MERCY HEALTH FORT SMITH COMMUNITIES: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH FORT SMITH COMMUNITIES (EIN 26-1318515)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-12
- IRS object ID
- 202521329349304742
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-12T13:51:39-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261318515 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH FORT SMITH COMMUNITIES | 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 | 7301 ROGERS AVENUE | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72903 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GRETA WILCHER | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3145796100 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RYAN GEHRIG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 ROGERS AVENUE | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $569,477 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MERCY.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 102 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $120,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $61,180 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $351,904 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $473,137 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $35,160 | PYOtherRevenueAmt |
| CY Other Revenue | $35,160 | CYOtherRevenueAmt |
| PY Total Revenue | $507,609 | PYTotalRevenueAmt |
| CY Total Revenue | $569,477 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $382,377 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $385,519 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,992,593 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,650,007 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | -$13,772,651 | PYOtherExpensesAmt |
| CY Other Expenses | -$16,412,970 | CYOtherExpensesAmt |
| PY Total Expenses | $602,319 | PYTotalExpensesAmt |
| CY Total Expenses | $622,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$94,710 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$53,079 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,567,742 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,857,877 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,114,893 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,093,044 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,452,849 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,764,833 | NetAssetsOrFundBalancesEOYAmt |
| 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $773,434 | ExpenseAmt |
| Grant | $385,519 | GrantAmt |
| Revenue | $473,137 | RevenueAmt |
| Desc | 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 PROVIDED 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 INCLUDED FUNCTIONS THAT, BUT FOR MERCY HEALTH FORT SMITH COMMUNITIES, WOULD BE CONDUCTED BY EACH SEPARATE ORGANIZATION. | Desc |
| Total Program Service Expenses | $773,434 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRETA WILCHER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4793146000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7301 ROGERS AVENUE | AddressLine1Txt |
| City | FORT SMITH | CityNm |
| State Abbreviation | AR | StateAbbreviationCd |
| ZIP | 72903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| GEHRIG RYAN | ||||||||||
| COMMUNITY PRESIDENT & BOARD MEMBER | 10.00 | 40.00 | Yes (X) | Yes (X) | $0 | $1,297,307 | $121,202 | |||
| BAILEY DDS MARK | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CALLAWAY MD MICHAEL | ||||||||||
| PHYSICIAN & BM | 1.00 | 49.00 | Yes (X) | $0 | $738,334 | $22,637 | ||||
| GABORNI PAMELA | ||||||||||
| PHYSICIAN & BM | 1.00 | 39.00 | Yes (X) | $0 | $302,605 | $30,755 | ||||
| GATTIS ERIN | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KOORIE RSM SR DIANE | ||||||||||
| BOARD MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MACKEY DANIEL | ||||||||||
| PHYSICIAN & BOARD MEMBER | 1.00 | 45.00 | Yes (X) | $0 | $863,001 | $28,132 | ||||
| MARTINEZ SANTIAGO MADELINE | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MUDGE LT COL PETER | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARDSON MD DERRICK | ||||||||||
| PHYSICIAN & BM | 1.00 | 39.00 | Yes (X) | $0 | $937,649 | $31,843 | ||||
