAMBER OF COMMERCE
612 GARRISON AVEFORT SMITHAR72901710029620501 (C) (6)$52,787$0CITY FUNDING
FORT SMITH SYMPHONY
PO BOX 3151FORT SMITHAR72913710292138501 (C) (3)$10,000$0MUSICAL ARTS OF FORT SMITH
REYNOLDS CANCER SUPPORT HOUSE
3324 SOUTH M STREETFORT SMITHAR72903710507617501 (C) (3)$20,000$0TO PROVIDE SUPPORT FOR CANCER PATIENTS, SURVIVORS, AND THEIR FAMILIES
IMMACULATE CONCEPTION CATHOLIC SCHOOL
223 SOUTH 14TH STREETFORT SMITHAR72901720260181CHURCH$6,000$0IMMACULATE CONCEPTION CATHOLIC ELEMENTARY SCHOOL
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANTS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GEHRIG RYAN
COMMUNITY PRESIDENT & BOARD MEMBER$0$417,730$0$434,937$0$204,638$0$76,672$0$18,429$0$1,152,406$0$152,619
RICHMOND JACQUELYNN
VP DEPUTY GENERAL COUNSEL & SEC$0$449,625$0$214,091$0$126,184$0$77,247$0$7,453$0$874,600$0$78,001
RICHARDSON MD DERRICK
PHYSICIAN & BM$0$785,283$0$30,942$0$28,322$0$7,250$0$12,161$0$863,958$0$0
HUNTON MD DAVID
PRESIDENT - CLINIC$0$456,551$0$293,505$0$32,774$0$7,250$0$13,879$0$803,959$0$75,529
SWOPE JON
FORMER KEY EMPLOYEE$0$0$0$0$0$770,349$0$30,013$0$0$0$800,362$0$0
MACKEY DANIEL
PHYSICIAN & BOARD MEMBER$0$681,865$0$32,851$0$20,310$0$7,250$0$14,936$0$757,212$0$0
MARION TANYA
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
BEAN PAUL E
CHIEF OF MEDICAL AFFAIRS$0$387,201$0$79,152$0$21,871$0$9,526$0$18,086$0$515,836$0$0
BAKER SEAN
PHYSICIAN & BOARD MEMBER$0$432,452$0$45,652$0$20,282$0$8,064$0$1,788$0$508,238$0$0
CALLAWAY MD MICHAEL
PHYSICIAN & BM$0$383,961$0$18,601$0$26,234$0$7,250$0$14,519$0$450,565$0$0
REYNOLDS SCOTT
FORMER OFFICER$0$0$0$0$0$410,554$0$18,940$0$0$0$429,494$0$0
GEIB RYAN C
CHIEF OPERATING OFFICER$0$247,647$0$101,505$0$19,767$0$40,201$0$17,924$0$427,044$0$0
ECKHARDT CHRISTIE
VP, CHIEF OPERATIONS COUNSEL & SECRE$0$237,476$0$77,869$0$15,211$0$7,250$0$14,622$0$352,428$0$0
WILCHER GRETA
VP FINANCE & TREASURER$0$218,832$0$72,609$0$20,003$0$13,755$0$13,359$0$338,558$0$0
SOUBIRON CHERI
CHIEF NURSING OFFICER$0$189,593$0$82,025$0$12,962$0$32,112$0$10,932$0$327,624$0$0
GABORNI PAMELA
PHYSICIAN & BM$0$215,732$0$11,500$0$44,672$0$6,533$0$18,111$0$296,548$0$0
STEC JULIANNE
VP - OPERATIONS$0$173,073$0$58,425$0$37,749$0$5,276$0$13,360$0$287,883$0$0
KUECK JANEEN
VP OPERATIONS$0$171,151$0$51,817$0$5,715$0$3,614$0$7,130$0$239,427$0$0
FETSKO BRIAN
VP MISSION$0$112,021$0$40,972$0$26,153$0$4,825$0$6,759$0$190,730$0$0
MCFERRAN LLOYD
EXEC DIR - FACILITY SERVICE$0$99,875$0$22,239$0$20,743$0$3,898$0$12,947$0$159,702$0$0
HANNA MELISSA K
DIRECTOR - QUALITY IMPROVEMENT$0$100,455$0$11,960$0$18,937$0$8,951$0$17,438$0$157,741$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, QUESTION 3MERCY HEALTH FORT SMITH COMMUNITIES RELIES ON A RELATED ORGANIZATION; REFER TO SCHEDULE O, PART VI, QUESTION 15A AND 15B FOR THE PROCESS THE RELATED ORGANIZATION FOLLOWS.