| SHEPARD RODNEY | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SMITH LES | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEC CHRIS | ||||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILCHER GRETA | ||||||||||
| CFO & TREASURER | 5.00 | 45.00 | Yes (X) | $0 | $326,725 | $43,147 | ||||
| BEAN PAUL E | ||||||||||
| CHIEF MEDICAL OFFICER | 10.00 | 30.00 | $0 | $588,939 | $34,087 | Yes (X) | ||||
| GEIB RYAN C | ||||||||||
| VP, OPERATIONAL PERFORMANCE | 20.00 | 30.00 | $0 | $453,051 | $66,039 | Yes (X) | ||||
| HUNTON MD DAVID | ||||||||||
| PRESIDENT - CLINIC | 10.00 | 40.00 | $0 | $954,968 | $23,681 | Yes (X) | ||||
| STEC JULIANNE | ||||||||||
| VP - OPERATIONS | 10.00 | 30.00 | $0 | $319,845 | $23,622 | Yes (X) | ||||
| KUECK JANEEN | ||||||||||
| VP OPERATIONS | 40.00 | 0.00 | $0 | $284,993 | $18,417 | Yes (X) | ||||
| FORE AMY | ||||||||||
| VP, PATIENT SERVICES | 40.00 | 0.00 | $0 | $459,054 | $75,771 | Yes (X) | ||||
| NOLEWAJKA MICHAEL | ||||||||||
| VP, PATIENT LOGISTICS | 40.00 | 0.00 | $0 | $240,725 | $21,968 | Yes (X) | ||||
| ROPS VANESSA | ||||||||||
| EXEC. DIR. CARDIOVASCULAR SERVICES | 40.00 | 0.00 | $0 | $224,371 | $18,001 | Yes (X) | ||||
| WHITAKER STEPHANIE | ||||||||||
| CNO | 40.00 | 0.00 | $0 | $298,029 | $40,128 | Yes (X) | ||||
| RICHMOND JACQUELYNN | ||||||||||
| FORMER OFFICER | 0.00 | 55.00 | $0 | $1,551,497 | $108,160 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,841,093 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $707,590 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $61,180 | RelatedOrganizationsAmt |
| Total Contributions | $61,180 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RENTAL INCOME FROM RELATED ORGANI | 531120 | $460,027 | $460,027 |
| NET PATIENT SERVICE REVENUE | 622110 | $10,310 | $10,310 |
| OTHER OPERATING REVENUE | 900099 | $2,800 | $2,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $473,137 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,160 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $35,160 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,160 | TotalRevenueColumnAmt |
| Exclusion | $35,160 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $569,477 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $473,137 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $35,160 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,519 | TotalAmt |
| Program Services | $385,519 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,349,265 | TotalAmt |
| Program Services | $5,361,523 | ProgramServicesAmt |
| Management And General | $7,987,742 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,947 | TotalAmt |
| Program Services | $198,788 | ProgramServicesAmt |
| Management And General | $296,159 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,968,853 | TotalAmt |
| Program Services | $790,759 | ProgramServicesAmt |
| Management And General | $1,178,094 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $836,942 | TotalAmt |
| Program Services | $336,145 | ProgramServicesAmt |
| Management And General | $500,797 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,031 | TotalAmt |
| Program Services | $43,660 | ProgramServicesAmt |
| Management And General | $471,371 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,822 | TotalAmt |
| Program Services | $3,693 | ProgramServicesAmt |
| Management And General | $151,129 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,582 | TotalAmt |
| Program Services | $192,972 | ProgramServicesAmt |
| Management And General | $200,610 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,700 | TotalAmt |
| Management And General | $18,700 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,768 | TotalAmt |
| Program Services | $5,481 | ProgramServicesAmt |
| Management And General | $163,287 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,080 | TotalAmt |
| Program Services | $18,772 | ProgramServicesAmt |
| Management And General | $171,308 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,833 | TotalAmt |
| Management And General | $34,833 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $516,181 | TotalAmt |
| Program Services | $3,345 | ProgramServicesAmt |
| Management And General | $512,836 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,070 | TotalAmt |
| Management And General | $1,742,070 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SHARED SERVICE FEES | -$20,538,570 | -$6,777,729 | -$13,760,841 |
| DRUGS & MEDICAL EXPENSE | $197,475 | $197,475 | |
| REPAIRS & MAINTENANCE | $68,271 | $2,633 | $65,638 |
| SUBSCRIPTIONS | $45,444 | $30 | $45,414 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,343 | TotalAmt |
| Program Services | $10,368 | ProgramServicesAmt |
| Management And General | $69,975 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,556 | TotalAmt |
| Program Services | $773,434 | ProgramServicesAmt |
| Management And General | -$150,878 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,373 | BOYAmt |
| EOY | $113,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $15,054,836 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,310,789 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,441,369 | BOYAmt |
| EOY | $10,744,047 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,567,742 | BOYAmt |
| EOY | $10,857,877 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,500 | BOYAmt |
| EOY | $42,556 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,063,393 | BOYAmt |
| EOY | $1,050,488 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,114,893 | BOYAmt |
| EOY | $1,093,044 | 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 | $5,452,849 | BOYAmt |
| EOY | $9,764,833 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,452,849 | BOYAmt |
| EOY | $9,764,833 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,567,742 | BOYAmt |
| EOY | $10,857,877 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$53,079 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $4,365,063 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 2 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (2 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| MERCY CLINIC FORT SMITH COMMUNITIES | ||||
| 261318597 | 3 | Yes (1) | $0 | $0 |
| MERCY HOSPITAL FORT SMITH | ||||
| 710240352 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 2 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,191,004 | OtherCostOrOtherBasisAmt |
| Book Value | $2,191,004 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,852,459 | OtherCostOrOtherBasisAmt |
| Depreciation | $824,074 | DepreciationAmt |
| Book Value | $7,028,385 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,093,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $147,598 | DepreciationAmt |
| Book Value | $946,275 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,917,500 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,339,117 | DepreciationAmt |
| Book Value | $578,383 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,744,047 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ASC 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, 2024 OR 2023. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| FORT SMITH PUBLIC SCHOOLS | ||||||||
| 3205 JENNY LIND | FORT SMITH | AR | 72902 | 716020978 | GOV'T | $100,000 | $0 | SUPPORT TO BUILD SCIENCE LABS FOR LOCAL HIGH SCHOOLS |
| UNITED WAY | ||||||||
| PO BOX 2300 | FORT SMITH | AR | 72902 | 710329530 | 501 (C) (3) | $66,500 | $0 | COMMUNITY ASSISTANCE, DETERMINED BY UNITED WAY |
| FORT SMITH SYMPHONY | ||||||||
| PO BOX 3151 | FORT SMITH | AR | 72913 | 710292138 | 501 (C) (3) | $32,500 | $0 | SUPPORT OF THE MUSICAL ARTS FOR FORT SMITH CITIZENS |
| UAFS FOUNDATION | ||||||||
| 5210 GRAND AVE | FORT SMITH | AR | 72913 | 710394794 | GOV'T | $25,500 | $0 | ALUMNI AND CENTER FOR ECONOMIC DEVELOPMENT SPONSORSHIP |
| GOOD SAMARITAN CLINIC | ||||||||
| 615 NORTH B STREET | FORT SMITH | AR | 72902 | 710863639 | 501 (C) (3) | $25,000 | $0 | COMMUNITY HEALTH AND WELLNESS PRGRAMS FOR INDIGENT PATIENTS |
| CANCER SUPPORT FOUNDATION | ||||||||
| 3324 SOUTH M STREET | FORT SMITH | AR | 72903 | 710507617 | 501 (C) (3) | $20,000 | $0 | SAVING LIVES SPONSORSHIP - COMMUNITY EDUCATION AND EARLY DETECTION PROGRAMS |
| AR COLLEGES OF HEALTH ED | ||||||||
| 7000 CHAD COLLEY BOULEVARD | FORT SMITH | AR | 72916 | 465138928 | 501 (C) (3) | $12,000 | $0 | FUNDING FOR RESEARCH OF VARIOUS PROJECTS |