FORM 990, SCHEDULE J, PART I, QUESTION 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING CALENDAR 2021: JON SWOPE - $ 770,349 SCOTT REYNOLDS - $410,554
FORM 990, SCHEDULE J, PART I, QUESTION 4BMERCY HEALTH 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: RYAN GEHRIG, DAVID HUNTON, TANYA MARION AND JACQUELYNN RICHMOND. 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: - RYAN GEHRIG - $152,619 - TANYA MARION - $20,957 - DAVID HUNTON - $12,558 - JACQUELYNN RICHMOND - $78,001
FORM 990, SCHEDULE J, PART IITHE AMOUNTS REPORTED FOR JACQUELYNN RICHMOND, RYAN GEHRIG, DAVID HUNTON AND TANYA MARION 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, QUESTION 1AFORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN.
FORM 990, PART V, QUESTION 2AW-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, SECTION A, LINE 6THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH.
FORM 990, PART VI, SECTION A, LINE 7AMERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS THE AUTHORITY TO: - APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD; - THROUGH THE SOLE ACTION OF THE PRESIDENT OF MERCY, TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE PRESIDENT OF THE CORPORATION WHO SHALL SERVE AS THE PRESIDENT OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BMERCY HEALTH (THE SOLE CORPORATE MEMBER) HAS RESERVED SOLELY THE FOLLOWING CORPORATE POWERS AND RESPONSIBILITIES: - APPROVE THE MISSION AND ESTABLISH THE PHILOSOPHY ACCORDING TO WHICH THE CORPORATION, AND ALL ORGANIZATIONS CONTROLLED BY THE CORPORATION, SHALL OPERATE; - ADOPT OR AMEND THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION AND TO AMEND THE ORGANIZATIONAL AND GOVERNANCE DOCUMENTS OF EACH ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE OR AMEND THE STRATEGIC, LONG RANGE, AND HEALTH MANPOWER DEVELOPMENT PLANS, GOALS, AND OBJECTIVES OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - APPROVE OR AMEND THE OPERATING, CAPITAL, AND CONSTRUCTION BUDGETS FOR THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION, AND CHANGES IN THE BUDGETS IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - ASSIGN, TRANSFER, LEASE OR SELL ANY OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION IN EXCESS OF AN AMOUNT ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; - ENCUMBER ANY OR ALL OF THE ASSETS OF THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; - 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; - MERGE, DISSOLVE, OR ABANDON THE CORPORATION OR ANY ORGANIZATION CONTROLLED BY THE CORPORATION; AND - APPROVE THE CREATION, OWNERSHIP OR ACQUISITION OF, OR AFFILIATION WITH, ANY OTHER ORGANIZATION CONTROLLED BY THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BDSCR THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 IS PREPARED BY MERCY HEALTH'S TAX DEPARTMENT, 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 PROVIDED TO THE FILING ORGANIZATION'S LEADERSHIP TEAM, INCLUDING THE CFO AND CEO, FOR REVIEW. ONCE REVIEWED AND APPROVED BY THE FILING ORGANIZATION'S LEADERSHIP TEAM, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW; IT IS THEN SIGNED AND FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST OFFICERS, DIRECTORS, KEY EMPLOYEES AND OTHER DISQUALIFIED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY AND DID SO IN THE NORMAL COURSE FOR THE YEAR ENDED 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, SECTION C, LINE 19AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMT TO GEN PUBLIC GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BUT ARE NOT PUBLISHED PUBLICLY.
FORM 990, PART VI, LINE 2OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE FAMILY OR BUSINESS RELATIONSHIP CHRIS STEC AND JULIANNE STEC HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, QUESTIONS 15A & 15BOFFICERS & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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. FOR THOSE CLASSIFIED AS KEY EMPLOYEES, MERCY HEALTH 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 VII, SECTION AFORMER 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.
FORM 990, PART VIIIIMPACT 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 IX, LINE 11GOTHER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 468,208. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 468,208.
FORM 990, PART IX, LINE 24EREPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,829. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,829. DUES & LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 28,066. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,066. DELIVERY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,244. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,244. OTHER MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,350. EDUCATION/SEMINAR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,815. OTHER EMPLOYEE REIMBURSEMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,086. BOOKS & OTHER MEDIA: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,732.