| FORT SMITH CHAMBER OF COMMERCE | ||||||||
| 612 GARRISON AVE | FORT SMITH | AR | 72901 | 710029620 | 501 (C) (6) | $10,850 | $0 | CONTRIBUTION FOR CITY FUNDING, VARIOUS PROJECTS THROUGHOUT THE CITY OF FORT SMITH ARKANSAS |
| HAMILTON CTR FOR CHILD ADVOCAC | ||||||||
| 2713 S 74TH STREET SUITE 203 | FORT SMITH | AR | 72903 | 270487290 | 501 (C) (3) | $10,000 | $0 | SUPPORT OF CHILD ADVOCACY FOR HOMELESS AND ABUSED CHILDREN |
| RMHC OF ARKOMA | ||||||||
| 1333 ARAPAHO AVE SUITE C | SPRINGALE | AR | 72764 | 731563945 | 501 (C) (3) | $10,000 | $0 | OVERNIGHT ACCOMODATIONS FOR FAMILIES OF ADOLESCENT PATIENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHMOND JACQUELYNN | ||||||||||||||
| FORMER OFFICER | $0 | $529,328 | $0 | $878,926 | $0 | $143,243 | $0 | $100,614 | $0 | $7,546 | $0 | $1,659,657 | $0 | $166,833 |
| GEHRIG RYAN | ||||||||||||||
| COMMUNITY PRESIDENT & BOARD MEMBER | $0 | $518,923 | $0 | $702,574 | $0 | $75,810 | $0 | $101,547 | $0 | $19,655 | $0 | $1,418,509 | $0 | $196,083 |
| HUNTON MD DAVID | ||||||||||||||
| PRESIDENT - CLINIC | $0 | $483,055 | $0 | $305,941 | $0 | $165,972 | $0 | $9,150 | $0 | $14,531 | $0 | $978,649 | $0 | $86,488 |
| RICHARDSON MD DERRICK | ||||||||||||||
| PHYSICIAN & BM | $0 | $864,999 | $0 | $39,086 | $0 | $33,564 | $0 | $12,200 | $0 | $19,643 | $0 | $969,492 | $0 | $0 |
| MACKEY DANIEL | ||||||||||||||
| PHYSICIAN & BOARD MEMBER | $0 | $758,371 | $0 | $73,388 | $0 | $31,242 | $0 | $12,200 | $0 | $15,932 | $0 | $891,133 | $0 | $0 |
| CALLAWAY MD MICHAEL | ||||||||||||||
| PHYSICIAN & BM | $0 | $626,172 | $0 | $79,868 | $0 | $32,294 | $0 | $12,206 | $0 | $10,431 | $0 | $760,971 | $0 | $0 |
| BEAN PAUL E | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $430,271 | $0 | $81,895 | $0 | $76,773 | $0 | $14,709 | $0 | $19,378 | $0 | $623,026 | $0 | $0 |
| FORE AMY | ||||||||||||||
| VP, PATIENT SERVICES | $0 | $274,484 | $0 | $148,353 | $0 | $36,217 | $0 | $56,736 | $0 | $19,035 | $0 | $534,825 | $0 | $0 |
| GEIB RYAN C | ||||||||||||||
| VP, OPERATIONAL PERFORMANCE | $0 | $293,074 | $0 | $137,158 | $0 | $22,819 | $0 | $45,954 | $0 | $20,085 | $0 | $519,090 | $0 | $0 |
| WILCHER GRETA | ||||||||||||||
| CFO & TREASURER | $0 | $229,099 | $0 | $73,175 | $0 | $24,451 | $0 | $29,030 | $0 | $14,117 | $0 | $369,872 | $0 | $0 |
| STEC JULIANNE | ||||||||||||||
| VP - OPERATIONS | $0 | $192,579 | $0 | $61,841 | $0 | $65,425 | $0 | $9,019 | $0 | $14,603 | $0 | $343,467 | $0 | $0 |
| WHITAKER STEPHANIE | ||||||||||||||
| CNO | $0 | $202,959 | $0 | $72,249 | $0 | $22,821 | $0 | $20,266 | $0 | $19,862 | $0 | $338,157 | $0 | $0 |
| GABORNI PAMELA | ||||||||||||||
| PHYSICIAN & BM | $0 | $227,825 | $0 | $24,600 | $0 | $50,180 | $0 | $10,700 | $0 | $20,055 | $0 | $333,360 | $0 | $0 |
| KUECK JANEEN | ||||||||||||||
| VP OPERATIONS | $0 | $198,577 | $0 | $60,665 | $0 | $25,751 | $0 | $11,429 | $0 | $6,988 | $0 | $303,410 | $0 | $0 |
| NOLEWAJKA MICHAEL | ||||||||||||||
| VP, PATIENT LOGISTICS | $0 | $160,170 | $0 | $51,682 | $0 | $28,873 | $0 | $6,053 | $0 | $15,915 | $0 | $262,693 | $0 | $0 |
| ROPS VANESSA | ||||||||||||||
| EXEC. DIR. CARDIOVASCULAR SERVICES | $0 | $160,414 | $0 | $38,547 | $0 | $25,410 | $0 | $2,053 | $0 | $15,948 | $0 | $242,372 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MERCY 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 4B | MERCY 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 INDIVIDUAL REPORTABLE ON THIS RETURN WHO PARTICIPATES IN THE SUPPLEMENTAL RETIREMENT PLANS IS DAVID HUNTON. THE AMOUNT OF ALL ACCRUED BENEFITS IS INCLUDED IN COMPENSATION AMOUNTS PROVIDED IN SCHEDULE J, PART II, COLUMN (C). THE FOLLOWING INDIVIDUAL RECEIVED A PAYOUT FROM THE PLAN DURING THE YEAR: - DAVID HUNTON - $19,361 |
| FORM 990, SCHEDULE J, PART II | THE AMOUNTS REPORTED FOR DAVID HUNTON, JACQUELYNN RICHMOND AND RYAN GEHRIG 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 V, QUESTION 1A | FORM 1099/1096 FILING VENDORS FOR THE FILING ORGANIZATION ARE PAID BY MERCY HEALTH (EIN 43-1423050). AS SUCH, ALL REQUIRED FORM 1099 AND FORM 1096 REPORTING IS MADE FOR THE ENTIRE MERCY HEALTH SYSTEM (WITH LIMITED EXCEPTIONS) UNDER THE MERCY HEALTH EIN. |
| FORM 990, PART V, QUESTION 2A | W-3 FILING 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 2 | OFFICER, DIRECTOR, TRUSTEE, KEY EMPLOYEE FAMILY OR BUSINESS RELATIONSHIP CHRIS STEC AND JULIANNE STEC HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE FILING ORGANIZATION HAS A SOLE CORPORATE MEMBER, MERCY HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 7A | MERCY 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 7B | MERCY 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 11B | DSCR 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 CHIEF FINANCIAL OFFICER. 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 12C | 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, 2024. THIS PROCESS IS ADMINISTERED AT THE MERCY HEALTH LEVEL BY MERCY'S CORPORATE COMPLIANCE DEPARTMENT. THE CONFLICTS AND THEIR RESPECTIVE RESOLUTIONS ARE SHARED AT THE MERCY LEVEL WITH A TEAM INCLUDING MERCY'S SENIOR VICE PRESIDENT OF FINANCIAL OPERATIONS & PLANNING, CHIEF COMPLIANCE OFFICER AND OTHER MEMBERS OF FINANCE, LEGAL AND HR. THE QUESTIONNAIRES ARE THEN REVIEWED WITH LEADERSHIP AT THE LOCAL LEVEL AND POTENTIAL CONFLICTS DISCUSSED AND RESOLVED. SUMMARY RESULTS ARE REVIEWED WITH MERCY'S STEWARDSHIP COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15 | PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALS, OTHER OFFICERS AND KEY EMPLOYEES FOR THE TOP MANAGEMENT OFFICIALS, THOSE CLASSIFIED AS OFFICERS (AND THUS DISQUALIFIED PERSONS) AND KEY EMPLOYEES, THE ORGANIZATION RELIES UPON MERCY HEALTH, WHICH USES THE FOLLOWING TO ESTABLISH THE COMPENSATION: EXTERNAL MARKET SALARY SURVEYS, EXTERNAL MARKET SALARY STUDIES, AND ENGAGEMENT OF AN INDEPENDENT COMPENSATION CONSULTANT. FOR CERTAIN EXECUTIVES AND PHYSICIANS THE COMPENSATION IS REVIEWED/APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF MERCY HEALTH. FOR ALL OTHER CAREGIVERS COMPENSATION IS REVIEWED/APPROVED BY THE TOTAL REWARDS OVERSIGHT COMMITTEE. COMPENSATION REVIEWS ARE COMPLETED ON AN ANNUAL BASIS AND REVIEW WAS COMPLETED DURING THE REPORTING YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | 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, 2023 THROUGH JUNE 30, 2024. |
| FORM 990, PART IX, LINE 11G | OTHER SERVICES: PROGRAM SERVICE EXPENSES 43,660. MANAGEMENT AND GENERAL EXPENSES 471,371. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,031. |
| FORM 990, PART IX, LINE 24E | DUES & LICENSES: PROGRAM SERVICE EXPENSES 3,237. MANAGEMENT AND GENERAL EXPENSES 25,045. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,282. BOARD EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27,579. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27,579. EDUCATION/SEMINAR: PROGRAM SERVICE EXPENSES 2,579. MANAGEMENT AND GENERAL EXPENSES 10,021. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,600. OTHER EMPLOYEE REIMBURSEMENT: PROGRAM SERVICE EXPENSES 4,039. MANAGEMENT AND GENERAL EXPENSES 7,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,353. BOOKS & OTHER MEDIA: PROGRAM SERVICE EXPENSES 513. MANAGEMENT AND GENERAL EXPENSES 16. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 529. |
| FORM 990, PART XI, LINE 9: | NET TRANSFERS (TO)/FROM AFFILIATES 4,365,063. |
| FORM 990, PART XII, QUESTION 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 2024 (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 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, 2024 BY DECEMBER 13, 2024. 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, 2024, 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 (72 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CASA DE MISERICORDIA | |||||||||||
| 1000 MIER ST | LAREDO | TX | 78040 | 742912461 | WOMEN'S DOMESTIC VIOLENCE SHELTER | TX | 501(C)(3) | LINE 7 | MERCY MINISTRIES OF LAREDO | Yes (1) | |
| MCAULEY PORTFOLIO MANAGEMENT COMPANY | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 261708048 | PORTFOLIO MANAGEMENT. | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY ACO CLINICAL SERVICES INC | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 464504901 | VIRTUAL CARE CENTER | MO | 501(C)(3) | LINE 3 | MERCY HEALTH | Yes (1) | |