FORM 990, PART XI, LINE 9:NET TRANSFERS (TO)/FROM AFFILIATES -271,245. 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, QUESTION 3A AND 3BSINGLE 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CASA DE MISERICORDIA
1000 MIER STLAREDOTX78040742912461WOMEN'S DOMESTIC VIOLENCE SHELTERTX501(C)(3)LINE 7MERCY MINISTRIES OF LAREDOYes (1)
MCAULEY PORTFOLIO MANAGEMENT COMPANY
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017261708048PORTFOLIO MANAGEMENT.MO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY ACO CLINICAL SERVICES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017464504901VIRTUAL CARE CENTERMO501(C)(3)LINE 3MERCY HEALTHYes (1)
MERCY CLINIC EAST COMMUNITIES
645 MARYVILLE CENTRE DRIVE SUITE 10ST LOUISMO63141431771217PHYSICIAN GROUPMO501(C)(3)LINE 10MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY CLINIC FORT SMITH COMMUNITIES
7301 ROGERS AVENUEFORT SMITHAR72903261318597PHYSICIAN CLINICAR501(C)(3)LINE 3MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY CLINIC OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120270473057PHYSICIAN GROUPOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY CLINIC SPRINGFIELD COMMUNITIES
1965 FREMONT STREET SUITE 2950SPRINGFIELDMO65804431560263PHYSICIAN GROUPMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY FAMILY CENTER
110 VETERANS BLVDMETAIRIELA70005721069468FAMILY COUNSELING SERVICELA501(C)(3)LINE 7MERCY HEALTHYes (1)
MERCY HEALTH
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017431423050CORPORATE OFFICEMO501(C)(3)LINE 10N/A
MERCY HEALTH EAST COMMUNITIES
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017431718408HEALTH SYSTEMMO501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017200901499FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION ADA
430 N MONTE VISTA STREETADAOK74820463596274FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL ADA INCYes (1)
MERCY HEALTH FOUNDATION ARDMORE
1011 14TH AVENUE NWARDMOREOK73401710962525FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL ARDMORE INCYes (1)
MERCY HEALTH FOUNDATION BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759301FOUNDATIONAR501(C)(3)LINE 12A, IMERCY HOSPITAL BERRYVILLEYes (1)
MERCY HEALTH FOUNDATION FORT SCOTT
401 WOODLAND HILLS BLVDFORT SCOTTKS66701481077073FOUNDATIONKS501(C)(3)LINE 7MERCY KANSAS COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72917237330425FOUNDATIONAR501(C)(3)LINE 7MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION JEFFERSON
1400 US HIGHWAY 61 SOUTHFESTUSMO63028462797051FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITAL JEFFERSONYes (1)
MERCY HEALTH FOUNDATION JOPLIN
100 MERCY WAYJOPLINMO64804270906136FOUNDATIONMO501(C)(3)LINE 7MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION LEBANON
100 HOSPITAL DRIVELEBANONMO65536822514567FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITAL LEBANONYes (1)
MERCY HEALTH FOUNDATION LINCOLN
1000 EAST CHERRY STREETTROYMO63379811477159FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HOSPITALS EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS
2710 RIFE MEDICAL LANEROGERSAR72758710601687FOUNDATIONAR501(C)(3)LINE 7MERCY HOSPITAL ROGERSYes (1)
MERCY HEALTH FOUNDATION OF OKLAHOMA
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120454732301FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HEALTH FOUNDATION OKLAHOMA CITY
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120463184231FOUNDATIONOK501(C)(3)LINE 12A, IMERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HEALTH FOUNDATION SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804320195818FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION ST FRANCIS
100 W HIGHWAY 60MOUNTAIN VIEWMO65548431873914FOUNDATIONMO501(C)(3)LINE 12A, IMERCY ST FRANCIS HOSPITALYes (1)
MERCY HEALTH FOUNDATION ST LOUIS
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017562410020FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH FOUNDATION WASHINGTON
901 E FIFTH STREETWASHINGTONMO63090562410022FOUNDATIONMO501(C)(3)LINE 12B, IIMERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES
2710 RIFE MEDICAL LANEROGERSAR72758621684203PHYSICIAN GROUPAR501(C)(3)LINE 10MERCY HEALTHYes (1)
MERCY HEALTH OKLAHOMA COMMUNITIES INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120731453048HEALTH SYSTEMOK501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MERCY HEALTH PLANS OF MISSOURI INC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320481419HMOMO501(C)(4)MERCY HEALTHYes (1)
MERCY HEALTH PLANS INC
3265 S NATIONAL AVENUESPRINGFIELDMO65807320486150PPOMO501(C)(4)MERCY HEALTH PLANS OF MISSOURI INCYes (1)
MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES
100 MERCY WAYJOPLINMO64804300584463HEALTH SYSTEMMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HEALTH SPRINGFIELD COMMUNITIES
1235 E CHEROKEE STREETSPRINGFIELDMO65804431856028HEALTH SYSTEMMO501(C)(3)LINE 12B, IIMERCY HEALTHYes (1)
MERCY HOSPITAL ADA INC
430 N MONTE VISTA STREETADAOK74820462288155HOSPITALOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HOSPITAL ARDMORE INC
1011 14TH AVENUE NWARDMOREOK73401731500629HOSPITALOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HOSPITAL AURORA
500 PORTER AVENUEAURORAMO65605431936696HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL BERRYVILLE
214 CARTER STREETBERRYVILLEAR72616710759299HOSPITALAR501(C)(3)LINE 3MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL BOONEVILLE
880 WEST MAIN STREETBOONEVILLEAR72927463851119HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL CARTHAGE
3125 DR RUSSELL SMITH WAYCARTHAGEMO64836453808607HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL CASSVILLE
94 MAIN STREETCASSVILLEMO65625431936699HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL COLUMBUS
220 PENNSYLVANIA AVENUECOLUMBUSKS66725270842031HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL EL RENO INC
2115 PARKVIEW DRIVEEL RENOOK73036272716065HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL FORT SMITH
7301 ROGERS AVENUEFORT SMITHAR72903710240352HOSPITALAR501(C)(3)LINE 3MERCY HEALTH FORT SMITH COMMUNITIESYes (1)
MERCY HOSPITAL HEALDTON INC
3462 HOSPITAL RDHEALDTONOK73438263173902HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL ARDMORE INCYes (1)
MERCY HOSPITAL JEFFERSON
1400 HIGHWAY 61 SOUTHFESTUSMO63028430687077HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY HOSPITAL JOPLIN
100 MERCY WAYJOPLINMO64804270814858HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY HOSPITAL KINGFISHER INC
1000 KINGFISHER REGIONAL HOSPITAL CKINGFISHEROK73750463433074HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL LEBANON
100 HOSPITAL DRIVELEBANONMO65536431767432HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL LINCOLN
1000 EAST CHERRY STREETTROYMO63379472219204HOSPITALMO501(C)(3)LINE 3MERCY HOSPITALS EAST COMMUNITIESYes (1)
MERCY HOSPITAL LOGAN COUNTY INC
200 SOUTH ACADEMYGUTHRIEOK73044452998842HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITAL OKLAHOMA CITY INC
4300 W MEMORIAL ROADOKLAHOMA CITYOK73120730579285HOSPITALOK501(C)(3)LINE 3MERCY HEALTH OKLAHOMA COMMUNITIES INCYes (1)
MERCY HOSPITAL OZARK
801 W RIVER STREETOZARKAR72949710689680HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL PARIS
500 E ACADEMYPARISAR72855710655753HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL ROGERS
2710 RIFE MEDICAL LANEROGERSAR72758710294390HOSPITALAR501(C)(3)LINE 3MERCY HEALTH NW ARK COMMUNITIESYes (1)
MERCY HOSPITAL SPRINGFIELD
1235 E CHEROKEE STREETSPRINGFIELDMO65804440552485HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MERCY HOSPITAL TISHOMINGO INC
1000 SOUTH BYRDTISHOMINGOOK73460274433830HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL ADA INCYes (1)