| MERCY CLINIC EAST COMMUNITIES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431771217 | PHYSICIAN GROUP | MO | 501(C)(3) | LINE 10 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY CLINIC FORT SMITH COMMUNITIES | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 261318597 | PHYSICIAN CLINIC | AR | 501(C)(3) | LINE 3 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY CLINIC OKLAHOMA COMMUNITIES INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 270473057 | PHYSICIAN GROUP | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY CLINIC SPRINGFIELD COMMUNITIES | |||||||||||
| 1965 S FREMONT SUITE 200 | SPRINGFIELD | MO | 65804 | 431560263 | PHYSICIAN GROUP | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY FAMILY CENTER | |||||||||||
| 110 VETERANS BLVD | METAIRIE | LA | 70005 | 721069468 | FAMILY COUNSELING SERVICE | LA | 501(C)(3) | LINE 7 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431423050 | CORPORATE OFFICE | MO | 501(C)(3) | LINE 1 | 0 | N/A | |
| MERCY HEALTH EAST COMMUNITIES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 431718408 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 200901499 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION ADA | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 463596274 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL ADA INC | Yes (1) | |
| MERCY HEALTH FOUNDATION ARDMORE | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 710962525 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HEALTH FOUNDATION BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759301 | FOUNDATION | AR | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL BERRYVILLE | Yes (1) | |
| MERCY HEALTH FOUNDATION FORT SCOTT | |||||||||||
| 401 WOODLAND HILLS BLVD | FORT SCOTT | KS | 66701 | 481077073 | FOUNDATION | KS | 501(C)(3) | LINE 7 | MERCY KANSAS COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72917 | 237330425 | FOUNDATION | AR | 501(C)(3) | LINE 7 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION JEFFERSON | |||||||||||
| 1400 US HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 462797051 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITAL JEFFERSON | Yes (1) | |
| MERCY HEALTH FOUNDATION JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270906136 | FOUNDATION | MO | 501(C)(3) | LINE 7 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 822514567 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITAL LEBANON | Yes (1) | |
| MERCY HEALTH FOUNDATION LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 811477159 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HOSPITALS EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION NORTHWEST ARKANSAS | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 710601687 | FOUNDATION | AR | 501(C)(3) | LINE 7 | MERCY HOSPITAL ROGERS | Yes (1) | |
| MERCY HEALTH FOUNDATION OF OKLAHOMA | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 454732301 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION OKLAHOMA CITY | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 463184231 | FOUNDATION | OK | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HEALTH FOUNDATION SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 320195818 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION ST FRANCIS | |||||||||||
| 100 W US HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 431873914 | FOUNDATION | MO | 501(C)(3) | LINE 12A, I | MERCY ST FRANCIS HOSPITAL | Yes (1) | |
| MERCY HEALTH FOUNDATION ST LOUIS | |||||||||||
| 615 SOUTH NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 562410020 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH FOUNDATION WASHINGTON | |||||||||||
| 901 E FIFTH STREET | WASHINGTON | MO | 63090 | 562410022 | FOUNDATION | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HEALTH NORTHWEST ARKANSAS COMMUNITIES | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 621684203 | PHYSICIAN GROUP | AR | 501(C)(3) | LINE 10 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH OKLAHOMA COMMUNITIES INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 731453048 | HEALTH SYSTEM | OK | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SOUTHWEST MISSOURIKANSAS COMMUNITIES | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 300584463 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH SPRINGFIELD COMMUNITIES | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 431856028 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12B, II | MERCY HEALTH | Yes (1) | |
| MERCY HOSPITAL ADA INC | |||||||||||
| 430 N MONTE VISTA STREET | ADA | OK | 74820 | 462288155 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL ARDMORE INC | |||||||||||
| 1011 14TH AVENUE NW | ARDMORE | OK | 73401 | 731500629 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL AURORA | |||||||||||
| 500 PORTER AVENUE | AURORA | MO | 65605 | 431936696 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL BERRYVILLE | |||||||||||
| 214 CARTER STREET | BERRYVILLE | AR | 72616 | 710759299 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL BOONEVILLE | |||||||||||
| 880 WEST MAIN STREET | BOONEVILLE | AR | 72927 | 463851119 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL CARTHAGE | |||||||||||
| 3125 DR RUSSELL SMITH WAY | CARTHAGE | MO | 64836 | 453808607 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL CASSVILLE | |||||||||||
| 94 MAIN STREET | CASSVILLE | MO | 65625 | 431936699 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL COLUMBUS | |||||||||||
| 220 PENNSYLVANIA AVENUE | COLUMBUS | KS | 66725 | 270842031 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL EL RENO INC | |||||||||||
| 2115 PARKVIEW DRIVE | EL RENO | OK | 73036 | 272716065 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL FORT SMITH | |||||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710240352 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH FORT SMITH COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL HEALDTON INC | |||||||||||
| 3462 HOSPITAL RD | HEALDTON | OK | 73438 | 263173902 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL ARDMORE INC | Yes (1) | |
| MERCY HOSPITAL JEFFERSON | |||||||||||
| 1400 HIGHWAY 61 SOUTH | FESTUS | MO | 63028 | 430687077 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL JOPLIN | |||||||||||
| 100 MERCY WAY | JOPLIN | MO | 64804 | 270814858 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL KINGFISHER INC | |||||||||||
| 1000 KINGFISHER REGIONAL HOSPITAL C | KINGFISHER | OK | 73750 | 463433074 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL LEBANON | |||||||||||
| 100 HOSPITAL DRIVE | LEBANON | MO | 65536 | 431767432 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LINCOLN | |||||||||||
| 1000 EAST CHERRY STREET | TROY | MO | 63379 | 472219204 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HOSPITALS EAST COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL LOGAN COUNTY INC | |||||||||||
| 200 SOUTH ACADEMY | GUTHRIE | OK | 73044 | 452998842 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITAL OKLAHOMA CITY INC | |||||||||||
| 4300 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73120 | 730579285 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HEALTH OKLAHOMA COMMUNITIES INC | Yes (1) | |
| MERCY HOSPITAL OZARK | |||||||||||
| 801 W RIVER STREET | OZARK | AR | 72949 | 710689680 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL PARIS | |||||||||||
| 500 E ACADEMY | PARIS | AR | 72855 | 710655753 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL ROGERS | |||||||||||
| 2710 RIFE MEDICAL LANE | ROGERS | AR | 72758 | 710294390 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HEALTH NW ARK COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL SPRINGFIELD | |||||||||||
| 1235 E CHEROKEE STREET | SPRINGFIELD | MO | 65804 | 440552485 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL TISHOMINGO INC | |||||||||||
| 1000 SOUTH BYRD | TISHOMINGO | OK | 73460 | 274433830 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL ADA INC | Yes (1) | |
| MERCY HOSPITAL WALDRON | |||||||||||
| 1341 W 6TH STREET | WALDRON | AR | 72958 | 710557895 | HOSPITAL | AR | 501(C)(3) | LINE 3 | MERCY HOSPITAL FORT SMITH | Yes (1) | |
| MERCY HOSPITAL WATONGA INC | |||||||||||
| 500 CLARENCE NASH BLVD | WATONGA | OK | 73772 | 455199762 | HOSPITAL | OK | 501(C)(3) | LINE 3 | MERCY HOSPITAL OKLAHOMA CITY INC | Yes (1) | |
| MERCY HOSPITALS EAST COMMUNITIES | |||||||||||
| 615 S NEW BALLAS ROAD | ST LOUIS | MO | 63141 | 430653493 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| MERCY KANSAS COMMUNITIES INC | |||||||||||