MERCY HOSPITAL WALDRON
1341 W 6TH STREETWALDRONAR72958710557895HOSPITALAR501(C)(3)LINE 3MERCY HOSPITAL FORT SMITHYes (1)
MERCY HOSPITAL WATONGA INC
500 CLARENCE NASH BLVDWATONGAOK73772455199762HOSPITALOK501(C)(3)LINE 3MERCY HOSPITAL OKLAHOMA CITY INCYes (1)
MERCY HOSPITALS EAST COMMUNITIES
615 S NEW BALLAS ROADST LOUISMO63141430653493HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
MERCY KANSAS COMMUNITIES INC
401 WOODLAND HILLS BLVDFT SCOTTKS66701480956045HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SW MOKS COMMUNITIESYes (1)
MERCY MINISTRIES OF LAREDO
2500 ZACATECAS STLAREDOTX78046200198462OUTREACHTX501(C)(3)LINE 7MERCY HEALTHYes (1)
MERCY RESEARCH
524 NORTH BOONEVILLE AVENUESPRINGFIELDMO65802870796305RESEARCHMO501(C)(3)LINE 4MERCY HEALTHYes (1)
MERCY ST FRANCIS HOSPITAL
100 W HIGHWAY 60MOUNTAIN VIEWMO65548440607149HOSPITALMO501(C)(3)LINE 3MERCY HEALTH SPRINGFIELD COMMUNITIESYes (1)
MHM SUPPORT SERVICES
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017202553101CENTRALIZED HEALTH SYSTEM FUNCTIONSMO501(C)(3)LINE 12A, IMERCY HEALTHYes (1)
MISSION CLINICAL SERVICES
300 WERNER STREETHOT SPRINGSAR71913134239691CHILD ADVOCACY CENTERAR501(C)(3)LINE 3MERCY HEALTHYes (1)
MERCY HEALTH FOUNDATION SOUTH
10010 KENNERLY ROADST LOUISMO63128261516789FUNDRAISINGMO501(C)(3)LINE 12A, IMERCY HOSPITAL SOUTHYes (1)
MERCY HOSPITAL SOUTH
10010 KENNERLY ROADST LOUISMO63128430980256HOSPITALMO501(C)(3)LINE 3MERCY HEALTH EAST COMMUNITIESYes (1)
ST ANTHONY'S PHYSICIAN ORGANIZATION
10010 KENNERLY ROADST LOUISMO63128431784536HEALTH CAREMO501(C)(3)LINE 3MERCY HOSPITAL SOUTHYes (1)
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
1619 W 7TH STREETGALENAKS66739843730625HOSPITALKS501(C)(3)LINE 3MERCY HEALTH SOUTHWEST MOKS COMMUNITIESYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
FORT SMITH EMERGENCY MEDICAL SERVICES
1701 S GREENWOODFORT SMITHAR72901710416615EMERGENCY MEDICAL SERVICESARMERCY HOSPITAL FORT SMITH00
PLAZA SURGERY SERVICES COMPANY LLC
12700 SOUTHFORK ROADST LOUISMO63128204709312INACTIVEMOMERCY HOSPITAL SOUTH00
ST EDWARD MERCY MC M-P OFFICE BLDG
7301 ROGERS AVENUEFORT SMITHAR72903710554050OFFICE BUILDINGARMERCY HOSPITAL FORT SMITH00
PLATINUM CPS HOLDINGS LLC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017842493007HOLDING COMPANYMOMERCY MANAGED CARE CORP MERCY HEALTH00
MARYVILLE CANCER CENTER LLC
2227 VADALABENE DRIVEMARYVILLEIL62062813385885OUTPATIENT CENTERILMERCY HEALTH EAST COMMUNITIES00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
FRONTENAC PROPERTIES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017521914421HOLDING COMPANYDEMERCY HEALTHC0
MERCY COMMERCIAL SERVICES INC
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017464953543CORP PARENT OF VCC TAXABLE COMMERCIALIZ SVCSMOMERCY HEALTHC0
MERCY HEALTH CENTER CONDOMINIUM INC
4300 W MEMORIAL RDOKLAHOMA CITYOK73120680640970REAL ESTATEOKMERCY HOSPITAL OKLAHOMA CITY INCC0
MERCY MANAGED CARE CORPORATION
14528 S OUTER FORTY SUITE 100CHESTERFIELDMO63017731441665HOLDING COMPANYOKMERCY HEALTHC0
ST ANTHONY'S PHYSICIAN ORGANIZATION OF ILLINOIS
10010 KENNERLY ROADST LOUISMO63128320457168HEALTH CAREMOMERCY HOSPITAL SOUTHC0
MCAULEY INSURANCE COMPANY LTD
000000000INACTIVEMERCY HEALTHC0AON HOUSE 30 WOODBOURNE AVENUEPEMBROKEHM 08BDBD
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MHM SUPPORT SERVICES
Q$55,659,129FMV
MERCY HOSPITAL FORT SMITH
Q$126,462FMV
MERCY HEALTH FOUNDATION FORT SMITH
C$145,572FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE R, PART IIMERCY HOSPITALS EAST COMMUNITIES MERCY HOSPITALS EAST COMMUNITIES CONSISTS OF MERCY HOSPITAL ST. LOUIS, EIN 43-0653493, AND MERCY HOSPITAL WASHINGTON, EIN 43-1066883.
FORM 990, SCHEDULE R, PART VLAWSON 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.