| 401 WOODLAND HILLS BLVD | FT SCOTT | KS | 66701 | 480956045 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY MINISTRIES OF LAREDO | |||||||||||
| 2500 ZACATECAS ST | LAREDO | TX | 78046 | 200198462 | OUTREACH | TX | 501(C)(3) | LINE 7 | MERCY HEALTH | Yes (1) | |
| MERCY RESEARCH | |||||||||||
| 524 NORTH BOONEVILLE AVENUE | SPRINGFIELD | MO | 65802 | 870796305 | RESEARCH | MO | 501(C)(3) | LINE 4 | MERCY HEALTH | Yes (1) | |
| MERCY ST FRANCIS HOSPITAL | |||||||||||
| 100 W US HIGHWAY 60 | MOUNTAIN VIEW | MO | 65548 | 440607149 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH SPRINGFIELD COMMUNITIES | Yes (1) | |
| MHM SUPPORT SERVICES | |||||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 202553101 | CENTRALIZED HEALTH SYSTEM FUNCTIONS | MO | 501(C)(3) | LINE 12A, I | MERCY HEALTH | Yes (1) | |
| MISSION CLINICAL SERVICES | |||||||||||
| 216 MCAULEY COURT | HOT SPRINGS | AR | 71913 | 134239691 | CHILD ADVOCACY CENTER | AR | 501(C)(3) | LINE 3 | MERCY HEALTH | Yes (1) | |
| MERCY HEALTH FOUNDATION SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 261516789 | FUNDRAISING | MO | 501(C)(3) | LINE 12A, I | MERCY HOSPITAL SOUTH | Yes (1) | |
| MERCY HOSPITAL SOUTH | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 430980256 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| ST ANTHONY'S PHYSICIAN ORGANIZATION | |||||||||||
| 10010 KENNERLY ROAD | ST LOUIS | MO | 63128 | 431784536 | HEALTH CARE | MO | 501(C)(3) | LINE 3 | MERCY HOSPITAL SOUTH | Yes (1) | |
| MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS | |||||||||||
| 1619 W 7TH STREET | GALENA | KS | 66739 | 843730625 | HOSPITAL | KS | 501(C)(3) | LINE 3 | MERCY HEALTH SW MOKS COMMUNITIES | Yes (1) | |
| MERCY HOSPITAL PERRY | |||||||||||
| 434 N WEST STREET | PERRYVILLE | MO | 63775 | 923065473 | HOSPITAL | MO | 501(C)(3) | LINE 3 | MERCY HEALTH EAST COMMUNITIES | Yes (1) | |
| SOUTHEAST HOSPITAL DBA MERCY HOSPITAL SOUTHEAST | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 430654874 | HOSPITAL | MO | 501(C)(3) | LINE 3 | SOUTHEASTHEALTH SYSTEM | Yes (1) | |
| SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 273868479 | HOSPITAL | MO | 501(C)(3) | LINE 3 | SOUTHEAST HOSPITAL | Yes (1) | |
| SOUTHEASTHEALTH SYSTEM | |||||||||||
| 1701 LACEY STREET | CAPE GIRARDEAU | MO | 63701 | 474890906 | HEALTH SYSTEM | MO | 501(C)(3) | LINE 12C, III-FI | MERCY HEALTH | Yes (1) | |
| SOUTHEAST MISSOURI HOSPITAL FOUNDATION | |||||||||||
| 1849 BROADWAY | CAPE GIRARDEAU | MO | 63701 | 431122759 | FOUNDATION | MO | 501(C)(3) | LINE 7 | SOUTHEAST HOSPITAL | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| PLAZA SURGERY SERVICES COMPANY LLC | |||||||||
| 12700 SOUTHFORK ROAD | ST LOUIS | MO | 63128 | 204709312 | INACTIVE | MO | MERCY HOSPITAL SOUTH | 0 | 0 |
| ST EDWARD MERCY MC M-P OFFICE BLDG | |||||||||
| 7301 ROGERS AVENUE | FORT SMITH | AR | 72903 | 710554050 | OFFICE BUILDING | AR | MERCY HOSPITAL FORT SMITH | 0 | 0 |
| PLATINUM CPS HOLDINGS LLC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 842493007 | HOLDING COMPANY | MO | MERCY MANAGED CARE CORP MERCY HEALTH | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| FRONTENAC PROPERTIES INC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 521914421 | HOLDING COMPANY | DE | MERCY HEALTH | C | 0 |
| MERCY HEALTH CENTER CONDOMINIUMS INC | |||||||||
| 4300 W MEMORIAL RD | OKLAHOMA CITY | OK | 73120 | 680640970 | REAL ESTATE | OK | MERCY HOSPITAL OKLAHOMA CITY INC | C | 0 |
| MERCY MANAGED CARE CORPORATION | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 731441665 | HOLDING COMPANY | OK | MERCY HEALTH | C | 0 |
| UHL CORP INC | |||||||||
| 15740 SOUTH OUTER 40 RD | CHESTERFIELD | MO | 63017 | 742499535 | HOLDING COMPANY | MO | MERCY HOSPITALS EAST COMMUNITIES | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MERCY HOSPITAL FORT SMITH | ||
| Q | $20,849,247 | FMV |
| MHM SUPPORT SERVICES | ||
| Q | $997,770 | FMV |
| MERCY HEALTH NW ARKANSAS COMMUNITIES | ||
| Q | $548,395 | FMV |
| MERCY HEALTH FOUNDATION FORT SMITH | ||
| C | $61,180 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, 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. |
| FORM 990, 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. |